Evidence map›Paper›PMID 39330928›Full record

SynthesisJournal of extracellular vesicles2024

A critical systematic review of extracellular vesicle clinical trials.

Rachel R Mizenko, Madison Feaver, Batuhan T Bozkurt, Neona Lowe, Bryan Nguyen, Kuan-Wei Huang, Aijun Wang, Randy P Carney

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of extracellular vesicles, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Extracellular Vesicles and Their Role in Osteogenesis.Bioengineering (Basel, Switzerland) · 2026
    Review
  12. Review
  13. Macrophage-Derived Extracellular Vesicles Deliver Progranulin to Alleviate Skin Wound Fibrosis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article

59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rachel R MizenkoDepartment of Biomedical Engineering, University of California, Davis, California, USA.
Madison FeaverDepartment of Biomedical Engineering, University of California, Davis, California, USA.
Batuhan T BozkurtDepartment of Biomedical Engineering, University of California, Davis, California, USA.
Neona LoweDepartment of Biomedical Engineering, University of California, Davis, California, USA.ORCID 0000-0002-7426-0273
Bryan NguyenDepartment of Biomedical Engineering, University of California, Davis, California, USA.
Kuan-Wei HuangDepartment of Biomedical Engineering, University of California, Davis, California, USA.ORCID 0000-0002-1937-645X
Aijun WangDepartment of Biomedical Engineering, University of California, Davis, California, USA.ORCID 0000-0002-2985-3627
Randy P CarneyDepartment of Biomedical Engineering, University of California, Davis, California, USA.ORCID 0000-0001-8193-1664

Funding

TRAINING IN COMPARATIVE LUNG BIOLOGY AND MEDICINET32HL007013 · NHLBI · UNIVERSITY OF CALIFORNIA DAVIS · PI Elena Goncharova, Nicholas J. KENYON · 1985 to 2026
$10.1M
SERS diagnostics platform for liquid bioapsy analysis of tumor-associated exosomesR01CA241666 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CARNEY, RANDY · 2020 to 2024
$2.5M
Bottom-up, high-throughput prototyping of extracellular vesicle mimetics using cell-free synthetic biologyR01EB034279 · NIBIB · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Randy Carney, Cheemeng Tan · 2023 to 2026
$2.5M
Homogenized, engineered extracellular vesicles for intracranial targetingR01EB033389 · NIBIB · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Randy Carney, Aijun Wang · 2023 to 2026
$2.4M
Engineering an extracellular vesicle-based targeted regenerative nanotherapeutic for multiple sclerosisR01NS131538 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Aijun Wang · 2024 to 2026
$1.4M
Engineered extracellular vesicles as a targeted drug delivery system for multiple sclerosisF31NS120590 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MIZENKO, RACHEL REGINA · 2022 to 2024
$109k
NCI NIH HHS R01 CA241666NHLBI NIH HHS T32 HL007013NIBIB NIH HHS R01 EB033389NIBIB NIH HHS R01 EB034279NIH HHS F31NS120590NIH HHS R01CA241666NIH HHS R01EB033389NIH HHS R01EB034279NIH HHS T32HL007013NINDS NIH HHS F31 NS120590NINDS NIH HHS R01 NS131538
6 · The paper itself

Abstract

This systematic review examines the landscape of extracellular vesicle (EV)-related clinical trials to elucidate the field's trends in clinical applications and EV-related methodologies, with an additional focus on the acknowledgement of EV subpopulations. By analysing data from public reporting repositories, we catalogued 471 EV-related clinical trials to date, with indications for over 200 diseases. Diagnostics and companion diagnostics represented the bulk of EV-related clinical trials with cancer being the most frequent application. EV-related therapeutics trials mainly utilized mesenchymal stromal cell (MSC) EVs and were most frequently used for treatment of respiratory illnesses. Ultracentrifugation and RNA-sequencing were the most common isolation and characterization techniques; however, methodology for each was not frequently reported in study records. Most of the reported characterization relied on bulk characterization of EV isolates, with only 11% utilizing EV subpopulations in their experimental design. While this may be connected to a lack of available techniques suitable for clinical implementation, it also highlights the opportunity for use of EV subpopulations to improve translational efforts. As academic research identifies more chemically distinct subpopulations and technologies for their enrichment, we forecast to more refined EV trials in the near future. This review emphasizes the need for meticulous methodological reporting and consideration of EV subpopulations to enhance the translational success of EV-based interventions, pointing towards a paradigm shift in personalized medicine.

Indexed as

Clinical Trials as TopicExtracellular VesiclesHumansMesenchymal Stem CellsNeoplasmsdiagnosticsdrug delivery vehiclesexosomesheterogeneitytherapeutics

Identifiers

PMID39330928
PMCPMC11428870

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.