Evidence map›Paper›PMID 40355915›Full record

Trial reportBMC pharmacology & toxicology2025

The safety, tolerability, pharmacokinetics, and pharmacodynamics of nebulized pegylated interferon α-2b in healthy adults: a randomized phase 1 trial.

Wenqi Huang, Yanneng Kang, Yajun Zhao, Jiao Yang, Changjuan Dai, Weibing Wu, Jinchao Xu, Wen Jin, Xiaolu Wu, Qing Zhou

Abstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in BMC pharmacology & toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Wenqi HuangDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Yanneng KangDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Yajun ZhaoDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Jiao YangDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Changjuan DaiDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Weibing WuDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Jinchao XuDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Wen JinDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China.
Xiaolu WuDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China. 13606025483@139.com.
Qing ZhouDepartment of Hepatology, Xiamen Humanity Hospital Fujian Medical University, Xiamen, Fujian, 361000, China. 2630921003@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterferons (IFNs) are proteins that combat viruses and regulate the immune system. Studies have demonstrated that aerosol inhalation of IFNα is both effective and safe for treating respiratory infections. However, IFNα has a short half-life and is rapidly cleared by lung defenses. Polyethylene glycol (PEG) ylation is a common strategy to extend the duration of drug action. PegIFNα-2b is a long-acting interferon formed by the covalent binding of 40 kDa Y-shaped branched PEG with recombinant human IFNα-2b. This study aimed to assess the safety, tolerability, pharmacokinetic, and pharmacodynamic characteristics of nebulized PegIFNα-2b in healthy adult subjects, providing guidance for further clinical investigations.

methodsThis study employed a randomized, controlled clinical trial design with a total of 18 healthy adult subjects enrolled. Participants were randomly assigned in a 1:1:1 ratio to three groups. Treatment group 1 and group 2 received 90 µg and 180 µg of nebulized PegIFNα-2b, respectively, while the control group was administered a combination of 180 µg PegIFNα-2b and 15 mg inhalable Ambroxol Hydrochloride solution, all in a single dose. Safety, tolerability, and blood drug concentration were assessed, along with blood neopterin levels for pharmacokinetic and pharmacodynamic evaluation.

resultsThe incidence of adverse events (AEs) was 38.9% (7/18) with no significant difference among the groups (P > 0.05). AEs included anemia (N = 5) and leukopenia (N = 2), predominantly of grade 1 severity (6/7), with no severe events. Blood PegIFNα-2b concentrations were below detection limits in most subjects, except one in treatment group 2. Neopterin levels were generally low in treatment group 1 and the control group, with slightly higher observed in most subjects of treatment group 2, but differences were not significant (P > 0.05).

conclusionsNebulized PegIFNα-2b at doses of 90 µg and 180 µg showed acceptable safety and tolerability. Minimal systemic absorption was observed following inhalation. Further studies are needed to explore its potential, especially in patients with lower respiratory tract infections. CLINICAL

trial registrationChiCTR2300074909, retrospectively registered in https://www.chictr.org.cn/ at 20 August 2023.

Indexed as

Antiviral AgentsInterferon-alphaInterferon alpha-2Polyethylene GlycolsAdministration, InhalationAdultFemaleHealthy VolunteersHumansMaleMiddle AgedNebulizers and VaporizersNeopterinRecombinant ProteinsYoung AdultAntiviral AgentsInterferon-alphaInterferon alpha-2Neopterinpeginterferon alfa-2bPolyethylene GlycolsRecombinant ProteinsNebulizationPegylated interferon α-2bPharmacodynamicsSafety

Identifiers

PMID40355915
PMCPMC12070635

What OpenQuestion holds

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LicenceCC BY
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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.