Evidence map›Paper›PMID 40709466›Full record

Trial reportCirculation. Arrhythmia and electrophysiology2025

2-Hydroxybenzylamine for Treatment of Atrial Fibrillation: A First-in-Human Clinical Pilot Trial.

Zachary T Yoneda, Matthew O'Neill, Diane M Crawford, Mingfang Ao, Lili Sun, Majd A El-Harasis, Lisa Pitchford, John A Rathmacher, Jay Montgomery, Sharon T Shen and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Circulation. Arrhythmia and electrophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

Zachary T YonedaDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-2055-732X
Matthew O'NeillVanderbilt University School of Medicine, Nashville, TN (M.O.N.).
Diane M CrawfordDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-6160-2828
Mingfang AoDepartment of Pharmacology (M.A.), Vanderbilt University Medical Center, Nashville, TN.
Lili SunDepartment of Biostatistics (L.S., F.Y.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-5112-6389
Majd A El-HarasisDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.
Lisa PitchfordMTI Biotech, Inc, Iowa State University Research Park, Ames (L.P., J.A.R.).ORCID 0000-0002-6402-0823
John A RathmacherMTI Biotech, Inc, Iowa State University Research Park, Ames (L.P., J.A.R.).ORCID 0000-0002-8210-4289
Jay MontgomeryDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-9950-940X
Sharon T ShenDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-7959-300X
Juan Carlos EstradaDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-0209-1850
Pablo J SaavedraDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-2665-5112
Christopher R EllisDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-7333-5720
Travis RichardsonDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-9772-0308
Arvindh KangasundramDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-8295-1528
George H CrossleyDepartment of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-0096-8401
Wendall S AkersDepartment of Pharmaceutical Science, Lipscomb University, Nashville, TN (W.S.A.).ORCID 0009-0006-7325-6447
Fei YeDepartment of Biostatistics (L.S., F.Y.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-6472-5076
Dan M RodenDepartments of Medicine, Pharmacology, and Biomedical Informatics, Divisions of Cardiovascular Medicine and Clinical Pharmacology (D.M.R.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-6302-0389
Gregory F Michaud *Beth Israel Deaconess Medical Center, Boston, MA (G.F.M.).ORCID 0009-0006-8425-4455
M Benjamin Shoemaker *Department of Medicine, Division of Cardiovascular Medicine (Z.T.Y., D.M.C., M.A.E.-H., J.M., S.T.S., J.C.E., P.J.S., C.R.E., T.R., A.K., G.H.C., M.B.S.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-6824-7155

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
American Heart Association-American Stroke Association 18SFRN34110369NCATS NIH HHS UL1 TR002243
6 · The paper itself

Abstract

backgroundInflammation is a common mechanism for atrial fibrillation (AF). 2-Hydroxybenzylamine (2-HOBA) is a novel therapeutic that scavenges isolevuglandins-a downstream mediator of inflammation and oxidative stress. 2-HOBA is safe and reduces AF in mice, prompting a first-in-human pilot clinical trial.

methodsParticipants were enrolled and randomized 1:1 to placebo or 2-HOBA (750 mg p.o. TID) 3 days before a planned AF ablation. Participants were monitored for 28 days after their ablation for recurrence of AF as detected by smartwatch single-lead ECG recordings. Blood was collected at the time of ablation for measurement of isolevuglandin levels. The study drug was stopped at 28 days. A 12-month extended follow-up period was used to monitor for any residual effect of the study drug on AF recurrence.

results2-HOBA increased the risk of AF recurrence in the postablation population (odds ratio, 3.65 [95% CI, 1.31-10.16];

conclusions2-HOBA was associated with a higher risk of AF recurrence when tested early after AF ablation. This result was unexpected based on preclinical data, but paradoxical associations with AF have been previously reported for other drugs that target inflammation and oxidative stress pathways, such as omega-3 fatty acids. The mechanisms for AF immediately following ablation may be different from AF that occurs under other conditions, and the generalizability of these results to all forms of AF remains unknown.

Indexed as

Anti-Arrhythmia AgentsAtrial FibrillationBenzylaminesCatheter AblationHeart RateAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedPilot ProjectsRecurrenceTime FactorsTreatment OutcomeAnti-Arrhythmia AgentsBenzylaminesatrial fibrillationhumansinflammationoxidative stressrisk factors

Identifiers

PMID40709466
PMCPMC12812325

What OpenQuestion holds

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Registered trials

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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.