Evidence map›Paper›PMID 25213458›Full record

ReviewExpert review of hematology2014

Complement in paroxysmal nocturnal hemoglobinuria: exploiting our current knowledge to improve the treatment landscape.

Dimitrios C Mastellos, Daniel Ricklin, Despina Yancopoulou, Antonio Risitano, John D Lambris

Registry-linked trialAbstract readReview
In one paragraph

Review in Expert review of hematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03316521 (Safety, Tolerability, Pharmacokinetics), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
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.

NCT03316521 phase1completednot on this mapstarted 2017, after this paper: background citation

Safety, Tolerability, Pharmacokinetics (PK) and Pharmacodynamics (PD) of a Single Ascending Dose (SAD) and a Multiple Dose (MD) of the Complement Inhibitor AMY-101. A Prospective, Single-center, Open-label, First-In-Human (FIH) Clinical Study in Healthy Male Volunteers

TypeinterventionalSponsorAmyndas Pharmaceuticals S.A.Ran2017 to 2017Enrolled50ConditionsComplement Mediated DiseasesArmsAMY-101
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Frontiers in immunology · 2022
    Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Method development and validation for the quantitation of the complement inhibitor Cp40 in human and cynomolgus monkey plasma by UPLC-ESI-MS.Journal of chromatography. B, Analytical technologies in the biomedical and life sciences · 2017
    Article
  18. Article
  19. Update on the diagnosis and management of paroxysmal nocturnal hemoglobinuria.Hematology. American Society of Hematology. Education Program · 2016
    Review
  20. Review
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

5 authors at 2 institutions in 2 countries.

Dimitrios C MastellosNCSR 'Demokritos' - INRASTES, Division of Biodiagnostic Sciences and Technologies, Aghia Paraskevi Attikis, Greece.
Daniel Ricklin
Despina Yancopoulou
Antonio Risitano
John D Lambris
University of Pennsylvania · USUniversity of Naples Federico II · IT

Funding

Role of complement in kidney disorders: from hemodialysis to transportationP01AI068730 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 2007 to 2018
$16.0M
STRUCTURE-FUNCTION ANALYSIS OF DIFFERENT C3 SPECIESR01AI030040 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 1993 to 2016
$4.1M
Complement in AMD: Mechanisms and Therapeutic InterventionR01EY020633 · NEI · UNIVERSITY OF PENNSYLVANIA · PI LAMBRIS, JOHN D · 2011 to 2013
$1.8M
A novel approach for assessing dynamic events in the human complement systemR21AI097805 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI RICKLIN, DANIEL · 2012 to 2013
$426k
VIRAL RESPIRATORY PATHOGENS RESEARCH UNIT /VRPRU/-266030040-266030040N01AI030040 · NIAID · UNIVERSITY OF IOWA · PI APICELLA, MICHAEL A. · 2003 to 2006
–
NEI NIH HHS EY020633NEI NIH HHS R01 EY020633NIAID NIH HHS AI068730NIAID NIH HHS AI097805NIAID NIH HHS N01 AI030040NIAID NIH HHS P01 AI068730NIAID NIH HHS R01 AI030040NIAID NIH HHS R21 AI097805
6 · The paper itself

Abstract

Paroxysmal nocturnal hemoglobinuria (PNH) is a rare hematological disorder associated with an acquired deficiency in glycophosphatidylinositol-anchor biosynthesis that renders erythrocytes susceptible to complement attack. Intravascular hemolysis via the membrane attack complex is a clinical hallmark of the disease, and C5 blockade is currently the only approved treatment for PNH. However, residual anemia is an emerging observation for many PNH patients receiving anti-C5 treatment. A range of complement-targeted therapeutic approaches, encompassing surface-directed inhibition of C3 convertases, blockade of membrane attack complex assembly or C3 interception using peptidic inhibitors, has yielded promising results and offers leverage for even more effective treatment of PNH. This article discusses recent advances in this rapidly evolving field, integrating critical perspectives from preclinical PNH models and diverse complement modulation strategies with genetic insights and therapy response profiles. It also evaluates the relative efficacy, limitations and benefits afforded by C3 or C5 inhibition in the context of PNH therapeutics.

Indexed as

Antibodies, Monoclonal, HumanizedComplement C3Complement C5Complement System ProteinsErythrocytesHemoglobinuria, ParoxysmalHemolysisHumansPeptidesAntibodies, Monoclonal, HumanizedComplement C3Complement C5Complement System ProteinseculizumabPeptidesAMY-101C3 inhibitorsC5 blockadecomplement therapeuticsCp40eculizumabextravascular hemolysisMACPNH

Identifiers

PMID25213458
PMCPMC4383744
OpenAlexW2129625853

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 Socratic graph.