Evidence map›Paper›PMID 32336038›Full record

Trial reportArthritis & rheumatology (Hoboken, N.J.)2020

Safety and Efficacy of Lenabasum in a Phase II, Randomized, Placebo-Controlled Trial in Adults With Systemic Sclerosis.

Robert Spiera, Laura Hummers, Lorinda Chung, Tracy M Frech, Robyn Domsic, Vivien Hsu, Daniel E Furst, Jessica Gordon, Maureen Mayes, Robert Simms and 8 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Arthritis & rheumatology (Hoboken, N.J.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
10.0field-weighted citation impact, top 1% 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.

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

43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  7. Evaluating the Abuse Potential of Lenabasum, a Selective Cannabinoid Receptor 2 Agonist.The Journal of pharmacology and experimental therapeutics · 2024
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  18. The Impact of the CBMolecules (Basel, Switzerland) · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 11 institutions in 1 country.

Robert SpieraWeill Cornell Medicine, New York, New York.ORCID 0000-0003-2911-6800
Laura HummersJohns Hopkins University School of Medicine, Baltimore, Maryland.
Lorinda ChungStanford University School of Medicine, Stanford, California, and Palo Alto VA Health Care System, Palo Alto, California.
Tracy M FrechUniversity of Utah, and Salt Lake City VA Health Care System.ORCID 0000-0002-5472-3840
Robyn DomsicUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Vivien HsuRutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Daniel E FurstArthritis Association of Southern California, Los Angeles, California.
Jessica GordonWeill Cornell Medicine, New York, New York.ORCID 0000-0001-8068-0592
Maureen MayesUniversity of Texas Health Science Center at Houston.
Robert SimmsBoston University School of Medicine, Boston, Massachusetts.
Robert LafyatisUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Viktor MartyanovGeisel School of Medicine at Dartmouth, Hanover, New Hampshire.ORCID 0000-0002-7964-425X
Tammara WoodGeisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Michael L WhitfieldGeisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Scott ConstantineCorbus Pharmaceuticals, Norwood, Massachusetts.
Elizabeth LeeCorbus Pharmaceuticals, Norwood, Massachusetts.
Nancy DgetluckCorbus Pharmaceuticals, Norwood, Massachusetts.
Barbara WhiteCorbus Pharmaceuticals, Norwood, Massachusetts.
Corbus Pharmaceuticals (United States) · USDartmouth College · USCornell University · USUniversity of Pittsburgh · USBoston University · USJohns Hopkins University · USNia Association · USRutgers, The State University of New Jersey · USThe University of Texas Health Science Center at Houston · USUniversity of Utah · USVA Palo Alto Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the safety and efficacy of lenabasum in diffuse cutaneous systemic sclerosis (dcSSc).

methodsA randomized, double-blind, placebo-controlled, phase II study was conducted at 9 SSc clinics in the US. Adults with dcSSc of ≤6 years' duration who were receiving stable standard-of-care treatment were randomized to receive lenabasum (n = 27) or placebo (n = 15). Lenabasum doses were 5 mg once daily, 20 mg once daily, or 20 mg twice daily for 4 weeks, followed by 20 mg twice daily for 8 weeks. Safety and efficacy were assessed at weeks 4, 8, 12, and 16.

resultsAdverse events (AEs) occurred in 63% of the lenabasum group and 60% of the placebo group, with no serious AEs related to lenabasum. Compared to placebo, lenabasum treatment was associated with greater improvement in the American College of Rheumatology Combined Response Index in diffuse cutaneous Systemic Sclerosis (CRISS) score and other efficacy outcome measures that assessed overall disease, skin involvement, and patient-reported function. The median CRISS score increased in the lenabasum group during the study, reaching 0.33, versus 0.00 in the placebo group, at week 16 (P = 0.07 by 2-sided mixed-effects model repeated-measures analysis). Gene expression in inflammation and fibrosis pathways was reduced, and inflammation and fibrosis were improved on histologic evaluation of skin biopsy specimens, in the lenabasum group compared to the placebo group (all P ≤ 0.05).

conclusionDespite a short trial duration in a small number of patients in this phase II study in dcSSc, our findings indicate that lenabasum improves efficacy outcomes and underlying disease pathology with a favorable safety profile.

Indexed as

AdolescentAdultAgedCannabinoid Receptor AgonistsDouble-Blind MethodDronabinolDrugs, InvestigationalFemaleHumansMaleMiddle AgedReceptor, Cannabinoid, CB2Scleroderma, SystemicSeverity of Illness IndexSkinSynthetic DrugsCannabinoid Receptor AgonistsDronabinolDrugs, InvestigationallenabasumReceptor, Cannabinoid, CB2Synthetic Drugs

Identifiers

PMID32336038
PMCPMC7497006
OpenAlexW4255022795

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.