Evidence map›Paper›PMID 39278946›Full record

Trial reportNature communications2024

The DAV132 colon-targeted adsorbent does not interfere with plasma concentrations of antibiotics but prevents antibiotic-related dysbiosis: a randomized phase I trial in healthy volunteers.

Meriem Messaoudene, Stéphanie Ferreira, Nathalie Saint-Lu, Mayra Ponce, Caroline Truntzer, Romain Boidot, Clément Le Bescop, Thomas Loppinet, Tanguy Corbel, Céline Féger and 10 more

Abstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
  2. Review
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  7. Article
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  10. Antibiotic-related dysbiosis of gut microbiota in healthy volunteers: a comparative study of ceftazidime-avibactam, piperacillin-tazobactam, and ceftriaxone.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  11. Review
  12. Review
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  15. 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

20 authors.

Meriem MessaoudeneAxe Cancer, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada.
Stéphanie FerreiraDa Volterra, Paris, France.
Nathalie Saint-LuDa Volterra, Paris, France.
Mayra PonceAxe Cancer, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada.
Caroline TruntzerPlatform of Transfer in Biological Oncology, Georges François Leclerc Cancer Center-Unicancer, Dijon, France.
Romain BoidotMolecular Biology, Georges François Leclerc Cancer Center-Unicancer, Dijon, France.ORCID 0000-0001-9956-1737
Clément Le BescopDa Volterra, Paris, France.
Thomas LoppinetDa Volterra, Paris, France.
Tanguy CorbelDa Volterra, Paris, France.
Céline FégerDa Volterra, Paris, France.ORCID 0000-0002-4091-2771
Karine BertrandDa Volterra, Paris, France.
Arielle ElkriefAxe Cancer, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada.
Morten IsaksenBio-Me, Oslo, Norway.ORCID 0009-0008-4270-6411
Fabien VitryDa Volterra, Paris, France.
Frédérique Sablier-GallisDa Volterra, Paris, France.
Antoine AndremontDa Volterra, Paris, France.
Lloyd BodKrantz Family Cancer Center, Center for Immunology and Inflammatory Diseases, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-8124-0863
François GhiringhelliDepartment of Medical Oncology, Georges François Leclerc Cancer Center-Unicancer, Dijon, France.ORCID 0000-0002-5465-8305
Jean de GunzburgDa Volterra, Paris, France.ORCID 0000-0001-8049-9283
Bertrand RoutyAxe Cancer, Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, QC, Canada. Bertrand.routy@umontreal.ca.ORCID 0000-0003-1955-9149

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The deleterious impact of antibiotics (ATB) on the microbiome negatively influences immune checkpoint inhibitors (ICI) response in patients with cancer. We conducted a randomized phase I study (EudraCT:2019-A00240-57) with 148 healthy volunteers (HV) to test two doses of DAV132, a colon-targeted adsorbent, alongside intravenous ceftazidime-avibactam (CZA), piperacillin-tazobactam (PTZ) or ceftriaxone (CRO) and a group without ATB. The primary objective of the study was to assess the effect of DAV132 on ATB plasma concentrations and both doses of DAV132 did not alter ATB levels. Secondary objectives included safety, darkening of the feces, and fecal ATB concentrations. DAV132 was well tolerated, with no severe toxicity and similar darkening at both DAV132 doses. DAV132 led to significant decrease in CZA or PTZ feces concentration. When co-administered with CZA or PTZ, DAV132 preserved microbiome diversity, accelerated recovery to baseline composition and protected key commensals. Fecal microbiota transplantation (FMT) in preclinical cancer models in female mice from HV treated with CZA or PTZ alone inhibited anti-PD-1 response, while transplanted samples from HV treated with ATB + DAV132 circumvented resistance to anti-PD-1. This effect was linked to activated CD8

Indexed as

Anti-Bacterial AgentsColonDysbiosisFecesGastrointestinal MicrobiomeHealthy VolunteersAdultAnimalsFecal Microbiota TransplantationFemaleHumansImmune Checkpoint InhibitorsMaleMiceMiddle AgedYoung AdultAnti-Bacterial AgentsImmune Checkpoint Inhibitors

Identifiers

PMID39278946
PMCPMC11402973

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.