Evidence map›Paper›PMID 40923295›Full record

Trial reportJournal of cardiovascular pharmacology2025

The Effects of Anakinra on Cardiorespiratory Fitness in Heart Failure Stratified by Age in Phase II Clinical Trials.

Austin C Hogwood, Michele Golino, Francesco Moroni, Justin M Canada, Marco G Del Buono, Ross Arena, Benjamin Van Tassell, Antonio Abbate

Abstract readClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in Journal of cardiovascular pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Austin C HogwoodDivision of Cardiology, Robert M. Berne Cardiovascular Research Center, University of Virginia, Charlottesville, VA.
Michele GolinoDivision of Cardiology, Robert M. Berne Cardiovascular Research Center, University of Virginia, Charlottesville, VA.
Francesco MoroniDivision of Cardiology, Robert M. Berne Cardiovascular Research Center, University of Virginia, Charlottesville, VA.
Justin M CanadaDivision of Cardiology, Pauley Heart Center, Virginia Commonwealth University, Richmond, VA.
Marco G Del BuonoDivision of Cardiology, Pauley Heart Center, Virginia Commonwealth University, Richmond, VA.
Ross ArenaDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois Chicago, Chicago, IL ; and.
Benjamin Van TassellDivision of Cardiology, Pauley Heart Center, Virginia Commonwealth University, Richmond, VA.
Antonio AbbateDivision of Cardiology, Robert M. Berne Cardiovascular Research Center, University of Virginia, Charlottesville, VA.ORCID 0000-0002-1930-785

Funding

BASIC CARDIOVASCULAR RESEARCH TRAINING GRANTT32HL007284 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Brant E Isakson, Gary K Owens · 1985 to 2026
$19.6M
Center for Clinical and Translational ResearchUL1TR000058 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2012 to 2015
$12.5M
Center for Clinical and Translational ResearchKL2RR031989 · NCRR · VIRGINIA COMMONWEALTH UNIVERSITY · PI CLORE, JOHN N. · 2010 to 2011
$995k
Interleukin-1 blockade in heart failure with preserved ejection fractionR34HL118348 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI ABBATE, ANTONIO, VAN TASSELL, BENJAMIN W · 2014 to 2015
$681k
Interleukin-1 blockade in recently decompensated heart failureR34HL117026 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI ABBATE, ANTONIO, VAN TASSELL, BENJAMIN W · 2013 to 2014
$671k
The Relationship of Exercise Associated Cardiac Reserve on Peak Oxygen Consumption and Frailty Measures in Individuals Undergoing Allogeneic Hematopoietic Stem Cell Transplant.K23HL159270 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Justin McNair Canada · 2023 to 2026
$596k
American Heart Association 10SDG303005National Center for Inter-University Research Facilities, Seoul National University KL2RR031989NCATS NIH HHS UL1 TR000058NCRR NIH HHS KL2 RR031989NCRR NIH HHS UL1TR000058NHLBI NIH HHS 1R34HL117026NHLBI NIH HHS 1R34HL118348NHLBI NIH HHS K23 HL159270NHLBI NIH HHS K23HL159270NHLBI NIH HHS R34 HL117026NHLBI NIH HHS R34 HL118348NHLBI NIH HHS T32 HL007284NHLBI NIH HHS T32HL007284
6 · The paper itself

Abstract

abstractCardiorespiratory fitness (CRF) in heart failure (HF) declines with age. Interleukin-1 is a proinflammatory cytokine involved in aging and HF. We aimed to determine the changes in CRF before and after treatment with anakinra, recombinant interleukin-1 receptor antagonist, in patients with HF stratified according to age younger and older than 60 years in phase II clinical trials. We analyzed data from 73 patients [37 (51%) female], 49 (67%) patients <60 years and 24 patients (33%) ≥60 years. All patients received anakinra 100 mg subcutaneously daily for a median of 4 (interquartile range from 2 to 12) weeks. We measured peak oxygen consumption (VO 2peak ) and high-sensitivity C-reactive protein (hsCRP). When compared with older patients, younger patients had higher baseline peak VO 2 [15.2 (12.4-17.7) vs. 12.4 (10.3-14.3) mL·kg -1 ·minute -1 , P = 0.001], yet no significant differences in hsCRP [6.6 (3.6-16.6) vs. 5.2 (2.7-11.2) mg/L, P = 0.18]. In both groups, anakinra decreased hsCRP [<60 years: -3.6 (-8.1 to -1.9) mg/L; P < 0.001; ≥60 years: -2.7 (-9.0 to -1.4) mg/L; P < 0.001] and increased peak VO 2peak [<60 years: +0.5 (-0.9 to 2.5) mL·kg -1 ·minute -1 ; P = 0.036; ≥60 years: +1.1 (0.2-2.3) mL·kg -1 ·minute -1 ; P < 0.001]. No significant differences in changes across time were observed between the age groups. Older patients with HF have a greater baseline impairment in CRF than younger patients despite similar levels of systemic inflammation, and they seem to have a similar improvement in CRF after treatment with anakinra. The lack of an active control group (placebo) is a significant limitation and additional studies are needed to validate and expand these findings assessing clinical outcomes.

Indexed as

Cardiorespiratory FitnessExercise ToleranceHeart FailureInterleukin 1 Receptor Antagonist ProteinAgedAge FactorsBiomarkersC-Reactive ProteinFemaleHumansMaleMiddle AgedOxygen ConsumptionTime FactorsTreatment OutcomeBiomarkersC-Reactive ProteinInterleukin 1 Receptor Antagonist Proteinaginganakinracardiopulmonary exercise testC-reactive proteinheart failure

Identifiers

PMID40923295
PMCPMC12848924

What Socratic holds

Textmetadata
LicenceTDM
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.