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Late-breaking abstract: Efficacy and safety of multiple doses of QGE031 (ligelizumab) versus omalizumab and placebo in inhibiting the allergen-induced early asthmatic response

2014· article· en· W1905645497 on OpenAlexaff
Gail M. Gauvreau, Louis‐Philippe Boulet, Richard Leigh, Donald W. Cockcroft, Beth E. Davis, Irvin Mayers, J. Mark FitzGerald, Barbro Dahlén, Richard M. Watson, Joanne Milot, Veronica A. Swystun, Linda Hui, Ann‐Sofie Lantz, Miranda Bowen, Jonathan Arm, Suzzane Maahs, Karin Meiser, Philip J. Lowe, Andrej Skerjanec, Christopher Carlsten, Karin Strandberg, Kieran J. Killian, Michele Laviolette, Anton Drollmann, Paul M. O’Byrne

Bibliographic record

VenueEuropean Respiratory Journal · 2014
Typearticle
Languageen
FieldMedicine
TopicAsthma and respiratory diseases
Canadian institutionsUniversity of British ColumbiaUniversity of AlbertaUniversité LavalUniversity of SaskatchewanUniversity of CalgaryRoyal University HospitalMcMaster University
Fundersnot available
KeywordsOmalizumabPlaceboMedicineTolerabilityAsthmaProvocation testAllergenImmunoglobulin EPharmacologyAllergyImmunologyInternal medicineAdverse effectAntibodyPathology

Abstract

fetched live from OpenAlex

Background The effect of QGE031, a high-affinity humanized anti-IgE antibody, was evaluated versus omalizumab (OMA) and placebo in a bronchial allergen challenge model. Methods In this phase IIa, exploratory, parallel group, double-blind, placebo controlled study, 37 subjects with mild atopic asthma were randomized to three s.c. doses (240mg; N=8, 72mg; N=8 and 24mg; N=8) of QGE031 every two weeks, OMA (N=6; dosed as per dosing table) or placebo (N=7). The study was powered for a 0.05 significance level. Outcome measures were change from baseline in the concentration of inhaled allergen leading to a 15% decline in FEV 1 (PC 15 FEV 1 ) at 12 weeks, pharmacodynamics, safety and tolerability. Results At week 12, the change in PC 15 FEV 1 was ∼ 3 fold higher with 72mg and 240mg QGE031 compared to OMA (Table). The change in PC 15 FEV 1 was dose-dependent against both placebo and OMA, with 24mg QGE031 showing a smaller effect whilst 72mg and 240mg showed a similar effect size. QGE031 elicited dose and time-dependent suppression of free IgE, basophil Fc∈RI, surface IgE expression and skin prick test responses. QGE031 was well tolerated at all dose levels. Table: PC 15 FEV 1 for QGE031 versus placebo and omalizumab at 12 weeks vs placebo vs OMA Ratio 95% CI p-value Ratio 95% CI p-value QGE031 240mg 16 4.2-61 0.0001 3.0 0.78-11 0.10 QGE031 72mg 15 4.0-54 0.0001 2.7 0.72-10 0.14 QGE031 24mg 1.8 0.47-7.0 0.38 0.33 0.090-1.2 0.098 OMA 5.4 1.3-22 0.020 - Conclusion QGE031 240 and 72mg demonstrated greater improvement in bronchial provocation testing compared to placebo, and both doses showed a trend for improvement compared with OMA.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.008
Threshold uncertainty score0.027

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0010.001
Open science0.0010.000
Research integrity0.0020.002
Insufficient payload (model declined to judge)0.0080.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.028
GPT teacher head0.274
Teacher spread0.246 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2014
Admission routes1
Has abstractyes

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