Evidence map›Paper›PMID 11854116›Full record

Trial reportCirculation2002

Pharmacological treatment of coronary artery disease with recombinant fibroblast growth factor-2: double-blind, randomized, controlled clinical trial.

Michael Simons, Brian H Annex, Roger J Laham, Neal Kleiman, Timothy Henry, Harold Dauerman, James E Udelson, Ernesto V Gervino, Marilyn Pike, M J Whitehouse and 2 more

Registry-linked trialAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Circulation, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01231165 (Comparative Randomized Single-blind Trial of Amiloride in Coronary Heart Disease), which is not on this map. Cited by 190 papers.

0numbers the graph read from it
0cells of the map it votes in
190citing papers in PubMed
19.1field-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.

NCT01231165 phase2 / phase3completedstarted 2009, after this paper: background citation

Comparative Randomized Single-blind Trial of Amiloride in Coronary Heart Disease

Ran2009Enrolled70Registered outcomes3Posted comparisons0ConditionsCoronary Heart DiseaseArmsamiloride, Nitrates, clopidogrel, aspirin, statins
Open the trial in the graph
3 · Its place in the literature

Who cites it

190 citing papers in PubMed, 648 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Decellularized cardiac ECM: A tissue-specific bioactive platform for drug release and cell delivery.Journal of controlled release : official journal of the Controlled Release Society · 2026
    Review
  4. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  5. Contemporary and Emerging Therapies in the Management of Refractory Angina: A Clinical Review.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Fibroblast Growth Factors in Cardiovascular Disease.Journal of atherosclerosis and thrombosis · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

130 more citing papers are in PubMed but not listed here.

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

12 authors at 4 institutions in 1 country.

Michael SimonsSection of Cardiology, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA. Michael.Simons@Dartmouth.edu
Brian H Annex
Roger J Laham
Neal Kleiman
Timothy Henry
Harold Dauerman
James E Udelson
Ernesto V Gervino
Marilyn Pike
M J Whitehouse
Thomas Moon
Nicolas A Chronos
Duke Medical Center · USTufts Medical Center · USHennepin County Medical Center · USMethodist Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle-bolus intracoronary administration of fibroblast growth factor-2 (FGF2) improved symptoms and myocardial function in a phase I, open-label trial in patients with coronary artery disease. We conducted the FGF Initiating RevaScularization Trial (FIRST) to evaluate further the efficacy and safety of recombinant FGF2 (rFGF2). METHODS AND

resultsFIRST is a multicenter, randomized, double-blind, placebo-controlled trial of a single intracoronary infusion of rFGF2 at 0, 0.3, 3, or 30 microg/kg (n=337 patients). Efficacy was evaluated at 90 and 180 days by exercise tolerance test, myocardial nuclear perfusion imaging, Seattle Angina Questionnaire, and Short-Form 36 questionnaire. Exercise tolerance was increased at 90 days in all groups and was not significantly different between placebo and FGF-treated groups. rFGF2 reduced angina symptoms as measured by the angina frequency score of the Seattle Angina Questionnaire (overall P=0.035) and the physical component summary scale of the Short-Form 36 (pairwise P=0.033, all FGF groups versus placebo). These differences were more pronounced in highly symptomatic patients (baseline angina frequency score < or =40 or Canadian Cardiovascular Society score of III or IV). None of the differences were significant at 180 days because of continued improvement in the placebo group. Adverse events were similar across all groups, except for hypotension, which occurred with higher frequency in the 30-microg/kg rFGF2 group.

conclusionsA single intracoronary infusion of rFGF2 does not improve exercise tolerance or myocardial perfusion but does show trends toward symptomatic improvement at 90 (but not 180) days.

Indexed as

AdultAgedAged, 80 and overAngina PectorisCoronary Artery DiseaseCoronary CirculationDose-Response Relationship, DrugDouble-Blind MethodExercise TestExercise ToleranceEye DiseasesFemaleFibroblast Growth Factor 2Health StatusHumansHypotensionFibroblast Growth Factor 2Recombinant Proteins

Identifiers

PMID11854116
OpenAlexW2138369468

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.