Evidence map›Paper›PMID 15741443›Full record

Trial reportThorax2005

Inhaled fluticasone in bronchiectasis: a 12 month study.

K W Tsang, K C Tan, P L Ho, G C Ooi, J C Ho, J Mak, G L Tipoe, C Ko, C Yan, W K Lam and 1 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Thorax, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
9.4field-weighted citation impact, top 2% 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.

NCT01761214 naunknown statusnot on this mapstarted 2012, after this paper: background citation

Bacteriology and Sputum and Systemic Inflammation in Steady-state, Acute Exacerbation and Recovery of Bronchiectasis

TypeinterventionalSponsorGuangzhou Institute of Respiratory DiseaseRan2012 to 2023Enrolled80ConditionsBronchiectasisArmsFluroquinolones, Beta-lactamase inhibitor
NCT02782312 phase4completednot on this mapstarted 2011, after this paper: background citation

Salmeterol-Fluticasone Combined Inhaled Therapy for Non-cystic Fibrosis Bronchiectasis With Airway Limitation: a Prospective Study

TypeinterventionalSponsorShanghai Pulmonary Hospital, Shanghai, ChinaRan2011 to 2013Enrolled120ConditionsBronchiectasisArmsICS+LABA, routine therapy
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Guideline
  2. Inhaled corticosteroids for bronchiectasis.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Bronchiectasis.BMJ clinical evidence · 2008
    Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Insights into Personalised Medicine in Bronchiectasis.Journal of personalized medicine · 2023
    Review
  12. Review
  13. Is bronchiectasis really a disease?European respiratory review : an official journal of the European Respiratory Society · 2020
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Diagnosis and management of bronchiectasis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017
    Review
  20. Observational
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

11 authors at 1 institution in 1 country.

K W TsangDepartment of Respiratory and Critical Care Medicine, University Department of Medicine, Queen Mary Hospital, Pokfulam Road, Hong Kong. kwttsang@hku.hk
K C Tan
P L Ho
G C Ooi
J C Ho
J Mak
G L Tipoe
C Ko
C Yan
W K Lam
M Chan-Yeung
Queen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical efficacy of inhaled corticosteroid (ICS) treatment has not been evaluated in bronchiectasis, despite the presence of chronic airway inflammation.

methodsAfter three consecutive weekly visits, 86 patients were randomised to receive either fluticasone 500 mug twice daily (n = 43, 23F, mean (SD) age 57.7 (14.4) years) or matched placebo (n = 43, 34F, 59.2 (14.2) years) and reviewed regularly for 52 weeks in a double blind fashion.

results35 and 38 patients in the fluticasone and placebo groups completed the study. Significantly more patients on ICS than on placebo showed improvement in 24 hour sputum volume (OR 2.5, 95% CI 1.1 to 6.0, p = 0.03) but not in exacerbation frequency, forced expiratory volume in 1 second, forced vital capacity, or sputum purulence score. Significantly more patients with Pseudomonas aeruginosa infection receiving fluticasone showed improvement in 24 hour sputum volume (OR 13.5, 95% CI 1.8 to 100.2, p = 0.03) and exacerbation frequency (OR 13.3, 95% CI 1.8 to 100.2, p = 0.01) than those given placebo. Logistic regression models revealed a significantly better response in sputum volume with fluticasone treatment than with placebo among subgroups of patients with 24 hour sputum volume <30 ml (p = 0.04), exacerbation frequency </=2/year (p = 0.04), and sputum purulence score >5 (p = 0.03).

conclusionsICS treatment is beneficial to patients with bronchiectasis, particularly those with P. aerurginosa infection.

Indexed as

Administration, InhalationAndrostadienesBronchiectasisBronchodilator AgentsDouble-Blind MethodFemaleFluticasoneForced Expiratory VolumeHumansMaleMiddle AgedSputumTreatment OutcomeVital CapacityAndrostadienesBronchodilator AgentsFluticasone

Identifiers

PMID15741443
PMCPMC1747352
OpenAlexW2161963628

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.