Evidence map›Paper›PMID 17347447›Full record

Trial reportAmerican journal of respiratory cell and molecular biology2007

No detectable improvements in cystic fibrosis transmembrane conductance regulator by nasal aminoglycosides in patients with cystic fibrosis with stop mutations.

John P Clancy, Steven M Rowe, Zsuzsa Bebok, Moira L Aitken, Ron Gibson, Pam Zeitlin, Pierre Berclaz, Rick Moss, Michael R Knowles, Robert A Oster and 2 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of respiratory cell and molecular biology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.9field-weighted citation impact, top 5% 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.

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

35 citing papers in PubMed, 80 citations in OpenAlex.

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  15. A multiple reader scoring system for Nasal Potential Difference parameters.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2017
    Article
  16. Article
  17. Biomarkers for cystic fibrosis drug development.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2016
    Review
  18. Review
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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 2 institutions in 1 country.

John P ClancyDepartment of Pediatrics, University of Alabama at Birmingham, 1600 7th Avenue South, Birmingham, AL 35233, USA. jpclancy@peds.uab.edu
Steven M Rowe
Zsuzsa Bebok
Moira L Aitken
Ron Gibson
Pam Zeitlin
Pierre Berclaz
Rick Moss
Michael R Knowles
Robert A Oster
Nicole Mayer-Hamblett
Bonnie Ramsey
University of North Carolina at Chapel Hill · USUniversity of Alabama at Birmingham · US

Funding

Early Antipseudomonal Therapy in Cystic FibrosisU01HL080310 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI RAMSEY, BONNIE W · 2004 to 2008
$6.5M
Regulation of CFTR by adenosine, A2 receptors, and PLA2R01HL067088 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CLANCY, JOHN PAUL · 2001 to 2004
$1.0M
NCRR NIH HHS RR 00032NCRR NIH HHS RR 00037NCRR NIH HHS RR 00046NCRR NIH HHS RR 00070NCRR NIH HHS RR 08084NHLBI NIH HHS 1U01 HL 080310NHLBI NIH HHS R01 HL 67088
6 · The paper itself

Abstract

Cystic fibrosis (CF) is an autosomal recessive disorder caused by many types of genetic defects, including premature stop codons. Gentamicin can suppress stop mutations in CF transmembrane conductance regulator (CFTR) in vitro and in vivo, leading to improvements in CFTR-dependent ion transport and protein localization to the apical surface of respiratory epithelial cells. The primary objective of this study was to test whether nasally administered gentamicin or tobramycin could suppress premature stop mutations in CFTR, resulting in full-length, functional protein. A secondary objective was to obtain data to aid in the design of multicenter trials using the nasal potential difference as a study endpoint. A multicenter study was conducted in two cohorts of patients with CF, those heterozygous for stop mutations in the CFTR gene and those without nonsense mutations, to investigate the effects of both gentamicin and tobramycin administered over a 28-d period on sequential nasal potential difference and airway cell immunofluorescence endpoints. Eleven patients with CF with stop mutations were enrolled in a randomized, double-blinded, crossover fashion to receive each drug, while 18 subjects with CF without stop mutations were randomized 1:1 in a parallel fashion to receive one drug. After demonstration of drug delivery, neither aminoglycoside produced detectable changes in nasal ion transport or CFTR localization in brushed cells from either study group. These results with first-generation suppressive agents suggest the need for improved drug delivery methods and/or more potent suppressors of nonsense mutations to confer CFTR correction in subjects with CF heterozygous for nonsense mutations. The study provides valuable information on parameters of the nasal potential difference measurements for use in future multicenter clinical trials.

Indexed as

Administration, IntranasalMutationAdolescentAdultAminoglycosidesChildCodon, NonsenseCodon, TerminatorCohort StudiesCystic Fibrosis Transmembrane Conductance RegulatorFemaleGentamicinsHeterozygoteHumansMaleMiddle AgedAminoglycosidesCodon, NonsenseCodon, TerminatorCystic Fibrosis Transmembrane Conductance RegulatorGentamicinsTobramycin

Identifiers

PMID17347447
PMCPMC1899350
OpenAlexW1968479003

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.