Evidence map›Paper›PMID 20472865›Full record

Trial reportChest2010

An international randomized multicenter comparison of nasal potential difference techniques.

George M Solomon, Michael W Konstan, Michael Wilschanski, Joanne Billings, Isabelle Sermet-Gaudelus, Frank Accurso, François Vermeulen, Elina Levin, Heather Hathorne, Ginger Reeves and 6 more

Open access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Toward in vivo bronchoscopic functional CFTR assessment using a short circuit current measurement probe.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. A multiple reader scoring system for Nasal Potential Difference parameters.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2017
    Article
  13. Article
  14. Biomarkers for cystic fibrosis drug development.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2016
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Cystic fibrosis transmembrane regulator correctors and potentiators.Cold Spring Harbor perspectives in medicine · 2013
    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

16 authors at 9 institutions in 4 countries.

George M SolomonUniversity of Alabama at Birmingham, Birmingham, AL 35294-0006, USA.
Michael W Konstan
Michael Wilschanski
Joanne Billings
Isabelle Sermet-Gaudelus
Frank Accurso
François Vermeulen
Elina Levin
Heather Hathorne
Ginger Reeves
Gina Sabbatini
Aubrey Hill
Nicole Mayer-Hamblett
Melissa Ashlock
John Paul Clancy
Steven M Rowe
University of Alabama at Birmingham · USCase Western Reserve University · USCystic Fibrosis Foundation · USHadassah Medical Center · ILKU Leuven · BEUniversité Paris Cité · FRUniversity of Colorado Denver · USUniversity of Minnesota · USUniversity of Washington · US

Funding

UAB CF Research and Translation Core CenterP30DK072482 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI David M. Bedwell · 2007 to 2026
$23.0M
Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
Premature Termination Codon SuppressionK23DK075788 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROWE, STEVEN MARK · 2006 to 2010
$638k
Mechanistic Basis Underlying Protein Repair of CFTR Nonsense MutationsR03DK084110 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROWE, STEVEN MARK · 2009 to 2010
$146k
NIDDK NIH HHS 1K23DK075788-01NIDDK NIH HHS 1P30DK072482-01A1NIDDK NIH HHS 1R03DK084110-01NIDDK NIH HHS K23 DK075788NIDDK NIH HHS P30 DK027651NIDDK NIH HHS P30 DK072482NIDDK NIH HHS R03 DK084110
6 · The paper itself

Abstract

backgroundThe transepithelial nasal potential difference (NPD) is used to assess cystic fibrosis transmembrane conductance regulator (CFTR) activity. Unreliability, excessive artifacts, and lack of standardization of current testing systems can compromise its use as a diagnostic test and outcome measure for clinical trials.

methodsTo determine whether a nonperfusing (agar gel) nasal catheter for NPD measurement is more reliable and less susceptible to artifacts than a continuously perfusing nasal catheter, we performed a multicenter, randomized, crossover trial comparing a standardized NPD protocol using an agar nasal catheter with the same protocol using a continuously perfusing catheter. The data capture technique was identical in both protocols. A total of 26 normal adult subjects underwent NPD testing at six different centers.

resultsArtifact frequency was reduced by 75% (P < .001), and duration was less pronounced using the agar catheter. The measurement of sodium conductance was similar between the two catheter methods, but the agar catheter demonstrated significantly greater CFTR-dependent hyperpolarization, because Δ zero Cl- + isoproterenol measurements were significantly more hyperpolarized with the agar catheter (224.2 ± 12.9 mV with agar vs 18.2 ± 9.1 mV with perfusion, P < .05).

conclusionsThe agar nasal catheter approach demonstrates superior reliability compared with the perfusion nasal catheter method for measurement of NPD. This nonperfusion catheter method should be considered for adoption as a standardized protocol to monitor CFTR activity in clinical trials.

Indexed as

AdultAgarAnalysis of VarianceArtifactsCatheterizationCross-Over StudiesCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorFemaleGelsHumansMaleMembrane PotentialsNasal MucosaAgarCystic Fibrosis Transmembrane Conductance RegulatorGels

Identifiers

PMID20472865
PMCPMC2951758
OpenAlexW2114700246

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.