Evidence map›Paper›PMID 20635155›Full record

Trial reportJournal of clinical immunology2010

Prospective study of rapid relief provided by C1 esterase inhibitor in emergency treatment of acute laryngeal attacks in hereditary angioedema.

Timothy J Craig, Richard L Wasserman, Robyn J Levy, Againdra K Bewtra, Lynda Schneider, Flint Packer, William H Yang, Heinz-Otto Keinecke, Peter C Kiessling

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of clinical immunology, 2010. 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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.

NCT00292981 phase3completednot on this map

Open-label Extension Study of CE1145 (Human Pasteurized C1 Esterase Inhibitor Concentrate) in Subjects With Congenital C1-INH Deficiency and Acute HAE Attacks

TypeinterventionalSponsorCSL BehringRan2005 to 2010Enrolled57ConditionsHereditary AngioedemaArmsC1 Esterase Inhibitor
NCT02833675 completednot on this mapstarted 2012, after this paper: background citation

Determination of Specific Biomarkers of Angioneurotic Crisis

TypeobservationalSponsorUniversity Hospital, GrenobleRan2012 to 2017Enrolled120ConditionsAngioedema
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Bradykinin-induced angioedema in the emergency department.International journal of emergency medicine · 2022
    Review
  8. Article
  9. Article
  10. WAO Guideline for the Management of Hereditary Angioedema.The World Allergy Organization journal · 2012
    Article
  11. Current management options for hereditary angioedema.Current allergy and asthma reports · 2012
    Review
  12. The new era of C1-esterase inhibitor deficiency therapy.Current allergy and asthma reports · 2011
    Review
  13. Therapeutic approaches in hereditary angioedema.Clinical reviews in allergy & immunology · 2011
    Review
  14. Hereditary angioedema: beyond international consensus - circa December 2010 - The Canadian Society of Allergy and Clinical Immunology Dr. David McCourtie Lecture.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2011
    Article
  15. Article
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

9 authors at 6 institutions in 5 countries.

Timothy J CraigAsthma and Respiratory Research, Penn State University, 500 University Drive, Hershey, PA 17033, USA. tcraig@hmc.psu.edu
Richard L Wasserman
Robyn J Levy
Againdra K Bewtra
Lynda Schneider
Flint Packer
William H Yang
Heinz-Otto Keinecke
Peter C Kiessling
Behringwerke (Germany) · DEBoston Children's Hospital · USCreighton University · USHealth First · USOttawa Allergy Research Corporation · CAPennsylvania State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHereditary angioedema (HAE) is a rare disorder characterized by C1 esterase inhibitor (C1-INH) deficiency, resulting in periodic attacks of acute edema that can be life-threatening if they occur in the laryngeal region. We assessed the efficacy of C1-INH concentrate in the emergency treatment of rarely occurring acute laryngeal HAE attacks in a prospective, open-label clinical study.

methodsAcute laryngeal attacks were each treated with C1-INH concentrate (Berinert) at a single dose of 20 U/kg body weight. Efficacy endpoints included time to onset of symptom relief and time to complete resolution of all symptoms, each based on the patient's assessment.

resultsAll 39 laryngeal attacks in 16 patients were treated successfully. The median time to onset of symptom relief was 15 min. The median time to complete resolution of all symptoms was 8.25 h. No treatment-related serious adverse events occurred, and the treatment was well tolerated. The administration of C1-INH concentrate was not associated with any viral infections.

conclusionC1-INH concentrate is an effective and safe emergency treatment for providing reliable and rapid relief from the potentially life-threatening symptoms of laryngeal HAE attacks.

Indexed as

AdolescentAdultAngioedemas, HereditaryComplement C1 Inhibitor ProteinDisease-Free SurvivalEdemaEmergency Medical ServicesFeasibility StudiesFemaleHumansLaryngeal DiseasesMaleMiddle AgedProspective StudiesSurveys and QuestionnairesComplement C1 Inhibitor Protein

Identifiers

PMID20635155
PMCPMC2970824
OpenAlexW2012059426

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.