Evidence map›Paper›PMID 20719253›Full record

Trial reportContemporary clinical trials2010

Budesonide versus placebo in high-risk population with screen-detected lung nodules: rationale, design and methodology.

Matteo Lazzeroni, Aliana Guerrieri-Gonzaga, Davide Serrano, Maria Clara Varricchio, Giulia Veronesi, Davide Radice, Irene Feroce, Angela Nardi-Pantoli, Scott M Lippman, Eva Szabo and 1 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00321893 (Randomized Phase II Trial of Budesonide Turbuhaler® 800 Micrograms/Twice Daily Versus Placebo in High-Risk Population With Undetermined Lung Nodules Detected at Screening Low Dose CT Scan), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 21% 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.

NCT00321893 phase2completednot on this map

Randomized Phase II Trial of Budesonide Turbuhaler® 800 Micrograms/Twice Daily Versus Placebo in High-Risk Population With Undetermined Lung Nodules Detected at Screening Low Dose CT Scan

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2006 to 2008Enrolled225ConditionsLung CancerArmsBudesonide, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Long-term effects of inhaled budesonide on screening-detected lung nodules.Annals of oncology : official journal of the European Society for Medical Oncology · 2015
    Article
  5. 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

11 authors at 4 institutions in 2 countries.

Matteo LazzeroniDivision of Cancer Prevention and Genetics, European Institute of Oncology, Milan, Italy. matteo.lazzeroni@ieo.it
Aliana Guerrieri-Gonzaga
Davide Serrano
Maria Clara Varricchio
Giulia Veronesi
Davide Radice
Irene Feroce
Angela Nardi-Pantoli
Scott M Lippman
Eva Szabo
Bernardo Bonanni
European Institute of Oncology · ITCenter for Cancer Research · USThe University of Texas MD Anderson Cancer Center · USUniversity of Rome Tor Vergata · IT

Funding

PHASE I and II CLINICAL TRIALS OF CHEMOPREVENTIVE AGENTS-261035159-261035159N01CN035159 · CN · UNIVERSITY OF TEXAS M D ANDER · PI LIPPMAN, SCOTT M. · 2004 to 2006
–
NCI NIH HHS N01 CN035159NCI NIH HHS N01-CN-35159
6 · The paper itself

Abstract

backgroundScreening-CT is able to discover small peripheral lung nodules. The nature of these nodules is uncertain but it is reasonable that some of them, in particular the non-solid ones, could represent precancerous lesions. A previous trial showed a reduction in size of peripheral nodules by inhaled budesonide in subjects with bronchial dysplasia.

objectiveThe primary objective of the study was the evaluation of the effect of budesonide as a chemopreventive agent for lung lesions. The primary endpoint was the modification of lung lesions at ld-CT scan (according to RECIST criteria) after one year of treatment in a person-specific analysis.

methodsWe performed a randomized, double-blind, placebo controlled trial to evaluate whether inhaled budesonide was able to reduce size and number of persistent, undetermined CT-detected lung nodules in high-risk asymptomatic subjects currently undergoing a five-year CT scan screening program at the European Institute of Oncology.

resultsTrial enrollment started in April 2006 and ended in July 2007 with the randomization of 202 current or former smokers with stable CT-detected lung nodules set to receive budesonide 800 μg or placebo twice daily for 12 months.

conclusionOur trial represents the first phase II study of a chemopreventive intervention focusing on the peripheral lung, where the majority of lung cancers arise. The research was nested into a screening project with clear advantages in participant accrual and reduction of costs. This paper describes the rationale and design of the study, thus focusing on the methodology and operational aspects of the clinical trial. (Clinicaltrials.gov number. NCT00321893).

Indexed as

Administration, InhalationAlgorithmsBudesonideDouble-Blind MethodEndpoint DeterminationFemaleGlucocorticoidsHumansMaleMedication AdherenceMultiple Pulmonary NodulesResearch DesignSample SizeTomography, X-Ray ComputedBudesonideGlucocorticoids

Identifiers

PMID20719253
PMCPMC2962433
OpenAlexW2169211571

What OpenQuestion holds

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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.