Evidence map›Paper›PMID 21132024›Full record

ArticleBone marrow transplantation2011

Fluticasone, azithromycin and montelukast therapy in reducing corticosteroid exposure in bronchiolitis obliterans syndrome after allogeneic hematopoietic SCT: a case series of eight patients.

B C Norman, D A Jacobsohn, K M Williams, B K C Au, M A Au, S J Lee, C K Moravec, J W Chien

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Bone marrow transplantation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03072849 (Early Detection and Management of Bronchiolitis Obliterans Syndrome Following Pediatric Hematopoietic Stem Cell Transplantation), which is not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
5.6field-weighted citation impact, top 4% 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.

NCT03072849 completednot on this mapstarted 2015, after this paper: background citation

Early Detection and Management of Bronchiolitis Obliterans Syndrome Following Pediatric Hematopoietic Stem Cell Transplantation

TypeobservationalSponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2015 to 2020Enrolled23ConditionsBronchiolitis Obliterans SyndromeArmsPulmonary function testing, FAM Therapy
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Azithromycin for the Treatment of Obliterative Bronchiolitis after Hematopoietic Stem Cell Transplantation: A Systematic Review and Meta-Analysis.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Pooled it
  5. Trial
  6. Fluticasone, Azithromycin, and Montelukast Treatment for New-Onset Bronchiolitis Obliterans Syndrome after Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
  7. Trial
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Airway disease in hematologic malignancies.Expert review of respiratory medicine · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

8 authors at 6 institutions in 2 countries.

B C NormanDepartment of Medicine, University of Washington Affiliated Hospitals, Seattle, WA, USA.
D A Jacobsohn
K M Williams
B K C Au
M A Au
S J Lee
C K Moravec
J W Chien
Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZAUniversity of Hawaiʻi at Mānoa · USFred Hutch Cancer Center · USNational Institutes of Health · USNorthwestern University · USUniversity of Washington · US

Funding

VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Geoffrey Roger HILL · 1985 to 2026
$128.4M
Training and Career Development CoreU54AI083028 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2009 to 2010
$2.5M
Genetic Analysis of Airflow Obstruction After Stem Cell TransplantationR01HL088201 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CLARK, JOAN G. · 2008 to 2013
$2.2M
The Pathogenesis and Treatment of chronic GVHDZIABC011370 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WILLIAMS, KIRSTEN · 2011 to 2012
$139k
NCI NIH HHS P01 CA018029NHLBI NIH HHS HL088201NHLBI NIH HHS R01 HL088201NIAID NIH HHS AI083028NIAID NIH HHS U54 AI083028
6 · The paper itself

Abstract

Bronchiolitis obliterans syndrome (BOS) is a devastating pulmonary complication affecting long-term survivors of allogeneic hematopoietic cell transplantation. Treatment of BOS with prolonged courses of high dose corticosteroids is often associated with significant morbidity. Reducing the exposure to corticosteroids may reduce treatment-related morbidity. Our institution has recently begun to treat patients with emerging therapies in an effort to diminish corticosteroid exposure. We retrospectively reviewed the 6-month corticosteroid exposure, lung function and failure rates in eight patients with newly diagnosed BOS who were treated with a combination of fluticasone, azithromycin and montelukast (FAM) and a rapid corticosteroid taper. These patients were compared with 14 matched historical patients who received high-dose corticosteroids, followed by a standard taper. The median 6-month prednisone exposure in FAM-treated patients was 1819 mg (0-4036 mg) compared with 7163 mg (6551-7829 mg) in the control group (P=0.002). The median forced expiratory volume in 1 s (FEV(1)) change in FAM-treated patients was 2% (-3 to 4%] compared with 1% (-4 to 5%) in the control group (P=1.0). Prednisone exposure in FAM patients was one quarter that of a retrospective-matched group of patients, with minimal change in median FEV(1), suggesting that BOS may be spared of the morbidities associated with long-term corticosteroid use by using alternative agents with less side effects.

Indexed as

AcetatesAdrenal Cortex HormonesAdultAndrostadienesAzithromycinBronchiolitis ObliteransCyclopropanesFemaleFluticasoneHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsMaleMiddle AgedQuinolinesRetrospective StudiesAcetatesAdrenal Cortex HormonesAndrostadienesAzithromycinCyclopropanesFluticasoneImmunosuppressive AgentsmontelukastQuinolinesSulfides

Identifiers

PMID21132024
PMCPMC3987109
OpenAlexW2104082131

What OpenQuestion holds

Textmetadata
LicenceTDM
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.