Evidence map›Paper›PMID 21420888›Full record

Trial reportMolecular genetics and metabolism2011

Pirfenidone for the treatment of Hermansky-Pudlak syndrome pulmonary fibrosis.

Kevin O'Brien, James Troendle, Bernadette R Gochuico, Thomas C Markello, Jose Salas, Hilda Cardona, Jianhua Yao, Isa Bernardini, Richard Hess, William A Gahl

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecular genetics and metabolism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% 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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Systematic review of drug effects in humans and models with surfactant-processing disease.European respiratory review : an official journal of the European Respiratory Society · 2018
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The world of rare interstitial lung diseases.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. CBClinical and translational medicine · 2021
    Article
  17. Article
  18. Hermansky-Pudlak syndrome pulmonary fibrosis: a rare inherited interstitial lung disease.European respiratory review : an official journal of the European Respiratory Society · 2021
    Article
  19. Genetic disorders of the surfactant system: focus on adult disease.European respiratory review : an official journal of the European Respiratory Society · 2021
    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

10 authors at 4 institutions in 1 country.

Kevin O'BrienOffice of the Clinical Director, National Human Genome Research Institute, NIH, Bethesda, MD 20892, USA. obrienke@mail.nih.gov
James Troendle
Bernadette R Gochuico
Thomas C Markello
Jose Salas
Hilda Cardona
Jianhua Yao
Isa Bernardini
Richard Hess
William A Gahl
National Human Genome Research Institute · USNational Heart Lung and Blood Institute · USNational Institutes of Health Clinical Center · USOffice of the Director · US

Funding

Human Biochemical GeneticsZIAHG000215 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM · 2009 to 2025
$72.6M
Clinical Image Processing ServiceZIDCL040016 · CLC · CLINICAL CENTER · PI SUMMERS, RONALD M. · 2012 to 2014
$0k
Intramural NIH HHS Z99 HL999999
6 · The paper itself

Abstract

Hermansky-Pudlak syndrome (HPS) is a rare disorder of oculocutaneous albinism, platelet dysfunction, and in some subtypes, fatal pulmonary fibrosis. There is no effective treatment for the pulmonary fibrosis except lung transplantation, but an initial trial using pirfenidone, an anti-fibrotic agent, showed promising results. The current, randomized, placebo-controlled, prospective, double-blind trial investigated the safety and efficacy of pirfenidone for mild to moderate HPS-1 and 4 pulmonary fibrosis. Subjects were evaluated every 4 months at the National Institutes of Health Clinical Center, and the primary outcome parameter was change in forced vital capacity using repeated measures analysis with random coefficients. Thirty-five subjects with HPS-1 pulmonary fibrosis were enrolled during a 4-year interval; 23 subjects received pirfenidone and 12 received placebo. Four subjects withdrew from the trial, 3 subjects died, and 10 serious adverse events were reported. Both groups experienced similar side effects, especially gastroesophageal reflux. Interim analysis of the primary outcome parameter, performed 12 months after 30 patients were enrolled, showed no statistical difference between the placebo and pirfenidone groups, and the study was stopped due to futility. There were no significant safety concerns. Other clinical trials are indicated to identify single or multiple drug regimens that may be effective in treatment for progressive HPS-1 pulmonary fibrosis.

Indexed as

AdultFemaleHermanski-Pudlak SyndromeHumansMaleMiddle AgedPatient CompliancePulmonary FibrosisPyridonesRadiographyTreatment OutcomepirfenidonePyridones

Identifiers

PMID21420888
PMCPMC3656407
OpenAlexW2004371981

What OpenQuestion holds

Textmetadata
LicenceTDM
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.