Evidence map›Paper›PMID 21745716›Full record

ArticleMedical hypotheses2011

Nitric oxide for the adjunctive treatment of severe malaria: hypothesis and rationale.

Michael Hawkes, Robert Opika Opoka, Sophie Namasopo, Christopher Miller, Andrea L Conroy, Lena Serghides, Hani Kim, Nisha Thampi, W Conrad Liles, Chandy C John and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Medical hypotheses, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01255215 (Inhaled Nitric Oxide for the Adjunctive Therapy of Severe Malaria), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.8field-weighted citation impact, top 8% 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.

NCT01255215 phase1 / phase2completednot on this map

Inhaled Nitric Oxide for the Adjunctive Therapy of Severe Malaria: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity Health Network, TorontoRan2011 to 2014Enrolled180ConditionsSevere MalariaArmsInhaled Nitric Oxide
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Oxidative Stress in Malaria: Potential Benefits of Antioxidant Therapy.International journal of molecular sciences · 2022
    Review
  6. Nitric oxide: Clinical applications in critically ill patients.Nitric oxide : biology and chemistry · 2022
    Review
  7. Inhaled nitric oxide.British journal of pharmacology · 2019
    Review
  8. Severe malaria: what's new on the pathogenesis front?International journal for parasitology · 2017
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Fatal cerebral malaria: a venous efflux problem.Frontiers in cellular and infection microbiology · 2014
    Review
  14. Review
  15. Article
  16. Oxidative stress in malaria.International journal of molecular sciences · 2012
    Review
  17. 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 7 institutions in 3 countries.

Michael HawkesSandra A. Rotman Laboratories, McLaughlin-Rotman Centre for Global Health, Tropical Disease Unit, Division of Infectious Diseases, Department of Medicine, University Health Network-Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
Robert Opika Opoka
Sophie Namasopo
Christopher Miller
Andrea L Conroy
Lena Serghides
Hani Kim
Nisha Thampi
W Conrad Liles
Chandy C John
Kevin C Kain
Toronto General Hospital · CAUniversity Health Network · CAUniversity of Toronto · CAJinja Hospital · UGMulago Hospital · UGUniversity of British Columbia · CAUniversity of Minnesota · US

Funding

Cognitive and Neurologic Sequelae in Cerebral MalariaR21TW006794 · FIC · UNIVERSITY OF MINNESOTA TWIN CITIES · PI JOHN, CHANDY C · 2003 to 2007
$330k
CIHR MOP-13721FIC NIH HHS R21 TW006794
6 · The paper itself

Abstract

We hypothesize that supplemental inhaled nitric oxide (iNO) will improve outcomes in children with severe malaria receiving standard antimalarial therapy. The rationale for the hypothesized efficacy of iNO rests on: (1) biological plausibility, based on known actions of NO in modulating endothelial activation; (2) pre-clinical efficacy data from animal models of experimental cerebral malaria; and (3) a human trial of the NO precursor l-arginine, which improved endothelial function in adults with severe malaria. iNO is an attractive new candidate for the adjunctive treatment of severe malaria, given its proven therapeutic efficacy in animal studies, track record of safety in clinical practice and numerous clinical trials, inexpensive manufacturing costs, and ease of administration in settings with limited healthcare infrastructure. We plan to test this hypothesis in a randomized controlled trial (ClinicalTrials.gov Identifier: NCT01255215).

Indexed as

Administration, InhalationBiological AvailabilityChildClinical Trials as TopicEndothelial CellsHumansLungMalariaNitric OxideNitric Oxide SynthaseNitric OxideNitric Oxide Synthase

Identifiers

PMID21745716
PMCPMC3162048
OpenAlexW2053863667

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.