Evidence map›Paper›PMID 21969930›Full record

Trial reportCanadian respiratory journal

Effects of a short course of inhaled corticosteroids in noneosinophilic asthmatic subjects.

Catherine Lemière, Caroline Tremblay, Mark FitzGerald, Shawn D Aaron, Richard Leigh, Louis-Philippe Boulet, James G Martin, Parameswaran Nair, Ronald Olivenstein, Simone Chaboillez

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Novel approaches to the management of noneosinophilic asthma.Therapeutic advances in respiratory disease · 2016
    Review
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 8 institutions in 1 country.

Catherine LemièreHôpital du Sacré-Coeur de Montréal, Université de Montréal, Montréal, Quebec. catherine.lemiere@umontreal.ca
Caroline Tremblay
Mark FitzGerald
Shawn D Aaron
Richard Leigh
Louis-Philippe Boulet
James G Martin
Parameswaran Nair
Ronald Olivenstein
Simone Chaboillez
Hôpital du Sacré-Cœur de Montréal · CAMcGill University Health Centre · CAInstitute of Infection and Immunity · CASt. Joseph’s Healthcare Hamilton · CAUniversité de Montréal · CAUniversité Laval · CAUniversity of British Columbia · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoneosinophilic asthma has been regarded as a distinct phenotype characterized by a poor response to inhaled corticosteroids (ICS).

objectiveTo determine whether noneosinophilic, steroid-naive asthmatic subjects show an improvement in asthma control, asthma symptoms and spirometry after four weeks of treatment with ICS, and whether they further benefit from the addition of a long-acting beta-2 agonists to ICS.

methodsA randomized, double-blind, placebo-controlled, multicentre study comparing the efficacy of placebo versus inhaled fluticasone propionate 250 mcg twice daily for four weeks in mildly uncontrolled, steroid-naive asthmatic subjects with a sputum eosinophil count of 2% or less. This was followed by an open-label, four-week treatment period with fluticasone propionate 250 mcg⁄salmeterol 50 mcg, twice daily for all subjects.

resultsAfter four weeks of double-blind treatment, there was a statistically significant and clinically relevant improvement in the mean (± SD) Asthma Control Questionnaire score in the ICS-treated group (n = 6) (decrease of 1.0 ± 0.5) compared with the placebo group (n = 6) (decrease of 0.09 ± 0.4) (P = 0.008). Forced expiratory volume in 1 s declined in the placebo group (-0.2 ± 0.2 L) and did not change in the ICS group (0.04 ± 0.1 L) after four weeks of treatment (P = 0.02). The open-label treatment with fluticasone propionate 250 mcg⁄salmeterol 50 mcg did not produce additional improvements in those who were previously treated for four weeks with inhaled fluticasone alone.

conclusionA clinically important and statistically significant response to ICS was observed in mildly uncontrolled noneosinophilic asthmatic subjects.

Indexed as

Administration, InhalationAdolescentAdrenal Cortex HormonesAdultAgedAlbuterolAndrostadienesAsthmaDouble-Blind MethodDrug CombinationsEosinophilsFemaleFluticasone-Salmeterol Drug CombinationHumansMaleMiddle AgedAdrenal Cortex HormonesAlbuterolAndrostadienesDrug CombinationsFluticasone-Salmeterol Drug Combination

Identifiers

PMID21969930
PMCPMC3267606
OpenAlexW9662459

What OpenQuestion holds

Textmetadata
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.