Evidence map›Paper›PMID 22930256›Full record

Trial reportJournal of clinical immunology2013

Use of combination chemotherapy for treatment of granulomatous and lymphocytic interstitial lung disease (GLILD) in patients with common variable immunodeficiency (CVID).

Nicole M Chase, James W Verbsky, Mary K Hintermeyer, Jill K Waukau, Aoy Tomita-Mitchell, James T Casper, Sumit Singh, Kaushik S Shahir, William B Tisol, Melodee L Nugent and 5 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 6% 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

81 citing papers in PubMed, 3 syntheses or guidelines pooled it, 191 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Sequelae of B-Cell Depleting Therapy: An Immunologist's Perspective.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Pulmonary granulomatosis of genetic origin.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  15. Article
  16. Article
  17. Granulomatous-Lymphocytic Interstitial Lung Disease Mimicking Sarcoidosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2021
    Article
  18. Article
  19. Article
  20. Article

21 more citing papers are in PubMed but not listed here.

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

15 authors at 1 institution in 1 country.

Nicole M ChaseDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
James W Verbsky
Mary K Hintermeyer
Jill K Waukau
Aoy Tomita-Mitchell
James T Casper
Sumit Singh
Kaushik S Shahir
William B Tisol
Melodee L Nugent
R Nagarjun Rao
A Craig Mackinnon
Lawrence R Goodman
Pippa M Simpson
John M Routes
Medical College of Wisconsin · US

Funding

Lymphoproliferative Disorders in Primary ImmunodeficienciesR01CA122539 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI ROUTES, JOHN MICHAEL · 2008 to 2012
$1.5M
NCI NIH HHS R01 CA122539NCI NIH HHS R01CA122539
6 · The paper itself

Abstract

purposeA subset of patients with common variable immunodeficiency (CVID) develops granulomatous and lymphocytic interstitial lung disease (GLILD), a restrictive lung disease associated with early mortality. The optimal therapy for GLILD is unknown. This study was undertaken to see if rituximab and azathioprine (combination chemotherapy) would improve pulmonary function and/or radiographic abnormalities in patients with CVID and GLILD.

methodsA retrospective chart review of patients with CVID and GLILD who were treated with combination chemotherapy was performed. Complete pulmonary function tests (PFTs) and high-resolution computed tomography (HRCT) scans of the chest were done prior to therapy and >6 months later. HRCT scans of the chest were blinded, randomized, and scored independently (in pairs) by two radiologists. The differences between pre- and post-treatment HRCT scores and PFT parameters were analyzed.

resultsSeven patients with CVID and GLILD met inclusion criteria. Post-treatment increases were noted in both FEV1 (p=0.034) and FVC (p=0.043). HRCT scans of the chest demonstrated improvement in total score (p=0.018), pulmonary consolidations (p=0.041), ground-glass opacities (p=0.020) nodular opacities (p=0.024), and both the presence and extent of bronchial wall thickening (p=0.014, 0.026 respectively). No significant chemotherapy-related complications occurred.

conclusionsCombination chemotherapy improved pulmonary function and decreased radiographic abnormalities in patients with CVID and GLILD.

Indexed as

Administration, OralAdolescentAdultAntibodies, Monoclonal, Murine-DerivedAzathioprineB-Lymphocyte SubsetsCommon Variable ImmunodeficiencyDrug Therapy, CombinationFemaleGranulomaHumansInfusions, IntravenousLung Diseases, InterstitialMaleRetrospective StudiesRituximabAntibodies, Monoclonal, Murine-DerivedAzathioprineRituximab

Identifiers

PMID22930256
PMCPMC3557581
OpenAlexW2022684163

What OpenQuestion holds

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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.