Evidence map›Paper›PMID 24349598›Full record

Trial reportPLoS neglected tropical diseases2013

Corticosteroids for dengue - why don't they work?

Thi Hanh Tien Nguyen, Than Ha Quyen Nguyen, Tuan Trung Vu, Jeremy Farrar, Truong Long Hoang, Thi Hoai Tam Dong, Van Ngoc Tran, Khanh Lam Phung, Marcel Wolbers, Stephen S Whitehead and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PLoS neglected tropical diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Corticosteroids for dengue infection.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Dengue Virus Infection: Immune Response and Therapeutic Targets.The American journal of tropical medicine and hygiene · 2025
    Review
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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

13 authors at 6 institutions in 6 countries.

Thi Hanh Tien NguyenOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam.
Than Ha Quyen NguyenOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam.
Tuan Trung VuOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam.
Jeremy FarrarOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam ; Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Truong Long HoangGenome Institute of Singapore, Singapore.
Thi Hoai Tam DongHospital for Tropical Diseases, Ho Chi Minh City, Viet Nam.
Van Ngoc TranHospital for Tropical Diseases, Ho Chi Minh City, Viet Nam.
Khanh Lam PhungOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam.
Marcel WolbersOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam ; Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Stephen S WhiteheadLaboratory of Infectious Diseases (LID), National Institutes of Allergy and Infectious Diseases, Bethesda, Maryland, United States of America.
Martin L HibberdGenome Institute of Singapore, Singapore.
Bridget WillsOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam ; Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Cameron P SimmonsOxford University Clinical Research Unit, Hospital for Tropical Diseases, Ho Chi Minh City, Viet Nam ; Centre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom ; Nossal Institute of Global Health, School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia.
Oxford University Clinical Research Unit · VNAngkor Hospital for Children · KHUniversity of Oxford · GBHospital for Tropical Diseases · VNNational Institute of Allergy and Infectious Diseases · USThe University of Melbourne · AU

Funding

Wellcome TrustWellcome Trust 084368/Z/07/Z
6 · The paper itself

Abstract

backgroundDysregulated immune responses may contribute to the clinical complications that occur in some patients with dengue.

findingsIn Vietnamese pediatric dengue cases randomized to early prednisolone therapy, 81 gene-transcripts (0.2% of the 47,231 evaluated) were differentially abundant in whole-blood between high-dose (2 mg/kg) prednisolone and placebo-treated patients two days after commencing therapy. Prominent among the 81 transcripts were those associated with T and NK cell cytolytic functions. Additionally, prednisolone therapy was not associated with changes in plasma cytokine levels.

conclusionThe inability of prednisolone treatment to markedly attenuate the host immune response is instructive for planning future therapeutic strategies for dengue.

Indexed as

AdolescentChildChild, PreschoolCytokinesDengueFemaleGene Expression ProfilingHumansImmunologic FactorsImmunomodulationKiller Cells, NaturalMalePlacebosPrednisoloneT-Lymphocytes, CytotoxicTreatment FailureCytokinesImmunologic FactorsPlacebosPrednisolone

Identifiers

PMID24349598
PMCPMC3861232
OpenAlexW1996379835

What OpenQuestion holds

Textmetadata
LicenceCC0
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.