Evidence map›Paper›PMID 24515273›Full record

Trial reportJournal of clinical pharmacology2014

A FIM study to assess safety and exposure of inhaled single doses of AP301-A specific ENaC channel activator for the treatment of acute lung injury.

Richard Schwameis, Sandra Eder, Helmut Pietschmann, Bernhard Fischer, Hermann Mascher, Susan Tzotzos, Hendrik Fischer, Rudolf Lucas, Markus Zeitlinger, Robert Hermann

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. The Epithelial Sodium Channel-An Underestimated Drug Target.International journal of molecular sciences · 2023
    Review
  11. Review
  12. Article
  13. Inhaled Biologicals for the Treatment of Cystic Fibrosis.Recent patents on inflammation & allergy drug discovery · 2019
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. A novel tumor necrosis factor-mediated mechanism of direct epithelial sodium channel activation.American journal of respiratory and critical care medicine · 2014
    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.

Richard SchwameisDepartment of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.
Sandra Eder
Helmut Pietschmann
Bernhard Fischer
Hermann Mascher
Susan Tzotzos
Hendrik Fischer
Rudolf Lucas
Markus Zeitlinger
Robert Hermann

Funding

Protective activity of the lectin-like domain of TNF in permeability edemaR01HL094609 · NHLBI · AUGUSTA UNIVERSITY · PI LUCAS, RUDOLF · 2010 to 2013
$1.5M
NHLBI NIH HHS R01 HL094609NHLBI NIH HHS R01HL094609
6 · The paper itself

Abstract

AP301 is an activator of ENaC-mediated Na(+) uptake for the treatment of pulmonary permeability edema in acute respiratory distress syndrome (ARDS). The purpose of this "first-in-man" study was to examine local and systemic safety and systemic exposure of ascending single doses of AP301, when inhaled by healthy male subjects. In a double-blind, placebo-controlled study, 48 healthy male subjects were randomized to 6 ascending dose groups (single doses up to 120 mg) of 8 subjects each (3:1 randomization of AP301: placebo). Serial assessments included spirometry, exhaled nitric oxide (eNO), vital signs, ECG, safety laboratory, adverse events (AE), and blood samples for the quantification of AP301 in plasma. Descriptive statistics was applied. All 48 subjects received treatment, and completed the study as per protocol. No serious, local (e.g., hoarseness, cough, bronchospasm), or dose-limiting AEs were noted. None of the assessments indicated notable dose or time-related alterations of safety outcomes. Observed AP301 systemic exposure levels were very low, with mean Cmax values of <2.5 ng/mL in the highest dose groups. Inhaled AP301 single doses up to 120 mg were safe and well tolerated by healthy male subjects. Distribution of inhaled AP301 was largely confined to the lung, as indicated by very low AP301 systemic exposure levels.

Indexed as

Peptides, CyclicAcute Lung InjuryAdministration, InhalationAdultBlood PressureDouble-Blind MethodEpithelial Sodium ChannelsHumansMaleNebulizers and VaporizersNitric OxidePulseSpirometryYoung AdultAP301 peptideEpithelial Sodium ChannelsNitric OxidePeptides, CyclicAP301ARDSENaC activatorfirst-in-man study

Identifiers

PMID24515273
PMCPMC4160070

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.