Evidence map›Paper›PMID 24968129›Full record

Trial reportAmerican journal of perinatology2015

Inhaled nitric oxide increases urinary nitric oxide metabolites and cyclic guanosine monophosphate in premature infants: relationship to pulmonary outcome.

Philip L Ballard, Roberta L Keller, Dennis M Black, David J Durand, Jeffrey D Merrill, Eric C Eichenwald, William E Truog, Mark C Mammel, Robin Steinhorn, Rita M Ryan and 4 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of perinatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Ancestry and genetic associations with bronchopulmonary dysplasia in preterm infants.American journal of physiology. Lung cellular and molecular physiology · 2018
    Trial
  3. Respiratory severity score patterns by birth gestational age among a cohort of extremely preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Bronchopulmonary dysplasia.Nature reviews. Disease primers · 2019
    Review
  8. 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

14 authors at 6 institutions in 1 country.

Philip L BallardDepartment of Pediatrics, University of California, San Francisco, California.
Roberta L KellerDepartment of Pediatrics, University of California, San Francisco, California.
Dennis M BlackDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California.
David J DurandDivision of Neonatology, Children's Hospital and Research Center Oakland, Oakland, California.
Jeffrey D MerrillDivision of Neonatology, Children's Hospital and Research Center Oakland, Oakland, California.
Eric C EichenwaldDepartment of Pediatrics, University of Texas Medical School, Houston, Texas.
William E TruogDepartment of Pediatrics, Children's Mercy Hospitals and Clinics, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Mark C MammelDepartment of Pediatrics, Children's Hospital and Clinics of Minnesota, St. Paul, Minnesota.
Robin SteinhornDepartment of Pediatrics, University of California Davis Children's Hospital, Sacramento, California.
Rita M RyanDepartment of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Sherry E CourtneyDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Hart HornemanDepartment of Pediatrics, University of California, San Francisco, California.
Roberta A BallardDepartment of Pediatrics, University of California, San Francisco, California.
Investigators of TOLSURF Pilot and TOLSURF
University of California, San Francisco · USChildren’s Minnesota - St. Paul Hospital · USMedical University of South Carolina · USUC Davis Children's Hospital · USUniversity of Arkansas for Medical Sciences · USUniversity of Missouri–Kansas City · US

Funding

Data Coordinating Center for the Prematurity and Respiratory Outcomes ProgramU01HL101794 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI SCHMIDT, BARBARA · 2010 to 2014
$10.3M
Trial of Late SURFactant (TOLSURF) to Prevent BPD - Clinical Coord CtrU01HL094338 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BALLARD, ROBERTA ANDERSON · 2009 to 2013
$7.4M
Functional and Lymphocytic Markers of Respiratory Morbidity in Hyperoxic PreemiesU01HL101813 · NHLBI · UNIVERSITY OF ROCHESTER · PI MARIANI, THOMAS J, PRYHUBER, GLORIA S · 2010 to 2014
$2.4M
UCSF Clinical Research Center for Prematurity and Respiratory Outcomes ProgramU01HL101798 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BALLARD, PHILIP L., KELLER, ROBERTA L · 2010 to 2014
$2.1M
NHLBI NIH HHS U01 HL094338NHLBI NIH HHS U01 HL101794NHLBI NIH HHS U01 HL101798NHLBI NIH HHS U01 HL101813NHLBI NIH HHS UO1HL101798
6 · The paper itself

Abstract

objectiveInhaled nitric oxide (iNO) has been tested to prevent bronchopulmonary dysplasia (BPD) in premature infants, however, the role of cyclic guanosine monophosphate (cGMP) is not known. We hypothesized that levels of NO metabolites (NOx) and cGMP in urine, as a noninvasive source for biospecimen collection, would reflect the dose of iNO and relate to pulmonary outcome. STUDY

designStudies were performed on 125 infants who required mechanical ventilation at 7 to 14 days and received 24 days of iNO at 20-2 ppm. A control group of 19 infants did not receive iNO.

resultsIn NO-treated infants there was a dose-dependent increase of both NOx and cGMP per creatinine (maximal 3.1- and 2-fold, respectively, at 10-20 ppm iNO) compared with off iNO. NOx and cGMP concentrations at both 2 ppm and off iNO were inversely related to severity of lung disease during the 1st month, and the NOx levels were lower in infants who died or developed BPD at term. NOx was higher in Caucasian compared with other infants at all iNO doses.

conclusionUrinary NOx and cGMP are biomarkers of endogenous NO production and lung uptake of iNO, and some levels reflect the severity of lung disease. These results support a role of the NO-cGMP pathway in lung development.

Indexed as

Administration, InhalationBiomarkersBronchopulmonary DysplasiaCreatinineCyclic GMPDose-Response Relationship, DrugFemaleHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesMaleNitric OxideRegression AnalysisRespiration, ArtificialBiomarkersCreatinineCyclic GMPNitric Oxide

Identifiers

PMID24968129
PMCPMC5032843
OpenAlexW1984182140

What OpenQuestion holds

Textmetadata
LicenceTDM
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.