Evidence map›Paper›PMID 25010224›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2014

A systematic review of randomized controlled trials for the prevention of bronchopulmonary dysplasia in infants.

K S Beam, S Aliaga, S K Ahlfeld, M Cohen-Wolkowiez, P B Smith, M M Laughon

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 7 pooled it
10.1field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 7 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  16. Low flow nasal cannula requirement among preterm infants: predictors and description of clinical course.Journal of perinatology : official journal of the California Perinatal Association · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

K S BeamDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
S AliagaDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
S K AhlfeldIndiana University, Indianapolis, IN, USA.
M Cohen-WolkowiezDuke Clinical Research Institute, Durham, NC, USA.
P B SmithDuke Clinical Research Institute, Durham, NC, USA.
M M Laughon1] Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA [2] Duke Clinical Research Institute, Durham, NC, USA.
Clinical Research Institute · USUniversity of North Carolina at Chapel Hill · USIndiana University – Purdue University Indianapolis · US

Funding

North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Antimicrobial pharmacokinetics and outcomes in vulnerable infantsK23HD068497 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LAUGHON, MATTHEW · 2011 to 2015
$586k
Clinical Practice Data to Aid Narrow Therapeutic Index Drug ClassificationU01FD004858 · FDA · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL · 2013 to 2014
$497k
Pharmacokinetics and Pharmacodynamics of Antibiotics in Premature InfantsK23HD064814 · NICHD · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL · 2010 to 2013
$474k
FDA HHS U01 FD004858NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1TR000083NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR001117NCATS NIH HHS UL1TR001117NHLBI NIH HHS 1K23HL092225-01NICHD NIH HHS 1K23HD064814NICHD NIH HHS HHSN275201000003INICHD NIH HHS K23 HD064814NICHD NIH HHS K23 HD068497NIDDK NIH HHS HHSN267200700051C
6 · The paper itself

Abstract

objectiveBronchopulmonary dysplasia (BPD) is the most common cause of pulmonary morbidity in premature infants and is associated with life-long morbidities. Developing drugs for the prevention of BPD would improve public health. We sought to determine characteristics of favorable randomized controlled trials (RCTs) of drugs for BPD prevention. STUDY

designWe searched MEDLINE and EMBASE from 1992 to 2014 using the MeSH terms 'BPD' and 'respiratory distress syndrome, newborn'. We included a Cochrane Library search to ensure inclusion of all available RCTs. We identified RCTs with BPD as a primary or secondary outcome and determined the definition of BPD used by the study. We determined whether a phase I or phase II study-to determine drug safety, efficacy or optimal dose-was performed before the RCT. Finally, we searched the Cochrane Library for meta-analyses for each drug and used the results of available meta-analyses to define a favorable versus unfavorable RCT.

resultWe identified 2026 articles; 47 RCTs met our inclusion criteria encompassing 21 drugs; 5 of the drugs reduced the incidence of BPD. We found data from phase I or II studies for 16 of the drugs, but only 1 demonstrated a reduction of BPD.

conclusionThe majority of the drugs studied in RCTs failed to reduce the incidence of BPD. Performing early-phase studies before phase III trials might provide necessary information on drugs and drug doses capable of preventing BPD, thus informing the development of future RCTs.

Indexed as

Bronchopulmonary DysplasiaClinical Trials, Phase I as TopicHumansInfant, NewbornMeta-Analysis as TopicRandomized Controlled Trials as Topic

Identifiers

PMID25010224
PMCPMC4152555
OpenAlexW2149698234

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.