Evidence map›Paper›PMID 25634352›Full record

Trial reportLung2015

Ghrelin administration for chronic respiratory failure: a randomized dose-comparison trial.

Nobuhiro Matsumoto, Keisuke Miki, Hironobu Tsubouchi, Akihiro Sakamoto, Yasuji Arimura, Shigehisa Yanagi, Hirotoshi Iiboshi, Makoto Yoshida, Ryosuke Souma, Hiroshi Ishimoto and 10 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Lung, 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
0.7field-weighted citation impact, top 34% 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, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Therapeutic Potential of Targeting the Ghrelin Pathway.International journal of molecular sciences · 2017
    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

20 authors at 7 institutions in 1 country.

Nobuhiro MatsumotoNeurology, Respirology, Endocrinology and Metabolism, Internal Medicine, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan, nobuhiro@med.miyazaki-u.ac.jp.
Keisuke Miki
Hironobu Tsubouchi
Akihiro Sakamoto
Yasuji Arimura
Shigehisa Yanagi
Hirotoshi Iiboshi
Makoto Yoshida
Ryosuke Souma
Hiroshi Ishimoto
Yoshifumi Yamamoto
Kazuhiro Yatera
Masanori Yoshikawa
Hironori Sagara
Tomoaki Iwanaga
Hiroshi Mukae
Ryoji Maekura
Hiroshi Kimura
Masamitsu Nakazato
Kenji Kangawa
University of Miyazaki · JPNational Hospital Organization · JPNara Medical University · JPUniversity of Occupational and Environmental Health Japan · JPDokkyo Medical University Saitama Medical Center · JPNational Cerebral and Cardiovascular Center · JPShowa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepeated ghrelin administration leads to improvements in symptoms, muscle wasting and exercise tolerance in cachectic patients with pulmonary disease. We investigated the optimal ghrelin dose for underweight patients with chronic respiratory failure.

methodsIn this multicenter, randomized, dose-comparison exploratory study, 44 cachectic patients with chronic respiratory failure were randomly assigned pulmonary rehabilitation with intravenous twice-daily administration of 1 or 2 μg/kg ghrelin for 3 weeks. The primary endpoint was improvement in 6-min walking distance (6 MWD). The secondary endpoint was change in peak VO2.

resultsTwenty-one patients were assigned to the 1 μg/kg ghrelin group and 23 to the 2 μg/kg ghrelin group. Change from baseline 6 MWD after treatment was similar between groups(1 μg/kg: 53.9 m, 2 μg/kg: 53.9 m, p = 0.99). Mean change in peak VO2 was significantly greater in the 2 μg/kg group (63.1 ml/min) than in the 1 μg/kg group (-63.8 ml/min, p = 0.048). Food intake and lean body mass significantly increased in both groups, and the St. George Respiratory Questionnaire score, body weight, and body mass index were remarkably improved in only the 2 μg/kg group, although there was no significant difference between groups. No treatment-related serious events were reported for either group.

conclusionImprovements in the oxygen uptake capacity were greater in patients receiving 2 μg/kg ghrelin twice daily for 3 weeks than in those receiving 1 μg/kg, although exercise tolerance was similar between groups at the end of the 3-week treatment period. Thus, a twice daily dose of 2 μg/kg ghrelin is recommended over 1 μg/kg ghrelin for patients with chronic respiratory failure and weight loss.

Indexed as

AgedBody CompositionBody WeightCachexiaChronic DiseaseEatingEnergy IntakeExercise TestExercise TherapyExercise ToleranceFemaleGhrelinHumansMaleMiddle AgedOxygen ConsumptionGhrelin

Identifiers

PMID25634352
OpenAlexW2038025703

What OpenQuestion holds

Textmetadata
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.