Evidence map›Paper›PMID 25714657›Full record

Trial reportAnnals of the American Thoracic Society2015

Effect of treatment of cystic fibrosis pulmonary exacerbations on systemic inflammation.

Scott D Sagel, Valeria Thompson, James F Chmiel, Gregory S Montgomery, Samya Z Nasr, Elizabeth Perkett, Milene T Saavedra, Bonnie Slovis, Margaret M Anthony, Peggy Emmett and 1 more

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Annals of the American Thoracic Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. The role of ultrasound of the quadriceps femoris in people with cystic fibrosis: a systematic review and meta-analysis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2026
    Pooled it
  2. C-reactive protein (CRP) as a biomarker of pulmonary exacerbation presentation and treatment response.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Trial
  3. Trial
  4. Symptom phenotyping in people with cystic fibrosis during acute pulmonary exacerbations using machine-learning K-means clustering analysis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Diagnosis and Management of Cystic Fibrosis Exacerbations.Seminars in respiratory and critical care medicine · 2023
    Review
  10. Article
  11. Review
  12. Observational
  13. Calprotectin in Lung Diseases.International journal of molecular sciences · 2021
    Review
  14. Utilizing centralized biorepository samples for biomarkers of cystic fibrosis lung disease severity.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2020
    Article
  15. Article
  16. Acute Pulmonary Exacerbations in Cystic Fibrosis.Seminars in respiratory and critical care medicine · 2019
    Review
  17. Article
  18. Article
  19. Poor recovery from a pulmonary exacerbation does not lead to accelerated FEVJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2017
    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

11 authors at 8 institutions in 1 country.

Scott D Sagel1 Department of Pediatrics, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, Colorado.
Valeria Thompson
James F Chmiel
Gregory S Montgomery
Samya Z Nasr
Elizabeth Perkett
Milene T Saavedra
Bonnie Slovis
Margaret M Anthony
Peggy Emmett
Sonya L Heltshe
Children's Hospital Colorado · USCystic Fibrosis Foundation · USUniversity of Colorado Denver · USIndiana University School of MedicineMichigan Medicine · USPediatrics and Genetics · USRainbow Babies & Children's Hospital · USVanderbilt University Medical Center · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss, Lucas R Hoffman · 2010 to 2026
$21.4M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR001082NIDDK NIH HHS P30 DK027651NIDDK NIH HHS P30 DK089507NIDDK NIH HHS P30 DK27651
6 · The paper itself

Abstract

rationaleIn cystic fibrosis (CF), pulmonary exacerbations present an opportunity to define the effect of antibiotic therapy on systemic measures of inflammation.

objectivesInvestigate whether plasma inflammatory proteins demonstrate and predict a clinical response to antibiotic therapy and determine which proteins are associated with measures of clinical improvement.

methodsIn this multicenter study, a panel of 15 plasma proteins was measured at the onset and end of treatment for pulmonary exacerbation and at a clinically stable visit in patients with CF who were 10 years of age or older. MEASUREMENTS AND MAIN

resultsSignificant reductions in 10 plasma proteins were observed in 103 patients who had paired blood collections during antibiotic treatment for pulmonary exacerbations. Plasma C-reactive protein, serum amyloid A, calprotectin, and neutrophil elastase antiprotease complexes correlated most strongly with clinical measures at exacerbation onset. Reductions in C-reactive protein, serum amyloid A, IL-1ra, and haptoglobin were most associated with improvements in lung function with antibiotic therapy. Having higher IL-6, IL-8, and α1-antitrypsin (α1AT) levels at exacerbation onset were associated with an increased risk of being a nonresponder (i.e., failing to recover to baseline FEV1). Baseline IL-8, neutrophil elastase antiprotease complexes, and α1AT along with changes in several plasma proteins with antibiotic treatment, in combination with FEV1 at exacerbation onset, were predictive of being a treatment responder.

conclusionsCirculating inflammatory proteins demonstrate and predict a response to treatment of CF pulmonary exacerbations. A systemic biomarker panel could speed up drug discovery, leading to a quicker, more efficient drug development process for the CF community.

Indexed as

AdolescentAnti-Bacterial AgentsBiomarkersChildC-Reactive ProteinCystic FibrosisCytokinesDisease ProgressionFemaleForced Expiratory VolumeHumansInflammationLungMalePrognosisAnti-Bacterial AgentsBiomarkersC-Reactive ProteinCytokinesbiomarkercystic fibrosisinflammationplasmapulmonary exacerbation

Identifiers

PMID25714657
PMCPMC4418340
OpenAlexW2158544918

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.