Evidence map›Paper›PMID 25822991›Full record

ArticlePloS one2015

Elicitation of expert prior opinion: application to the MYPAN trial in childhood polyarteritis nodosa.

Lisa V Hampson, John Whitehead, Despina Eleftheriou, Catrin Tudur-Smith, Rachel Jones, David Jayne, Helen Hickey, Michael W Beresford, Claudia Bracaglia, Afonso Caldas and 12 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 50 citations in OpenAlex.

  1. Trial
  2. Article
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  7. Article
  8. Prior Elicitation for Use in Clinical Trial Design and Analysis: A Literature Review.International journal of environmental research and public health · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. [Hypertension and intermittent convulsions for one month in a school-age child].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2017
    Article
  15. Article
  16. Article
  17. Therapeutic advances in the treatment of vasculitis.Pediatric rheumatology online journal · 2016
    Review
  18. Review
  19. 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

22 authors at 19 institutions in 9 countries.

Lisa V HampsonDepartment of Mathematics and Statistics, Lancaster University, Lancaster, United Kingdom.
John WhiteheadDepartment of Mathematics and Statistics, Lancaster University, Lancaster, United Kingdom.
Despina EleftheriouDepartment of Rheumatology, UCL Institute of Child Health, London, United Kingdom.
Catrin Tudur-SmithMRC North West Hub for Trials Methodology Research, Department of Biostatistics, University of Liverpool, Liverpool, United Kingdom.
Rachel JonesDepartment of Renal Medicine, Addenbrooke's Hospital, Hills Road, Cambridge, United Kingdom.
David JayneDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Helen HickeyMedicines for Children Research Network Clinical Trials Unit, University of Liverpool, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
Michael W BeresfordDepartment of Women's & Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Claudia BracagliaDivision of Rheumatology, Department of Paediatric Medicine, IRCCS Bambino Gesù Children Hospital, Piazza Sant'Onofrio 4, 00165, Rome, Italy.
Afonso CaldasOporto Medical School, Integrated Hospital S. João, Porto, Portugal.
Rolando CimazAOU Meyer, Viale Pieraccini 24, 50139, Florence, Italy.
Joke DehoorneDepartment of Pediatric Rheumatology and Nephrology, Universitary Hospital Ghent, Ghent, Belgium.
Pavla DolezalovaDepartment of Paediatrics and Adolescent Medicine, Charles University in Prague, 1st Faculty of Medicine and General University Hospital, Prague, Czech Republic.
Mark FriswellGreat North Children's Hospital, Newcastle upon Tyne, United Kingdom.
Marija JelusicDepartment of Paediatric Rheumatology, University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia.
Stephen D MarksDepartment of Paediatric Nephrology, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, United Kingdom.
Neil MartinDepartment of Paediatric Rheumatology, Yorkhill Hospital, Glasgow, United Kingdom.
Anne-Marie McMahonSheffield Children's Hospital NHS Foundation Trust, Sheffield, United Kingdom.
Joachim PeitzHospital for Children and Adolescents, University Hospital of Cologne, Cologne, Germany.
Annet van Royen-KerkhofWilhelmina Children's Hospital, University Medical Centre, Utrecht, Netherlands.
Oguz SoylemezogluDepartment of Pediatric Nephrology and Rheumatology, Gazi University Hospital, Ankara, Turkey.
Paul A BroganDepartment of Rheumatology, UCL Institute of Child Health, London, United Kingdom.
Lancaster University · GBUniversity College London · GBUniversity of Liverpool · GBAddenbrooke's Hospital · GBAlder Hey Children's NHS Foundation Trust · GBCharles University · CZGazi University · TRGhent University Hospital · BEGreat North Children's Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBHospital de São João · PTIstituti di Ricovero e Cura a Carattere Scientifico · ITMeyer Children's Hospital · ITSheffield Children's NHS Foundation Trust · GBStobhill Hospital · GBUniversity Hospital Cologne · DEUniversity of Cambridge · GBUniversity of Zagreb · HRWilhelmina Children's Hospital · NL

Funding

Arthritis Research UK 20094Medical Research Council G0800792Medical Research Council MR/J014079/1Versus Arthritis 20094
6 · The paper itself

Abstract

objectivesDefinitive sample sizes for clinical trials in rare diseases are usually infeasible. Bayesian methodology can be used to maximise what is learnt from clinical trials in these circumstances. We elicited expert prior opinion for a future Bayesian randomised controlled trial for a rare inflammatory paediatric disease, polyarteritis nodosa (MYPAN, Mycophenolate mofetil for polyarteritis nodosa).

methodsA Bayesian prior elicitation meeting was convened. Opinion was sought on the probability that a patient in the MYPAN trial treated with cyclophosphamide would achieve disease remission within 6-months, and on the relative efficacies of mycophenolate mofetil and cyclophosphamide. Expert opinion was combined with previously unseen data from a recently completed randomised controlled trial in ANCA associated vasculitis.

resultsA pan-European group of fifteen experts participated in the elicitation meeting. Consensus expert prior opinion was that the most likely rates of disease remission within 6 months on cyclophosphamide or mycophenolate mofetil were 74% and 71%, respectively. This prior opinion will now be taken forward and will be modified to formulate a Bayesian posterior opinion once the MYPAN trial data from 40 patients randomised 1:1 to either CYC or MMF become available.

conclusionsWe suggest that the methodological template we propose could be applied to trial design for other rare diseases.

Indexed as

Bayes TheoremChildClinical Trials as TopicCyclophosphamideHumansImmunosuppressive AgentsMycophenolic AcidPolyarteritis NodosaRandomized Controlled Trials as TopicRare DiseasesTreatment OutcomeCyclophosphamideImmunosuppressive AgentsMycophenolic Acid

Identifiers

PMID25822991
PMCPMC4378846
OpenAlexW1997201920

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.