Evidence map›Paper›PMID 26107507›Full record

ArticlePloS one2015

Correlation between Circulating Fungal Biomarkers and Clinical Outcome in Invasive Aspergillosis.

Dionysios Neofytos, Radha Railkar, Kathleen M Mullane, David N Fredricks, Bruno Granwehr, Kieren A Marr, Nikolaos G Almyroudis, Dimitrios P Kontoyiannis, Johan Maertens, Rebecca Fox and 4 more

Registry-linked trialAbstract readMulticenter Study
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. It is linked to trial NCT00854607 (A Prospective, Non-Intervention, Observational Assessment of the Correlation Between Circulating Biomarkers of Fungal Bioburden and Clinical Outcome in the Setting of Invasive Aspergillosis), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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.

NCT00854607 completednot on this map

A Prospective, Non-Intervention, Observational Assessment of the Correlation Between Circulating Biomarkers of Fungal Bioburden and Clinical Outcome in the Setting of Invasive Aspergillosis

TypeobservationalSponsorMerck Sharp & Dohme LLCRan2009 to 2011Enrolled116ConditionsAspergillosisArmsNo Intervention
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Pharmacodynamics of Isavuconazole for Invasive Mold Disease: Role of Galactomannan for Real-Time Monitoring of Therapeutic Response.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Serial Bronchoalveolar Lavage FluidOpen forum infectious diseases · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. How Long Do We Need to Treat an Invasive Mold Disease in Hematology Patients? Factors Influencing Duration of Therapy and Future Questions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  16. Article
  17. Fungal Translocation: A Driving Force Behind the Occurrence of Non-AIDS Events?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  18. Review
  19. Adjunctive interferon-γ immunotherapy in a pediatric case of Aspergillus terreus infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Article
  20. Review
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.

Dionysios NeofytosDepartment of Medicine, Johns Hopkins University, Baltimore, MD, United States of America; Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, United States of America.
Radha RailkarClinical Research, Merck & Co., Inc., Kenilworth, NJ, United States of America.
Kathleen M MullaneDepartment of Medicine, University of Chicago, Chicago, IL, United States of America.
David N FredricksDivision of Allergy and Infectious Diseases, Fred Hutchinson Center, Seattle, WA, United States of America.
Bruno GranwehrDivision of Infectious Diseases, University of Texas M.D. Anderson Cancer Center, Houston, TX, United States of America.
Kieren A MarrDepartment of Medicine, Johns Hopkins University, Baltimore, MD, United States of America.
Nikolaos G AlmyroudisRoswell Park Cancer Institute, State University of New York, Buffalo, NY, United States of America.
Dimitrios P KontoyiannisDivision of Infectious Diseases, University of Texas M.D. Anderson Cancer Center, Houston, TX, United States of America.
Johan MaertensDepartment of Haematology, University Hospital Gasthuisberg, Leuven, Belgium.
Rebecca FoxClinical Research, Merck & Co., Inc., Kenilworth, NJ, United States of America.
Cameron DouglasClinical Research, Merck & Co., Inc., Kenilworth, NJ, United States of America.
Robert IannoneClinical Research, Merck & Co., Inc., Kenilworth, NJ, United States of America.
Eunkyung KauhClinical Research, Merck & Co., Inc., Kenilworth, NJ, United States of America.
Norah ShireClinical Research, Merck & Co., Inc., Kenilworth, NJ, United States of America.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Objective means are needed to predict and assess clinical response in patients treated for invasive aspergillosis (IA). We examined whether early changes in serum galactomannan (GM) and/or β-D-glucan (BDG) can predict clinical outcomes. Patients with proven or probable IA were prospectively enrolled, and serial GM and BDG levels and GM optical density indices (GMI) were calculated twice weekly for 6 weeks following initiation of standard-of-care antifungal therapy. Changes in these biomarkers during the first 2 and 6 weeks of treatment were analyzed for associations with clinical response and survival at weeks 6 and 12. Among 47 patients with IA, 53.2% (25/47) and 65.9% (27/41) had clinical response by weeks 6 and 12, respectively. Changes in biomarkers during the first 2 weeks were associated with clinical response at 6 weeks (GMI, P = 0.03) and 12 weeks (GM+BDG composite, P = 0.05; GM, P = 0.04; GMI, P = 0.02). Changes in biomarkers during the first 6 weeks were also associated with clinical response at 6 weeks (GM, P = 0.05; GMI, P = 0.03) and 12 weeks (BDG+GM, P = 0.02; GM, P = 0.02; GMI, P = 0.01). Overall survival rates at 6 weeks and 12 weeks were 87.2% (41/47) and 79.1% (34/43), respectively. Decreasing biomarkers in the first 2 weeks were associated with survival at 6 weeks (BDG+GM, P = 0.03; BDG, P = 0.01; GM, P = 0.03) and at 12 weeks (BDG+GM, P = 0.01; BDG, P = 0.03; GM, P = 0.01; GMI, P = 0.007). Similar correlations occurred for biomarkers measured over 6 weeks. Patients with negative baseline GMI and/or persistently negative GMI during the first 2 weeks were more likely to have CR and survival. These results suggest that changes of biomarkers may be informative to predict and/or assess response to therapy and survival in patients treated for IA.

Indexed as

AdultAgedAntifungal AgentsAspergillusbeta-GlucansBiomarkersFemaleGalactoseHumansInvasive Pulmonary AspergillosisMaleMannansMiddle AgedPrognosisProspective StudiesSurvival AnalysisAntifungal Agentsbeta-GlucansBiomarkersgalactomannanGalactoseMannans

Identifiers

PMID26107507
PMCPMC4480423

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Registered trials

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.