Evidence map›Paper›PMID 26547590›Full record

Trial reportJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2016

Infant lung function tests as endpoints in the ISIS multicenter clinical trial in cystic fibrosis.

Stephanie D Davis, Felix Ratjen, Lyndia C Brumback, Robin C Johnson, Amy G Filbrun, Gwendolyn S Kerby, Howard B Panitch, Scott H Donaldson, Margaret Rosenfeld, ISIS Study Group

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 19% 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, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Nebulised hypertonic saline for cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Timing of hypertonic saline inhalation for cystic fibrosis.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Nebulised hypertonic saline for cystic fibrosis.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Timing of hypertonic saline inhalation for cystic fibrosis.The Cochrane database of systematic reviews · 2016
    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

10 authors at 8 institutions in 2 countries.

Stephanie D DavisSection of Pediatric Pulmonology, Allergy and Sleep Medicine, Department of Pediatrics, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.
Felix RatjenDivision of Respiratory Medicine, Department of Pediatrics, the Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Lyndia C BrumbackDepartment of Biostatistics, University of Washington, Seattle, WA, USA.
Robin C JohnsonDivision of Pediatric Pulmonology, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Amy G FilbrunPediatric Pulmonary Division, Department of Pediatrics, CS Mott Children's Hospital, University of Michigan School of Medicine, Ann Arbor, MI, USA.
Gwendolyn S KerbyDepartment of Pediatrics, The Breathing Institute, University of Colorado and Children's Hospital, Aurora, CO, USA.
Howard B PanitchDivision of Pulmonary Medicine, Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Scott H DonaldsonDivision of Pulmonary and Critical Care, Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Margaret RosenfeldDivision of Pulmonary Medicine, Seattle Children's Hospital and Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.
ISIS Study Group
University of North Carolina at Chapel Hill · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USRiley Hospital for Children · USSeattle Children's Hospital · USUniversity of Michigan · USUniversity of Toronto · CAUniversity of Washington · US

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
The Mucus Transport Apparatus: Why Two Layers?P50HL084934 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOUCHER, RICHARD CHARLES · 2006 to 2010
$15.6M
Infant Study of Inhaled Saline in Cystic Fibrosis (ISIS) - CCC - Lead ApplicationU01HL092931 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI DAVIS, STEPHANIE DUGGINS, ROSENFELD, MARGARET · 2008 to 2011
$2.0M
NHLBI NIH HHS P50 HL084934NHLBI NIH HHS U01 HL092931NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

backgroundThe Infant Study of Inhaled Saline (ISIS) in CF was the first multicenter clinical trial to utilize infant pulmonary function tests (iPFTs) as an endpoint.

methodsSecondary analysis of ISIS data was conducted in order to assess feasibility of iPFT measures and their associations with respiratory symptoms. Standard deviations were calculated to aid in power calculations for future clinical trials.

resultsSeventy-three participants enrolled, 70 returned for the final visit; 62 (89%) and 45 (64%) had acceptable paired functional residual capacity (FRC) and raised volume measurements, respectively. Mean baseline FEV0.5, FEF75 and FRC z-scores were 0.3 (SD: 1.2), -0.2 (SD: 2.0), and 1.8 (SD: 2.0).

conclusionsiPFTs are not appropriate primary endpoints for multicenter clinical trials due to challenges of obtaining acceptable data and near-normal average raised volume measurements. Raised volume measures have potential to serve as secondary endpoints in future clinical CF trials.

Indexed as

Cystic FibrosisForced Expiratory VolumeDimensional Measurement AccuracyFemaleHumansInfantLungMaleRespiratory Function TestsSodium ChlorideSodium ChlorideFEVForced expiratory flow ratesPulmonary function tests

Identifiers

PMID26547590
PMCPMC4854797
OpenAlexW2151428373

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.