Evidence map›Paper›PMID 26828324›Full record

ArticleJournal of cardiovascular pharmacology2016

Safety and Tolerability of High-dose Inhaled Treprostinil in Pulmonary Hypertension.

Kishan S Parikh, Sudarshan Rajagopal, Terry Fortin, Victor F Tapson, Abby D Poms

Open access · greenAbstract read
In one paragraph

Article in Journal of cardiovascular pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Updates on Pulmonary Hypertension.The open respiratory medicine journal · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Prostaglandins in asthma and allergic diseases.Pharmacology & therapeutics · 2019
    Review
  9. Article
  10. Article
  11. Practical considerations for therapies targeting the prostacyclin pathway.European respiratory review : an official journal of the European Respiratory Society · 2016
    Review
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kishan S Parikh*Department of Medicine, Duke University Medical Center, Durham, NC; and †Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA.
Sudarshan Rajagopal
Terry Fortin
Victor F Tapson
Abby D Poms
Burroughs Wellcome Fund · USCedars-Sinai Medical Center · US

Funding

UNC-Duke Collaborative Clinical Pharmacology Postdoctoral Training Program-Evaluation SupplementT32GM086330 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KIM L.R. BROUWER, Daniel Gonzalez · 2011 to 2026
$8.5M
Noncanonical Receptor Signaling in Pulmonary Arterial HypertensionK08HL114643 · NHLBI · DUKE UNIVERSITY · PI RAJAGOPAL, SUDARSHAN K · 2013 to 2017
$607k
NHLBI NIH HHS HL114643NHLBI NIH HHS K08 HL114643NIGMS NIH HHS 5T32GM086330-05NIGMS NIH HHS T32 GM086330Wellcome Trust
6 · The paper itself

Abstract

Pulmonary arterial hypertension (PAH) has emerging therapeutic options including prostacyclin analogs. Inhaled therapy offers advantages compared with alternative routes of administration. We aimed to determine the safety and tolerability of inhaled treprostinil (iTRE) titrated to target maintenance dose higher than the labeled dose for PAH. Our study included 80 consecutive patients (69% female, 70% White) followed at the Duke University Medical Center prescribed iTRE at dose >9 breaths (54 μg). Etiology of pulmonary hypertension was most frequently PAH (51%) or secondary to lung disease (35%). Median follow-up was 20.3 months (interquartile range 14.2-33.2). Most patients (91%) had titrated iTRE dose to 12 breaths (72 μg) four times daily. Common side effects reported with drug initiation were cough (41%), headache (28%), and throat irritation (8%); most of the side effects improved at follow-up. Overall, 25% patients discontinued iTRE: 9 transitioned to parenteral therapy, 4 had untolerable side effects, 3 died, and 4 had other reasons. Overall, iTRE taken at a higher dose than approved for use in PAH was safe and well-tolerated in our cohort of pulmonary hypertension patients.

Indexed as

Administration, InhalationAntihypertensive AgentsCohort StudiesDose-Response Relationship, DrugEpoprostenolFemaleFollow-Up StudiesHumansHypertension, PulmonaryMaleMiddle AgedRetrospective StudiesTreatment OutcomeAntihypertensive AgentsEpoprostenoltreprostinil

Identifiers

PMID26828324
PMCPMC4824653
OpenAlexW2314124177

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.