Evidence map›Paper›PMID 26861246›Full record

ArticleInfection2016

Gaseous nitric oxide to treat antibiotic resistant bacterial and fungal lung infections in patients with cystic fibrosis: a phase I clinical study.

Caroline Deppisch, Gloria Herrmann, Ute Graepler-Mainka, Hubertus Wirtz, Susanne Heyder, Corinna Engel, Matthias Marschal, Christopher C Miller, Joachim Riethmüller

2 registry-linked trialsAbstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
6.9field-weighted citation impact, top 3% 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.

NCT03331445 phase2terminatednot on this mapstarted 2017, after this paper: background citation

An Open Label Safety Study of Inhaled Gaseous Nitric Oxide (gNO) for Adults & Adolescents With Non-Tuberculous Mycobacteria, Burkholderia Spp, Aspergillus Spp and Corona-like Viral (Sub-Study) Infections

TypeinterventionalSponsorChris MillerRan2017 to 2021Enrolled13ConditionsRespiratory Tract Infections, Corona Virus InfectionArmsNitric Oxide 0.5 % / Nitrogen 99.5 % Gas for Inhalation
NCT04337918 phase2completednot on this mapstarted 2020, after this paper: background citation

Multi-Center, Randomized, Controlled, Phase II Clinical Efficacy Study Evaluating Nitric Oxide Releasing Solution Treatment for the Prevention and Treatment of COVID-19 in Healthcare Workers and Individuals at Risk of Infection

TypeinterventionalSponsorSanotize Research and Development corp.Ran2020 to 2021Enrolled143ConditionsCorona Virus InfectionArmsNORS (Nitric Oxide Releasing Solution)
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 110 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Antimicrobial Resistance: The Answers.British journal of biomedical science · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Insights on the Pathogenesis ofJournal of clinical medicine · 2025
    Review
  10. Review
  11. Article
  12. mBio · 2024
    Article
  13. Review
  14. Article
  15. Drug delivery strategies for antibiofilm therapy.Nature reviews. Microbiology · 2023
    Review
  16. The Triple Crown: NO, CO, and HPharmacology & therapeutics · 2023
    Review
  17. Article
  18. Article
  19. International journal of molecular sciences · 2023
    Review
  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

9 authors at 5 institutions in 2 countries.

Caroline DeppischComprehensive Cystic Fibrosis Center, Children's Clinic, Tübingen, Germany.
Gloria HerrmannComprehensive Cystic Fibrosis Center, Children's Clinic, Tübingen, Germany.
Ute Graepler-MainkaComprehensive Cystic Fibrosis Center, Children's Clinic, Tübingen, Germany.
Hubertus WirtzMedizinische Klinik I, Pneumologie, Universität Leipzig, Leipzig, Germany.
Susanne HeyderKlinik Schillerhöhe, Robert Bosch Krankenhaus GmbH, Gerlingen, Germany.
Corinna EngelComprehensive Cystic Fibrosis Center, Children's Clinic, Tübingen, Germany.
Matthias MarschalInstitute of Medical Microbiology and Hygiene, Universitätsklinikum Tübingen, Tübingen, Germany.
Christopher C MillerNitric Oxide Laboratory, Division of Respiratory and Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Joachim RiethmüllerComprehensive Cystic Fibrosis Center, Children's Clinic, Tübingen, Germany. joachim.riethmueller@med.uni-tuebingen.de.
Institute of Medical Microbiology and Hygiene · DELeipzig University · DERobert Bosch Hospital · DEUniversity Children's Hospital Tübingen · DEUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with cystic fibrosis (CF) receive antibiotics continuously throughout their entire life which leads to drug resistant microbial lung infections which are difficult to treat. Nitric oxide (NO) gas possesses antimicrobial activity against a wide variety of microorganisms in vitro, in vivo in animal models and a phase I study in healthy adults showed administration of intermittent 160 ppm NO to be safe.

methodsWe assessed feasibility and safety of inhaled NO in eight CF patients who received 160 ppm NO for 30 min, three times daily for 2 periods of 5 days.

resultsThe NO treatment was safe and in none of the patients were serious drug-related adverse events observed which caused termination of the study. The intention-to-treat analysis revealed a significant mean reduction of the colony forming units of all bacteria and all fungi, while mean forced expiratory volume 1 s % predicted (FEV1) relative to baseline increased 17.3 ± 8.9 % (P = 0.012).

conclusionsNO treatment may improve the therapy of chronic microbial lung infections in CF patients, particularly concerning pathogens with intrinsic or acquired resistance to antibiotics.

Indexed as

AdultAnti-Infective AgentsCystic FibrosisDrug Resistance, BacterialDrug Resistance, FungalFeasibility StudiesFemaleForced Expiratory VolumeHumansMaleNitric OxideRespiratory Tract InfectionsAnti-Infective AgentsNitric OxideAntimicrobialCystic fibrosisLung infectionNitric oxide

Identifiers

PMID26861246
OpenAlexW2254558178

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.