Evidence map›Paper›PMID 27858160›Full record

ArticleLung2017

Assessing the Therapeutic Response to Pirfenidone in Idiopathic Pulmonary Fibrosis: Can We Do Better than with Forced Vital Capacity Alone?

Karishma Hosein, Jamie Le, Marco Mura

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Lung, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02632123 (Validation of the Risk Stratification Score in Idiopathic Pulmonary Fibrosis), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% 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.

NCT02632123 completednot on this map

Validation of the Risk Stratification Score in Idiopathic Pulmonary Fibrosis

TypeobservationalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2015 to 2024Enrolled260ConditionsIdiopathic Pulmonary Fibrosis
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Prognosis of idiopathic pulmonary fibrosis without anti-fibrotic therapy: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2020
    Pooled it
  2. Article
  3. Article
  4. Clinical evaluation on idiopathic pulmonary fibrosis.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  5. Article
  6. 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

3 authors at 1 institution in 1 country.

Karishma HoseinDivision of Respirology, Department of Medicine, Western University, London, ON, Canada.
Jamie LeDivision of Respirology, Department of Medicine, Western University, London, ON, Canada.
Marco MuraDivision of Respirology, Department of Medicine, Western University, London, ON, Canada. marco.mura@lhsc.on.ca.ORCID 0000-0002-2159-7083
Western University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstarctNew anti-fibrotic agents for idiopathic pulmonary fibrosis (IPF) were approved based on the results of forced vital capacity (FVC) trends, although concerns were raised about the reliability of FVC as the only endpoint parameter. We hypothesized that IPF-specific multi-dimensional scores (Composite Physiologic Index-CPI; gender-age-physiology-GAP; risk stratification score-RISE) would better capture response to therapy. In this pilot study, treated and untreated cohorts of IPF patients, matched for demographic and functional characteristics were prospectively followed for 1 year, at 4-month intervals. Progression-free survival was significantly improved in treated patients (p = 0.0093). While no difference in FVC longitudinal trends was observed, MRC dyspnea score (p = 0.0347), diffusing lung capacity (p = 0.0015), 6-min walk distance (p = 0.0007), CPI (p = 0.0457) and RISE (p = 0.0005) were significantly stabilized in treated patients, compared to steady worsening in untreated subjects. Multi-dimensional scores provide broader spectrum of prognostic information and may facilitate the assessment of efficacy of new drugs for IPF.

Indexed as

AgedAnti-Inflammatory Agents, Non-SteroidalDisease-Free SurvivalDyspneaFemaleForced Expiratory VolumeHumansIdiopathic Pulmonary FibrosisLongitudinal StudiesMaleMiddle AgedPilot ProjectsProspective StudiesPulmonary Diffusing CapacityPyridonesTreatment OutcomeAnti-Inflammatory Agents, Non-SteroidalpirfenidonePyridonesForced vital capacityIdiopathic pulmonary fibrosisMulti-dimensional scoresPirfenidoneRisk stratification scoreTherapy

Identifiers

PMID27858160
OpenAlexW2552546295

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.