Evidence map›Paper›PMID 27913306›Full record

Trial reportThe Journal of allergy and clinical immunology2017

Effect of bradykinin receptor antagonism on ACE inhibitor-associated angioedema.

Brittany T Straka, Claudia E Ramirez, James B Byrd, Elizabeth Stone, Alencia Woodard-Grice, Hui Nian, Chang Yu, Aleena Banerji, Nancy J Brown

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
6.0field-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.

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

31 citing papers in PubMed, 100 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Bradykinin-Mediated Angioedema Induced by Drugs.Journal of clinical medicine · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Bradykinin Metabolism and Drug-Induced Angioedema.International journal of molecular sciences · 2023
    Review
  12. Bradykinin-induced angioedema in the emergency department.International journal of emergency medicine · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Kinins and Kinin Receptors in Cardiovascular and Renal Diseases.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  19. Article
  20. Review of icatibant use in the Winnipeg Regional Health Authority.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020
    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

9 authors at 2 institutions in 1 country.

Brittany T StrakaDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Claudia E RamirezDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
James B ByrdDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Elizabeth StoneDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Alencia Woodard-GriceDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn.
Hui NianDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tenn.
Chang YuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tenn.
Aleena BanerjiMassachussetts General Hospital, Boston, Mass.
Nancy J BrownDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tenn. Electronic address: Nancy.j.brown@vanderbilt.edu.
Vanderbilt University Medical Center · USMassachusetts General Hospital · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
CLINICAL PHARMACOLOGY TRAINING PROGRAMT32GM007569 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Bjorn C Knollmann · 1985 to 2026
$12.4M
Clincal and Translational Science AwardUL1TR000055 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$11.3M
Pharmacogenetics of ACE inhibitor-associated angioedema R01HL079184 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BROWN, NANCY J. · 2005 to 2014
$3.2M
Cardiovascular Consequences of Peptidase InhibitionR01HL125426 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BROWN, NANCY J. · 2015 to 2019
$2.3M
NCATS NIH HHS UL1 TR000055NCATS NIH HHS UL1 TR001436NCRR NIH HHS UL1 RR024975NHLBI NIH HHS R01 HL079184NHLBI NIH HHS R01 HL125426NIGMS NIH HHS T32 GM007569
6 · The paper itself

Abstract

backgroundThe B

objectiveWe sought to test the hypothesis that a bradykinin B

methodsPatients with ACE inhibitor-associated angioedema (defined as swelling of lips, tongue, pharynx, or face during ACE inhibitor use and no swelling in the absence of ACE inhibitor use) were enrolled at Vanderbilt University Medical Center from October 2007 through September 2015 and at Massachusetts General Hospital in 2012. C1 inhibitor deficiency and patients with bowel edema only were excluded. Patients were randomized within 6 hours of presentation to subcutaneous icatibant 30 mg or placebo at 0 and 6 hours later. Patients assessed severity of swelling using a visual analog scale serially following study drug administration or until discharge.

resultsThirty-three patients were randomized and 31 received treatment, with 13 receiving icatibant and 18 receiving placebo. One patient randomized to icatibant did not complete the visual analog scale and was excluded from analyses. Two-thirds of patients were black and two-thirds were women. Time-to-resolution of symptoms was similar in placebo and icatibant treatment groups (P = .19 for the primary symptom and P > .16 for individual symptoms of face, lip, tongue, or eyelid swelling). Frequency of administration of H1 and H2 blockers, corticosteroids, and epinephrine was similar in the 2 treatment groups. Time-to-resolution of symptoms was similar in black and white patients.

conclusionsThis study does not support clinical efficacy of a bradykinin B

Indexed as

AdultAgedAngioedemaAngiotensin-Converting Enzyme InhibitorsBradykininBradykinin B2 Receptor AntagonistsDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeAngiotensin-Converting Enzyme InhibitorsBradykininBradykinin B2 Receptor AntagonistsicatibantAngioedemaangiotensin-converting enzymebradykininicatibantsubstance P

Identifiers

PMID27913306
PMCPMC5705179
OpenAlexW2559617058

What OpenQuestion holds

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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.