Evidence map›Paper›PMID 28296471›Full record

ArticleAIDS research and human retroviruses2017

The Safety of Multiple Flexible Sigmoidoscopies with Mucosal Biopsies in Healthy Clinical Trial Participants.

Wai Kan Chiu, Rhonda M Brand, Danielle Camp, Stacey Edick, Carol Mitchell, Sherri Karas, Amanda Zehmisch, Ken Ho, Randall E Brand, Janet Harrison and 3 more

Open access · greenAbstract read
In one paragraph

Article in AIDS research and human retroviruses, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
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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

13 authors at 2 institutions in 1 country.

Wai Kan Chiu1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Rhonda M Brand1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Danielle Camp3 Magee-Women's Research Institute , Pittsburgh, Pennsylvania.
Stacey Edick3 Magee-Women's Research Institute , Pittsburgh, Pennsylvania.
Carol Mitchell3 Magee-Women's Research Institute , Pittsburgh, Pennsylvania.
Sherri Karas3 Magee-Women's Research Institute , Pittsburgh, Pennsylvania.
Amanda Zehmisch3 Magee-Women's Research Institute , Pittsburgh, Pennsylvania.
Ken Ho1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Randall E Brand1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Janet Harrison1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Steven Abo1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Ross D Cranston1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Ian McGowan1 Department of Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
University of Pittsburgh · USMagee-Womens Research Institute · US

Funding

Microbicide Trials NetworkUM1AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2011 to 2021
$175.0M
HIV VACCINE TRIALS NETWORK LEADERSHIP GROUPU01AI046747 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE · 1999 to 2005
$124.7M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
University of Pittsburgh Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUSAN L KOLETAR, John W Mellors · 2012 to 2026
$38.0M
Regulatory compliance and human subjects safetyU19AI060614 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTON, PETER A · 2004 to 2009
$19.1M
Topical Antiretrovirals to Prevent Rectal HIV InfectionU19AI082637 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI GABELNICK, HENRY L · 2009 to 2013
$11.1M
Aptamer Microbicide Development Program (MDP)U01AI066734 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MCGOWAN, IAN MICHAEL · 2005 to 2009
$3.2M
NCATS NIH HHS UL1 TR000005NIAID NIH HHS U01 AI046747NIAID NIH HHS U01 AI066734NIAID NIH HHS U19 AI060614NIAID NIH HHS U19 AI082637NIAID NIH HHS UM1 AI068633NIAID NIH HHS UM1 AI069494
6 · The paper itself

Abstract

During Phase 1 pharmacokinetic/pharmacodynamics studies, participants may undergo multiple sigmoidoscopies, with a collection of 10-20 biopsies during each procedure. This article characterizes the safety of flexible sigmoidoscopies in clinical trial participants. We determined the number of flexible sigmoidoscopies and rectal biopsies that participants underwent and analyzed the frequency, duration, and severity of flexible sigmoidoscopy-related adverse events (AEs). During the study period, 278 participants underwent 1,004 flexible sigmoidoscopies with the collection of 15,930 rectal biopsies. The average number of procedures per participant was 3.6 (median 3; range 1-25), with an average time interval between procedures of 61.8 days (median 28 days; range 1-1,159). There were no serious AEs. Sixteen AEs were related to flexible sigmoidoscopy and occurred in 16 participants, leading to an overall 1.6% (16/1,004) AE rate per procedure and 0.1% (16/15,930) AE rate per biopsy. Of the 16 AEs, 8 (50%) involved abdominal pain, diarrhea, bleeding, flatulence, and bloating, with an average duration of 4.7 days (median 1 day; range 1-28). Most (14/16) AEs were categorized as Grade 1 (mild), whereas two of the AEs were Grade 2 (moderate). No participant withdrew due to procedure-related AEs. Overall, the number of AEs caused by flexible sigmoidoscopy with multiple biopsies was low and the severity was mild, suggesting that this procedure can be safely integrated into protocols requiring repeated intestinal mucosal sampling.

Indexed as

Clinical Trials as TopicAdultBiopsyFemaleHumansMaleMiddle AgedSigmoidoscopyYoung Adultadverse eventsclinical trialsendoscopyintestinal biopsy

Identifiers

PMID28296471
PMCPMC5564058
OpenAlexW2588959376

What OpenQuestion holds

Textmetadata
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.