Evidence map›Paper›PMID 28410602›Full record

ArticleOrphanet journal of rare diseases2017

Extreme caution on the use of sirolimus for the congenital hyperinsulinism in infancy patient.

Indraneel Banerjee, Diva De Leon, Mark J Dunne

Open access · goldAbstract readLetter
In one paragraph

Article in Orphanet journal of rare diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  14. Therapies and outcomes of congenital hyperinsulinism-induced hypoglycaemia.Diabetic medicine : a journal of the British Diabetic Association · 2019
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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

3 authors at 3 institutions in 2 countries.

Indraneel BanerjeePaediatric Endocrinology, Central Manchester University Hospitals NHS Foundation Trust (CMFT) and The University of Manchester, Oxford Road, Manchester, M13 9PT, UK.
Diva De LeonCongenital Hyperinsulinism Center, Division of Pediatric Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Mark J DunnePaediatric Endocrinology, Central Manchester University Hospitals NHS Foundation Trust (CMFT) and The University of Manchester, Oxford Road, Manchester, M13 9PT, UK. mark.j.dunne@manchester.ac.uk.
Children's Hospital of Philadelphia · USManchester University NHS Foundation Trust · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have recently published on the limited effectiveness of sirolimus as a treatment option for hypoglycaemia as a consequence of hyperinsulinism. Our data oppose the view that mTOR inhibitors provide new opportunities for the treatment of patients with hyperinsulinism. We are not convinced by the argument that any benefit for some patients outweighs the potential and later long-term problems that accompany mTOR inhibition in the neonate. We also express the opinion that caution must be taken when repurposing/repositioning therapies in the field of rare disease.

Indexed as

AnimalsCongenital HyperinsulinismHumansHyperinsulinismHypoglycemiaInfant, NewbornSirolimusTOR Serine-Threonine KinasesMTOR protein, humanSirolimusTOR Serine-Threonine KinasesCongenital hyperinsulinism in Infancy patienthypoglycaemiaisletmTORSirolimus

Identifiers

PMID28410602
PMCPMC5391606
OpenAlexW2606609945

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.