Evidence map›Paper›PMID 28438499›Full record

ArticleJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2017

Rationalizing endpoints for prospective studies of pulmonary exacerbation treatment response in cystic fibrosis.

D R VanDevanter, S L Heltshe, J Spahr, V V Beckett, C L Daines, E C Dasenbrook, R L Gibson, Jain Raksha, D B Sanders, C H Goss and 2 more

Abstract read
In one paragraph

Article in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The measurement properties of tests and tools used in cystic fibrosis studies: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2021
    Pooled it
  2. Correlates of FEV₁ deficit in pulmonary exacerbations of cystic fibrosis and associated clinical outcomes.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2026
    Trial
  3. Trial
  4. C-reactive protein (CRP) as a biomarker of pulmonary exacerbation presentation and treatment response.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Trial
  5. Health care costs in a randomized trial of antimicrobial duration among cystic fibrosis patients with pulmonary exacerbations.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Observational
  11. STOP Using Corticosteroids in Cystic Fibrosis Pulmonary Exacerbations.Annals of the American Thoracic Society · 2024
    Article
  12. A longitudinal analysis of respiratory symptoms in people with cystic fibrosis with advanced lung disease on and off ETI.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024
    Article
  13. Re-examining baseline lung function recovery following IV-treated pulmonary exacerbations.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  14. Article
  15. Diagnosis and Management of Cystic Fibrosis Exacerbations.Seminars in respiratory and critical care medicine · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Changes in symptom scores as a potential clinical endpoint for studies of cystic fibrosis pulmonary exacerbation treatment.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
    Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

D R VanDevanterCase Western Reserve University School of Medicine, Cleveland, OH 44106, USA. Electronic address: drv15@case.edu.
S L HeltsheUniversity of Washington, Seattle, WA 98121, USA; CFF Therapeutics Development Network Coordinating Center, Seattle Children's Research Institute, Seattle, WA 98105, USA.
J SpahrChildren's Hospital of Pittsburgh of UPMC, Pittsburgh, PA 15224, USA.
V V BeckettCFF Therapeutics Development Network Coordinating Center, Seattle Children's Research Institute, Seattle, WA 98105, USA.
C L DainesUniversity of Arizona, Tucson, AZ 85724, USA.
E C DasenbrookCase Western Reserve University School of Medicine, Cleveland, OH 44106, USA.
R L GibsonCFF Therapeutics Development Network Coordinating Center, Seattle Children's Research Institute, Seattle, WA 98105, USA.
Jain RakshaUniversity of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
D B SandersUniversity of Wisconsin, Madison, WI 53792, USA.
C H GossUniversity of Washington, Seattle, WA 98121, USA; CFF Therapeutics Development Network Coordinating Center, Seattle Children's Research Institute, Seattle, WA 98105, USA.
P A FlumeMedical University of South Carolina, Charleston, SC 29425, USA.
STOP Study Group

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
Institutional Clinical and Translational Science AwardKL2TR000428 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$6.2M
NCATS NIH HHS KL2 TR000428NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR001450NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

backgroundGiven the variability in pulmonary exacerbation (PEx) management within and between Cystic Fibrosis (CF) Care Centers, it is possible that some approaches may be superior to others. A challenge with comparing different PEx management approaches is lack of a community consensus with respect to treatment-response metrics. In this analysis, we assess the feasibility of using different response metrics in prospective randomized studies comparing PEx treatment protocols.

methodsResponse parameters were compiled from the recent STOP (Standardized Treatment of PEx) feasibility study. Pulmonary function responses (recovery of best prior 6-month and 12-month FEV

resultsThe most sensitive endpoint was mean change in CRISS from treatment initiation, followed by mean absolute FEV

conclusionsResults from randomized prospective superiority and non-inferiority studies employing mean CRISS and FEV

Indexed as

Cystic FibrosisEndpoint DeterminationOutcome Assessment, Health CareRespiratory Tract InfectionsAdultAnti-Bacterial AgentsClinical ProtocolsFeasibility StudiesFemaleForced Expiratory VolumeHumansMaleRandomized Controlled Trials as TopicSample SizeSurveys and QuestionnairesSymptom Flare UpAnti-Bacterial AgentsClinical trialEndpointsExacerbationSample size

Identifiers

PMID28438499
PMCPMC6581041

What OpenQuestion holds

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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.