Evidence map›Paper›PMID 28461224›Full record

Trial reportEBioMedicine2017

Responsiveness to Ipratropium Bromide in Male and Female Patients with Mild to Moderate Chronic Obstructive Pulmonary Disease.

Xuan Li, Ma'en Obeidat, Guohai Zhou, Janice M Leung, Donald Tashkin, Robert Wise, John Connett, Philippe Joubert, Yohan Bossé, Maarten van den Berge and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in EBioMedicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Exploring the role of sex in asthma and COPD pharmacological treatment.Current research in pharmacology and drug discovery · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Why do we keep ignoring sex in kidney disease?Clinical kidney journal · 2023
    Review
  9. Article
  10. Just breathe: a review of sex and gender in chronic lung disease.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Women manifest more severe COPD symptoms across the life course.International journal of chronic obstructive pulmonary disease
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 3 countries.

Xuan LiUBC Centre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Ma'en ObeidatUBC Centre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Guohai ZhouUBC Centre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Janice M LeungUBC Centre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada; Department of Medicine (Pulmonary Division), University of British Columbia, Vancouver, British Columbia, Canada.
Donald TashkinDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Robert WiseJohns Hopkins University School of Medicine, Baltimore, MD, USA.
John ConnettUniversity of Minnesota School of Public Health, Minneapolis, MN, USA.
Philippe JoubertInstitut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada.
Yohan BosséInstitut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada; Department of Molecular Medicine, Laval University, Québec, Canada.
Maarten van den BergeUniversity of Groningen, University Medical Center Groningen, Department of Pulmonary Diseases, Groningen, The Netherlands.
Corry-Anke BrandsmaUniversity of Groningen, University Medical Center Groningen, Department of Pathology and Medical Biology, Groningen, The Netherlands.
David C NickleMerck & Co Inc, Rahway, NJ, USA.
Ke HaoDepartment of Genetics and Genomics Sciences, Mount Sinai School of Medicine, New York, NY, USA.
Peter D ParéUBC Centre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada; Department of Medicine (Pulmonary Division), University of British Columbia, Vancouver, British Columbia, Canada.
Don D SinUBC Centre for Heart Lung Innovation, St. Paul's Hospital, Vancouver, British Columbia, Canada; Department of Medicine (Pulmonary Division), University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: don.sin@hli.ubc.ca.
St. Paul's Hospital · CAInstitut universitaire de cardiologie et de pneumologie de Québec · CAUniversity Medical Center Groningen · NLUniversity of British Columbia · CAIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USUniversity of British Columbia Hospital · CAUniversity of California, Los Angeles · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough the prevalence of chronic obstructive pulmonary disease (COPD) is similar between men and women, current evidence used to support bronchodilator therapy has been generated in therapeutic trials that have predominately enrolled male patients. Here, we determined whether there is any significant sex-related differences in FEV

methodsData from the Lung Health Study (n=5887; 37% females) were used to determine changes in FEV

resultsAfter 4months, ipratropium therapy increased FEV

conclusionIpratropium induces a larger bronchodilator response in female than in male patients and the benefits are particularly notable in non-obese females. Female lungs have greater gene expression for the M3 muscarinic receptor relative to M2 receptors than male lungs. Female patients are thus more likely to benefit from ipratropium than male COPD patients.

Indexed as

AdultBody Mass IndexBronchodilator AgentsCholinergic AntagonistsFemaleForced Expiratory VolumeGene ExpressionHumansIpratropiumMaleMiddle AgedPulmonary Disease, Chronic ObstructiveReceptor, Muscarinic M2Receptor, Muscarinic M3Sex CharacteristicsTreatment OutcomeBronchodilator AgentsCholinergic AntagonistsIpratropiumReceptor, Muscarinic M2Receptor, Muscarinic M3COPDFEV1Gene expressionIpratropiumLungSex

Identifiers

PMID28461224
PMCPMC5440622
OpenAlexW2607069243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.