Evidence map›Paper›PMID 28608719›Full record

Trial reportAmerican journal of respiratory and critical care medicine2017

Home Monitoring of Patients with Cystic Fibrosis to Identify and Treat Acute Pulmonary Exacerbations. eICE Study Results.

Noah Lechtzin, Nicole Mayer-Hamblett, Natalie E West, Sarah Allgood, Ellen Wilhelm, Umer Khan, Moira L Aitken, Bonnie W Ramsey, Michael P Boyle, Peter J Mogayzel and 7 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of respiratory and critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01104402 (Early Intervention in Cystic Fibrosis Exacerbation), which is not on this map. Cited by 59 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% 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.

NCT01104402 nacompletednot on this map

Early Intervention in Cystic Fibrosis Exacerbation

TypeinterventionalSponsorJohns Hopkins UniversityRan2011 to 2015Enrolled267ConditionsCystic FibrosisArmsHome lung function and symptom monitoring
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 3 syntheses or guidelines pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Health care costs related to home spirometry in the eICE randomized trial.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Evaluating the association of antibiotic spectrum and treatment responses of cystic fibrosis pulmonary exacerbations.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2026
    Article
  13. Article
  14. Article
  15. Observational
  16. Baseline-dependent improvement in CF studies, plausibility of bias.Contemporary clinical trials communications · 2024
    Article
  17. Cystic fibrosis.Nature reviews. Disease primers · 2024
    Review
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

Noah Lechtzin1 Johns Hopkins University School of Medicine, Baltimore, Maryland.
Nicole Mayer-Hamblett2 University of Washington School of Medicine, Seattle, Washington.
Natalie E West1 Johns Hopkins University School of Medicine, Baltimore, Maryland.
Sarah Allgood1 Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ellen Wilhelm2 University of Washington School of Medicine, Seattle, Washington.
Umer Khan3 Cystic Fibrosis Foundation Therapeutic Development Network, Seattle Children's Hospital, Seattle, Washington.
Moira L Aitken2 University of Washington School of Medicine, Seattle, Washington.
Bonnie W Ramsey2 University of Washington School of Medicine, Seattle, Washington.
Michael P Boyle1 Johns Hopkins University School of Medicine, Baltimore, Maryland.
Peter J Mogayzel1 Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ronald L Gibson2 University of Washington School of Medicine, Seattle, Washington.
David Orenstein5 University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Carlos Milla6 Stanford University School of Medicine, Palo Alto, California.
John P Clancy7 University of Cincinnati, Cincinnati, Ohio; and.
Veena Antony8 Univeristy of Alabama at Birmingham, Birmingham, Alabama.
Christopher H Goss2 University of Washington School of Medicine, Seattle, Washington.
eICE Study Team
Johns Hopkins University · USSeattle Children's Hospital · USUniversity of Washington · USPalo Alto University · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · USUniversity of Pittsburgh · US

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss, Lucas R Hoffman · 2010 to 2026
$21.4M
Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
Proof of Principle Evaluation of IV Gallium Nitrate in Patients with CFUM1HL119073 · NHLBI · UNIVERSITY OF WASHINGTON · PI GOSS, CHRISTOPHER HOOPER, SINGH, PRADEEP K · 2013 to 2017
$4.8M
Early Intervention in Pulmonary Exacerbation in CFR01HL103965 · NHLBI · UNIVERSITY OF WASHINGTON · PI GOSS, CHRISTOPHER HOOPER, LECHTZIN, NOAH · 2010 to 2014
$3.8M
Investigating treatment resistance mechanisms in chronic bacterial infectionsR01AI101307 · NIAID · UNIVERSITY OF WASHINGTON · PI BRUCE, JAMES EDWARD, MANOIL, COLIN · 2012 to 2016
$2.9M
Regulation of host inflammatory responses and outcome in melioidosis by TLR5R01HL113382 · NHLBI · UNIVERSITY OF WASHINGTON · PI WEST, TIMOTHY EOIN · 2012 to 2016
$2.6M
Phase 2 Study of Intravenous Gallium Nitrate in the Treatment of Cystic FibrosisR01FD003704 · FDA · UNIVERSITY OF WASHINGTON · PI GOSS, CHRISTOPHER HOOPER · 2009 to 2018
$2.0M
Identifying Bacterial Biomarkers Associated with Disease Progression in Cystic FibrosisR15HL126122 · NHLBI · UNIVERSITY OF NORTH CAROLINA CHARLOTTE · PI STECK, TODD R · 2015 to 2015
$453k
FDA HHS R01 FD003704NHLBI NIH HHS R01 HL103965NHLBI NIH HHS R01 HL113382NHLBI NIH HHS R15 HL126122NHLBI NIH HHS T32 HL072748NHLBI NIH HHS UM1 HL119073NIAID NIH HHS R01 AI101307NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

rationaleIndividuals with cystic fibrosis (CF) experience frequent acute pulmonary exacerbations, which lead to decreased lung function and reduced quality of life.

objectivesThe goal of this study was to determine if an intervention directed toward early detection of pulmonary exacerbations using home spirometry and symptom monitoring would result in slower decline in lung function than in control subjects.

methodsWe conducted a multicenter, randomized trial at 14 CF centers with subjects at least 14 years old. The early intervention arm subjects measured home spirometry and symptoms electronically twice per week. Sites were notified if a participant met criteria for an exacerbation and contacted participants to determine if treatment for acute exacerbation was required. Participants in the usual care arm were seen every 3 months and were asked to contact the site if they were concerned about worsening pulmonary symptoms. MEASUREMENTS AND MAIN

resultsThe primary outcome was the 52-week change in FEV

conclusionsAn intervention of home monitoring among patients with CF was able to detect more exacerbations than usual care, but this did not result in slower decline in lung function. Clinical trial registered with www.clinicaltrials.gov (NCT01104402).

Indexed as

AdultCystic FibrosisFemaleForced Expiratory VolumeHumansLungMaleSelf CareSpirometryclinical trialcystic fibrosishome monitoringpulmonary exacerbation

Identifiers

PMID28608719
PMCPMC5694835
OpenAlexW2625491143

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.