Evidence map›Paper›PMID 28737262›Full record

Trial reportPediatric pulmonology2017

Overnight delivery of hypertonic saline by nasal cannula aerosol for cystic fibrosis.

Timothy E Corcoran, Joseph E Godovchik, Karl H Donn, David R Busick, Jennifer Goralski, Landon W Locke, Matthew R Markovetz, Michael M Myerburg, Ashok Muthukrishnan, Lawrence Weber and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric pulmonology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.8field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Nebulised hypertonic saline for cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Timing of hypertonic saline inhalation for cystic fibrosis.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Nebulised hypertonic saline for cystic fibrosis.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  5. Article
  6. Review
  7. Devices for Improved Delivery of Nebulized Pharmaceutical Aerosols to the Lungs.Journal of aerosol medicine and pulmonary drug delivery · 2019
    Review
  8. Multiprobe Nuclear Imaging of the Cystic Fibrosis Lung as a Biomarker of Therapeutic Effect.Journal of aerosol medicine and pulmonary drug delivery · 2019
    Article
  9. Development of a High-Flow Nasal Cannula and Pharmaceutical Aerosol Combination Device.Journal of aerosol medicine and pulmonary drug delivery · 2019
    Article
  10. Article
  11. Article
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

12 authors at 3 institutions in 2 countries.

Timothy E CorcoranPulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0003-1069-095X
Joseph E GodovchikPulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Karl H DonnParion Sciences, Durham, North Carolina.
David R BusickParion Sciences, Durham, North Carolina.
Jennifer GoralskiPulmonary and Critical Care Medicine, Pediatric Pulmonology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-6785-5076
Landon W LockePulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Matthew R MarkovetzDepartment of Chemical and Petroleum Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania.
Michael M MyerburgPulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Ashok MuthukrishnanDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Lawrence WeberDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Ryan T LacyPulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Joseph M PilewskiPulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
University of Pittsburgh · USDurham University · GBUniversity of North Carolina at Chapel Hill · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Translational StudiesP30DK072506 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALCORN, JOHN F · 2005 to 2017
$12.5M
Imaging Airway Liquid Absorption in Cystic FibrosisR01HL108929 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CORCORAN, TIMOTHY E · 2011 to 2015
$1.9M
Hypertonic Saline for Cystic FibrosisR44HL110502 · NHLBI · PARION SCIENCES, INC. · PI BUSICK, DAVID, DONN, KARL H · 2013 to 2013
$1.5M
NCATS NIH HHS UL1 TR001857NHLBI NIH HHS R01 HL108929NHLBI NIH HHS R44 HL110502NIDDK NIH HHS P30 DK072506
6 · The paper itself

Abstract

aimInhaled hypertonic saline increases mucociliary clearance, improves pulmonary function, and decreases exacerbations in cystic fibrosis (CF) but contributes to the already significant treatment burden of CF. Overnight delivery of inhaled medications via a specially designed nasal cannula-aerosol device (Trans-nasal Pulmonary Aerosol Delivery [tPAD]) is an alternative approach. Here, we test whether overnight inhalation of hypertonic saline via tPAD improves mucociliary clearance and assess the tolerability of the device.

methodIn this study, 12 CF subjects inhaled 7% hypertonic saline (HS) for 8 h overnight using the tPAD system. Safety and tolerability were assessed and measurements of mucociliary and absorptive clearance (MCC/ABS) were performed after the treatment. Comparisons were made versus sham treatment where the same subjects wore the nasal cannula overnight but did not receive aerosol.

resultsBoth the HS and sham treatments were well-tolerated. Only one subject did not complete the overnight HS treatment. There were no significant differences in MCC associated with HS inhalation at any time point (90 min, 3 h, 6 h) in any lung zone. Changes in FEV

conclusionsThe most likely cause for the failure to accelerate MCC was under-dosing of HS relative to the active transport of salt from the airways.

Indexed as

Nasal SpraysAdministration, InhalationAdultCannulaCross-Over StudiesCystic FibrosisFemaleHumansLungMaleMiddle AgedMucociliary ClearanceNebulizers and VaporizersSaline Solution, HypertonicSleepSurveys and QuestionnairesNasal SpraysSaline Solution, Hypertoniccystic fibrosishypertonic salineimagingmucociliary clearancemucus disordersnasal cannula

Identifiers

PMID28737262
PMCPMC5561478
OpenAlexW2736314250

What OpenQuestion holds

Textmetadata
LicenceTDM
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.