Evidence map›Paper›PMID 28757367›Full record

Trial reportThe journal of allergy and clinical immunology. In practice

Hypereosinophilic Syndrome Subtype Predicts Responsiveness to Glucocorticoids.

Paneez Khoury, Annalise O Abiodun, Nicole Holland-Thomas, Michael P Fay, Amy D Klion

Abstract readClinical Trial
In one paragraph

Trial report in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–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

31 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Mechanisms of glucocorticoid resistance in hypereosinophilic syndromes.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Trial
  4. Benralizumab forThe New England journal of medicine · 2019
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Biologics and Hypereosinophilic Syndromes: Knowledge Gaps and Controversies.The journal of allergy and clinical immunology. In practice · 2023
    Article
  16. HES and EGPA: Two Sides of the Same Coin.Mayo Clinic proceedings · 2023
    Review
  17. Article
  18. Review
  19. Review
  20. 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

5 authors.

Paneez KhouryLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health, Bethesda, Md. Electronic address: khouryp@niaid.nih.gov.
Annalise O AbiodunLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health, Bethesda, Md; Department of Dermatology, Oregon Health & Science University, Portland, Ore.
Nicole Holland-ThomasClinical Research Directorate/Clinical Monitoring Research Program, Leidos Biomedical Research, Inc., NCI Campus at Frederick, Frederick, Md.
Michael P FayBiostatistics Research Branch, Division of Clinical Research, NIAID, National Institutes of Health, Bethesda, Md.
Amy D KlionLaboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health, Bethesda, Md.

Funding

CCR NIH HHS HHSN261200800001CIntramural NIH HHS Z99 AI999999NCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

backgroundGlucocorticoids (GCs) are considered first-line treatment for platelet-derived growth factor α (PDGFRA)-negative hypereosinophilic syndromes (HESs). Despite this, little is known about clinical predictors of GC responsiveness in HES.

objectiveKnowledge of clinical and laboratory predictors of GC response before initiation of GC could lead to more rational selection of subjects with HES for whom earlier institution of second-line and alternative therapies would be appropriate.

methodsResponse to GC, as defined by the reduction of the absolute eosinophil count to below 1000/mm

resultsA total of 164 subjects with PDGFRA-negative HES were categorized according to GC response. Of them, 39% of the subjects responded to low dose (≤10 mg) prednisone, 9% did not respond to GC, and the remainder (52%) had variable responses to GC. The HES subtype diagnosis was the best predictor of response to GC with myeloid forms and lymphocytic variants of HES being the least responsive to GC.

conclusionsIn a large cohort of well-characterized subjects with HES, the odds of response to GC was predicted by HES subtype. Using this model, clinicians may more readily proceed to second-line agents in subjects with confirmed lymphocytic or myeloid forms of HES.

Indexed as

AdolescentAdultAgedAged, 80 and overBiomarkers, PharmacologicalCell CountChildChild, PreschoolCohort StudiesDrug ResistanceEosinophilsFemaleGlucocorticoidsHumansHypereosinophilic SyndromeMaleBiomarkers, PharmacologicalGlucocorticoidsReceptor, Platelet-Derived Growth Factor alphaEosinophilGlucocorticoidHypereosinophilic syndromePrednisoneSteroid-resistance

Identifiers

PMID28757367
PMCPMC5760470

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Registered trials

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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.