Evidence map›Paper›PMID 28810909›Full record

Trial reportBMC pulmonary medicine2017

A multi-center randomized, controlled, open-label trial evaluating the effects of eosinophil-guided corticosteroid-sparing therapy in hospitalised patients with COPD exacerbations - The CORTICO steroid reduction in COPD (CORTICO-COP) study protocol.

Pradeesh Sivapalan, Mia Moberg, Josefin Eklöf, Julie Janner, Jørgen Vestbo, Rasmus Rude Laub, Andrea Browatzki, Karin Armbruster, Jon Torgny Wilcke, Niels Seersholm and 8 more

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

Trial report in BMC pulmonary 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 NCT02857842 (The Effect of Reduced Corticosteroid Therapy in Patients With Acute Exacerbation of COPD), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 15% 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.

NCT02857842 phase4completednot on this map

The Effect of Reduced Corticosteroid Therapy in Patients With Acute Exacerbation of COPD

TypeinterventionalSponsorChronic Obstructive Pulmonary Disease Trial Network, DenmarkRan2016 to 2019Enrolled318ConditionsLung Diseases, Obstructive, Blood Eosinophil Count, Glucocorticoids, COPDArmsPrednisolone
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Observational
  6. Review
  7. Review
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

18 authors at 9 institutions in 2 countries.

Pradeesh SivapalanDepartment of Internal Medicine, Herlev and Gentofte University Hospital, Hellerup, Denmark. pradeesh.s@dadlnet.dk.ORCID http://orcid.org/0000-0002-8620-3655
Mia MobergDepartment of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen, Denmark.
Josefin EklöfDepartment of Internal Medicine, Herlev and Gentofte University Hospital, Hellerup, Denmark.
Julie JannerDepartment of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen, Denmark.
Jørgen VestboDivision of Infection, Inflammation and Respiratory Medicine, University of Manchester, Manchester, UK.
Rasmus Rude LaubDepartment of Pulmonary Medicine, Hvidovre University Hospital, Hvidovre, Denmark.
Andrea BrowatzkiDepartment of Pulmonary and Infectious Diseases, North Zealand University Hospital, Hilleroed, Denmark.
Karin ArmbrusterDepartment of Internal Medicine, Herlev and Gentofte University Hospital, Hellerup, Denmark.
Jon Torgny WilckeDepartment of Internal Medicine, Herlev and Gentofte University Hospital, Hellerup, Denmark.
Niels SeersholmDepartment of Internal Medicine, Herlev and Gentofte University Hospital, Hellerup, Denmark.
Ulla Møller WeinreichDepartment of Respiratory Diseases, Aalborg University Hospital, Aalborg, Denmark.
Ingrid Louise TitlestadDepartment of Respiratory Medicine, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Helle Frost AndreassenDepartment of Respiratory Medicine, Bispebjerg University Hospital, Copenhagen, Denmark.
Charlotte Suppli UlrikDepartment of Pulmonary Medicine, Hvidovre University Hospital, Hvidovre, Denmark.
Uffe BødtgerDepartment of Respiratory Medicine, Naestved University Hospital, Naestved, Denmark.
Thyge Lynghøj NielsenDepartment of Pulmonary and Infectious Diseases, North Zealand University Hospital, Hilleroed, Denmark.
Ejvind Frausing HansenDepartment of Pulmonary Medicine, Hvidovre University Hospital, Hvidovre, Denmark.
Jens Ulrik Stæhr JensenDepartment of Internal Medicine, Herlev and Gentofte University Hospital, Hellerup, Denmark.
Gentofte Hospital · DKBispebjerg Hospital · DKHvidovre Hospital · DKZealand University Hospital · DKAalborg University Hospital · DKNæstved Sygehus · DKUniversity of Copenhagen · DKUniversity of Manchester · GBUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe most commonly applied treatment for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) is a 5-day course of high-dose systemic corticosteroids. However, this treatment has not been shown to reduce mortality and can potentially have serious side effects. Recent research has shown that, presumably, only a subgroup of COPD patients identifieable by blood eosinophil count benefit from a rescue course of prednisolone. By applying a biomarker-guided strategy, the aim of this study is to determine whether it is possible to reduce the use of systemic corticosteroids in AECOPD without influencing the outcome.

methodsThis is an ongoing prospective multicenter randomized controlled open label trial comprising 320 patients with AECOPD recruited from four hospitals in Denmark. The patients are randomized 1:1 to either standard care or eosinophil-guided corticosteroid-sparing therapy where prednisolone is not administered if the daily blood sampling reveals an eosinophil level below 0.3 × 10 DISCUSSION: This will be a very large RCT providing knowledge about the effectiveness of individualized biomarker-guided corticosteroid therapy in hospitalised patients with AECOPD.

trial registrationClinicaltrials.gov, NCT02857842 , 02-august-2016. Clinicaltrialregister.eu: Classification Code: 10,010,953, 02-marts-2016.

Indexed as

Disease ProgressionEosinophiliaEosinophilsGlucocorticoidsHospitalizationHumansLength of StayLeukocyte CountMortalityPatient Care PlanningPatient ReadmissionPrednisolonePulmonary Disease, Chronic ObstructiveTreatment FailureTreatment OutcomeGlucocorticoidsPrednisoloneAecopdBiomarkerCopdEosinophil-guided corticosteroid-sparing therapyExacerbationsGcpLength of hospital stayRandomized controlled trialSystemic corticosteroids

Identifiers

PMID28810909
PMCPMC5558695
OpenAlexW2748408575

What OpenQuestion holds

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LicenceCC BY
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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.