Evidence map›Paper›PMID 28848909›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2016

The Effect of Alpha-1 Proteinase Inhibitor on Biomarkers of Elastin Degradation in Alpha-1 Antitrypsin Deficiency: An Analysis of the RAPID/RAPID Extension Trials.

Shuren Ma, Yong Y Lin, Jerome O Cantor, Kenneth R Chapman, Robert A Sandhaus, Michael Fries, Jonathan M Edelman, Gerard McElvaney, Gerard M Turino

2 registry-linked trialsOpen access · diamondAbstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
3.4field-weighted citation impact, top 8% 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.

NCT00261833 phase4completednot on this map

A Randomized, Placebo-Controlled, Double-Blind, Multicenter Phase III/IV Study to Compare the Efficacy and Safety of 60mg/kg Body Weight of Zemaira® Weekly I.V. Administration With Placebo Weekly I.V. Administration in Chronic Augmentation and Maintenance Therapy in Subjects With Emphysema Due to Alpha1-Proteinase Inhibitor Deficiency

TypeinterventionalSponsorCSL BehringRan2006 to 2012Enrolled180ConditionsAlpha1-proteinase Inhibitor Deficiency, EmphysemaArmsAlpha1-proteinase inhibitor, Placebo
NCT00670007 phase4completednot on this map

An Open-label, Non-controlled, Multicenter, Multinational Study to Evaluate the Efficacy and Safety of Zemaira® Administration in Chronic Augmentation and Maintenance Therapy in Subjects With Emphysema Due to alpha1-proteinase Inhibitor Deficiency Who Completed Clinical Study CE1226_4001

TypeinterventionalSponsorCSL BehringRan2008 to 2014Enrolled140ConditionsEmphysema, Alpha 1-proteinase Inhibitor DeficiencyArmsAlpha1- proteinase inhibitor [human]
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Post-COPD: Can Emphysema Be Repaired?American journal of respiratory and critical care medicine · 2025
    Article
  6. Rationale and Design of the Alpha-1 Biomarkers Consortium Study.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Role of elastic fiber degradation in disease pathogenesis.Biochimica et biophysica acta. Molecular basis of disease · 2023
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  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

9 authors at 7 institutions in 3 countries.

Shuren MaJames P. Mara Center for Lung Disease at Mt. Sinai, Department of Medicine, St. Luke's-Roosevelt Hospital, New York, New York.
Yong Y LinJames P. Mara Center for Lung Disease at Mt. Sinai, Department of Medicine, St. Luke's-Roosevelt Hospital, New York, New York.
Jerome O CantorJames P. Mara Center for Lung Disease at Mt. Sinai, Department of Medicine, St. Luke's-Roosevelt Hospital, New York, New York.
Kenneth R ChapmanAsthma and Airway Centre, University Health Network, Toronto Western Hospital, Toronto, Ontario, Canada.
Robert A SandhausDivision of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health, Denver, Colorado.
Michael FriesClinical Strategy and Development, CSL Behring, King of Prussia, Pennsylvania.
Jonathan M EdelmanClinical Strategy and Development, CSL Behring, King of Prussia, Pennsylvania.
Gerard McElvaneyDepartment of Respiratory Medicine, Beaumont Hospital, Royal College of Surgeons in Ireland, Dublin, Ireland.
Gerard M TurinoJames P. Mara Center for Lung Disease at Mt. Sinai, Department of Medicine, St. Luke's-Roosevelt Hospital, New York, New York.
CSL (United States) · USMount Sinai Hospital · USBeaumont Hospital · IEInstitute of Flight · USNational Jewish Health · USSt. Luke's-Roosevelt Hospital Center · USToronto Western Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The RAPID (NCT00261833; N=180) and RAPID Extension (NCT00670007; N=140) trials demonstrated significantly reduced lung density decline in patients with alpha-1 antitrypsin deficiency (AATD) receiving alpha-1 proteinase inhibitor (A1PI) versus placebo. Desmosine and isodesmosine (DES/IDES) are unique crosslinkers of mature elastin fibers and are utilized as measures of elastin degradation. The aim of this post-hoc study was to determine the effect of A1PI therapy on DES/IDES levels in patients from RAPID/RAPID Extension. Plasma levels of DES/IDES were measured using high-performance liquid chromatography and tandem mass spectrometry. Correlation between changes in DES/IDES levels and computed tomography (CT) lung density decline was assessed. Analysis showed that DES/IDES levels were significantly reduced versus baseline in patients receiving A1PI at all time points, from month 3 through month 48. A significant increase from baseline in DES/IDES was observed with placebo at month 24 (n=54; 0.016;

Indexed as

alpha-1 antitrypsin deficiencydesmosineelastin biomarkersisodesmosinelung density

Identifiers

PMID28848909
PMCPMC5560248
OpenAlexW2560701831

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.