Evidence map›Paper›PMID 29132404›Full record

Trial reportTrials2017

Comparison of the efficacy and safety of FP-1201-lyo (intravenously administered recombinant human interferon beta-1a) and placebo in the treatment of patients with moderate or severe acute respiratory distress syndrome: study protocol for a randomized controlled trial.

Geoff Bellingan, David Brealey, Jordi Mancebo, Alain Mercat, Nicolò Patroniti, Ville Pettilä, Michael Quintel, Jean-Louis Vincent, Mikael Maksimow, Markku Jalkanen and 2 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pharmacological agents for adults with acute respiratory distress syndrome.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Update in Critical Care and Acute Respiratory Distress Syndrome 2018.American journal of respiratory and critical care medicine · 2019
    Article
  8. Review
  9. Article
  10. Review
  11. 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

12 authors at 10 institutions in 7 countries.

Geoff BellinganDivision of Critical Care, University College London Hospitals, NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
David BrealeyDivision of Critical Care, University College London Hospitals, NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
Jordi ManceboDepartment of Intensive Care, Hospital de la Santa Creu I Sant Pau, Carrer de Sant Quintí, 89, 08026, Barcelona, Spain.
Alain MercatService de Réanimation, CHU D'Angers, 4 Rue Larrey, 49100, Angers, France.
Nicolò PatronitiDipartimento di Emergenza e Urgenza, Azienda Ospedaliera San Gerardo, Via Giambattista Pergolesi 33, 20052, Monza, Italy.
Ville PettiläDepartment of Intensive Care, Helsinki University Hospital, Haartmaninkatu 4, Helsinki, 00290, Finland.
Michael QuintelAnesthesiology and Operative Intensive Care Medicine, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Jean-Louis VincentDepartment of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium. jlvincent@intensive.org.
Mikael MaksimowFaron Pharmaceuticals Oy, Joukahaisenkatu 6, 20520, Turku, Finland.
Markku JalkanenFaron Pharmaceuticals Oy, Joukahaisenkatu 6, 20520, Turku, Finland.
Ilse PiippoFaron Pharmaceuticals Oy, Joukahaisenkatu 6, 20520, Turku, Finland.
V Marco RanieriDepartment of Anesthesia and Critical Care Medicine, Sapienza University of Rome, Policlinico Umberto I Hospital, Viale del Policlinico 155, 00161, Rome, Italy.
Faron Pharmaceutical (Finland) · FIAzienda Ospedaliera San Gerardo · ITCentre Hospitalier Universitaire d'Angers · FRHelsinki University Hospital · FIHospital de Sant Pau · ESSapienza University of Rome · ITUCL Biomedical Research Centre · GBUniversitätsmedizin Göttingen · DEUniversité Libre de Bruxelles · BEUniversity College London Hospitals NHS Foundation Trust · GB

Funding

European Union Seventh Framework Programme (FP7/2007-2013) 305853
6 · The paper itself

Abstract

backgroundAcute respiratory distress syndrome (ARDS) results in vascular leakage, inflammation and respiratory failure. There are currently no approved pharmacological treatments for ARDS and standard of care involves treatment of the underlying cause, and supportive care. The vascular leakage may be related to reduced concentrations of local adenosine, which is involved in maintaining endothelial barrier function. Interferon (IFN) beta-1a up-regulates the cell surface ecto-5'-nucleotidase cluster of differentiation 73 (CD73), which increases adenosine levels, and IFN beta-1 may, therefore, be a potential treatment for ARDS. In a phase I/II, open-label study in 37 patients with acute lung injury (ALI)/ARDS, recombinant human IFN beta-1a was well tolerated and mortality rates were significantly lower in treated than in control patients. METHODS/

designIn this phase III, double-blind, randomized, parallel-group trial, the efficacy and safety of recombinant human IFN beta-1a (FP-1201-lyo) will be compared with placebo in adult patients with ARDS. Patients will be randomly assigned to receive 10 μg FP-1201-lyo or placebo administered intravenously once daily for 6 days and will be monitored for 28 days or until discharged from the intensive care unit. Follow-up visits will then take place at days 90, 180 and 360. The primary endpoint is a composite endpoint including any cause of death at 28 days and days free of mechanical ventilation within 28 days among survivors. Secondary endpoints include: all-cause mortality at 28, 90, 180 and 360 days; organ failure-free days; length of hospital stay; pharmacodynamic assessment including measurement of myxovirus resistance protein A concentrations; and measures of quality of life, respiratory and neurological function at 180 and 360 days. The estimated sample size to demonstrate a reduction in the primary outcome between groups from 30% to 15% is 300 patients, and the study will be conducted in 70-80 centers in nine countries across Europe. DISCUSSION: There are no effective specific treatments for patients with ARDS and mortality rates remain high. The results from this study will provide evidence regarding the efficacy of a potential new therapeutic agent, FP-1201-lyo, in improving the clinical course and outcome for patients with moderate/severe ARDS.

trial registrationEuropean Union Clinical Trials Register, no: 2014-005260-15 . Registered on 15 July 2017.

Indexed as

Administration, IntravenousCause of DeathClinical ProtocolsDisease-Free SurvivalDisease ProgressionDouble-Blind MethodEuropeFemaleHumansInterferon beta-1aLength of StayMaleResearch DesignRespiration, ArtificialRespiratory Distress SyndromeSeverity of Illness IndexInterferon beta-1aARDSCD73InterferonVascular leakage

Identifiers

PMID29132404
PMCPMC5683224
OpenAlexW2768119564

What OpenQuestion holds

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LicenceCC BY
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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.