Evidence map›Paper›PMID 29282143›Full record

ArticleTrials2017

Azithromycin versus placebo for the treatment of HIV-associated chronic lung disease in children and adolescents (BREATHE trial): study protocol for a randomised controlled trial.

Carmen Gonzalez-Martinez, Katharina Kranzer, Grace McHugh, Elizabeth L Corbett, Hilda Mujuru, Mark P Nicol, Sarah Rowland-Jones, Andrea M Rehman, Tore J Gutteberg, Trond Flaegstad and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial ProtocolComparative Study
In one paragraph

Article in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02426112 (Bronchopulmonary Function in Response to Azithromycin Treatment for Chronic Lung Disease in HIV-infected Children), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.9field-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.

NCT02426112 phase3completednot on this map

Bronchopulmonary Function in Response to Azithromycin Treatment for Chronic Lung Disease in HIV-infected Children

TypeinterventionalSponsorLondon School of Hygiene and Tropical MedicineRan2016 to 2019Enrolled347ConditionsChronic Lung Disease, HIV InfectionArmsAzithromycin, Placebo
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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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

13 authors at 7 institutions in 5 countries.

Carmen Gonzalez-MartinezLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK. carmen.gonzalez@lstmed.ac.uk.
Katharina KranzerDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Grace McHughBiomedical Research and Training Institute, 10 Seagrave Road, Harare, Zimbabwe.
Elizabeth L CorbettMalawi-Liverpool Wellcome Trust Clinical Research Programme, PO Box 30096, Chichiri, Blantyre 3, Malawi.
Hilda MujuruDepartment of Paediatrics, University of Zimbabwe, PO Box A178, Avondale, Harare, Zimbabwe.
Mark P NicolDivision of Clinical Microbiology, University of Cape Town, Anzio Road, Cape Town, South Africa.
Sarah Rowland-JonesNuffield Department of Medicine, Old Road Campus, University of Oxford, Roosevelt Drive, Oxford, OX3 7FZ, UK.
Andrea M RehmanMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Tore J GuttebergDepartment of Microbiology and Infection Control, University Hospital of North Norway, N-9038, Tromsø, Norway.
Trond FlaegstadFaculty of Health Sciences, Arctic University of Norway, N-9037, Tromsø, Norway.
Jon O OdlandFaculty of Health Sciences, Arctic University of Norway, N-9037, Tromsø, Norway.
Rashida A FerrandBiomedical Research and Training Institute, 10 Seagrave Road, Harare, Zimbabwe.
BREATHE study team
University of London · GBUniversity Hospital of North Norway · NOLiverpool School of Tropical Medicine · GBNational Health Laboratory Service · ZAUniversity of Liverpool · GBUniversity of Oxford · GBUniversity of Zimbabwe · ZW

Funding

Medical Research Council MR/K012126/1Medical Research Council Norway 234424/H10
6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV)-related chronic lung disease (CLD) among children is associated with substantial morbidity, despite antiretroviral therapy. This may be a consequence of repeated respiratory tract infections and/or dysregulated immune activation that accompanies HIV infection. Macrolides have anti-inflammatory and antimicrobial properties, and we hypothesised that azithromycin would reduce decline in lung function and morbidity through preventing respiratory tract infections and controlling systemic inflammation. METHODS/

designWe are conducting a multicentre (Malawi and Zimbabwe), double-blind, randomised controlled trial of a 12-month course of weekly azithromycin versus placebo. The primary outcome is the mean change in forced expiratory volume in 1 second (FEV DISCUSSION: The results of this trial will be of clinical relevance because there are no established guidelines on the treatment and management of HIV-associated CLD in children in sub-Saharan Africa, where 80% of the world's HIV-infected children live and where HIV-associated CLD is highly prevalent.

trial registrationClinicalTrials.gov, NCT02426112 . Registered on 21 April 2015.

Indexed as

Randomized Controlled Trials as TopicAdolescentAnti-Bacterial AgentsAzithromycinChildChronic DiseaseData AnalysisDouble-Blind MethodHIV InfectionsHumansLung DiseasesOutcome Assessment, Health CarePlacebosSample SizeYoung AdultAnti-Bacterial AgentsAzithromycinPlacebosAfricaAzithromycinChildrenChronic lung diseaseFEV1HIVObliterative bronchiolitis

Identifiers

PMID29282143
PMCPMC5745989
OpenAlexW2778733278

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.