Evidence map›Paper›PMID 30524749›Full record

ReviewMaternal health, neonatology and perinatology2018

The use of milrinone in neonates with persistent pulmonary hypertension of the newborn - a randomised controlled trial pilot study (MINT 1): study protocol and review of literature.

Afif El-Khuffash, Patrick J McNamara, Colm Breatnach, Neidin Bussmann, Aisling Smith, Oliver Feeney, Elizabeth Tully, Joanna Griffin, Willem P de Boode, Brian Cleary and 2 more

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Maternal health, neonatology and perinatology, 2018. 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% 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.

NCT04898114 phase1 / phase2recruitingnot on this mapstarted 2021, after this paper: background citation

Effectiveness of Nebulized Magnesium Sulfate Combined With Sildenafil Citrate in Persistent Pulmonary Hypertension of Newborn

TypeinterventionalSponsorSohag UniversityRan2021 to 2025Enrolled40ConditionsPersistent Pulmonary Hypertension of NewbornArmsMagnesium sulfate, Sildenafil Citrate, Isotonic saline
NCT04912726 nawithdrawnnot on this mapstarted 2025, after this paper: background citation

Efficacy and Safety of Endovenous Sildenafil Early Management in Newborns Pulmonary Hypertension: a Clinical Trial

TypeinterventionalSponsorUniversidad del NorteRan2025 to 2026Enrolled0ConditionsHypertension, PulmonaryArmsSildenafil Injectable Product
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 26 citations in OpenAlex.

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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

12 authors at 6 institutions in 3 countries.

Afif El-Khuffash1Department of Neonatology, The Rotunda Hospital, Dublin, Ireland.ORCID 0000-0002-2933-822X
Patrick J McNamaraDivision of Neonatology, Stead Family Department of Pediatrics, Iowa City, IA USA.
Colm Breatnach1Department of Neonatology, The Rotunda Hospital, Dublin, Ireland.
Neidin Bussmann1Department of Neonatology, The Rotunda Hospital, Dublin, Ireland.
Aisling Smith1Department of Neonatology, The Rotunda Hospital, Dublin, Ireland.
Oliver Feeney4Department of Clinical Research, The Rotunda Hospital, Dublin, Ireland.
Elizabeth Tully4Department of Clinical Research, The Rotunda Hospital, Dublin, Ireland.
Joanna Griffin4Department of Clinical Research, The Rotunda Hospital, Dublin, Ireland.
Willem P de Boode5Department of Neonatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Brian Cleary6Department of Pharmacy, The Rotunda Hospital, Dublin, Ireland.
Orla Franklin8Department of Paediatric Cardiology, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Eugene Dempsey9INFANT Centre, University College Cork, Cork, Ireland.
Rotunda Hospital · IERoyal College of Surgeons in Ireland · IEChildren's Health Ireland at Crumlin · IERadboud University Nijmegen · NLUniversity College Cork · IEUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persistent pulmonary hypertension of the newborn (PPHN) is a relatively common condition which results in a mortality of up to 33%. Up to 40% of infants treated with nitric oxide (iNO) either have a transient response or fail to demonstrate an improvement in oxygenation. Milrinone, a selective phosphodiesterase 3 (PDE3) inhibitor with inotropic and lusitropic properties may have potential benefit in PPHN. This pilot study was developed to assess the impact of milrinone administration on time spent on iNO in infants with PPHN. This is a multicentre, randomized, double-blind, two arm pilot study, with a balanced (1:1) allocation of 20 infants. In this pilot study, we hypothesise that infants ≥34 weeks gestation and ≥ 2000 g with a clinical and echocardiography diagnosis of PPHN, intravenous milrinone used in conjunction with iNO will result in a reduction in the time spent on iNO. In addition, we hypothesise that milrinone treatment will lead to an improvement in myocardial performance and global hemodynamics when compared to iNO alone. We will also compare the rate of adverse events associated with the milrinone, and the pre-discharge outcomes of both groups. The purpose of this pilot study is to assess the feasibility of performing the trial and to obtain preliminary data to calculate a sample size for a definitive multi-centre trial of milrinone therapy in PPHN.

Indexed as

MilrinoneNeonatesNitric oxidePhosphodiesterasePulmonary hypertension

Identifiers

PMID30524749
PMCPMC6276183
OpenAlexW2900043670

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.