Evidence map›Paper›PMID 30545975›Full record

ReviewThe European respiratory journal2019

Clinical trial design and new therapies for pulmonary arterial hypertension.

Olivier Sitbon, Mardi Gomberg-Maitland, John Granton, Michael I Lewis, Stephen C Mathai, Maurizio Rainisio, Norman L Stockbridge, Martin R Wilkins, Roham T Zamanian, Lewis J Rubin

Abstract readReview
In one paragraph

Review in The European respiratory journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

95 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Medications for the treatment of pulmonary arterial hypertension: a systematic review and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
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  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Signaling Paradigms of HAntioxidants (Basel, Switzerland) · 2024
    Review
  20. Article

35 more citing papers are in PubMed but not listed here.

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

10 authors.

Olivier SitbonUniversité Paris-Sud, Hôpital Bicêtre, INSERM UMR_S999, Le Kremlin-Bicêtre, France.ORCID 0000-0002-1942-1951
Mardi Gomberg-MaitlandGeorge Washington University, Dept of Medicine, Washington, DC, USA.
John GrantonUniversity Health Network-General Division, University of Toronto, Toronto, ON, Canada.
Michael I LewisPulmonary/Critical Care Division and Smidt Heart Institute, Cedars Sinai Medical Center, UCLA, Los Angeles, CA, USA.
Stephen C MathaiDivision of Pulmonary and Critical Care, Dept of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Maurizio RainisioAbaNovus srl, Sanremo, Italy.
Norman L StockbridgeFood and Drug Administration, Silver Spring, MD, USA.
Martin R WilkinsDept of Medicine, Faculty of Medicine, Imperial College London, London, UK.
Roham T ZamanianDept of Medicine, Stanford University Medical Center, Stanford, CA, USA.
Lewis J RubinSan Diego School of Medicine, University of California, La Jolla, CA, USA.

Funding

The Cellular Response to Elafin in PAHP01HL108797 · NHLBI · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2011 to 2021
$19.7M
NHLBI NIH HHS P01 HL108797
6 · The paper itself

Abstract

Until 20 years ago the treatment of pulmonary arterial hypertension (PAH) was based on case reports and small series, and was largely ineffectual. As a deeper understanding of the pathogenesis and pathophysiology of PAH evolved over the subsequent two decades, coupled with epidemiological studies defining the clinical and demographic characteristics of the condition, a renewed interest in treatment development emerged through collaborations between international experts, industry and regulatory agencies. These efforts led to the performance of robust, high-quality clinical trials of novel therapies that targeted putative pathogenic pathways, leading to the approval of more than 10 novel therapies that have beneficially impacted both the quality and duration of life. However, our understanding of PAH remains incomplete and there is no cure. Accordingly, efforts are now focused on identifying novel pathogenic pathways that may be targeted, and applying more rigorous clinical trial designs to better define the efficacy of these new potential treatments and their role in the management scheme. This article, prepared by a Task Force comprised of expert clinicians, trialists and regulators, summarises the current state of the art, and provides insight into the opportunities and challenges for identifying and assessing the efficacy and safety of new treatments for this challenging condition.

Indexed as

AnimalsClinical Trials as TopicCost of IllnessDrug Therapy, CombinationExercise TestHumansPractice Guidelines as TopicPulmonary Arterial HypertensionResearch Design

Identifiers

PMID30545975
PMCPMC6351342

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.