Evidence map›Paper›PMID 30805605›Full record

ArticleThe Journal of antimicrobial chemotherapy2019

Posaconazole for the treatment of allergic bronchopulmonary aspergillosis in patients with cystic fibrosis.

J Periselneris, L Nwankwo, S Schelenz, A Shah, D Armstrong-James

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04966234 (Prospective Validation and Clinical Evaluation of a New Posaconazole Dosing Regimen for Children and Adolescents With Cystic Fibrosis and Aspergillus Infection), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT04966234 phase2 / phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Prospective Validation and Clinical Evaluation of a New Posaconazole Dosing Regimen for Children and Adolescents With Cystic Fibrosis and Aspergillus Infection

TypeinterventionalSponsorBambino Gesù Hospital and Research InstituteRan2021 to 2023Enrolled135ConditionsCystic Fibrosis, AspergillosisArmsPosaconazole 100 MG [Noxafil], Posaconazole 40 MG/ML
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Journal of fungi (Basel, Switzerland) · 2025
    Review
  4. Clinical Manifestations of Human Exposure to Fungi.Journal of fungi (Basel, Switzerland) · 2023
    Review
  5. Article
  6. Review
  7. Allergic Diseases Caused byAntibiotics (Basel, Switzerland) · 2021
    Review
  8. Review
  9. Article
  10. Review of current and future therapeutics in ABPA.Therapeutic advances in chronic disease · 2021
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Azole Resistance inFrontiers in cellular and infection microbiology · 2020
    Article
  16. Azole-ResistantFrontiers in microbiology · 2020
    Article
  17. Review
  18. 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

5 authors at 2 institutions in 1 country.

J PeriselnerisDepartment of Respiratory Medicine, Royal Brompton & Harefield NHS Foundation Trust, London, UK.
L NwankwoDepartment of Pharmacy, Royal Brompton & Harefield NHS Foundation Trust, London, UK.
S SchelenzDepartment of Microbiology, Royal Brompton & Harefield NHS Foundation Trust, London, UK.
A ShahDepartment of Respiratory Medicine, Royal Brompton & Harefield NHS Foundation Trust, London, UK.
D Armstrong-JamesNational Heart & Lung Institute, Imperial College London, London, UK.
Royal Brompton & Harefield NHS Foundation Trust · GBImperial College London · GB

Funding

Medical Research Council MR/P028225/1Medical Research Council MR/R014590/1Wellcome Trust
6 · The paper itself

Abstract

objectivesAllergic bronchopulmonary aspergillosis (ABPA) can accelerate lung function decline in patients with cystic fibrosis (CF). Antifungal medication can be used in addition to systemic corticosteroid treatment. PATIENTS AND

methodsWe evaluated Aspergillus-specific IgE and the use of therapeutic drug monitoring of triazoles in a retrospective analysis of 32 patients.

resultsThere was a significant reduction in Aspergillus IgE with posaconazole but not with other triazoles (P = 0.026). Aspergillus IgE levels were inversely correlated with the therapeutic drug level of posaconazole.

conclusionsThese data suggest that posaconazole is better than comparator azoles at decreasing serological response to Aspergillus and that this response was better with therapeutic levels of posaconazole.

Indexed as

AdultAntifungal AgentsAspergillosis, Allergic BronchopulmonaryCystic FibrosisDisease ManagementHumansImmunoglobulin ERetrospective StudiesTime FactorsTreatment OutcomeTriazolesYoung AdultAntifungal AgentsImmunoglobulin EposaconazoleTriazoles

Identifiers

PMID30805605
PMCPMC6664389
OpenAlexW2915290397

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.