Evidence map›Paper›PMID 30970653›Full record

ArticleJournal of clinical medicine2019

Adverse Events of Prostacyclin Mimetics in Pulmonary Arterial Hypertension: A Systematic Review and Meta-Analysis.

Christina Picken, Konstantinos C Fragkos, Mohammad Eddama, Gerry Coghlan, Lucie H Clapp

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.1field-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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
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  6. Treatment algorithm for pulmonary arterial hypertension.The European respiratory journal · 2024
    Review
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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

5 authors at 3 institutions in 1 country.

Christina PickenInstitute of Cardiovascular Sciences, University College London, 5 University Street, London, WC1E 6JF, UK. christina.picken.14@ucl.ac.uk.
Konstantinos C FragkosUniversity College London Hospitals, 250 Euston Road, London, NW1 2PG, UK. constantinos.frangos.09@ucl.ac.uk.
Mohammad EddamaDivision of Surgery and Interventional Sciences, University College London, 21 University Street, London, WC1E 6AU, UK. eddama@doctors.org.uk.
Gerry CoghlanDepartment of Cardiology, Royal Free hospital, London, NW3 2QG, UK. Gerry.coghlan@nhs.net.
Lucie H ClappInstitute of Cardiovascular Sciences, University College London, 5 University Street, London, WC1E 6JF, UK. l.clapp@ucl.ac.uk.
University College London · GBRoyal London Hospital · GBThe Royal Free Hospital · GB

Funding

Biotechnology and Biological Sciences Research Council BB/L015803/1
6 · The paper itself

Abstract

Prostacyclin mimetics (PMs) are effective for the treatment of pulmonary arterial hypertension (PAH). However, their clinical use may be limited by their adverse events. This study aims to quantify the different PM adverse events (AEs) with regard to their selectivity towards the prostacyclin (IP) receptor and their administrative routes. The study included randomised, placebo-controlled trials comparing iloprost, beraprost, treprostinil, and selexipag to placebo (published 2002–2016). We report the group efficacy differences between treatment and placebo by weighted and standardised mean difference. The probability of adverse events was determined by the odds ratio (OR). Of the 14 randomised clinical trials involving 3518 PAH patients, outcome and adverse event data were meta-analysed by drug type and route of administration. Prostacyclin mimetics comparison demonstrated a more significant discontinuation of the IP-selective agonist, selexipag, due to an adverse event (OR = 2.2; 95% CI: 1.5, 3.3). Compared to placebo, site pain associated with subcutaneously administered treprostinil was the most significant likely adverse event (OR = 17.5; 95% CI: 11.1, 27.1). Parenteral PMs were associated with fewer adverse effects overall. The overall efficacy of PMs to improve 6-minute walk distance by 16.3 meters was significant (95% CI: 13.0, 19.7). Decreases in pulmonary vascular resistance index (SMD = -5.5; 95% CI: -10.1, -0.9;

Indexed as

adverse eventsberaprostiloprostIP receptormeta-analysisprostacyclinpulmonary arterial hypertensionselexipagtreprostinil

Identifiers

PMID30970653
PMCPMC6517977
OpenAlexW2936559575

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.