Evidence map›Paper›PMID 30975046›Full record

ArticleThe Journal of international medical research2019

Pulmonary arterial hypertension outcomes upon endothelin-1 receptor antagonist switch to macitentan.

Timothy Tynan, Kathryn Hird, Tara Hannon, Eli Gabbay

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
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

4 authors at 2 institutions in 1 country.

Timothy Tynan1 University of Notre Dame Australia, Fremantle, WA, Australia.ORCID https://orcid.org/0000-0001-5186-6419
Kathryn Hird1 University of Notre Dame Australia, Fremantle, WA, Australia.
Tara Hannon2 St. John of God Hospital, Subiaco, WA, Australia.
Eli Gabbay1 University of Notre Dame Australia, Fremantle, WA, Australia.
St John of God Subiaco Hospital · AUThe University of Notre Dame Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess whether switching patients with suboptimally controlled pulmonary arterial hypertension from bosentan or ambrisentan to macitentan would improve six-minute walk test (6MWT) distance and World Health Organization functional class.

methodsThis was a retrospective cohort analysis of 37 patients from a single center. Patients were separated into three heterogeneous treatment groups and followed for 18 months: switch group (n = 14): patients switched to macitentan from bosentan/ambrisentan; added group (n = 11): patients who began macitentan as de novo therapy (n = 5) or who added macitentan to an existing sildenafil regimen (n = 6); and control group (n = 12): patients for whom sildenafil and/or bosentan/ambrisentan therapy was unchanged.

resultsMortality was observed in two patients (one each, switch and added groups). Patients in the control group had one hospital admission and 100% survival. There was significant improvement in functional class for the switch and added groups. Statistically significant improvement was observed in 6MWT distance in the added group alone. Overall, 92% of patients continued macitentan throughout the study.

conclusionMacitentan was well tolerated. For bosentan/ambrisentan-treated patients with suboptimally controlled pulmonary arterial hypertension, switching to macitentan may facilitate an improvement in functional class.

Indexed as

AgedEndothelin A Receptor AntagonistsFemaleHumansHypertension, PulmonaryMaleMiddle AgedPyrimidinesReceptor, Endothelin ASulfonamidesSystoleTreatment OutcomeVentricular FunctionWalk TestWorld Health OrganizationEndothelin A Receptor AntagonistsmacitentanPyrimidinesReceptor, Endothelin ASulfonamidesechocardiographyendothelin-1 receptor antagonistmacitentanpulmonary arterial hypertensionsix-minute walk testWorld Health Organization functional class

Identifiers

PMID30975046
PMCPMC6567785
OpenAlexW2937085952

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.