Evidence map›Paper›PMID 30975143›Full record

Trial reportRespiratory research2019

Effect of N-acetylcysteine on exacerbations of bronchiectasis (BENE): a randomized controlled trial.

Qian Qi, Yirepanjaing Ailiyaer, Ruijuan Liu, Yan Zhang, Caiyu Li, Mingtao Liu, Xiuxiu Wang, Lijun Jing, Yu Li

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02088216 (Effect of N-acetylcysteine on Exacerbations of Bronchiectasis), which is not on this map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT02088216 nacompletednot on this map

Effect of N-acetylcysteine on Exacerbations of Bronchiectasis (BENE): a Randomized Controlled Trial

TypeinterventionalSponsorQilu Hospital of Shandong UniversityRan2014 to 2018Enrolled161ConditionsNon-Cystic Fibrosis BronchiectasisArmsN-acetylcysteine, On-demand treatment
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Mucoactive agents in bronchiectasis: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Guideline
  3. Pooled it
  4. A systematic literature review of the clinical and socioeconomic burden of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Non-cystic fibrosis bronchiectasis in Taiwan.BMJ open respiratory research · 2025
    Observational
  11. Review
  12. Exacerbations of bronchiectasis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  13. Review
  14. Article
  15. Article
  16. Exacerbation Prevention and Management of Bronchiectasis.Tuberculosis and respiratory diseases · 2023
    Article
  17. Review
  18. Insights into Personalised Medicine in Bronchiectasis.Journal of personalized medicine · 2023
    Review
  19. Article
  20. 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

9 authors at 5 institutions in 1 country.

Qian QiDepartment of Respiratory Medicine, Qilu Hospital of Shandong University, No. 107 Wenhua Xilu, Jinan, 250012, Shandong Province, China.
Yirepanjaing AiliyaerDepartment of Respiratory Medicine, The Fifth Affiliated Hospital of Xinjiang Medical University, Xinjiang, China.
Ruijuan LiuDepartment of Respiratory Medicine, Jining No.1 People's Hospital, Jining, China.
Yan ZhangDepartment of Respiratory Medicine, The Fourth People's Hospital of Jinan, Jinan, China.
Caiyu LiThe Second Hospital of Shandong University, Jinan, China.
Mingtao LiuDepartment of Respiratory Medicine, Binzhou People's Hospital, Binzhou, China.
Xiuxiu WangDepartment of Respiratory Medicine, Qilu Hospital of Shandong University, No. 107 Wenhua Xilu, Jinan, 250012, Shandong Province, China.
Lijun JingDepartment of Respiratory Medicine, Qilu Hospital of Shandong University, No. 107 Wenhua Xilu, Jinan, 250012, Shandong Province, China.
Yu LiDepartment of Respiratory Medicine, Qilu Hospital of Shandong University, No. 107 Wenhua Xilu, Jinan, 250012, Shandong Province, China. qlliyu@163.com.
Qilu Hospital of Shandong University · CNSecond Hospital of Shandong University · CNBinzhou People's Hospital · CNFifth Affiliated Hospital of Xinjiang Medical University · CNFourth People’s Hospital of Jinan · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundN-acetylcysteine is a classic mucolytic agent. This study aimed to investigate the efficacy of N-acetylcysteine on reducing the risk of exacerbations in bronchiectasis patients.

methodsA prospective, randomized, controlled trial was conducted between April 1, 2014 and December 31, 2016 in five general hospitals in Shandong Province, China. Adult bronchiectasis patients with at least two exacerbations in the past year were potentially eligible. Patients were randomly assigned to receive oral N-acetylcysteine (600 mg, twice daily, 12 months) or on-demand treatment.

resultsA total of 161 patients were eligible for randomization (81 to the N-acetylcysteine group and 80 to the control group). During the 12-month follow-up, the incidence of exacerbations in the N-acetylcysteine group was significantly lower than that in the control group (1.31 vs. 1.98 exacerbations per patient-year; risk ratio, 0.41; 95% CI, 0.17-0.66; P = 0.0011). The median number of exacerbations in the N-acetylcysteine group was 1 (0.5-2), compared with 2 (1-2) in the control group (U = - 2.95, P = 0.003). A total of 24.7% of the N-acetylcysteine group patients and 11.3% of the control group patients remained exacerbation-free throughout the 12-month follow-up (χ

conclusionThe long-term use of N-acetylcysteine is able to reduce the risk of exacerbations for bronchiectasis patients in Shandong Province, China. The results of this study should be verified in a larger randomized controlled trial.

trial registrationClinicalTrials.gov (NCT02088216) (Registered date: March 5, 2014).

Indexed as

AcetylcysteineAdultAgedBronchiectasisFemaleFollow-Up StudiesFree Radical ScavengersHumansMaleMiddle AgedProspective StudiesRisk FactorsTreatment OutcomeAcetylcysteineFree Radical ScavengersBronchiectasisExacerbationsLong-term therapyN-acetylcysteine

Identifiers

PMID30975143
PMCPMC6458826
OpenAlexW2977130892

What OpenQuestion holds

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LicenceCC BY
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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.