Evidence map›Paper›PMID 31327670›Full record

Trial reportJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2020

Randomized controlled study of aerosolized hypertonic xylitol versus hypertonic saline in hospitalized patients with pulmonary exacerbation of cystic fibrosis.

Sachinkumar Singh, Douglas Hornick, Janel Fedler, Janice L Launspach, Mary E Teresi, Thomas R Santacroce, Joseph E Cavanaugh, Rebecca Horan, George Nelson, Timothy D Starner and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00928135 (Randomized Controlled Study of Aerosolized Hypertonic Xylitol Versus Hypertonic Saline in Hospitalized Patients With Exacerbation of Cystic Fibrosis), which is not on this 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
1.4field-weighted citation impact, top 17% 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.

NCT00928135 phase1 / phase2completednot on this map

Randomized Controlled Study of Aerosolized Hypertonic Xylitol Versus Hypertonic Saline in Hospitalized Patients With Exacerbation of Cystic Fibrosis

TypeinterventionalSponsorJoseph ZabnerRan2013 to 2018Enrolled63ConditionsCystic FibrosisArmsXylitol, Hypertonic saline
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Nebulised hypertonic saline for cystic fibrosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Article
  3. Article
  4. Anti-Microorganisms · 2023
    Review
  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

12 authors at 3 institutions in 1 country.

Sachinkumar SinghStead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Douglas HornickDepartment of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Janel FedlerDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA 52242, USA.
Janice L LaunspachDepartment of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Mary E TeresiStead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Thomas R SantacroceWalter Reed National Military Medical Center, Bethesda, MD 20889, USA.
Joseph E CavanaughDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA 52242, USA.
Rebecca HoranDepartment of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
George NelsonDoris Duke Clinical Research Scholar, University of Iowa, USA.
Timothy D StarnerDepartment of Pediatrics, University of Wisconsin-Madison, 600 Highland Ave, Madison, WI 53792, USA.
Joseph ZabnerDepartment of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
Lakshmi DurairajDepartment of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA. Electronic address: lakshmi-durairaj@uiowa.edu.
University of Iowa · USUniversity of Wisconsin–Madison · USWalter Reed National Military Medical Center · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Amy Leanne Ryan · 1998 to 2026
$30.5M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Iowa Phase II Clinical Trials of Novel Therapies for Lung Diseases (U01U01HL102288 · NHLBI · UNIVERSITY OF IOWA · PI DURAIRAJ, LAKSHMI · 2010 to 2012
$5.3M
NCATS NIH HHS UL1 TR002537NHLBI NIH HHS U01 HL102288NIDDK NIH HHS P30 DK054759NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

backgroundCystic fibrosis (CF) lung disease is characterized by chronic bacterial infection and recurrent pulmonary exacerbations. Xylitol is a 5-carbon sugar that can lower the airway surface salt concentration and augment innate immunity. We examined the safety and efficacy of aerosolized xylitol use for 2 weeks in subjects hospitalized with a pulmonary exacerbation of CF.

methodsIn a 2-week study, 60 subjects with cystic fibrosis and FEV

results59 subjects completed the study (one subject in the saline group withdrew before any study product administration). No significant differences were noted between the 2 arms in mean changes in lung function, sputum microbial density for Pseudomonas aeruginosa and Staphylococcus aureus, body weight, quality of life, and frequency of adverse events.

conclusionsAerosolized hypertonic xylitol was well-tolerated among subjects hospitalized for CF pulmonary exacerbation. Future studies examining efficacy for long term use in patients with CF lung disease would be worthwhile. The clinical trial registration number for this study is NCT00928135.

Indexed as

Cystic FibrosisLungRespiratory Tract InfectionsSputumXylitolAdministration, InhalationAdultFemaleHumansImmunity, InnateMaleRespiratory Function TestsSurface PropertiesSweetening AgentsTreatment OutcomeSweetening AgentsXylitolExacerbationsLung functionQuality of lifeRespiratory symptom scoreSputum microbial density

Identifiers

PMID31327670
PMCPMC6980423
OpenAlexW2957629200

What OpenQuestion holds

Textmetadata
LicenceTDM
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.