Evidence map›Paper›PMID 31568009›Full record

ArticleMedicine2019

Sphingosine-1-phosphate as an indicator for deciding the use of adjuvant corticosteroids therapy in community-acquired pneumonia (sphingosine-1-phosphate and pneumonia trial): Study protocol for a randomized, placebo-controlled trial.

Shih-Chang Hsu, Wen-Cheng Huang, Chung-Te Liu, Yuan-Pin Hsu, Jer-Hwa Chang, Shau-Ku Huang, Chin-Wang Hsu

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Severe community-acquired pneumonia.European respiratory review : an official journal of the European Respiratory Society · 2022
    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

7 authors at 2 institutions in 2 countries.

Shih-Chang HsuEmergency Department, Department of Emergency and Critical Medicine, Wan Fang Hospital.
Wen-Cheng HuangEmergency Department, Department of Emergency and Critical Medicine, Wan Fang Hospital.
Chung-Te LiuGraduate Institute of Clinical Medicine, College of Medicine.
Yuan-Pin HsuEmergency Department, Department of Emergency and Critical Medicine, Wan Fang Hospital.
Jer-Hwa ChangDivision of Pulmonary Medicine, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University.
Shau-Ku HuangResearch Center for Environmental Medicine, Kaohsiung Medical University, Kaohsiung.
Chin-Wang HsuEmergency Department, Department of Emergency and Critical Medicine, Wan Fang Hospital.
Wan Fang Hospital · TWJohns Hopkins Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPneumonia is one of the leading causes of death worldwide, represents a potentially life-threatening condition. In recent studies, adjuvant corticosteroids therapy has been shown to improve outcome in severe community-acquired pneumonia (CAP); however, the treatment response to corticosteroids vary. It is important to select patients likely to benefit from the treatment. Currently, the optimal patient selection of corticosteroids treatment is not yet clearly defined.

methodsSphingosine-1-phosphate and pneumonia (SOPN) trial is a double-blinded, randomized, placebo-controlled trial that will investigate if sphingosine-1-phosphate (S1P) can be an indicator for initiating adjuvant corticosteroids therapy in patients with severe CAP. Participants will be recruited from the emergency department and randomized to receive 20 mg of methylprednisolone twice daily or placebo for 5 days. The primary outcome will be "in-hospital mortality." Secondary outcomes will include intensive care unit (ICU) admission, length of ICU stay, length of hospital stay, and clinical outcomes at Day 7 and Day 14.

conclusionSOPN trial is the first randomized placebo-controlled trial to investigate whether S1P can be a predictive biomarker for adjuvant corticosteroids therapy in patients with severe CAP. The trial will add additional data for the appropriate use of adjuvant corticosteroids therapy in patients with severe CAP. Results from this clinical trial will provide foundational information supporting that if the S1P is appropriate for guiding the patient selection for corticosteroids adjuvant therapy.

Indexed as

GlucocorticoidsLysophospholipidsMethylprednisolonePneumoniaSphingosineAdjuvants, PharmaceuticAdultBiomarkersCommunity-Acquired InfectionsDouble-Blind MethodFemaleHospital MortalityHumansIntensive Care UnitsLength of StayMaleAdjuvants, PharmaceuticBiomarkersGlucocorticoidsLysophospholipidsMethylprednisoloneSphingosinesphingosine 1-phosphate

Identifiers

PMID31568009
PMCPMC6756703
OpenAlexW2978366741

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.