Evidence map›Paper›PMID 31940502›Full record

Trial reportNitric oxide : biology and chemistry2020

Inhaled nitric oxide to control platelet hyper-reactivity in patients with acute submassive pulmonary embolism.

Jeffrey A Kline, Michael A Puskarich, Jonathan W Pike, John Zagorski, Nathan J Alves

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nitric oxide : biology and chemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. 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

5 authors at 3 institutions in 1 country.

Jeffrey A KlineDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, United States. Electronic address: jefkline@iu.edu.
Michael A PuskarichDepartment of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, United States; Department of Emergency Medicine, University of Minnesota, Minneapolis, MN, United States.
Jonathan W PikeDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.
John ZagorskiDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.
Nathan J AlvesDepartment of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.
Indiana University School of MedicineHennepin County Medical Center · USIndiana University – Purdue University Indianapolis · US

Funding

Randomized trial of inhaled nitric oxide to treat acute pulmonary embolismUM1HL113203 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI JONES, ALAN E, KLINE, JEFFREY A · 2013 to 2015
$3.5M
Platelet activation in septic shockK23GM113041 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI PUSKARICH, MICHAEL A. · 2015 to 2018
$763k
NHLBI NIH HHS UM1 HL113203NIGMS NIH HHS K23 GM113041
6 · The paper itself

Abstract

backgroundWe test if inhaled nitric oxide (NO) attenuates platelet functional and metabolic hyper-reactivity in subjects with submassive pulmonary embolism (PE).

methodsParticipants with PE were randomized to either 50 ppm NO + O2 or O2 only for 24 h with blood sampling at enrollment and after treatment; results were compared with healthy controls. Platelet metabolic activity was assessed by oxygen consumption (basal and uncoupled) and reactivity was assessed with agonist-stimulated thromboelastography (TEG) and fluorometric measurement of agonist-stimulated cytosolic [Ca

resultsParticipants (N = 38 per group) were well-matched at enrollment for PE severity, comorbidities as well as TEG parameters and platelet O2 consumption. NO treatment doubled the mean plasma [NO3-] (P < 0.001) indicating successful delivery, but placebo treatment produced no change. After 24 h, neither TEG nor O2 consumption parameters differed significantly between treatment groups. Platelet cytosolic [Ca

conclusionsIn patients with acute submassive PE, despite evidence of adequate drug delivery, inhaled NO had no major effect on platelet O2 consumption or agonist-stimulated parameters on TEG. Pharmacological activation, but not stimulation, of sGC effectively decreased platelet cytosolic [Ca

Indexed as

Administration, InhalationAdultBenzoatesBlood PlateletsCalciumDouble-Blind MethodEnzyme ActivatorsFemaleHumansMaleMiddle AgedNitric OxidePlatelet ActivationPulmonary EmbolismPyrazolesPyrimidinesBAY 58-2667BenzoatesCalciumEnzyme ActivatorsNitric OxidePyrazolesPyrimidinesriociguatSoluble Guanylyl CyclaseBlood plateletsComorbidityHumansNitric oxideOxygen consumptionPlatelet activationPulmonary embolismPyrazolesPyrimidinesRiociguatThrombelastography

Identifiers

PMID31940502
PMCPMC7032016
OpenAlexW3000133167

What OpenQuestion holds

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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.