Evidence map›Paper›PMID 32355564›Full record

ArticleNew microbes and new infections2020

Consideration of dornase alfa for the treatment of severe COVID-19 acute respiratory distress syndrome.

A P Earhart, Z M Holliday, H V Hofmann, A G Schrum

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in New microbes and new infections, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04402970 (Inhaled Dornase Alfa for Treatment of ARDS in Patients With SARS-CoV-2), which is not on this map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 5% 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.

NCT04402970 phase3completednot on this map

Inhaled Dornase Alfa for Treatment of ARDS in Patients With SARS-CoV-2

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2020 to 2020Enrolled30ConditionsSARS-CoV 2, ARDSArmsDornase Alfa Inhalation Solution
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Training the Lung, Taming the NETs.Frontiers in cellular and infection microbiology · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Case report:Frontiers in veterinary science · 2025
    Article
  11. Review
  12. Article
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  16. Article
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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 1 institution in 1 country.

A P EarhartMolecular Pathogenesis & Therapeutics Program, University of Missouri Graduate School, Columbia, MO, USA.
Z M HollidayPulmonary Disease, Critical Care Medicine, School of Medicine, University of Missouri, Columbia, MO, USA.
H V HofmannPulmonary Disease, Critical Care Medicine, School of Medicine, University of Missouri, Columbia, MO, USA.
A G SchrumMolecular Microbiology & Immunology, University of Missouri, Columbia, MO, USA.
University of Missouri · US

Funding

Measuring multiprotein assemblies that drive biological signalsR01GM103841 · NIGMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI SCHRUM, ADAM G. · 2013 to 2023
$3.3M
NIGMS NIH HHS R01 GM103841
6 · The paper itself

Abstract

We propose a likely contribution to severe COVID-19 morbidity by extracellular DNA in neutrophil extracellular traps (NETs). Dornase alfa degrades extracellular DNA to reduce mucus rigidity and accumulation, and was associated with respiratory improvement in a first patient. Dornase alfa should be considered for clinical trials in treatment of severe COVID-19.

Indexed as

acute respiratory distress syndromeCOVID-19DNAse 1dornase alfaNeutrophil extracellular trap

Identifiers

PMID32355564
PMCPMC7192073
OpenAlexW3023813595

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.