Evidence map›Paper›PMID 32654006›Full record

ArticleIntensive care medicine2020

Emerging pharmacological therapies for ARDS: COVID-19 and beyond.

Shahd Horie, Bairbre McNicholas, Emanuele Rezoagli, Tài Pham, Ger Curley, Danny McAuley, Cecilia O'Kane, Alistair Nichol, Claudia Dos Santos, Patricia R M Rocco and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Moving from Critical Illness Syndromes toward Biologic Molecular Endotypes: Making Progress.American journal of respiratory and critical care medicine · 2025
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  8. Article
  9. Modulation of Neutrophil Recruitment and Inflammatory Signaling in Acute Respiratory Distress Syndrome by Leukotriene Inhibitors Montelukast and Zileuton.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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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

12 authors at 10 institutions in 7 countries.

Shahd HorieLung Biology Group, Regenerative Medicine Institute (REMEDI) at CÚRAM Centre for Research in Medical Devices, Biomedical Sciences Building, National University of Ireland, Galway, Ireland.
Bairbre McNicholasDepartment of Anaesthesia and Intensive Care Medicine, Galway University Hospitals, Galway, Ireland.
Emanuele RezoagliLung Biology Group, Regenerative Medicine Institute (REMEDI) at CÚRAM Centre for Research in Medical Devices, Biomedical Sciences Building, National University of Ireland, Galway, Ireland.
Tài PhamService de médecine Intensive-Réanimation, AP-HP, Hôpital de Bicêtre, Hôpitaux Universitaires Paris-Saclay, Le Kremlin-Bicêtre, France.
Ger CurleyDepartment of Anaesthesiology, Beaumont Hospital, Royal College of Surgeons in Ireland, Dublin, Ireland.
Danny McAuleyWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, Northern Ireland, UK.
Cecilia O'KaneWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, Northern Ireland, UK.
Alistair NicholClinical Research Centre at St Vincent's University Hospital, University College Dublin, Dublin, Ireland.
Claudia Dos SantosKeenan Research Centre and Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada.
Patricia R M RoccoLaboratory of Pulmonary Investigation, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Giacomo BellaniDepartment of Medicine and Surgery, University of Milano - Bicocca, Monza, Italy.
John G LaffeyLung Biology Group, Regenerative Medicine Institute (REMEDI) at CÚRAM Centre for Research in Medical Devices, Biomedical Sciences Building, National University of Ireland, Galway, Ireland. john.laffey@nuigalway.ie.ORCID http://orcid.org/0000-0002-1246-9573
Ollscoil na Gaillimhe – University of Galway · IEQueen's University Belfast · GBAssistance Publique – Hôpitaux de Paris · FRAzienda Ospedaliera San Gerardo · ITNational University of Ireland · IERoyal College of Surgeons in Ireland · IEUniversidade Federal do Rio de Janeiro · BRUniversity College Dublin · IEUniversity Hospital Galway · IEUniversity of Toronto · CA

Funding

Medical Research Council MC_G1002460Medical Research Council MR/M009149/1
6 · The paper itself

Abstract

ARDS, first described in 1967, is the commonest form of acute severe hypoxemic respiratory failure. Despite considerable advances in our knowledge regarding the pathophysiology of ARDS, insights into the biologic mechanisms of lung injury and repair, and advances in supportive care, particularly ventilatory management, there remains no effective pharmacological therapy for this syndrome. Hospital mortality at 40% remains unacceptably high underlining the need to continue to develop and test therapies for this devastating clinical condition. The purpose of the review is to critically appraise the current status of promising emerging pharmacological therapies for patients with ARDS and potential impact of these and other emerging therapies for COVID-19-induced ARDS. We focus on drugs that: (1) modulate the immune response, both via pleiotropic mechanisms and via specific pathway blockade effects, (2) modify epithelial and channel function, (3) target endothelial and vascular dysfunction, (4) have anticoagulant effects, and (5) enhance ARDS resolution. We also critically assess drugs that demonstrate potential in emerging reports from clinical studies in patients with COVID-19-induced ARDS. Several therapies show promise in earlier and later phase clinical testing, while a growing pipeline of therapies is in preclinical testing. The history of unsuccessful clinical trials of promising therapies underlines the challenges to successful translation. Given this, attention has been focused on the potential to identify biologically homogenous subtypes within ARDS, to enable us to target more specific therapies 'precision medicines.' It is hoped that the substantial number of studies globally investigating potential therapies for COVID-19 will lead to the rapid identification of effective therapies to reduce the mortality and morbidity of this devastating form of ARDS.

Indexed as

COVID-19 Drug TreatmentAntioxidantsAscorbic AcidCitrullineDrug TherapyGlycoproteinsHumansMesenchymal Stem CellsPandemicsPeptides, CyclicPyridonesPyrimidinesReceptors, Tumor Necrosis Factor, Type IRespiratory Distress SyndromeSteroidsTrypsin InhibitorsAntioxidantsAP301 peptideAscorbic AcidCitrullinedilmapimodGlycoproteinsPeptides, CyclicPyridonesPyrimidinesReceptors, Tumor Necrosis Factor, Type ISteroidsTrypsin InhibitorsurinastatinAcute respiratory distress syndromeAcute respiratory failureCoronavirusMesenchymal stromal cellsPharmacologic therapy

Identifiers

PMID32654006
PMCPMC7352097
OpenAlexW3041557654

What OpenQuestion holds

Textmetadata
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.