Evidence map›Paper›PMID 33028566›Full record

ArticleBMJ open2020

Study protocol: azithromycin therapy for chronic lung disease of prematurity (AZTEC) - a randomised, placebo-controlled trial of azithromycin for the prevention of chronic lung disease of prematurity in preterm infants.

John Lowe, David Gillespie, Marie Hubbard, Lei Zhang, Nigel Kirby, Timothy Pickles, Emma Thomas-Jones, Mark A Turner, Nigel Klein, Julian R Marchesi and 3 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  10. Predicting the likelihood of lower respiratory tractArchives of disease in childhood. Fetal and neonatal edition · 2023
    Article
  11. Complex roles of TGF-β signaling pathways in lung development and bronchopulmonary dysplasia.American journal of physiology. Lung cellular and molecular physiology · 2023
    Review
  12. PlacingChildren (Basel, Switzerland) · 2023
    Article
  13. Azithromycin for Eradication ofThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
    Article
  14. Review
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  16. Review
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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

13 authors at 5 institutions in 1 country.

John LoweCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
David GillespieCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Marie HubbardNeonatal Intensive Care Unit, University Hospitals of Leicester NHS Trust, Leicester, Leicester, UK.
Lei ZhangDepartment of Child Health, School of Medicine, Cardiff University, Cardiff, United Kingdom.
Nigel KirbyCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Timothy PicklesCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Emma Thomas-JonesCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Mark A TurnerInstitute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Nigel KleinGOS Institute of Child Health, University College London, London, London, UK.
Julian R MarchesiSchool of Biosciences, Cardiff University, Cardiff, UK.
Kerenza HoodCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
Janet BerringtonNeonatal Intensive Care Unit, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Sailesh KotechaDepartment of Child Health, School of Medicine, Cardiff University, Cardiff, United Kingdom KotechaS@cardiff.ac.uk.ORCID 0000-0003-3535-7627
Cardiff University · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity College London · GBUniversity Hospitals of Leicester NHS Trust · GBUniversity of Liverpool · GB

Funding

Department of Health 16/111/106
6 · The paper itself

Abstract

introductionChronic lung disease of prematurity (CLD), also known as bronchopulmonary dysplasia (BPD), is a cause of significant respiratory morbidity in childhood and beyond. Coupled with lung immaturity, infections (especially by METHODS AND ANALYSIS: 796 infants born at less than 30 weeks' gestational age who require at least 2 hours of continuous respiratory support within the first 72 hours following birth are being enrolled by neonatal units in the UK. They are being randomised to receive a double-blind, once daily dose of intravenous azithromycin (20 mg/kg for 3 days, followed by 10 mg/kg for a further 7 days), or placebo. CLD is being assessed at 36 weeks' PMA. Whether colonisation with ETHICS AND DISSEMINATION: Ethics permission has been granted by Wales Research Ethics Committee 2 (Ref 18/WA/0199), and regulatory permission by the Medicines and Healthcare Products Regulatory Agency (Clinical Trials Authorisation reference 21323/0050/001-0001). The study is registered on ISRCTN (ISRCTN11650227). The study is overseen by an independent Data Monitoring Committee and an independent Trial Steering Committee. We shall disseminate our findings via national and international peer-reviewed journals, and conferences. A summary of the findings will also be posted on the trial website.

Indexed as

Infant, Premature, DiseasesLung DiseasesAzithromycinChildChronic DiseaseDexamethasoneGlucocorticoidsHumansInfant, NewbornInfant, PrematureRandomized Controlled Trials as TopicWalesAzithromycinDexamethasoneGlucocorticoidschronic airways diseaseneonatologypaediatric thoracic medicine

Identifiers

PMID33028566
PMCPMC7539578
OpenAlexW3092495553

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.