Evidence map›Paper›PMID 33142016›Full record

Trial reportArthritis & rheumatology (Hoboken, N.J.)2021

Effect of Nintedanib on Lung Function in Patients With Systemic Sclerosis-Associated Interstitial Lung Disease: Further Analyses of a Randomized, Double-Blind, Placebo-Controlled Trial.

Toby M Maher, Maureen D Mayes, Michael Kreuter, Elizabeth R Volkmann, Martin Aringer, Ivan Castellvi, Maurizio Cutolo, Christian Stock, Nils Schoof, Margarida Alves and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
4.5field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 6 countries.

Toby M MaherNational Heart and Lung Institute, Imperial College London and NIHR Clinical Research Facility, Royal Brompton Hospital, London, UK, and Keck School of Medicine, University of Southern California, Los Angeles.ORCID 0000-0001-7192-9149
Maureen D MayesUniversity of Texas McGovern Medical School, Houston.
Michael KreuterThoraxklinik, University of Heidelberg, and the German Center for Lung Research, Heidelberg, Germany.
Elizabeth R VolkmannUniversity of California, David Geffen School of Medicine, Los Angeles.ORCID 0000-0003-3750-6569
Martin AringerUniversity Medical Center and Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.ORCID 0000-0003-4471-8375
Ivan CastellviHospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0002-5410-5807
Maurizio CutoloUniversity of Genova, IRCCS San Martino Polyclinic Hospital, Genova, Italy.ORCID 0000-0002-5396-0932
Christian StockBoehringer Ingelheim Pharma GmbH & Co. KG, Ingelheim am Rhein, Germany.
Nils SchoofBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Margarida AlvesBoehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Ganesh RaghuUniversity of Washington, Seattle.
SENSCIS Trial Investigators
Boehringer Ingelheim (Germany) · DEHeidelberg University · DEHospital de Sant Pau · ESOspedale Policlinico San Martino · ITUniversity Hospital Carl Gustav Carus · DEUniversity of California, Los Angeles · USUniversity of Southern California · USUniversity of Washington · US

Funding

Department of Health CS-2013-13-017
6 · The paper itself

Abstract

objectiveIn the SENSCIS trial in subjects with systemic sclerosis-associated interstitial lung disease (SSc-ILD), nintedanib reduced the rate of decline in forced vital capacity (FVC) over 52 weeks by 44% versus placebo. This study was undertaken to investigate the effects of nintedanib on categorical changes in FVC and other measures of ILD progression.

methodsIn post hoc analyses, we assessed the proportions of subjects with categorical changes in FVC % predicted at week 52 and the time to absolute decline in FVC of ≥5% predicted or death and absolute decline in FVC of ≥10% predicted or death.

resultsA total of 288 subjects received nintedanib and 288 subjects received placebo. At week 52, in subjects treated with nintedanib and placebo, respectively, 55.7% and 66.3% had any decline in FVC % predicted, 13.6% and 20.1% had a decline in FVC of >5% to ≤10% predicted, and 3.5% and 5.2% had a decline in FVC of >10% to ≤15% predicted; 34.5% and 43.8% had a decrease in FVC of ≥3.3% predicted (proposed minimal clinically important difference [MCID] for worsening of FVC), while 23.0% and 14.9% had an increase in FVC of ≥3.0% predicted (proposed MCID for improvement in FVC). Over 52 weeks, the hazard ratio (HR) for an absolute decline in FVC of ≥5% predicted or death with nintedanib versus placebo was 0.83 (95% confidence interval [95% CI] 0.66-1.06) (P = 0.14), and the HR for an absolute decline in FVC of ≥10% predicted was 0.64 (95% CI 0.43-0.95) (P = 0.029).

conclusionThese results suggest that nintedanib has a clinically relevant benefit on the progression of SSc-ILD.

Indexed as

AdultAgedDisease ProgressionDouble-Blind MethodFemaleHumansIndolesLungLung Diseases, InterstitialMaleMiddle AgedProtein Kinase InhibitorsScleroderma, SystemicTreatment OutcomeIndolesnintedanibProtein Kinase Inhibitors

Identifiers

PMID33142016
PMCPMC8048624
OpenAlexW3097532499

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.