Evidence map›Paper›PMID 33685776›Full record

Trial reportJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2021

The effect of oral and intravenous antimicrobials on pulmonary exacerbation recovery in cystic fibrosis.

Eden J VanDevanter, Sonya L Heltshe, Michelle Skalland, Noah Lechtzin, Dave Nichols, Christopher H Goss

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01104402 (Early Intervention in Cystic Fibrosis Exacerbation), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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.

NCT01104402 nacompletednot on this map

Early Intervention in Cystic Fibrosis Exacerbation

TypeinterventionalSponsorJohns Hopkins UniversityRan2011 to 2015Enrolled267ConditionsCystic FibrosisArmsHome lung function and symptom monitoring
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Home Spirometry in Children with Cystic Fibrosis.Bioengineering (Basel, Switzerland) · 2023
    Article
  5. Drugs, Drugs, Drugs: Current Treatment Paradigms in Cystic Fibrosis Airway Infections.Journal of the Pediatric Infectious Diseases Society · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Eden J VanDevanterSeattle Children's Research Institute, Seattle, WA. Electronic address: eden.vandevanter@mail.mcgill.ca.
Sonya L HeltsheSeattle Children's Research Institute, Seattle, WA; Dept. of Medicine, Univ. of Washington, Seattle, WA.
Michelle SkallandSeattle Children's Research Institute, Seattle, WA.
Noah LechtzinDept. of Medicine, Johns Hopkins University, Baltimore, MD.
Dave NicholsSeattle Children's Research Institute, Seattle, WA; Dept. of Pediatrics, University of Washington, Seattle, WA.
Christopher H GossSeattle Children's Research Institute, Seattle, WA; Dept. of Pediatrics, University of Washington, Seattle, WA; Dept. of Medicine, Johns Hopkins University, Baltimore, MD.
Johns Hopkins University · USUniversity of Washington · USCenter for Infectious Disease Research · US

Funding

Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss, Lucas R Hoffman · 2010 to 2026
$21.4M
Proof of Principle Evaluation of IV Gallium Nitrate in Patients with CFUM1HL119073 · NHLBI · UNIVERSITY OF WASHINGTON · PI GOSS, CHRISTOPHER HOOPER, SINGH, PRADEEP K · 2013 to 2017
$4.8M
Early Intervention in Pulmonary Exacerbation in CFR01HL103965 · NHLBI · UNIVERSITY OF WASHINGTON · PI GOSS, CHRISTOPHER HOOPER, LECHTZIN, NOAH · 2010 to 2014
$3.8M
OPTIMIZE - DCCU01HL114589 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI HAMBLETT, NICOLE MAYER · 2013 to 2017
$3.3M
A Phase 1b, Multi-center Study of IV Gallium Nitrate in Patients with Cystic Fibrosis who are colonized with Nontuberculosis Mycobacterium (The ABATE Study).R01FD006848 · FDA · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss, JERRY A NICK · 2020 to 2026
$3.1M
Phase 2 Study of Intravenous Gallium Nitrate in the Treatment of Cystic FibrosisR01FD003704 · FDA · UNIVERSITY OF WASHINGTON · PI GOSS, CHRISTOPHER HOOPER · 2009 to 2018
$2.0M
FDA HHS R01 FD003704FDA HHS R01 FD006848NCATS NIH HHS UL1 TR000423NHLBI NIH HHS R01 HL103965NHLBI NIH HHS U01 HL114589NHLBI NIH HHS UM1 HL119073NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

backgroundRetrospective studies indicate that more cystic fibrosis (CF) pulmonary exacerbations (PEx) are treated with oral (PO) than with intravenous (IV) antimicrobials despite little knowledge of the relative effects of PO treatment on lung function recovery or long-term impacts on lung disease progression. Previous studies have suggested that PO treatment may be associated with slower lung function recovery compared with IV treatment. We used longitudinal home spirometry data from the eICE study (NCT01104402) to compare PO versus IV antimicrobial treatment responses for PEx diagnosed by home spirometry and symptom assessment.

methodsAdolescent and adult eICE participants performed home spirometry twice weekly for one year. PEx were diagnosed by a protocol-defined algorithm of change in percent predicted forced expiratory volume in 1 second (ppFEV

resultsOf 87 qualifying PEx from 56 participants, 62 were PO-treated and 25 were IV-treated. The average drop from best ppFEV DISCUSSION: These results suggest that, in this cohort, PO antimicrobial treatment of CF PEx were less effective than IVs at improving ppFEV

Indexed as

Symptom Flare UpAdministration, OralAdolescentAdultAnti-Bacterial AgentsCystic FibrosisFemaleForced Expiratory VolumeHumansMaleRetrospective StudiesSpirometryAnti-Bacterial AgentsCystic fibrosisExacerbationsHome spirometryIntravenous antibioticsOral antibiotics

Identifiers

PMID33685776
PMCPMC8418627
OpenAlexW3134991353

What OpenQuestion holds

Textmetadata
LicenceTDM
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.