Evidence map›Paper›PMID 33721696›Full record

Trial reportRespiratory medicine

Acute effect of inhaled iloprost on exercise dynamic hyperinflation in COPD patients: A randomized crossover study.

Matthew R Lammi, Mohamed A Ghonim, Jessica Johnson, Johnny D'Aquin, John B Zamjahn, Andy Pellett, Samuel C Okpechi, Connie Romaine, Kusma Pyakurel, Hahn H Luu and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Respiratory medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Review
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.

Matthew R LammiLouisiana State University Health Sciences Center, Section of Pulmonary/Critical Care and Allergy/Immunology, United States; Comprehensive Pulmonary Hypertension Center-University Medical Center, United States. Electronic address: mlammi@lsuhsc.edu.
Mohamed A GhonimLouisiana State University Health Sciences Center, Stanley S. Scott Cancer Center, United States; The Department of Microbiology and Immunology, Faculty of Pharmacy, Al-Azhar University, Cairo, Egypt.
Jessica JohnsonLouisiana State University Health Sciences Center, Section of Pulmonary/Critical Care and Allergy/Immunology, United States; Xavier University of Louisiana School of Pharmacy, United States.
Johnny D'AquinEast Jefferson General Hospital, United States.
John B ZamjahnLouisiana State University Health Sciences Center, Cardiopulmonary Science, United States.
Andy PellettLouisiana State University Health Sciences Center, Cardiopulmonary Science, United States.
Samuel C OkpechiLouisiana State University Health Sciences Center, Stanley S. Scott Cancer Center, United States; Louisiana State University Health Sciences Center, Department of Biochemistry and Molecular Biology, United States.
Connie RomaineLouisiana State University Health Sciences Center, Section of Pulmonary/Critical Care and Allergy/Immunology, United States.
Kusma PyakurelLouisiana State University Health Sciences Center, Stanley S. Scott Cancer Center, United States.
Hahn H LuuLouisiana State University Health Sciences Center, Stanley S. Scott Cancer Center, United States.
Judd E ShellitoLouisiana State University Health Sciences Center, Section of Pulmonary/Critical Care and Allergy/Immunology, United States.
A Hamid BoularesLouisiana State University Health Sciences Center, Stanley S. Scott Cancer Center, United States.
Bennett P deBoisblancLouisiana State University Health Sciences Center, Section of Pulmonary/Critical Care and Allergy/Immunology, United States; Comprehensive Pulmonary Hypertension Center-University Medical Center, United States.

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

BACKGROUND AND

objectiveWe tested whether the prostacyclin analog inhaled iloprost modulates dead space, dynamic hyperinflation (DH), and systemic inflammation/oxidative stress during maximal exercise in subjects with chronic obstructive pulmonary disease (COPD) who were not selected based on pulmonary hypertension (PH).

methodsTwenty-four COPD patients with moderate-severe obstruction (age 59 ± 7 years, FEV

resultsInhaled iloprost was well-tolerated and reduced submaximal alveolar dead-space fraction but did not significantly reduce DH (0.70 ± 0.09 vs 0.69 ± 0.07 following placebo and iloprost, respectively, p = 0.38). Maximal exercise time (9.1 ± 2.3 vs 9.3 ± 2.2 min, p = 0.31) and peak oxygen uptake (17.4 ± 6.3 vs 17.9 ± 6.9 mL/kg/min, p = 0.30) were not significantly different following placebo versus iloprost.

conclusionsA single dose of inhaled iloprost was safe and reduced alveolar dead space fraction; however, it was not efficacious in modulating DH or improving exercise capacity in COPD patients who were not selected for the presence of PH.

Indexed as

Administration, InhalationAgedCross-Over StudiesDouble-Blind MethodExerciseExercise TestFemaleHumansIloprostInflammationLung Volume MeasurementsMaleMiddle AgedOxidative StressOxygen ConsumptionPulmonary Disease, Chronic ObstructiveIloprostChronic obstructive pulmonary diseaseCross-over studiesExercise testIloprostInflammation

Identifiers

PMID33721696
PMCPMC8425068

What OpenQuestion holds

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Registered trials

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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.