Evidence map›Paper›PMID 34136720›Full record

ArticleContemporary clinical trials communications2021

Complexity of design in early phase respiratory clinical trials; evaluating impact of primary endpoints and sponsor size.

Nicolas Marco-Ariño, Alexandra Jauhiainen, Joanne Betts, Carla A Da Silva

Abstract read
In one paragraph

Article in Contemporary clinical trials communications, 2021. 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. Article
  2. CompEx Asthma: is it time for a change in clinical trials?The European respiratory journal · 2025
    Article
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

4 authors.

Nicolas Marco-AriñoEarly RIA Clinical Development, Biopharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Alexandra JauhiainenEarly Biometrics & Statistical Innovation, Data Science & AI, Biopharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Joanne BettsEarly RIA Clinical Development, Biopharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Carla A Da SilvaEarly RIA Clinical Development, Biopharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Asthma and COPD represent most of the clinical trials in the respiratory area. The Primary Endpoint (PE) defines how trials are conducted. We hypothesised that small and mid-sized pharmaceutical companies may be innovative in the selection of their trial endpoints, to be time- and cost-effective. To test this, a record of industry-sponsored phase II trials in asthma, COPD and Asthma/COPD over 11 years was obtained. The type of PE and the influence these had on length, number of subjects and investigational trial sites were evaluated for the different disease categories. Differences in the type of PE used by large versus small/mid-sized companies were found for both asthma and COPD trials (p = 0.011 and 0.025), with sponsorship influencing the conduction of these. In asthma, studies sponsored by large companies were significantly longer than those from smaller companies (p = 0.0001). Additionally, large companies intended to recruit more subjects (asthma: p = 0.0048, COPD: p ≤ 0.0001) and use more investigational sites (asthma: p = 1 × 10

Indexed as

ACOS, Asthma/COPD Overlapping SyndromeAsthmaATS/ERS, American Thoracic Society / European Respiratory SocietyClinical trialsCOPDCOPD, Chronic Obstructive Pulmonary DiseaseFDA, Food and Drug AdministrationFEF, Forced Expiratory FlowFEV1, Forced Expiratory Volume in 1 sLP, Large Pharmaceutical group / biotechPEF, Peak Expiratory FlowPEFR, Peak Expiratory Flow RatePIF, Peak Inspiratory FlowPrimary endpointPRO, Patient Reported OutcomeRespiratory diseasesSGRQ, Saint George's Respiratory QuestionnaireSP, Small to mid-sized Pharmaceutical group / biotech

Identifiers

PMID34136720
PMCPMC8181183

What OpenQuestion holds

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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.