Evidence map›Paper›PMID 34385272›Full record

Trial reportThe European respiratory journal2022

Efficacy and safety of inhaled ENaC inhibitor BI 1265162 in patients with cystic fibrosis: BALANCE-CF 1, a randomised, phase II study.

Christopher H Goss, Isabelle Fajac, Raksha Jain, Wolfgang Seibold, Abhya Gupta, Ming-Chi Hsu, Sivagurunathan Sutharsan, Jane C Davies, Marcus A Mall

Open access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The European respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Multiple breath washout in primary ciliary dyskinesia: a systematic review of the literature.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Review
  3. Article
  4. The Epithelial Sodium Channel-An Underestimated Drug Target.International journal of molecular sciences · 2023
    Review
  5. Article
  6. 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

9 authors at 8 institutions in 5 countries.

Christopher H GossDept of Medicine, Dept of Pediatrics, University of Washington, Seattle Children's Hospital and Research Institute, Seattle, WA, USA CGoss@medicine.washington.edu.
Isabelle FajacAP-HP, Université de Paris, Paris, France.
Raksha JainDept of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Wolfgang SeiboldBoehringer Ingelheim, Biberach, Germany.
Abhya GuptaBoehringer Ingelheim, Biberach, Germany.
Ming-Chi HsuBoehringer Ingelheim, Shanghai, China.
Sivagurunathan SutharsanDivision for Cystic Fibrosis, Dept of Pulmonary Medicine, University Medicine Essen - Ruhrlandklinik, Essen, Germany.
Jane C DaviesNational Heart and Lung Institute, Imperial College London, London, UK.
Marcus A MallDept of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité -‌ Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-4057-2199
Boehringer Ingelheim (Germany) · DEBoehringer Ingelheim (China) · CNGerman Center for Lung Research · DEHarefield Hospital · GBRuhrlandklinik · DESeattle Children's Hospital · USThe University of Texas Southwestern Medical Center · USUniversité Paris Cité · FR

Funding

Department of Health
6 · The paper itself

Abstract

backgroundInhibition of the epithelial sodium channel (ENaC) in cystic fibrosis (CF) airways provides a mutation-agnostic approach that could improve mucociliary clearance in all CF patients. BI 1265162 is an ENaC inhibitor with demonstrated pre-clinical efficacy and safety already demonstrated in humans.

objectiveWe present results from BALANCE-CF

resultsInitially, 28 randomised subjects (BI 1265162 200 µg twice daily n=14, placebo twice daily n=14) were assessed at an interim futility analysis. Compared with placebo, numerical changes of -0.8% (95% CI -6.6 to 4.9%) in percentage predicted forced expiratory volume in 1s (ppFEV

conclusionBI 1265162 was safe, but did not demonstrate a potential for clinical benefit. Development has been terminated.

Indexed as

Cystic FibrosisAdolescentAdultCystic Fibrosis Transmembrane Conductance RegulatorDouble-Blind MethodForced Expiratory VolumeHumansMucociliary ClearanceRespiratory Function TestsCystic Fibrosis Transmembrane Conductance Regulator

Identifiers

PMID34385272
PMCPMC8850685
OpenAlexW3191124850

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.