Evidence map›Paper›PMID 34733493›Full record

ArticlePulmonary circulation

Survival and drug persistence in patients receiving inhaled treprostinil at doses greater than 54 µg (nine breaths) four times daily.

Shelley Shapiro, Stacy Mandras, Ricardo Restrepo-Jaramillo, Eric Shen, Meredith Broderick, Youlan Rao, Dasom Lee, Andrew C Nelsen

Open access · goldAbstract read
In one paragraph

Article in Pulmonary circulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. 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

8 authors at 5 institutions in 1 country.

Shelley ShapiroDivision of Pulmonary Critical Care - VAGLAHS, Cardiology Section - UCLA David Geffen School of Medicine.ORCID https://orcid.org/0000-0001-5621-6570
Stacy MandrasAdvent Health, Orlando, FL, USA.
Ricardo Restrepo-JaramilloDivision of Pulmonary, Critical Care & Sleep Medicine, University of South Florida, Tampa, FL, USA.
Eric ShenUnited Therapeutics Corporation, Research Triangle Park, NC, USA.ORCID https://orcid.org/0000-0001-5621-6570
Meredith BroderickUnited Therapeutics Corporation, Research Triangle Park, NC, USA.
Youlan RaoUnited Therapeutics Corporation, Research Triangle Park, NC, USA.
Dasom LeeUnited Therapeutics Corporation, Research Triangle Park, NC, USA.
Andrew C NelsenUnited Therapeutics Corporation, Research Triangle Park, NC, USA.
Triangle · USAdventHealth Orlando · USNorth Carolina State University · USUniversity of South Florida · USVA West Los Angeles Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treprostinil is a prostacyclin approved for the treatment of pulmonary arterial hypertension. Commercial data sets indicate that approximately 20-25% of patients are prescribed a higher dose than the maximum recommended dosage of nine breaths per treatment session (bps) (54 μg), four times a day (QID) and numerous studies have demonstrated the safety of doses >9 bps QID. This phase 4, retrospective analysis of specialty pharmacy records assessed the effects of inhaled treprostinil at doses >9 bps QID. Patients receiving inhaled treprostinil between September 2009 and June 2018 were included, and a random sampling of 5000 patients was selected for further analysis. Subjects were grouped based on the highest dose reached for ≥2 months within a rolling six-month window and were followed for up to three years. Of the total of 5000 patients analyzed, 28.5% received >9 bps QID. Survival rates were significantly higher in the >9 bps QID dosing group for years one, two, and three (

Indexed as

prostacyclinspulmonary arterial hypertensionTyvaso

Identifiers

PMID34733493
PMCPMC8558813
OpenAlexW3202964358

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.