Evidence map›Paper›PMID 34868551›Full record

ArticlePulmonary circulation

Positioning imatinib for pulmonary arterial hypertension: A phase I/II design comprising dose finding and single-arm efficacy.

Martin R Wilkins, Mikel A Mckie, Martin Law, Andreas A Roussakis, Lars Harbaum, Colin Church, J Gerry Coghlan, Robin Condliffe, Luke S Howard, David G Kiely and 6 more

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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Positioning Imatinib for Pulmonary Arterial Hypertension: A Dose-Finding Phase 2 Study.American journal of respiratory and critical care medicine · 2025
    Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Reply to DingAmerican journal of respiratory and critical care medicine · 2025
    Article
  8. Review
  9. New therapies in pulmonary arterial hypertension: Recent insights.International journal of cardiology. Congenital heart disease · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Tyrosine Kinases and Endothelial Homeostasis in Pulmonary Arterial Hypertension: Too Hot to Handle?American journal of respiratory cell and molecular biology · 2022
    Article
  19. 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

16 authors at 10 institutions in 2 countries.

Martin R WilkinsNational Heart and Lung Institute, Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, UK.ORCID 0000-0003-3926-1171
Mikel A MckieMRC Biostatistics Unit, School of Clinical Medicine, Cambridge Institute of Public Health, Cambridge, UK.
Martin LawMRC Biostatistics Unit, School of Clinical Medicine, Cambridge Institute of Public Health, Cambridge, UK.ORCID 0000-0001-9594-348X
Andreas A RoussakisNational Heart and Lung Institute, Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, UK.ORCID 0000-0001-5748-6978
Lars HarbaumNational Heart and Lung Institute, Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, UK.
Colin ChurchGolden Jubilee National Hospital, University of Glasgow, Scotland, UK.
J Gerry CoghlanDepartment of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Robin CondliffeSheffield Pulmonary Vascular Disease Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Luke S HowardNewcastle Freeman Hospital, Freeman Road, High Heaton, Newcastle Upon Tyne, UK.
David G KielySheffield Pulmonary Vascular Disease Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Jim LordanRoyal United Hospital, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Alexander RothmanSheffield Pulmonary Vascular Disease Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID 0000-0002-7847-4500
Jay SuntharalingamHeart Lung Research Institute, University of Cambridge, Cambridge, UK.
Mark ToshnerDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID 0000-0002-3969-6143
Stephen J WortGolden Jubilee National Hospital, NHS Greater Glasgow and Clyde, Clydebank, UK.
Sofía S VillarMRC Biostatistics Unit, School of Clinical Medicine, Cambridge Institute of Public Health, Cambridge, UK.
Hammersmith Hospital · GBMRC Biostatistics Unit · GBSheffield Teaching Hospitals NHS Foundation Trust · GBFreeman Hospital · GBImperial College Healthcare NHS Trust · GBNHS Greater Glasgow and Clyde · GBRoyal Brompton Hospital · GBRoyal Free London NHS Foundation Trust · GBRoyal United Hospital Bath NHS Trust · GBUniversity of Cambridge · GB

Funding

British Heart Foundation RE/18/4/34215Medical Research Council MC_UU_00002/15
6 · The paper itself

Abstract

Pulmonary arterial hypertension is an unmet clinical need. Imatinib, a tyrosine kinase inhibitor, 200 to 400 mg daily reduces pulmonary artery pressure and increases functional capacity in this patient group, but is generally poorly tolerated at the higher dose. We have designed an open-label, single-arm clinical study to investigate whether there is a tolerated dose of imatinib that can be better targeted to patients who will benefit. The study consists of two parts. Part 1 seeks to identify the best tolerated dose of Imatinib in the range from 100 and up to 400 mg using a Bayesian Continuous Reassessment Method. Part 2 will measure efficacy after 24 weeks treatment with the best tolerated dose using a Simon's two-stage design. The primary efficacy endpoint is a binary variable. For patients with a baseline pulmonary vascular resistance (PVR) >1000 dynes · s · cm

Indexed as

Adaptive designefficacysafetytolerability

Identifiers

PMID34868551
PMCPMC8642118
OpenAlexW3204491179

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.