Evidence map›Paper›PMID 35863836›Full record

ArticleBMJ open2022

Low-dose trimethoprim-sulfamethoxazole for the treatment of

Zahra N Sohani, Guillaume Butler-Laporte, Andrew Aw, Sara Belga, Andrea Benedetti, Alex Carignan, Matthew P Cheng, Bryan Coburn, Cecilia T Costiniuk, Nicole Ezer and 19 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04851015 (Low Dose Trimethoprim-Sulfamethoxazole for the Treatment of Pneumocystis Jirovecii Pneumonia), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT04851015 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Low Dose Trimethoprim-Sulfamethoxazole for the Treatment of Pneumocystis Jirovecii Pneumonia

TypeinterventionalSponsorTodd C. Lee MD MPH FIDSARan2025 to 2030Enrolled416ConditionsPneumocystis, Pneumocystis Pneumonia, Pneumocystis Jirovecii Infection, Pneumocystis InfectionsArmstrimethoprim-sulfamethoxazole
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Reassessing the efficacy and safety of trimethoprim-sulfamethoxazole for Pneumocystis jirovecii pneumonia: a retrospective study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Candent issues in pneumonia. Reflections from the Fifth Annual Meeting of Spanish Experts 2023.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Review
  6. Article
  7. Article
  8. Pathogens (Basel, Switzerland) · 2023
    Review
  9. 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

29 authors at 11 institutions in 2 countries.

Zahra N SohaniDepartment of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0002-0770-4962
Guillaume Butler-LaporteDepartment of Epidemiology, Occupational Health, and Biostatistics, McGill University, Montreal, Quebec, Canada.ORCID 0000-0001-5388-0396
Andrew AwDivision of Hematology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Sara BelgaDivision of Infectious Diseases, Department of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Andrea BenedettiDepartment of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0002-8314-9497
Alex CarignanDivision of Microbiology and Infectious Diseases, Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
Matthew P ChengDivision of Infectious Diseases, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
Bryan CoburnDivision of Infectious Diseases, Department of Medicine, University Health Network, Toronto, Ontario, Canada.
Cecilia T CostiniukDivision of Infectious Diseases, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0002-4547-714X
Nicole EzerResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Dan GregsonDepartments of Pathology and Laboratory Medicine and Medicine, University of Calgary, Calgary, Alberta, Canada.
Andrew JohnsonDivision of Infectious Diseases, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Kosar KhwajaDepartment of Epidemiology, Occupational Health, and Biostatistics, McGill University, Montreal, Quebec, Canada.
Alexander LawandiCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland, USA.ORCID 0000-0001-7948-3161
Victor LeungDepartment of Laboratory Medicine & Pathology, The University of British Columbia, Vancouver, British Columbia, Canada.
Sylvain LotherDepartment of Critical Care Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Derek MacFaddenDivision of Infectious Diseases, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
Michaeline McGuintyDivision of Infectious Diseases, Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.
Leighanne ParkesDivision of Medical Microbiology and Infectious Diseases, Lady Davis Institute for Medical Research, Montreal, Quebec, Canada.
Salman QureshiDepartment of Epidemiology, Occupational Health, and Biostatistics, McGill University, Montreal, Quebec, Canada.
Valerie RoyDivision of Microbiology and Infectious Diseases, Centre Hospitalier Universitaire de Sherbrooke Hôtel-Dieu, Sherbrooke, Quebec, Canada.
Barret RushDepartment of Critical Care Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Ilan SchwartzDivision of Infectious Diseases, University of Alberta, Edmonton, Alberta, Canada.
Miranda SoSinai Health System-University Health Network Antimicrobial Stewardship Program, University Health Network, Toronto, Ontario, Canada.
Ranjani SomayajiDivision of Infectious Diseases, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Darrell TanDivision of Infectious Diseases, St Michael's Hospital, Toronto, Ontario, Canada.
Emilie TrinhResearch Institute of the McGill University Health Centre, Montreal, Quebec, Canada.
Todd C Lee *Division of Infectious Diseases, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0002-2267-4239
Emily G McDonald *Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada emily.mcdonald@mcgill.ca.
McGill University Health Centre · CAOttawa Hospital · CAUniversity of Calgary · CACentre Hospitalier Universitaire de Sherbrooke · CAUniversity Health Network · CAUniversity of British Columbia · CAUniversity of Manitoba · CAJewish General Hospital · CANational Institutes of Health Clinical Center · USSt. Michael's Hospital · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMETHODS AND ANALYSIS: A phase III randomised, placebo-controlled, trial to directly compare the efficacy and safety of low-dose TMP-SMX (10 mg/kg/day of TMP) with the standard of care (15 mg/kg/day of TMP) among patients with PJP, for a composite primary outcome of change of treatment, new mechanical ventilation, or death. The trial will be undertaken at 16 Canadian hospitals. Data will be analysed as intention to treat. Primary and secondary outcomes will be compared using logistic regression adjusting for stratification and presented with 95% CI. ETHICS AND DISSEMINATION: This study has been conditionally approved by the McGill University Health Centre; Ethics approval will be obtained from all participating centres. Results will be submitted for publication in a peer-reviewed journal. TRIAL REGISTRATION NUMBER: NCT04851015.

Indexed as

Pneumocystis cariniiPneumonia, PneumocystisCanadaClinical Trials, Phase III as TopicHumansRandomized Controlled Trials as TopicRetrospective StudiesTrimethoprim, Sulfamethoxazole Drug CombinationTrimethoprim, Sulfamethoxazole Drug CombinationBone marrow transplantationEPIDEMIOLOGYHIV & AIDSINFECTIOUS DISEASESProtocols & guidelinesTRANSPLANT MEDICINE

Identifiers

PMID35863836
PMCPMC9310160
OpenAlexW4286516488

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.