Evidence map›Paper›PMID 36642366›Full record

ArticleChest2023

Safety and Efficacy of Combined Resveratrol and Sirolimus in Lymphangioleiomyomatosis.

Nishant Gupta, Bin Zhang, Yuan Zhou, Francis X McCormack, Rebecca Ingledue, Nathan Robbins, Elizabeth J Kopras, Susan McMahan, Abhishek Singla, Jeffrey Swigris and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Chest, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03253913 (Resveratrol and Sirolimus in Lymphangioleiomyomatosis Trial), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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.

NCT03253913 phase2completednot on this map

Resveratrol and Sirolimus in Lymphangioleiomyomatosis Trial (RESULT)

TypeinterventionalSponsorUniversity of CincinnatiRan2018 to 2022Enrolled25ConditionsLymphangioleiomyomatosisArmsSirolimus, Resveratrol
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Brazilian Thoracic Association recommendations for the management of lymphangioleiomyomatosis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Guideline
  2. Pooled it
  3. Review
  4. Tuberous sclerosis complex.Nature reviews. Disease primers · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Novel treatment strategies for lymphangioleiomyomatosis: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. 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

12 authors at 6 institutions in 1 country.

Nishant GuptaDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH; Medical Service, Veterans Affairs Medical Center, Cincinnati, OH. Electronic address: guptans@ucmail.uc.edu.
Bin ZhangDepartment of Pediatrics, University of Cincinnati, Cincinnati, OH; Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Yuan ZhouDepartment of Mathematical Sciences, University of Cincinnati, Cincinnati, OH.
Francis X McCormackDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH; Medical Service, Veterans Affairs Medical Center, Cincinnati, OH.
Rebecca IngledueDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH.
Nathan RobbinsDepartment of Internal Medicine, University of Cincinnati, Cincinnati, OH.
Elizabeth J KoprasDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH.
Susan McMahanDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH.
Abhishek SinglaDivision of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH.
Jeffrey SwigrisDivision of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health, Denver, CO.
Adam G ColeDivision of Pulmonary and Critical Care Medicine, Lexington VA Medical Center, Lexington, KY; Department of Medicine, University of Kentucky College of Medicine, Lexington, KY.
Marina K HolzDepartment of Cell Biology and Anatomy, New York Medical College, New York, NY.
University of Cincinnati · USCincinnati Children's Hospital Medical Center · USNational Jewish Health · USNew York Medical College · USUniversity of Kentucky · USVeterans Health Administration · US

Funding

Resveratrol and Sirolimus in LAM Trial (RESULT)R34HL138235 · NHLBI · UNIVERSITY OF CINCINNATI · PI GUPTA, NISHANT · 2017 to 2019
$712k
NHLBI NIH HHS R34 HL138235
6 · The paper itself

Abstract

backgroundA critical need exists to develop remission-inducing therapies for lymphangioleiomyomatosis. RESEARCH QUESTION: Is the addition of resveratrol safe and more efficacious than sirolimus alone in patients with lymphangioleiomyomatosis? STUDY DESIGN AND

methodsWe conducted a phase 2, dose-escalating, open-label trial of resveratrol in patients with lymphangioleiomyomatosis receiving a stable regimen of sirolimus. Resveratrol was started at 250 mg/d and escalated every 8 weeks to maximum dose of 1,000 mg/d over 24 weeks. The primary outcome was ≥ 42% decline in serum vascular endothelial growth factor D (VEGF-D) levels on combined therapy compared with baseline VEGF-D levels on sirolimus. Secondary objectives included an assessment of the safety profile and the effect on lung function and health-related quality of life (HRQOL). Longitudinal change in outcome measures was assessed using linear mixed models. Adverse effects were tabulated using the National Cancer Institute's Common Terminology Criteria for Adverse Events version 4.

resultsTwenty-five patients with lymphangioleiomyomatosis with a median age of 51 years were enrolled. Pulmonary function parameters at study inclusion were: FEV

interpretationThe addition of resveratrol was safe and well tolerated in patients with lymphangioleiomyomatosis taking sirolimus and was associated with modest improvement in HRQOL. Larger controlled trials of this combination might be warranted to assess definitively the usefulness of resveratrol as an additive therapy in lymphangioleiomyomatosis. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT03253913; URL: www. CLINICALTRIALS: gov.

Indexed as

LymphangioleiomyomatosisSirolimusForced Expiratory VolumeHumansMiddle AgedQuality of LifeResveratrolVascular Endothelial Growth Factor DResveratrolSirolimusVascular Endothelial Growth Factor DautophagyFEV(1)LAMtuberous sclerosis complexvascular endothelial growth factor D

Identifiers

PMID36642366
PMCPMC10206511
OpenAlexW4315798390

What OpenQuestion holds

Textmetadata
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.