Evidence map›Paper›PMID 36788940›Full record

ArticlePulmonary circulation2023

Efficacy, safety, and pharmacokinetics of inhaled treprostinil in Japanese patients with pulmonary arterial hypertension.

Masataka Kuwana, Kohtaro Abe, Hideyuki Kinoshita, Hiromi Matsubara, Shun Minatsuki, Toyoaki Murohara, Seiichiro Sakao, Yuichiro Shirai, Nobuhiro Tahara, Ichizo Tsujino and 3 more

Open access · goldAbstract read
In one paragraph

Article in Pulmonary circulation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

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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

13 authors at 11 institutions in 1 country.

Masataka KuwanaDepartment of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine Tokyo Japan.
Kohtaro AbeDepartment of Cardiovascular Medicine Kyushu University Graduate School of Medical Sciences Fukuoka Japan.
Hideyuki KinoshitaDepartment of Community Medicine Supporting System Kyoto University Graduate School of Medicine Kyoto Japan.
Hiromi MatsubaraNational Hospital Organization Okayama Medical Center Okayama Japan.
Shun MinatsukiDepartment of Cardiovascular Medicine, Graduate School of Medicine The University of Tokyo Tokyo Japan.
Toyoaki MuroharaDepartment of Cardiology Nagoya University Graduate School of Medicine Nagoya Japan.
Seiichiro SakaoDepartment of Respirology, Graduate School of Medicine Chiba University Chiba Japan.
Yuichiro ShiraiDepartment of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine Tokyo Japan.
Nobuhiro TaharaDivision of Cardiovascular Medicine, Department of Medicine Kurume University School of Medicine Kurume Japan.ORCID 0000-0003-2011-8201
Ichizo TsujinoDivision of Respiratory and Cardiovascular Innovative Research, Faculty of Medicine Hokkaido University Sapporo Japan.ORCID 0000-0002-0196-9572
Kenta TakahashiDepartment of Clinical Research Mochida Pharmaceutical Co., Ltd. Tokyo Japan.ORCID 0000-0002-2618-128X
Shingo KandaDepartment of Clinical Development Planning and Management Mochida Pharmaceutical Co., Ltd. Tokyo Japan.
Takeshi OgoDivision of Pulmonary Circulation, Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Mochida Pharmaceutical (Japan) · JPNippon Medical School · JPChiba University · JPHokkaido University · JPKurume University · JPKyoto University · JPKyushu University · JPNagoya University · JPNational Cerebral and Cardiovascular Center · JPNational Hospital Organization · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treprostinil is a chemically stable analog of prostacyclin, and inhaled treprostinil was developed to deliver the effects directly to the pulmonary vasculature while minimizing systemic side effects. The objective of the study was to evaluate the efficacy on hemodynamics and exercise capacity, safety, and pharmacokinetics (PK) of inhaled treprostinil in Japanese patients with pulmonary arterial hypertension (PAH). Inhaled treprostinil was administered at three breaths (18 μg)/session four times daily, and the dose was gradually increased to a maximum of nine breaths (54 μg)/session. Endpoints included change in pulmonary vascular resistance index (PVRI) as primary, other efficacy parameters, safety, and PK. Seventeen PAH patients, the majority of whom (76.5%) had been receiving both an endothelin receptor antagonist (ERA) and a phosphodiesterase type-5 (PDE5) inhibitor/soluble guanylate cyclase (sGC) stimulator, received inhaled treprostinil. At Week 12, PVRI statistically decreased by -39.4 ± 25.5% (95% confidence interval: -52.6 to -26.3). The most frequently reported adverse events related to treprostinil were headache, cough, throat irritation, and hot flush. Regarding PK, there were no notable differences in the geometric mean

Indexed as

clinical trialhemodynamicsPAHprostacyclinpulmonary hypertension

Identifiers

PMID36788940
PMCPMC9906001
OpenAlexW4319600745

What OpenQuestion holds

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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.