Evidence map›Paper›PMID 37845740›Full record

ArticleOrphanet journal of rare diseases2023

Current trials in erythropoietic protoporphyria: are placebo controls ethical?

Jasmin Barman-Aksözen, Mattia Andreoletti, Alessandro Blasimme

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Jasmin Barman-AksözenInternational Porphyria Patient Network, Hegarstrasse 3, 8032, Zurich, Switzerland.
Mattia AndreolettiDepartment of Health Sciences and Technology, ETH Zurich, Hottingerstrasse 10, 8092, Zurich, Switzerland.
Alessandro BlasimmeDepartment of Health Sciences and Technology, ETH Zurich, Hottingerstrasse 10, 8092, Zurich, Switzerland. alessandro.blasimme@hest.ethz.ch.ORCID http://orcid.org/0000-0001-5908-2002
ETH Zurich · CHThe Geneva Association · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A new active substance called "dersimelagon" (MT-7117) is being tested as an alternative treatment option for Erythropoietic protoporphyria (EPP). At the moment, dersimelagon is being tested both in the US and in Europe in a phase III placebo-controlled RCT. However, given the availability of an already approved treatment option for EPP the use of a placebo arm is questionable from an ethics point of view. We analyze the issue and suggest that a noninferiority active-control trial without placebo is an ethically and scientifically more valid design to test the efficacy of dersimelagon as well as other EPP treatments.

Indexed as

Protoporphyria, ErythropoieticRandomized Controlled Trials as TopicEuropeHumansUnited States

Identifiers

PMID37845740
PMCPMC10580501
OpenAlexW4387668500

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.