Evidence map›Paper›PMID 38211546›Full record

Trial reportRespiratory investigation2024

Safety and efficacy of sirolimus in hospitalised patients with COVID-19 pneumonia.

Abhishek Singla, Nusrat Harun, Daniel F Dilling, Karim Merchant, Susan McMahan, Rebecca Ingledue, Alexandria French, Josefina A Corral, Leslie Korbee, Elizabeth J Kopras and 1 more

Open access · greenAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Respiratory investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 1% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Meeting the Challenge of Controlling Viral Immunopathology.International journal of molecular sciences · 2024
    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

11 authors at 5 institutions in 1 country.

Abhishek SinglaDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Cincinnati, 231 Albert Sabin Way, ML0564, Cincinnati, OH, 45267, USA.
Nusrat HarunDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Centre, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
Daniel F DillingDivision of Pulmonary and Critical Care Medicine, Loyola University Medical Centre, 2160 S. First Avenue, Maywood, IL, 60153, USA.
Karim MerchantDivision of Pulmonary and Critical Care Medicine, Keck Hospital of University of Southern California, IRD Building 7th Floor, 2020 Zonal Ave, Los Angeles, CA, 90033, USA.
Susan McMahanDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Cincinnati, 231 Albert Sabin Way, ML0564, Cincinnati, OH, 45267, USA.
Rebecca IngledueDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Cincinnati, 231 Albert Sabin Way, ML0564, Cincinnati, OH, 45267, USA.
Alexandria FrenchDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Cincinnati, 231 Albert Sabin Way, ML0564, Cincinnati, OH, 45267, USA.
Josefina A CorralClinical Research Office, Loyola University Chicago, 2160 S. First Avenue, Maywood, IL, 60153, USA.
Leslie KorbeeAcademic Regulatory & Monitoring Services LLC, 7806 Gapstow Bridge, Cincinnati, OH, 45231, USA.
Elizabeth J KoprasDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Cincinnati, 231 Albert Sabin Way, ML0564, Cincinnati, OH, 45267, USA.
Nishant GuptaDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Cincinnati, 231 Albert Sabin Way, ML0564, Cincinnati, OH, 45267, USA. Electronic address: guptans@ucmail.uc.edu.
Sabin Vaccine Institute · USCincinnati Children's Hospital Medical Center · USLoyola University Chicago · USLoyola University Medical Center · USUniversity of Southern California · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
NCATS NIH HHS UL1 TR001425
6 · The paper itself

Abstract

backgroundThere is a critical need to develop novel therapies for COVID-19.

methodsWe conducted a phase 2, multicentre, placebo-controlled, double-blind, randomised trial; hospitalised patients with hypoxemic respiratory failure due to COVID-19 and at least one poor prognostic biomarker, were given sirolimus (6 mg on Day 1 followed by 2 mg daily for 14 days or hospital discharge, whichever happens first) or placebo, in a 2:1 randomization scheme favouring sirolimus. Primary outcome was the proportion of patients alive and free from advanced respiratory support measures at Day 28.

resultsBetween April 2020 and April 2021, 32 patients underwent randomization and 28 received either sirolimus (n = 18) or placebo (n = 10). Mean age was 57 years and 75 % of the subjects were men. Twenty-two subjects had at least one co-existing condition (Diabetes, hypertension, obesity, CHF, or asthma/COPD) associated with worse prognosis. Mean FiO

conclusionsLarger studies are warranted to evaluate the role sirolimus in COVID-19 infection.

Indexed as

COVID-19Respiratory InsufficiencyDouble-Blind MethodFemaleHumansMaleMiddle AgedSARS-CoV-2SirolimusTreatment OutcomeSirolimusClinical trialmTORRapamycinSARS-CoV-2SCOPE

Identifiers

PMID38211546
PMCPMC12449737
OpenAlexW4390717420

What OpenQuestion holds

Textmetadata
LicenceTDM
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.