Evidence map›Paper›PMID 39108325›Full record

Trial reportRespirology case reports2024

A double-blind randomized controlled trial of N-acetylcysteine (NAC) for the treatment of acute exacerbation of chronic obstructive pulmonary disease.

Wang Chung Kwok, Shung Kay Samuel Chan, Ka Yan Chiang, Chung Man James Ho

Abstract readClinical Trial
In one paragraph

Trial report in Respirology case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. 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

4 authors.

Wang Chung KwokDivision of Respiratory Medicine, Department of Medicine The University of Hong Kong, Queen Mary Hospital Hong Kong.ORCID https://orcid.org/0000-0002-5611-1637
Shung Kay Samuel ChanDivision of Respiratory Medicine, Department of Medicine The University of Hong Kong, Queen Mary Hospital Hong Kong.
Ka Yan ChiangDivision of Respiratory Medicine, Department of Medicine The University of Hong Kong, Queen Mary Hospital Hong Kong.ORCID https://orcid.org/0000-0001-8409-3352
Chung Man James HoDivision of Respiratory Medicine, Department of Medicine The University of Hong Kong, Queen Mary Hospital Hong Kong.ORCID https://orcid.org/0000-0003-4499-5284

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a common respiratory disease with acute exacerbation (AECOPD) being a common sequalae which negatively impact health status, rates of hospitalization and readmission, and disease progression. N-acetylcysteine (NAC) has been studied in COPD in both stable state and acute exacerbations, which has been shown to have small beneficial effects in stable COPD, as well as AECOPD. Yet, there has been lack of study with well-designed protocol to assess the role of NAC in more objective outcomes in AECOPD. Methods: This is a double-blind randomized controlled trial. Patients will be randomized in 1:1 ratio to receive oral NAC at 600 mg twice daily or placebo twice daily with standard of care. Partial pressure of oxygen (PaO Discussion: We hypothesize that NAC use in COPD exacerbation can provide benefits in clinical and laboratory parameters. Trial Registration:

Indexed as

COPD, COPD exacerbationN‐acetylcysteineRCT

Identifiers

PMID39108325
PMCPMC11301653

What OpenQuestion holds

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Registered trials

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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.