Evidence map›Paper›PMID 40506211›Full record

Trial reportThe European respiratory journal2025

Cystic Fibrosis Microbiome-directed Antibiotic Therapy Trial in Exacerbations Results Stratified (CFMATTERS): results of a multicentre randomised controlled trial.

Barry J Plant, Gisli G Einarsson, Kevin F Deasy, Darren Dahly, Pradeep K Singh, Peter J Barry, Christopher H Goss, Isabelle Fajac, Tamara Vagg, Isabelle Durieu and 13 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in The European respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Treatment of pulmonary exacerbations in cystic fibrosis.Current opinion in pulmonary medicine · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Barry J PlantCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland b.plant@ucc.ie.ORCID https://orcid.org/0000-0002-4611-6768
Gisli G EinarssonSchool of Pharmacy, Queens University Belfast, Belfast, UK.ORCID https://orcid.org/0000-0003-1353-950X
Kevin F DeasyCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0002-1685-249X
Darren DahlyThe HRB funded Clinical Research Facility, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0003-0110-324X
Pradeep K SinghDepartment of Microbiology, University of Washington School of Medicine, Seattle, WA, USA.
Peter J BarryManchester Adult Cystic Fibrosis Centre, Manchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0001-6326-4431
Christopher H GossDepartment of Medicine and Pediatrics, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA, USA.ORCID https://orcid.org/0000-0001-8602-0309
Isabelle FajacAssistance Publique-Hôpitaux de Paris, Hôpital Cochin, Paris, France.ORCID https://orcid.org/0000-0002-1532-1486
Tamara VaggCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0002-6582-2975
Isabelle DurieuERN-LUNG, CF Core Network, Frankfurt, Germany.ORCID https://orcid.org/0000-0002-3874-5580
Evelyn FlanaganThe HRB funded Clinical Research Facility, University College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0005-4443-6740
Grace O'CallaghanThe HRB funded Clinical Research Facility, University College Cork, Cork, Ireland.
Clémence MartinUniversité Paris Cité, Inserm U1016, Institut Cochin, Paris, France.ORCID https://orcid.org/0000-0003-4385-5888
Pierre-Régis BurgelUniversité Paris Cité, Inserm U1016, Institut Cochin, Paris, France.ORCID https://orcid.org/0000-0003-0903-9828
Charles S HaworthHaworth Institution: Royal Papworth Hospital and University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0001-7126-2874
R Andres FlotoMolecular Immunity Unit, University of Cambridge Department of Medicine, MRC-Laboratory of Molecular Biology, Cambridge, UK.ORCID https://orcid.org/0000-0002-2188-5659
Damian G DowneyWellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK.ORCID https://orcid.org/0000-0002-6471-549X
Lieven J DupontDepartment of Chronic Diseases and Metabolism, Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0003-3961-1522
Andrew M JonesManchester Adult Cystic Fibrosis Centre, Manchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0003-3232-1055
J Stuart ElbornSchool of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.ORCID https://orcid.org/0000-0002-2323-442X
Joseph A EustaceCork Centre for Cystic Fibrosis (3CF), Cork University Hospital, University College Cork, Cork, Ireland.
Marcus A MallDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine and Cystic Fibrosis Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-4057-2199
Michael M TunneySchool of Pharmacy, Queens University Belfast, Belfast, UK.ORCID https://orcid.org/0000-0002-7433-7074

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
NIDDK NIH HHS P30 DK089507Wellcome Trust
6 · The paper itself

Abstract

backgroundThis study explores the effectiveness and safety of microbiome-directed antimicrobial therapy

methodsA multicentre two-arm parallel randomised control trial conducted across Europe/North-America enrolled 223 participants (January 2015 to August 2017). All participants were chronically colonised with

results149 participants had an eligible exacerbation (usual therapy n=83, microbiome-directed therapy n=66). There was no difference between the groups for ppFEV

conclusionThe addition of a third antibiotic based on sputum microbiome sequencing analysis did not result in improved clinical outcomes.

Indexed as

Anti-Bacterial AgentsCystic FibrosisMicrobiotaPseudomonas InfectionsAdultAztreonamCeftazidimeDisease ProgressionEuropeFemaleForced Expiratory VolumeHumansMaleMiddle AgedPseudomonas aeruginosaQuality of LifeAnti-Bacterial AgentsAztreonamCeftazidimeTobramycin

Identifiers

PMID40506211
PMCPMC12332466

What OpenQuestion holds

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LicenceCC BY-NC
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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.