Evidence map›Paper›PMID 41100013›Full record

Trial reportJournal of patient-reported outcomes2025

Psychometric validation of the PROMIS Fatigue-Short Form 7a in adults with newly diagnosed or recurrent Mycobacterium avium complex (MAC) lung disease: the ARISE and ENCORE studies.

Kevin C Mange, Daniel Serrano, Mariam Hassan, Marie-Laure Nevoret, Dayton W Yuen, Shauna McManus, Lauren Podger, Bryant Barnes, Charles L Daley

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of patient-reported outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04677543 phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled, Active Comparator, Multicenter Study to Validate Patient-Reported Outcome Instruments in Adult Subjects With Newly Diagnosed Nontuberculous Mycobacterial (NTM) Lung Infection Caused by Mycobacterium Avium Complex (MAC)

TypeinterventionalSponsorInsmed IncorporatedRan2020 to 2023Enrolled99ConditionsMycobacterium Infections, NontuberculousArmsALIS, Azithromycin, Ethambutol, ELC
NCT04677569 phase3completednot on this map

ENCORE - A Randomized, Double-Blind, Placebo-Controlled, Active Comparator, Multicenter Study to Evaluate the Efficacy and Safety of an Amikacin Liposome Inhalation Suspension (ALIS)-Based Regimen in Adult Subjects With Newly Diagnosed Nontuberculous Mycobacterial (NTM) Lung Infection Caused by Mycobacterium Avium Complex (MAC)

TypeinterventionalSponsorInsmed IncorporatedRan2021 to 2026Enrolled425ConditionsMycobacterium Infections, NontuberculousArmsALIS, Azithromycin, Ethambutol, ELC (matching placebo for ALIS)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Kevin C MangeInsmed Incorporated, 700 US Highway 202/206, Bridgewater, NJ, 08807, USA.
Daniel SerranoThe Psychometrics Team, Sheridan, WY, USA.
Mariam HassanInsmed Incorporated, 700 US Highway 202/206, Bridgewater, NJ, 08807, USA. Mariam.hassan@insmed.com.
Marie-Laure NevoretInsmed Incorporated, 700 US Highway 202/206, Bridgewater, NJ, 08807, USA.
Dayton W YuenInsmed Incorporated, 700 US Highway 202/206, Bridgewater, NJ, 08807, USA.
Shauna McManusOPEN Health, Bethesda, MD, USA.
Lauren PodgerOPEN Health, London, UK.
Bryant BarnesOPEN Health, Bethesda, MD, USA.
Charles L DaleyNational Jewish Health and The University of Colorado School of Medicine, Denver, CO, USA.

Funding

Insmed Insmed
6 · The paper itself

Abstract

backgroundFatigue symptoms contribute to the burden of Mycobacterium avium complex (MAC) lung disease. This study evaluated the psychometric properties of the Patient Reported Outcomes Measurement Information System Short Form v1.0 – Fatigue 7a (PROMIS-F SF-7a) in adults with a new or recurrent diagnosis of MAC lung disease.

methodsData from the ARISE (NCT04677543) and ENCORE (NCT04677569) phase 3 trials were analyzed. Modern psychometric methods were employed to confirm the structural validity of the PROMIS-F SF-7a within this context of use. Classical methods were used to confirm the reliability and validity of the PROMIS-F SF-7a within this context of use. Internal consistency (McDonald’s omega, Cronbach’s alpha), test-retest reliability (two-way mixed effects intraclass correlation coefficient [ICC(2,1)]), and known-groups validity across Patient Global Impression of Severity (PGI-S) Fatigue groups were estimated. Convergent validity (Pearson correlations) was assessed by correlating PROMIS-F SF-7a scores with scores on the Exacerbations of Chronic Pulmonary Disease Tool (EXACT), EXACT Respiratory Symptoms (E-RS), St. George Respiratory Questionnaire (SGRQ), and Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale. Meaningful within-patient change (MWPC) thresholds were determined using anchor-based methods.

resultsThe baseline sample included 231 patients (99 ARISE, 132 ENCORE). The cross-sectional validation sample comprised 230 patients (excluding 1 ARISE patient with missing item-level PROMIS-F SF-7a data). The longitudinal validation analysis sample comprised all 99 ARISE patients. Modern psychometric methods supported the relevance of all items and a unidimensional unit-weighted sum score for the PROMIS-F SF-7a. The PROMIS-F SF-7a demonstrated strong internal consistency (Cronbach’s alpha: 0.86), test-retest reliability (ICC[2, 1]: 0.76), and convergent validity (FACIT-Fatigue: −0.80, EXACT: 0.56, E-RS: 0.52, SGRQ: 0.66). Known-groups validity was demonstrated across PGI-S Fatigue groups. The MWPC analyses supported a −4.00-point median change from baseline (95% CI: −3.00 to −6.00 points) as the estimated threshold of clinically meaningful within-patient improvement for the PROMIS-F SF-7a.

conclusionsThe PROMIS-F SF-7a is a robust, sensitive, and responsive measure of fatigue in adult patients with a new or recurrent diagnosis of MAC lung disease. It is content and psychometrically valid and appears to have interpretability to assess a threshold of MWPC for fatigue symptoms in this population.

trial registrationClinicalTrials.gov. NCT04677543, registered 16 December 2020, https://clinicaltrials.gov/study/NCT04677543 . NCT04677569, registered 16 December 2020, https://www.clinicaltrials.gov/study/NCT04677569 .

Indexed as

FatigueLung DiseasesMycobacterium avium-intracellulare InfectionPatient Reported Outcome MeasuresAdultAgedFemaleHumansMaleMiddle AgedMycobacterium avium ComplexPsychometricsRecurrenceReproducibility of ResultsSurveys and QuestionnairesFatigueLung diseaseMycobacterium avium complexPatient-reported outcomePsychometric validation

Identifiers

PMID41100013
PMCPMC12532783

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Registered trials

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.