Evidence map›Paper›PMID 34655569›Full record

ReviewChest2022

Novel Mechanisms Targeted by Drug Trials in Pulmonary Arterial Hypertension.

David F Condon, Stuti Agarwal, Ananya Chakraborty, Natasha Auer, Rocio Vazquez, Hiral Patel, Roham T Zamanian, Vinicio A de Jesus Perez

Open access · greenAbstract readReview
In one paragraph

Review in Chest, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. A Systematic Review of Novel Therapies of Pulmonary Arterial Hypertension.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Pooled it
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  14. Recent developments in connective tissue disease associated pulmonary arterial hypertension.International journal of cardiology. Congenital heart disease · 2024
    Review
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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

8 authors at 1 institution in 1 country.

David F CondonDivision of Pulmonary, Allergy, and Critical Care Medicine, Stanford University, Stanford, CA.
Stuti AgarwalDivision of Pulmonary, Allergy, and Critical Care Medicine, Wall Center for Cardiopulmonary Research, Stanford University, Stanford, CA.
Ananya ChakrabortyDivision of Pulmonary, Allergy, and Critical Care Medicine, Wall Center for Cardiopulmonary Research, Stanford University, Stanford, CA.
Natasha AuerDivision of Pulmonary, Allergy, and Critical Care Medicine, Wall Center for Cardiopulmonary Research, Stanford University, Stanford, CA.
Rocio VazquezDivision of Pulmonary, Allergy, and Critical Care Medicine, Wall Center for Cardiopulmonary Research, Stanford University, Stanford, CA.
Hiral PatelDivision of Pulmonary, Allergy, and Critical Care Medicine, Wall Center for Cardiopulmonary Research, Stanford University, Stanford, CA.
Roham T ZamanianDivision of Pulmonary, Allergy, and Critical Care Medicine, Wall Center for Cardiopulmonary Research, Stanford University, Stanford, CA.
Vinicio A de Jesus PerezDivision of Pulmonary, Allergy, and Critical Care Medicine, Wall Center for Cardiopulmonary Research, Stanford University, Stanford, CA. Electronic address: vdejesus@stanford.edu.
Stanford University · US

Funding

The Wnt7a/ROR2 axis in the pathogenesis of pulmonary arterial hypertensionR01HL134776 · NHLBI · STANFORD UNIVERSITY · PI DE JESUS PEREZ, VINICIO A · 2017 to 2025
$5.0M
Endothelial-pericyte interactions in the pathogenesis of pulmonary arterial hypertensionR01HL139664 · NHLBI · STANFORD UNIVERSITY · PI DE JESUS PEREZ, VINICIO A · 2018 to 2025
$4.7M
Case-Control Study of Methamphetamine in Pulmonary Arterial HypertensionR01HL159886 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KAWUT, STEVEN M, ZAMANIAN, ROHAM · 2021 to 2025
$3.7M
Stanford Undergraduate URM Summer Cardiovascular Research ProgramR25HL147666 · NHLBI · STANFORD UNIVERSITY · PI VINICIO A DE JESUS PEREZ, Mary Red-Horse · 2019 to 2026
$1.0M
A novel microfluidic platform to study exosome biology in PAH.R21HL156761 · NHLBI · STANFORD UNIVERSITY · PI DE JESUS PEREZ, VINICIO A, DEMIRCI, UTKAN · 2021 to 2022
$433k
NHLBI NIH HHS R01 HL134776NHLBI NIH HHS R01 HL139664NHLBI NIH HHS R01 HL159886NHLBI NIH HHS R21 HL156761NHLBI NIH HHS R25 HL147666
6 · The paper itself

Abstract

Pulmonary arterial hypertension (PAH) is a rare disease associated with abnormally elevated pulmonary pressures and right heart failure resulting in high morbidity and mortality. Although the prognosis for patients with PAH has improved with the introduction of pulmonary vasodilators, disease progression remains a major problem. Given that available therapies are inadequate for preventing small-vessel loss and obstruction, there is active interest in identifying drugs capable of targeting angiogenesis and mechanisms involved in the regulation of cell growth and fibrosis. Among the mechanisms linked to PAH pathogenesis, preclinical studies have identified promising compounds that are currently being tested in clinical trials. These drugs target seven of the major mechanisms associated with PAH pathogenesis: bone morphogenetic protein signaling, tyrosine kinase receptors, estrogen metabolism, extracellular matrix, angiogenesis, epigenetics, and serotonin metabolism. In this review, we discuss the preclinical studies that led to prioritization of these mechanisms, and discuss completed and ongoing phase 2/3 trials using novel interventions such as sotatercept, anastrozole, rodatristat ethyl, tyrosine kinase inhibitors, and endothelial progenitor cells, among others. We anticipate that the next generation of compounds will build on the success of the current standard of care and improve clinical outcomes and quality of life for patients with PAH.

Indexed as

Heart FailureHypertension, PulmonaryPulmonary Arterial HypertensionFamilial Primary Pulmonary HypertensionHumansQuality of Lifeclinical trialspathogenesispulmonary hypertensiontherapeutics

Identifiers

PMID34655569
PMCPMC9005865
OpenAlexW3207757913

What Socratic holds

Textmetadata
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 Socratic graph.