Evidence map›Paper›PMID 37762789›Full record

ArticleJournal of clinical medicine2023

Nebulized Recombinant Tissue Plasminogen Activator (rt-PA) for Acute COVID-19-Induced Respiratory Failure: An Exploratory Proof-of-Concept Trial.

Pratima Chowdary, Banwari Agarwal, Maria Rita Peralta, Sanjay Bhagani, Simon Lee, James Goldring, Marc Lipman, Emal Waqif, Mark Phillips, Helen Philippou and 29 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. The first total robotic-assisted lymphovenous anastomosis: prospects for innovation and future development.International journal of computer assisted radiology and surgery · 2026
    Article
  4. Review
  5. 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

39 authors at 10 institutions in 4 countries.

Pratima ChowdaryKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.ORCID 0000-0002-6690-8586
Banwari AgarwalDepartment of Intensive Care and Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.ORCID 0000-0001-5508-2590
Maria Rita PeraltaKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Sanjay BhaganiDepartment of Infectious Diseases, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Simon LeeDepartment of Infectious Diseases, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
James GoldringRespiratory Medicine, Royal Free London NHS Foundation Trust, London NW1 2BU, UK.
Marc LipmanRespiratory Medicine, Royal Free London NHS Foundation Trust, London NW1 2BU, UK.
Emal WaqifKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Mark PhillipsKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Helen PhilippouDiscovery and Translational Science Department, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds LS2 9JT, UK.
Jonathan H FoleyFreeline Therapeutics, London SG1 2BP, UK.
Nicola J MutchAberdeen Cardiovascular & Diabetes Centre, School of Medicine, Medical Sciences & Nutrition, Institute of Medical Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0002-7452-0813
Robert A S AriënsDiscovery and Translational Science Department, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds LS2 9JT, UK.
Kathleen A StringerDepartment of Clinical Pharmacy, College of Pharmacy University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0003-0238-7774
Federico RicciardiDepartment of Statistical Science, University College London, London WC1E 6BT, UK.
Marie WatisséeWStats Limited, Winchester SO23 8GH, UK.
Derralynn HughesCancer Institute, University College London, London WC1E 6DD, UK.
Amit NathwaniKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Anne RiddellKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
David PatchDepartment of Hepatology, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Jim BuckleyDepartment of Intensive Care and Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Mark De NeefDepartment of Intensive Care and Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Rahul DimberDepartment of Intensive Care and Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.ORCID 0000-0003-4207-3411
Cecilia Diaz-GarciaKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Honey PatelKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Aarti NandaniClinical Trials Pharmacy, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Upuli DissanayakeKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Nick ChadwickKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Ahmed A A M M AlkhatipDepartment of Anaesthesia, Birmingham Children's Hospital, Birmingham B4 6NH, UK.
Peter WatkinsonNIHR Biomedical Research Centre Oxford, Oxford University Hospitals NHS Trust, University of Oxford, Oxford OX3 9DU, UK.ORCID 0000-0003-1023-3927
Eamon RaithBloomsbury Institute for Intensive Care Medicine, Department of Experimental and Translational Medicine, University College London, London WC1E 6JF, UK.
Suveer SinghDepartment of Respiratory and Critical Care Medicine, Chelsea & Westminster Hospital, London SW10 9NH, UK.ORCID 0000-0003-3219-8966
Tony WolffDepartment of Intensive Care and Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Rajeev JhaDepartment of Intensive Care and Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Simon E BrillUCL Respiratory, University College London, London WC1E 6JF, UK.
Ameet BakhaiDepartment of Intensive Care and Anaesthesia, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.
Alison EvansUniversity College London (UCL)/University College London Hospitals NHS Trust (UCLH) Joint Research Office, London WC1E 6BT, UK.
Farhat GilaniUniversity College London (UCL)/University College London Hospitals NHS Trust (UCLH) Joint Research Office, London WC1E 6BT, UK.
Keith GomezKatharine Dormandy Haemophilia and Thrombosis Centre, Royal Free London NHS Foundation Trust, London NW3 2QG, UK.ORCID 0000-0002-8934-0700
Royal Free London NHS Foundation Trust · GBUniversity College London · GBRoyal London Hospital · GBUniversity of Leeds · GBBeni-Suef University · EGBury College · GBRoyal Brompton Hospital · GBUniversity of Aberdeen · GBUniversity of Michigan · USUniversity of Oxford · GB

Funding

Boehringer Ingelheim (France) Drug suppportBritish Heart Foundation RG/18/11/34036Royal Free Charity TF 35
6 · The paper itself

Abstract

Acute lung injury in COVID-19 results in diffuse alveolar damage with disruption of the alveolar-capillary barrier, coagulation activation, alveolar fibrin deposition and pulmonary capillary thrombi. Nebulized recombinant tissue plasminogen activator (rt-PA) has the potential to facilitate localized thrombolysis in the alveolar compartment and improve oxygenation. In this proof-of-concept safety study, adults with COVID-19-induced respiratory failure and a <300 mmHg PaO

Indexed as

acute respiratory illnessCOVID-19 pandemiccritical carefibrinolyticsinhaled medicationnebulizationrecombinant tissue plasminogen activatortargeted therapy

Identifiers

PMID37762789
PMCPMC10531875
OpenAlexW4386541527

What Socratic holds

Textmetadata
LicenceCC BY
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.