Evidence map›Paper›PMID 39487423›Full record

Trial reportBMC pediatrics2024

Oral sildenafil versus bosentan for treatment of persistent pulmonary hypertension of the newborn: a randomized controlled trial.

Aditya Kallimath, Sujata Deshpande, Pari Singh, Reema Garegrat, Satyan Lakshminrusimha, Rajesh Maheshwari, Pradeep Suryawanshi

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC pediatrics, 2024. 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. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

7 authors.

Aditya KallimathDepartment of Neonatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India.
Sujata DeshpandeDepartment of Neonatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India.
Pari SinghDepartment of Neonatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India.
Reema GaregratCentre for Perinatal Neuroscience, Clinical research fellow, Imperial College, London, England.
Satyan LakshminrusimhaDepartment of Pediatrics, UC Davis Children's Hospital, Sacramento, CA, 95817, USA.
Rajesh MaheshwariStaff Specialist in Neonatology, Westmead Hospital, Westmead, NSW, 2145, Australia.
Pradeep SuryawanshiDepartment of Neonatology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India. drpradeepsuryawanshi@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to inhaled nitric oxide (iNO) is limited in low resource settings due to non-availability and high cost. There is a need for research on low-cost alternative therapies for management of persistent pulmonary hypertension of the newborn (PPHN). We aimed to compare oral sildenafil and bosentan as monotherapy in the treatment of neonates with PPHN. STUDY

designIn this single-centre open-label randomized controlled trial (RCT), term and late preterm neonates with PPHN, defined as pulmonary arterial systolic pressure (PASP) > 35 mmHg and requiring fraction of inspired oxygen (FiO

resultsThirty-six neonates were analyzed (18 in each group). Initial PASPs were similar in both groups. The median (IQR) time for the primary outcome (PASP to reduce by 25% within 48 h) was 36 (24-48) h and 96 (48-120) h in sildenafil and bosentan groups respectively (p = 0.008). There was also a higher need to add other pulmonary vasodilators in bosentan group as compared to sildenafil group (p = 0.006).

conclusionSildenafil was associated with quicker reduction of PASP and FiO CLINICAL

trial registrationhttps://ctri.nic.in/Clinicaltrials/rmaindet.php? trialid=63997&EncHid=39716.16132&modid=1&compid=19[CTRI/2022/06/043328].

Indexed as

Antihypertensive AgentsBosentanPersistent Fetal Circulation SyndromeSildenafil CitrateVasodilator AgentsAdministration, OralFemaleHumansInfant, NewbornMaleSulfonamidesTreatment OutcomeAntihypertensive AgentsBosentanSildenafil CitrateSulfonamidesVasodilator AgentsBosentanPersistent pulmonary hypertension of the newbornPulmonary arterial pressurePulmonary vasodilatorRandomized controlled trialResource-limited settingSildenafil

Identifiers

PMID39487423
PMCPMC11529256

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.