Evidence map›Paper›PMID 39842406›Full record

Trial reportCell reports. Medicine2025

Protective effect of ulinastatin against negative inflammatory response and organ dysfunction in acute aortic dissection surgery: The PANDA trial.

Hong Liu, Si-Chong Qian, Kai Zhu, Yi-Fei Diao, Xiu-Fan Xu, Zhi-Wei Tang, Guo-Liang Fan, Hong-Hua Yue, Jun-Quan Chen, Ji-Nong Yang and 14 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04711889 (Protective Effect of Ulinastatin Against Negative Inflammatory Response and Organ Dysfunction After Acute Type a Aortic Dissection Surgery), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT04711889 nacompletednot on this map

Protective Effect of Ulinastatin Against Negative Inflammatory Response and Organ Dysfunction After Acute Type a Aortic Dissection Surgery (PANDA I)

TypeinterventionalSponsorNanjing Medical UniversityRan2021 to 2022Enrolled203ConditionsAcute Aortic Syndrome, Type a Aortic DissectionArmsUlinastatin, Blank control
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. 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

24 authors.

Hong LiuDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. Electronic address: dr.hongliu@foxmail.com.
Si-Chong QianDepartment of Cardiovascular Surgery, National Clinical Research Center for Cardiovascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Kai ZhuDepartment of Cardiovascular Surgery, National Clinical Research Center for Cardiovascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Yi-Fei DiaoDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Xiu-Fan XuDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Zhi-Wei TangDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Guo-Liang FanDepartment of Critical Care Medicine, Shanghai East Hospital, Tongji University, Shanghai 200120, China.
Hong-Hua YueDepartment of Cardiovascular Surgery, West China Hospital of Sichuan University, Chengdu 332001, China.
Jun-Quan ChenDepartment of Cardiovascular Surgery, Tianjin Chest Hospital, Tianjin Medical University, Tianjin 300222, China.
Ji-Nong YangDepartment of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, China.
Ying-Yuan ZhangDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Chao MaDepartment of Cardiothoracic Surgery, The Third Affiliated Hospital of Soochow University, Changzhou 213003, China.
Xiang LiuDepartment of Cardiothoracic Surgery, National Regional Medical Center, Suqian Hospital of Nanjing Medical University, Suqian 223800, China.
Ying WuSchool of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen 518055, China.
Zhong WuDepartment of Cardiovascular Surgery, West China Hospital of Sichuan University, Chengdu 332001, China.
Nan LiuDepartment of Cardiovascular Surgery, National Clinical Research Center for Cardiovascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Ao LiDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Bu-Qing NiDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Yong-Feng ShaoDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. Electronic address: shaoyongfeng@njmu.edu.cn.
Sheng ZhaoDepartment of Cardiovascular Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. Electronic address: zhaosheng0824@njmu.edu.cn.
Hai-Yang LiDepartment of Cardiovascular Surgery, National Clinical Research Center for Cardiovascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China. Electronic address: ocean0203@163.com.
Hong-Jia ZhangDepartment of Cardiovascular Surgery, National Clinical Research Center for Cardiovascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
China Additive Anti-inflammatory Actions for Aortopathy and Arteriopathy (5A)
PANDA Trial Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ulinastatin is a protease-inhibiting drug with anti-inflammatory and other pharmacological properties. Little is known regarding its role following acute type A aortic dissection (ATAAD) surgery. We perform a randomized controlled trial to investigate the protective effect of ulinastatin against negative inflammatory response and organ dysfunction in ATAAD surgery (PANDA). The primary outcome of mean daily Sequential Organ Failure Assessment (SOFA) score from baseline to 7 days of surgery is 8.80 (SD, 4.11) in the ulinastatin group and 8.61 (SD, 4.47) in the control group (mean difference between groups was 0.04; 95% confidence interval [CI], -0.24 to 0.33; p = 0.765). Systemic inflammatory response syndrome (SIRS) within 7 days of surgery is lower in the ulinastatin group than in the control group (p < 0.001). Additional ulinastatin to standard treatment is likely to reduce SIRS rates instead of preventing organ dysfunction, highlighting the potential importance of the benefits of anti-inflammatory pharmacotherapeutics. The trial is registered on clinicaltrials.org (NCT04711889).

Indexed as

Aortic DissectionGlycoproteinsInflammationMultiple Organ FailureSystemic Inflammatory Response SyndromeAgedFemaleHumansMaleMiddle AgedTrypsin InhibitorsGlycoproteinsTrypsin Inhibitorsurinastatinmortalitysystemic inflammatory response syndrometype A aortic dissectionulinastatin

Identifiers

PMID39842406
PMCPMC11866440

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.