Literature DB >> 26439742

Correction: Pirfenidone for Idiopathic Pulmonary Fibrosis: A Systematic Review and Meta-Analysis.

Carlos Aravena, Gonzalo Labarca, Carmen Venegas, Alex Arenas, Gabriel Rada.   

Abstract

Entities:  

Year:  2015        PMID: 26439742      PMCID: PMC4595022          DOI: 10.1371/journal.pone.0140288

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


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There are errors in the ninth and tenth sentences of the Abstract. These sentences should read: Also there was a decrease in the risk of progression (RR of PFS: 0.82 IC 0.73–0.92) compared to placebo. Conclusions: We observed significant differences in physiologic and clinically relevant outcomes such as reduction in all-cause mortality, IPF related mortality, worsening of IPF and improvement of PFS. So pirfenidone treatment should be considered not only for its benefits in pulmonary function tests but also by its clinically relevant outcomes. There are multiple errors in the Results described below. The third and fourth sentences of the “Progression-free Survival (PFS)” section should read: The meta-analysis includes 786 patients in intervention group and 728 in placebo group (Fig 5). Pirfenidone decreased the risk of progression (RR of PFS: 0.82 IC 0.73–0.92, I2:22%) compared to placebo. We rated the quality of evidence as moderate, because of indirectness.
Fig 5

Comparison 3. Risk of progression (RR of PFS).

The third sentence of the “Worsening of IPF” section should read: The meta-analysis includes 858 patients in intervention group and 763 in placebo group (Fig 7). Pirfenidone improves worsening of IPF with a RR of 0.64 (IC 0.50–0.83, I2:23%) compared to placebo. The second sentence of the “Adverse events” section should read: The meta-analysis includes 859 patients in intervention group and 763 in placebo group (Fig 10). There is an error in the third sentence of the fourth paragraph of the Discussion. It should read: We also observed differences in clinically relevant outcomes such as reduction in all-cause mortality, IPF related mortality, worsening of IPF and risk of progression; but no benefit on acute exacerbation of IPF. There are errors in the fourth and fifth columns of Table 2. Please see the corrected Table 2 here.
Table 2

Summary of finding form Pirfenidone for idiopathic pulmonary fibrosis.

1: Non primary outcome from RCTs, 2: High heterogeneity; 6MWT: Six minutes walk test; RCT: Randomized controlled trial; RR: Risk ratio; CI: confidence interval

OutcomesAnticipate absolute effects (Study population) (95% CI)Relative EffectNO of participantsQuality of the evidence (GRADE)
Risk with placeboRisk with Pirfenidone
All cause-mortality67 per 100036 per 1000 (22 to 59)RR 0.53 (0.32 to 0.88)1247 (3 RCTs)⨁⨁⨁◯MODERATE1
Progression free-survival442 per 1000372 per 1000 (332 to 416)RR 0.82 (0.73 to 0.92)1514 (4 RCTs)⨁⨁⨁◯MODERATE1
Acute exacerbation26 per 100015 per 1000 (5 to 47)RR 0.59 (0.19 to 1.84)374 (2 RCTs)⨁⨁◯◯LOW1,2
Worsening of IPF168 per 1000107 per 1000 (84 to 139)RR 0.64 (0.50 to 0.83)1621 (5 RCTs)⨁⨁⨁◯MODERATE1
Change on 6MWT417 per 1000308 per 1000 (267 to 358)RR 0.74 (0.64 to 0.86)1236 (3 RCTs)⨁⨁⨁⨁HIGH
Change on aminotransferases30 per 100068 per 1000 (40 to 115)RR 2.26 (1.33 to 3.83)1621 (5 RCTs)⨁⨁⨁◯MODERATE1

Summary of finding form Pirfenidone for idiopathic pulmonary fibrosis.

1: Non primary outcome from RCTs, 2: High heterogeneity; 6MWT: Six minutes walk test; RCT: Randomized controlled trial; RR: Risk ratio; CI: confidence interval Fig 5 and its caption are incorrect. Please view Fig 5 and see its complete, correct caption here.
  1 in total

Review 1.  Pirfenidone for Idiopathic Pulmonary Fibrosis: A Systematic Review and Meta-Analysis.

Authors:  Carlos Aravena; Gonzalo Labarca; Carmen Venegas; Alex Arenas; Gabriel Rada
Journal:  PLoS One       Date:  2015-08-26       Impact factor: 3.240

  1 in total
  2 in total

1.  Importance of serial changes in biomarkers in idiopathic pulmonary fibrosis.

Authors:  Akihiko Sokai; Kiminobu Tanizawa; Tomohiro Handa; Kumiko Kanatani; Takeshi Kubo; Kohei Ikezoe; Yoshinari Nakatsuka; Shinsaku Tokuda; Toru Oga; Toyohiro Hirai; Sonoko Nagai; Kazuo Chin; Michiaki Mishima
Journal:  ERJ Open Res       Date:  2017-08-30

2.  Terrestrosin D from Tribulus terrestris attenuates bleomycin-induced inflammation and suppresses fibrotic changes in the lungs of mice.

Authors:  Min Qiu; Ming An; Mengni Bian; Shunbang Yu; Changxiao Liu; Quanli Liu
Journal:  Pharm Biol       Date:  2019-12       Impact factor: 3.503

  2 in total

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