Evidence map›Paper›PMID 16328375›Full record

Trial reportPsychopharmacology2006

Galantamine: a cholinergic patch in the treatment of alcoholism: a randomized, placebo-controlled trial.

K Mann, K Ackermann, A Diehl, D Ebert, G Mundle, H Nakovics, T Reker, G Richter, L G Schmidt, M Driessen and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

16 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Article
  6. Review
  7. Article
  8. Brain Structure and Function in Recovery.Alcohol research : current reviews · 2020
    Review
  9. Article
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  11. Review
  12. Review
  13. Review
  14. Review
  15. Neuropharmacology of alcohol addiction.British journal of pharmacology · 2008
    Review
  16. 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

13 authors at 8 institutions in 1 country.

K MannDepartment of Addictive Behaviour and Addiction Medicine, Central Institute of Mental Health, University of Heidelberg, J 5, 68159 Mannheim, Germany. sucht@zi-mannheim.de
K Ackermann
A Diehl
D Ebert
G Mundle
H Nakovics
T Reker
G Richter
L G Schmidt
M Driessen
K Rettig
K Opitz
B Croissant
Central Institute of Mental Health · DEHeidelberg University · DEEvangelisches Krankenhaus Bielefeld · DEGerman Agency for Quality in Medicine · DEJohannes Gutenberg University Mainz · DEOberberg Stiftung · DERaphaelsklinik Münster · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe involvement of the central cholinergic system in alcohol abuse behavior is well known. It is possible that the reinforcing effects of ethanol are partially mediated by nicotinic receptors, which modulate neurotransmitter release. It was demonstrated that the application of a cholinesterase inhibitor reduces alcohol consumption in alcohol-preferring rats. This suggests that galantamine (GAL), a cholinesterase inhibitor, could be effective when seeking to prolong abstinence in recently detoxified alcoholics. This study represents the first reported clinical trial of a cholinergic drug in alcohol-relapse prevention. PATIENTS AND

methodsWe investigated the efficacy and safety of GAL by conducting a 24-week randomized, placebo-controlled, multicentric clinical trial on 149 recently detoxified alcoholics. Survival analyses (Kaplan-Meier) were performed to reveal evidence of prolonged abstinence periods in patients who received GAL.

resultsOur findings did not support our hypothesis. GAL did not extend the time to first severe relapse. However, additional post hoc analyses suggest that relapsed patients treated with GAL consume less ethanol per drinking day than patients treated with placebo.

conclusionsGAL seems to be ineffective when used in relapse prevention of detoxified alcoholics. It is possible that alcohol needs to be "on board" for GAL to be beneficial. This could explain why our post hoc analysis showed that GAL possibly reduces the alcohol consumption of relapsers. If confirmed, GAL could play a role in the reduction of harmful alcohol use and at-risk consumption.

Indexed as

Administration, CutaneousAdultAlcoholismCholinesterase InhibitorsDouble-Blind MethodFemaleGalantamineHumansMaleCholinesterase InhibitorsGalantamine

Identifiers

PMID16328375
OpenAlexW2008477582

What OpenQuestion 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 OpenQuestion graph.