Evidence map›Paper›PMID 19423224›Full record

Trial reportPain2009

Similar itch and nociceptive sensations evoked by punctate cutaneous application of capsaicin, histamine and cowhage.

Parul Sikand, Steven G Shimada, Barry G Green, Robert H LaMotte

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Pain, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03096444 (Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine), which is not on this map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
12.6field-weighted citation impact, top 1% 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.

NCT03096444 phase2terminatednot on this mapstarted 2017, after this paper: background citation

Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine

TypeinterventionalSponsorGil YosipovitchRan2017 to 2017Enrolled13ConditionsPruritusArmsKetamine Hydrochloride, Amitriptyline Hydrochloride, Lidocaine Hydrochloride, Ketamine hydrochloride, Amitriptyline hydrochloride, and Lidocaine hydrochloride, Lipoderm Cream
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 158 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Safety Assessment of the Ethanolic Seed Extract ofPharmaceuticals (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Punctate Administration of Ficin as a human and animal model of non-histaminergic itch.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Article
  13. Review
  14. Article
  15. Article
  16. Interactions of the Neuro‒Immune‒Stromal Triad in Itch.The Journal of investigative dermatology · 2022
    Review
  17. A neuropeptide code for itch.Nature reviews. Neuroscience · 2021
    Review
  18. Review
  19. Article
  20. TRPV1 in Pain and Itch.Advances in experimental medicine and biology · 2021
    Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Parul SikandDepartment of Anesthesiology, Yale University School of Medicine, P.O. Box 208051, 333 Cedar Street, New Haven, CT 06520-8051, USA.
Steven G Shimada
Barry G Green
Robert H LaMotte
Yale University · US

Funding

Research Project CoreP01NS047399 · NINDS · YALE UNIVERSITY · PI LA MOTTE, ROBERT H · 2004 to 2013
$11.0M
NINDS NIH HHS P01 NS 047399NINDS NIH HHS P01 NS047399
6 · The paper itself

Abstract

Itch evoked by cowhage or histamine is reduced or blocked by capsaicin desensitization, suggesting that pruriceptive neurons are capsaicin-sensitive. Topical capsaicin can evoke both nociceptive sensations and itch, whereas intradermal injection of capsaicin evokes only burning pain. To dissociate the pruritic and nociceptive sensory effects caused by the chemical activation of sensory neurons, chemicals were applied in a punctiform manner to the skin of the forearm using individual, heat-inactivated cowhage spicules treated with various concentrations of capsaicin (1-200 mg/ml) or histamine (0.01-100 mg/ml). Perceived intensities of itch, pricking/stinging and burning were obtained every 30 s using the general version of the Labeled Magnitude Scale and compared with ratings evoked by individual native cowhage spicules. Similar to cowhage, capsaicin and histamine spicules reliably evoked sensations of itch in a dose-dependent manner which were most often accompanied by pricking/stinging and to a lesser extent burning. Spicules containing 200 mg/ml capsaicin or 10 mg/ml histamine yielded peak magnitudes and durations of sensations comparable to those elicited by cowhage. Each type of spicule also produced comparable areas of dysesthesias (enhanced mechanically evoked itch or pain) and/or skin reactions (wheal and/or flare) in surrounding skin, though inconsistently. The incidence of flare was greater in response to histamine than to capsaicin or cowhage. These results suggest the possibility that capsaicin, histamine and cowhage activate common peripheral or central neural mechanisms that mediate pruritic sensations and associated dysesthesias.

Indexed as

Area Under CurveCapsaicinDose-Response Relationship, DrugFemaleHistamineHumansIncidenceInjections, IntradermalLinear ModelsMaleMucunaPainPain MeasurementPain ThresholdParesthesiaPlant StructuresCapsaicinHistamine

Identifiers

PMID19423224
PMCPMC2694489
OpenAlexW2086577243

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.