Evidence map›Paper›PMID 21625426›Full record

Trial reportPloS one2011

Granulocyte-colony stimulating factor (G-CSF) in stroke patients with concomitant vascular disease--a randomized controlled trial.

Agnes Floel, Tobias Warnecke, Thomas Duning, Yvonne Lating, Jan Uhlenbrock, Armin Schneider, Gerhard Vogt, Rico Laage, Winfried Koch, Stefan Knecht and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00298597 (Influence of G-CSF and EPO on Associative Learning and Motor Skills), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT00298597 phase2completednot on this map

Influence of G-CSF and EPO on Associative Learning and Motor Skills

TypeinterventionalSponsorUniversity Hospital MuensterRan2006 to 2009Enrolled180ConditionsChronic Stroke, Amyotrophic Lateral SclerosisArmsgranulocyte - colony stimulating factor (G-CSF), erythropoetin (EPO)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Cytokines-Biogenesis and Their Role in Human Breast Milk and Determination.International journal of molecular sciences · 2021
    Review
  10. Principles and requirements for stroke recovery science.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Stem cell therapy for cerebral ischemia: from basic science to clinical applications.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2012
    Review
  17. 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

11 authors at 4 institutions in 1 country.

Agnes FloelDepartment of Neurology, Charité-Universitätsmedizin Berlin, Berlin, Germany. agnes.floeel@charite.de
Tobias Warnecke
Thomas Duning
Yvonne Lating
Jan Uhlenbrock
Armin Schneider
Gerhard Vogt
Rico Laage
Winfried Koch
Stefan Knecht
Wolf-Rüdiger Schäbitz
University of Münster · DEExpedeon (Germany) · DECharité - Universitätsmedizin Berlin · DEEvangelisches Krankenhaus Bielefeld · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundG-CSF has been shown in animal models of stroke to promote functional and structural regeneration of the central nervous system. It thus might present a therapy to promote recovery in the chronic stage after stroke.

methodsHere, we assessed the safety and tolerability of G-CSF in chronic stroke patients with concomitant vascular disease, and explored efficacy data. 41 patients were studied in a double-blind, randomized approach to either receive 10 days of G-CSF (10 µg/kg body weight/day), or placebo. Main inclusion criteria were an ischemic infarct >4 months prior to inclusion, and white matter hyperintensities on MRI. Primary endpoint was number of adverse events. We also explored changes in hand motor function for activities of daily living, motor and verbal learning, and finger tapping speed, over the course of the study.

resultsAdverse events (AEs) were more frequent in the G-CSF group, but were generally graded mild or moderate and from the known side-effect spectrum of G-CSF. Leukocyte count rose after day 2 of G-CSF dosing, reached a maximum on day 8 (mean 42/nl), and returned to baseline 1 week after treatment cessation. No significant effect of treatment was detected for the primary efficacy endpoint, the test of hand motor function.

conclusionsThese results demonstrate the feasibility, safety and reasonable tolerability of subcutaneous G-CSF in chronic stroke patients. This study thus provides the basis to explore the efficacy of G-CSF in improving chronic stroke-related deficits.

trial registrationClinicalTrials.gov NCT00298597.

Indexed as

AgedAged, 80 and overCognitionCohort StudiesDouble-Blind MethodFeasibility StudiesFemaleGranulocyte Colony-Stimulating FactorHumansMaleMiddle AgedMotor ActivityStrokeVascular DiseasesGranulocyte Colony-Stimulating Factor

Identifiers

PMID21625426
PMCPMC3100298
OpenAlexW1994430783

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.