Evidence map›Paper›PMID 21950372›Full record

Trial reportBritish journal of clinical pharmacology2012

The analgesic effect of pregabalin in patients with chronic pain is reflected by changes in pharmaco-EEG spectral indices.

Carina Graversen, Søren S Olesen, Anne E Olesen, Kristoffer Steimle, Dario Farina, Oliver H G Wilder-Smith, Stefan A W Bouwense, Harry van Goor, Asbjørn M Drewes

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Moving towards the use of artificial intelligence in pain management.European journal of pain (London, England) · 2025
    Pooled it
  2. Pregabalin for decreasing pancreatic pain in chronic pancreatitis.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Pooled it
  4. Treatment options in painful chronic pancreatitis: a systematic review.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2014
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Application of Electroencephalography in Preslaughter Management: A Review.Animals : an open access journal from MDPI · 2022
    Review
  13. Article
  14. Brain Imaging Biomarkers for Chronic Pain.Frontiers in neurology · 2021
    Review
  15. Re-test reliability and internal consistency of EEG alpha-band oscillations in older adults with chronic knee pain.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Review of CO₂ as a Euthanasia Agent for Laboratory Rats and Mice.Journal of the American Association for Laboratory Animal Science : JAALAS · 2017
    Review
  20. Neural plasticity in pancreatitis and pancreatic cancer.Nature reviews. Gastroenterology & hepatology · 2015
    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

9 authors at 4 institutions in 3 countries.

Carina GraversenMech-Sense, Department of Gastroenterology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark.
Søren S Olesen
Anne E Olesen
Kristoffer Steimle
Dario Farina
Oliver H G Wilder-Smith
Stefan A W Bouwense
Harry van Goor
Asbjørn M Drewes
Mech-Sense · DKAalborg University Hospital · DKRadboud University Nijmegen · NLBernstein Center for Computational Neuroscience Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify electroencephalographic (EEG) biomarkers for the analgesic effect of pregabalin in patients with chronic visceral pain.

methodsThis was a double-blind, placebo-controlled study in 31 patients suffering from visceral pain due to chronic pancreatitis. Patients received increasing doses of pregabalin (75mg-300mg twice a day) or matching placebo during 3 weeks of treatment. Pain scores were documented in a diary based on a visual analogue scale. In addition, brief pain inventory-short form (BPI) and quality of life questionnaires were collected prior to and after the study period. Multi-channel resting EEG was recorded before treatment onset and at the end of the study. Changes in EEG spectral indices were extracted, and individual changes were classified by a support vector machine (SVM) to discriminate the pregabalin and placebo responses. Changes in individual spectral indices and pain scores were correlated.

resultsPregabalin increased normalized intensity in low spectral indices, most prominent in the theta band (3.5-7.5Hz), difference of -3.18, 95% CI -3.57, -2.80; P= 0.03. No changes in spectral indices were seen for placebo. The maximum difference between pregabalin and placebo treated patients was seen in the parietal region, with a classification accuracy of 85.7% (P= 0.009). Individual changes in EEG indices were correlated with changes in pain diary (P= 0.04) and BPI pain composite scores (P= 0.02).

conclusionsChanges in spectral indices caused by slowing of brain oscillations were identified as a biomarker for the central analgesic effect of pregabalin. The developed methodology may provide perspectives to assess individual responses to treatment in personalized medicine.

Indexed as

AdultAnalgesicsChronic PainDose-Response Relationship, DrugDouble-Blind MethodElectroencephalographyFemalegamma-Aminobutyric AcidHumansMaleMiddle AgedPain MeasurementPancreatitis, ChronicPregabalinQuality of LifeRegression AnalysisAnalgesicsgamma-Aminobutyric AcidPregabalin

Identifiers

PMID21950372
PMCPMC3370341
OpenAlexW1505031454

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.