Evidence map›Paper›PMID 24195949›Full record

Trial reportAnesthesiology2013

Intrathecal substance P-saporin in the dog: efficacy in bone cancer pain.

Dorothy Cimino Brown, Kimberly Agnello

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Anesthesiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
7.4field-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.

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

25 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Deep sequencing of Phox2a nuclei reveals five classes of anterolateral system neurons.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  5. A perspective: neuraxial therapeutics in pain management: now and future.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. The beneficial role of companion animals in translational pain research.Frontiers in pain research (Lausanne, Switzerland) · 2022
    Review
  11. Review
  12. Review
  13. Saporin fromToxins · 2020
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 3 countries.

Dorothy Cimino Brown* Professor of Surgery, † Assistant Professor of Surgery, Department of Clinical Studies - Philadelphia, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, Pennsylvania.
Kimberly Agnello
Instituto de Geocronología y Geología Isotópica · AR

Funding

TOXICOLOGY/SAFETY STUDIES OF A CHRONIC PAIN THERAPEUTICR44MH056368 · NIMH · ADVANCED TARGETING SYSTEMS, INC. · PI LAPPI, DOUGLAS A · 1998 to 2005
$3.1M
NIMH NIH HHS 2R44MH056368NIMH NIH HHS R44 MH056368
6 · The paper itself

Abstract

backgroundSubstance P-saporin (SP-SAP), a chemical conjugate of substance P and a recombinant version of the ribosome-inactivating protein, saporin, when administered intrathecally, acts as a targeted neurotoxin producing selective destruction of superficial neurokinin-1 receptor-bearing cells in the spinal dorsal horn. The goal of this study was to provide proof-of-concept data that a single intrathecal injection of SP-SAP could safely provide effective pain relief in spontaneous bone cancer pain in companion (pet) dogs.

methodsIn a single-blind, controlled study, 70 companion dogs with bone cancer pain were randomized to standard-of-care analgesic therapy alone (control, n=35) or intrathecal SP-SAP (20-60 µg) in addition to standard-of-care analgesic therapy (n=35). Activity, pain scores, and videography data were collected at baseline, 2 weeks postrandomization, and then monthly until death.

resultsAlthough the efficacy results at the 2-week postrandomization point were equivocal, the outcomes evaluated beyond 2 weeks revealed a positive effect of SP-SAP on chronic pain management. Significantly, more dogs in the control group (74%) required unblinding and adjustment in analgesic protocol or euthanasia within 6 weeks of randomization than dogs that were treated with SP-SAP (24%; P<0.001); and overall, dogs in the control group required unblinding significantly sooner than dogs that had been treated with SP-SAP (P<0.01).

conclusionIntrathecal administration of SP-SAP in dogs with bone cancer produces a time-dependent antinociceptive effect with no evidence of development of deafferentation pain syndrome which can be seen with neurolytic therapies.

Indexed as

AnimalsBehavior, AnimalBone NeoplasmsDog DiseasesDogsDouble-Blind MethodInjections, SpinalIntractable PainLameness, AnimalMotor ActivityPain MeasurementProspective StudiesRibosome Inactivating Proteins, Type 1SaporinsSubstance PTreatment OutcomeRibosome Inactivating Proteins, Type 1SaporinsSubstance Psubstance P-saporin

Identifiers

PMID24195949
PMCPMC3868346
OpenAlexW2085334941

What OpenQuestion holds

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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.