Evidence map›Paper›PMID 24792411›Full record

ReviewCurrent opinion in supportive and palliative care2014

Bone cancer pain: from mechanism to therapy.

Patrick W Mantyh

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current opinion in supportive and palliative care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04808531 (NanaBis™ an Oro-buccal Administered Equimolar d9-THC & CBD Formulation as Monotherapy for Management of Opioid Requiring Bone Pain Due to Metastatic Cancer), which is not on this map. Cited by 105 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 1 pooled it
6.1field-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.

NCT04808531 phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

NanaBis™ an Oro-buccal Administered Equimolar d9-THC & CBD Formulation as Monotherapy for Management of Opioid Requiring Bone Pain Due to Metastatic Cancer: Phase 3 Multi Centre Blinded Randomized Withdrawal Active & Placebo Controlled Trial

TypeinterventionalSponsorMedlab ClinicalRan2023 to 2024Enrolled360ConditionsCancer Related PainArmsNanaBis™, Oxycodone CR, Placebo Spray, Placebo Tablet, Oxycodone IR
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 1 synthesis or guideline pooled it, 181 citations in OpenAlex.

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  8. Single-cell sequencing uncovers sensory neuron-mediated CGRP signaling as a driver of sarcoma progression.Proceedings of the National Academy of Sciences of the United States of America · 2025
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45 more citing papers are in PubMed but not listed here.

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

1 author at 1 institution in 1 country.

Patrick W MantyhaDepartment of Pharmacology bArizona Cancer Center, University of Arizona, Tucson, Arizona, USA.
University of Arizona · US

Funding

Peripheral Nociceptors in Persistent PainR01NS023970 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANTYH, PATRICK WILLIAM · 1987 to 2019
$3.7M
PERIPHERAL NOCICEPTORS IN PERSISTENT PAINR37NS023970 · NINDS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MANTYH, PATRICK WILLIAM · 2001 to 2007
$2.9M
Preventive Analgesia for Bone Cancer PainR01CA154550 · NCI · UNIVERSITY OF ARIZONA · PI MANTYH, PATRICK WILLIAM · 2011 to 2015
$1.6M
METASTATIC PROSTATE CANCER-INDUCED BONE PAINR01CA157449 · NCI · UNIVERSITY OF ARIZONA · PI MANTYH, PATRICK WILLIAM · 2011 to 2015
$1.5M
NCI NIH HHS CA154550NCI NIH HHS CA157449NCI NIH HHS R01 CA154550NCI NIH HHS R01 CA157449NINDS NIH HHS NS023970NINDS NIH HHS R01 NS023970NINDS NIH HHS R37 NS023970
6 · The paper itself

Abstract

purpose of reviewTo review how common cancers such as breast, lung, and prostate cancers drive significant and frequently life-altering pain when the cells metastasize to bones. RECENT

findingsSimilar to cancer, the factors that drive bone cancer pain evolve and change with disease progression. Bone cancer pain has both a nociceptive and neuropathic component. The nociceptive component is driven by the release of algogenic substances by tumor and their associated stromal cells, acidosis caused by bone-destroying osteoclasts, and mechanical destabilization and fracture of the bone. The neuropathic component is induced by tumor cell growth which injures and destroys the distal ends of nerve fibers that normally innervate the bone, as well as by inducing a highly pathological sprouting of both sensory and sympathetic nerve fibers. SUMMARY: There is both a nociceptive and neuropathic component of bone cancer pain. In bone cancer pain, there is frequently a continual afferent drive of sensory nerve fibers that induces a peripheral and central sensitization. These mechanistic insights have begun to lead to advances in not only how we understand bone cancer pain but to the development of new therapies to treat bone cancer pain.

Indexed as

AcidosisAfferent PathwaysAnimalsBone NeoplasmsCell Growth ProcessesDisease ProgressionFractures, BoneHumansPainPalliative CareSensory Receptor CellsStromal Cells

Identifiers

PMID24792411
PMCPMC4068714
OpenAlexW2032848451

What OpenQuestion holds

Textmetadata
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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.