Evidence map›Paper›PMID 25324884›Full record

ArticleJournal of clinical neurology (Seoul, Korea)2014

Recombinant human erythropoietin in amyotrophic lateral sclerosis: a pilot study of safety and feasibility.

Hyun Young Kim, Chanil Moon, Kyung Suk Kim, Ki Wook Oh, Seong-Il Oh, Juhan Kim, Seung Hyun Kim

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Journal of clinical neurology (Seoul, Korea), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03835507 (Randomized, Double-blind, Safety and Efficacy of Recombinant Human Erythropoietin in Amyotrophic Lateral Sclerosis), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT03835507 phase1 / phase2unknown statusnot on this mapstarted 2016, after this paper: background citation

Randomized, Double-blind, Safety and Efficacy of Recombinant Human Erythropoietin in Amyotrophic Lateral Sclerosis

TypeinterventionalSponsorHanyang University Seoul HospitalRan2016 to 2025Enrolled64ConditionsAmyotrophic Lateral SclerosisArmsrecombinant human erythropoietin(rhEPO)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Review
  3. Drug Repurposing: A Network-based Approach to Amyotrophic Lateral Sclerosis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Article
  4. Article
  5. Review
  6. 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

7 authors at 2 institutions in 2 countries.

Hyun Young KimDepartment of Neurology, College of Medicine, Hanyang University, Seoul, Korea.
Chanil MoonDepartment of Neurology, College of Medicine, Hanyang University, Seoul, Korea.
Kyung Suk KimBioengineering Institute, Corestem Inc., Seoul, Korea.
Ki Wook OhDepartment of Neurology, College of Medicine, Hanyang University, Seoul, Korea.
Seong-Il OhDepartment of Neurology, College of Medicine, Hanyang University, Seoul, Korea.
Juhan KimDepartment of Neurology, College of Medicine, Hanyang University, Seoul, Korea.
Seung Hyun KimDepartment of Neurology, College of Medicine, Hanyang University, Seoul, Korea.
Hanyang University · KRBioengineering Center · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIt has been shown that erythropoietin is neuroprotective in animal models of neurodegenerative diseases including amyotrophic lateral sclerosis (ALS). The aim of this study was to determine the safety and feasibility of repetitive high-dose recombinant human erythropoietin (rhEPO) therapy in ALS patients.

methodsTwo consecutive studies were conducted. We first recruited 26 subjects for an initial single-arm safety study. After a lead-in period of 3 months to assess the disease progression, rhEPO was infused intravenously (35,000 IU) once per month for 3 months, and the subjects were followed for an additional 3 months. The ALS Functional Rating Scale-Revised (ALSFRS-R) was used for clinical assessment. After confirming the safety of rhEPO, 60 subjects were recruited for the second controlled study (rhEPO and control groups), which involved a total of 6 infusions at a rate of 1/month.

resultsThere were no serious adverse events in the first study. The mean rate of decline in the ALSFRS-R score was lower during the treatment period than during the lead-in period (mean±SD: 2.6±1.8 and 3.7±2.6, respectively; p=0.02). However, the rate of decline during the subsequent 3 months returned to that observed in the lead-in period. In the second study, the mean rate of decline in ALSFRS-R score was significantly lower in the rhEPO group than in the control group (during months 0-3, 1.8±1.7 vs. 3.1±2.3, p=0.03; during months 4-6, 2.1±2.2 vs. 3.5±2.3, p=0.02).

conclusionsIntravenous high-dose rhEPO is both safe and feasible for the treatment of ALS. Further investigation using different intervals and doses should be considered.

Indexed as

amyotrophic lateral sclerosiserythropoietinpilot study

Identifiers

PMID25324884
PMCPMC4198716
OpenAlexW2099134570

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.