Evidence map›Paper›PMID 25856304›Full record

ArticlePloS one2015

Drug repurposing: a systematic approach to evaluate candidate oral neuroprotective interventions for secondary progressive multiple sclerosis.

Hanna M Vesterinen, Peter Connick, Cadi M J Irvine, Emily S Sena, Kieren J Egan, Gary G Carmichael, Afiyah Tariq, Sue Pavitt, Jeremy Chataway, Malcolm R Macleod and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Role of lipoic acid in multiple sclerosis.CNS neuroscience & therapeutics · 2022
    Pooled it
  4. Pooled it
  5. Trial
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  8. Repurposed drug prioritization pipeline for a multi-arm platform trial in clinical Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  9. Treatment Selection and Prioritization for the EJS ACT-PD MAMS Trial Platform.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
  10. Review
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  17. Article
  18. Dietary Inflammatory Index and clinical course of multiple sclerosis.European journal of clinical nutrition · 2019
    Article
  19. Article
  20. 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 3 institutions in 1 country.

Hanna M VesterinenDepartment of Clinical Neurosciences, University of Edinburgh, Edinburgh, United Kingdom.
Peter ConnickThe Anne Rowling Regenerative Neurology Clinic, University of Edinburgh, Edinburgh, United Kingdom.
Cadi M J IrvineDepartment of Clinical Neurosciences, University of Edinburgh, Edinburgh, United Kingdom.
Emily S SenaDepartment of Clinical Neurosciences, University of Edinburgh, Edinburgh, United Kingdom.
Kieren J EganDepartment of Clinical Neurosciences, University of Edinburgh, Edinburgh, United Kingdom.
Gary G CarmichaelDepartment of Clinical Neurosciences, University of Edinburgh, Edinburgh, United Kingdom.
Afiyah TariqDepartment of Clinical Neurosciences, University of Edinburgh, Edinburgh, United Kingdom.
Sue PavittLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.
Jeremy ChatawayNational Hospital for Neurology and Neurosurgery, London, United Kingdom.
Malcolm R MacleodDepartment of Clinical Neurosciences, University of Edinburgh, Edinburgh, United Kingdom.
Siddharthan ChandranThe Anne Rowling Regenerative Neurology Clinic, University of Edinburgh, Edinburgh, United Kingdom.
University of Edinburgh · GBUniversity College London · GBUniversity of Leeds · GB

Funding

Medical Research Council MC_PC_13089National Centre for the Replacement, Refinement and Reduction of Animals in Research NC/L000970/1
6 · The paper itself

Abstract

objectiveTo develop and implement an evidence based framework to select, from drugs already licenced, candidate oral neuroprotective drugs to be tested in secondary progressive multiple sclerosis.

designSystematic review of clinical studies of oral putative neuroprotective therapies in MS and four other neurodegenerative diseases with shared pathological features, followed by systematic review and meta-analyses of the in vivo experimental data for those interventions. We presented summary data to an international multi-disciplinary committee, which assessed each drug in turn using pre-specified criteria including consideration of mechanism of action.

resultsWe identified a short list of fifty-two candidate interventions. After review of all clinical and pre-clinical evidence we identified ibudilast, riluzole, amiloride, pirfenidone, fluoxetine, oxcarbazepine, and the polyunsaturated fatty-acid class (Linoleic Acid, Lipoic acid; Omega-3 fatty acid, Max EPA oil) as lead candidates for clinical evaluation.

conclusionsWe demonstrate a standardised and systematic approach to candidate identification for drug rescue and repurposing trials that can be applied widely to neurodegenerative disorders.

Indexed as

Disease ProgressionAdministration, OralClinical Trials as TopicDrug RepositioningHumansMultiple SclerosisNeuroprotective AgentsNeuroprotective Agents

Identifiers

PMID25856304
PMCPMC4391783
OpenAlexW2127020048

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.