Evidence map›Paper›PMID 25970337›Full record

ArticleJournal of neurotrauma2016

Combination Therapies for Traumatic Brain Injury: Retrospective Considerations.

Susan Margulies, Gail Anderson, Fahim Atif, Jerome Badaut, Robert Clark, Philip Empey, Maria Guseva, Michael Hoane, Jimmy Huh, Jim Pauly and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of neurotrauma, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05589064 (Evaluation of the Impact of a Dietary and Nutritional Intervention on the Physical, Cognitive, Behavioural and Emotional Symptoms of Patients With Persistent Post-concussive Symptoms), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
7.8field-weighted citation impact, top 2% 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.

NCT05589064 narecruitingnot on this mapstarted 2022, after this paper: background citation

Evaluation of the Impact of a Dietary and Nutritional Intervention on the Physical, Cognitive, Behavioural and Emotional Symptoms of Patients With Persistent Post-concussive Symptoms

TypeinterventionalSponsorUniversite de MonctonRan2022 to 2025Enrolled120ConditionsBrain Injury Traumatic MildArmsExperimental: Dietetic counseling, Active Comparator: Omega-3, vitamin D3 and creatine monohydrate, Other : Physiotherapy treatment
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. CSF1R and IL1R1 inhibitors synergistically attenuate the early pathogenesis of traumatic brain injury in mice.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Aberrant cortical spine dynamics after concussive injury are reversed by integrated stress response inhibition.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Resilience to Injury: A New Approach to Neuroprotection?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. 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

15 authors at 8 institutions in 1 country.

Susan Margulies1 Department of Bioengineering, University of Pennsylvania , Philadelphia, Pennsylvania.
Gail Anderson2 Department of Pharmacy, Pharmaceutics, and Neurological Surgery, University of Washington , Seattle, Washington.
Fahim Atif3 Department of Emergency Medicine, Emory University , Atlanta, Georgia .
Jerome Badaut4 Institut of Neuroscience Cognitive and Integrative of Aquitaine (INCIA), University of Bordeaux , Bordeaux, France .
Robert Clark5 Safar Center for Resuscitation Research and Department of Critical Care Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania.
Philip Empey6 Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy , Pittsburgh, Pennsylvania.
Maria Guseva7 Fresenius Kabi USA, LLC , Lake Zurich, Illinois.
Michael Hoane8 Department of Psychology, Southern Illinois University , Carbondale, Illinois.
Jimmy Huh9 Department of Anesthesiology and Critical Care, Children's Hospital of Philadelphia , Philadelphia, Pennsylvania.
Jim Pauly10 Department of Pharmaceutical Sciences, University of Kentucky , Lexington, Kentucky.
Ramesh Raghupathi11 Department of Neurobiology and Anatomy, Drexel University College of Medicine , Philadelphia, Pennsylvania.
Stephen Scheff12 Center on Aging, University of Kentucky , Lexington, Kentucky.
Donald Stein3 Department of Emergency Medicine, Emory University , Atlanta, Georgia .
Huiling Tang3 Department of Emergency Medicine, Emory University , Atlanta, Georgia .
Mona Hicks13 One Mind , Seattle, Washington.
Emory University · USUniversity of Kentucky · USChildren's Hospital of Philadelphia · USDrexel University · USFresenius Kabi (United States) · USSouthern Illinois University Carbondale · USUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

PRECLINICAL CYCLOSPORIN A THERAPY TRIALS FOR PEDIATRIC TBIU01NS069545 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DUHAIME, ANN-CHRISTINE, MARGULIES, SUSAN SHEPS · 2011 to 2017
$3.5M
Pharmacological Optimization of Poly-Drug Therapy in Traumatic Brain InjuryR01HD061944 · NICHD · UNIVERSITY OF WASHINGTON · PI ANDERSON, GAIL, HOANE, MICHAEL R. · 2009 to 2013
$3.1M
Overcoming Membrane Transporters to Improve CNS Drug TherapyR01NS069247 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CLARK, ROBERT S B · 2009 to 2013
$2.2M
AQP4 and JNK Inhibition Together Reduce Edema and Excitotoxic Injury in jTBIR01HD061946 · NICHD · LOMA LINDA UNIVERSITY · PI ASHWAL, STEPHEN · 2009 to 2013
$1.7M
Pathology-directed combination therapy for pediatric TBIR01HD061963 · NICHD · DREXEL UNIVERSITY · PI RAGHUPATHI, RAMESH · 2009 to 2013
$1.4M
Combination progesterone & vitamin D in treatment of Traumatic Brain InjuryR01HD061971 · NICHD · EMORY UNIVERSITY · PI STEIN, DONALD G. · 2009 to 2012
$1.2M
NICHD NIH HHS R01 HD061944NICHD NIH HHS R01 HD061946NICHD NIH HHS R01 HD061963NICHD NIH HHS R01HD061966NICHD NIH HHS R01 HD061971NINDS NIH HHS R01 NS069247NINDS NIH HHS U01 NS069545
6 · The paper itself

Abstract

Patients enrolled in clinical trials for traumatic brain injury (TBI) may present with heterogeneous features over a range of injury severity, such as diffuse axonal injury, ischemia, edema, hemorrhage, oxidative damage, mitochondrial and metabolic dysfunction, excitotoxicity, inflammation, and other pathophysiological processes. To determine whether combination therapies might be more effective than monotherapy at attenuating moderate TBI or promoting recovery, the National Institutes of Health funded six preclinical studies in adult and immature male rats to evaluate promising acute treatments alone and in combination. Each of the studies had a solid rationale for its approach based on previous research, but only one reported significant improvements in long-term outcomes across a battery of behavioral tests. Four studies had equivocal results because of a lack of sensitivity of the outcome assessments. One study demonstrated worse results with the combination in comparison with monotherapies. While specific research findings are reported elsewhere, this article provides an overview of the study designs, insights, and recommendations for future research aimed at therapy development for TBI.

Indexed as

AnimalsBehavior, AnimalBrain InjuriesDisease Models, AnimalDrug Therapy, CombinationMaleMiceRatspharmacological interventionspreclinical therapeutic developmenttreatments

Identifiers

PMID25970337
PMCPMC4700397
OpenAlexW1481990397

What OpenQuestion holds

Textmetadata
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.