Evidence map›Paper›PMID 26109117›Full record

Trial reportBMJ open2015

Randomised controlled trial of topical kanuka honey for the treatment of rosacea.

Irene Braithwaite, Anna Hunt, Judith Riley, James Fingleton, Janwillem Kocks, Andrew Corin, Colin Helm, Davitt Sheahan, Christopher Tofield, Barney Montgomery and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Review
  9. Successful Treatment of Actinic Keratosis with Kanuka Honey.Case reports in dermatological medicine · 2018
    Article
  10. Review
  11. Honey: A Therapeutic Agent for Disorders of the Skin.Central Asian journal of global health · 2016
    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

13 authors at 4 institutions in 1 country.

Irene BraithwaiteMedical Research Institute of New Zealand, Wellington, New Zealand.ORCID http://orcid.org/0000-0001-5327-3027
Anna HuntMedical Research Institute of New Zealand, Wellington, New Zealand.
Judith RileyMedical Research Institute of New Zealand, Wellington, New Zealand.
James FingletonMedical Research Institute of New Zealand, Wellington, New Zealand.
Janwillem KocksMedical Research Institute of New Zealand, Wellington, New Zealand.
Andrew CorinClinical Horizons, Tauranga, New Zealand.
Colin HelmClinical Horizons, Tauranga, New Zealand.
Davitt SheahanPapamoa Pines Medical Centre, Tauranga, New Zealand.
Christopher TofieldCameron Medical Clinic, Tauranga, New Zealand.
Barney MontgomeryOptimal Clinical Trials, Auckland, New Zealand.
Mark HollidayMedical Research Institute of New Zealand, Wellington, New Zealand.
Mark WeatherallUniversity of Otago, Wellington, New Zealand.
Richard BeasleyMedical Research Institute of New Zealand, Wellington, New Zealand.
Medical Research Institute of New Zealand · NZTauranga Hospital · NZClinical Trials New Zealand · NZUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the efficacy of topical 90% medical-grade kanuka honey and 10% glycerine (Honevo) as a treatment for rosacea.

designRandomised controlled trial with blinded assessment of primary outcome variable.

settingOutpatient primary healthcare population from 5 New Zealand sites.

participants138 adults aged ≥ 16, with a diagnosis of rosacea, and a baseline blinded Investigator Global Assessment of Rosacea Severity Score (IGA-RSS) of ≥ 2. 69 participants were randomised to each treatment arm. 1 participant was excluded from the Honevo group, and 7 and 15 participants withdrew from the Honevo and control groups, respectively.

interventionsParticipants were randomly allocated 1:1 to Honevo or control cream (Cetomacrogol), applied twice daily for 8 weeks.

main outcome measuresThe primary outcome measure was the proportion of participants who had a ≥ 2 improvement in the 7-point IGA-RSS at week 8 compared to baseline. Secondary outcomes included change in IGA-RSS and subject-rated visual analogue score of change in severity (VAS-CS) on a 100 mm scale (0 mm 'much worse', 100 mm 'much improved') at weeks 2 and 8.

results24/68 (34.3%) in the Honevo group and 12/69 (17.4%) in the control group had a ≥ 2 improvement in IGA-RSS at week 8 compared to baseline (relative risk 2.03; 95% CI 1.11 to 3.72, p=0.020). The change in IGA-RSS for Honevo compared to control at week 2 minus baseline was -1 (Hodges-Lehman estimate, 95% CI -1 to 0, p=0.03), and at week 8 minus baseline was -1 (Hodges-Lehman estimate, 95% CI -1 to 0, p=0.005). The VAS-CS at week 2 was 9.1 (95% CI 3.5 to 14.7), p=0.002, and at week 8 was 12.3 (95% CI 5.7 to 18.9)¸ p<0.001 for Honevo compared to control.

conclusionsHonevo is an effective treatment for rosacea. TRIAL REGISTRATION NUMBER: This trial was registered in the Australian and New Zealand Clinical Trials Registry ACTRN12614000004662.

Indexed as

HoneyKunzeaAdministration, CutaneousAgedDermatologic AgentsGlycerolHumansMiddle AgedRosaceaSeverity of Illness IndexSkin CreamTreatment OutcomeDermatologic AgentsGlycerolKanuka honeyrandomised controlled trialRosacea

Identifiers

PMID26109117
PMCPMC4480029
OpenAlexW2258688827

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.