Evidence map›Paper›PMID 26453560›Full record

Trial reportTrials2015

Nortriptyline in knee osteoarthritis (NortIKA Study): study protocol for a randomised controlled trial.

Ben Hudson, Jonathan A Williman, Lisa K Stamp, John S Alchin, Gary J Hooper, Dee Mangin, Bronwyn F Thompson, Les Toop

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 39% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Antidepressants for hip and knee osteoarthritis.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Nortriptyline for pain in knee osteoarthritis: a double-blind randomised controlled trial in New Zealand general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Trial
  3. Article
  4. 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

8 authors at 2 institutions in 1 country.

Ben HudsonDepartment of General Practice, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. ben.hudson@otago.ac.nz.
Jonathan A WillimanBiostatistics and Computational Biology Unit, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. jonathan.williman@otago.ac.nz.
Lisa K StampDepartment of Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. Lisa.stamp@cdhb.health.nz.
John S AlchinPain Management Centre, Canterbury District Health Board, Christchurch, New Zealand. John.alchin@cdhb.health.nz.
Gary J HooperDepartment of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. gary.hooper@otago.ac.nz.
Dee ManginDepartment of General Practice, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. dee.mangin@otago.ac.nz.
Bronwyn F ThompsonDepartment of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. bronwyn.thompson@otago.ac.nz.
Les ToopDepartment of General Practice, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. les.toop@otago.ac.nz.
University of Otago · NZCanterbury District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) is a common cause of pain and disability. Currently available analgesics are often insufficiently effective or have unacceptable adverse effects. Tricyclic antidepressants may offer a useful centrally-acting analgesic. Nortriptyline is a readily-available, cheap and comparatively well-tolerated tricyclic antidepressant. METHODS/

designWe will conduct a parallel group, two-arm, participant and investigator-blinded, randomised controlled superiority trial comparing nortriptyline with placebo. Two hundred participants with primary knee OA will be enrolled. Participants will take study medication for 14 weeks. The primary outcome is difference between treatment arms in mean pain score measured on the Western Ontario and McMaster Universities (WOMAC) pain scale at 14 weeks. DISCUSSION: This protocol describes the first randomised controlled trial of a tricyclic antidepressant in the treatment of OA. The results of the study may have significant implications for the management of this common and painful condition.

trial registrationThe trial was registered with the Australian New Zealand Clinical Trials Registry on 27 June 2014. The trial registration number is: ACTRN12614000683639 .

Indexed as

AnalgesicsArthralgiaClinical ProtocolsDouble-Blind MethodFemaleHumansMaleMiddle AgedNew ZealandNortriptylineOsteoarthritis, KneePain MeasurementResearch DesignSeverity of Illness IndexTime FactorsTreatment OutcomeAnalgesicsNortriptyline

Identifiers

PMID26453560
PMCPMC4600280
OpenAlexW1960216402

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.