Evidence map›Paper›PMID 27283947›Full record

Trial reportClinical drug investigation2016

Efficacy and Safety of Vinpocetine as Part of Treatment for Acute Cerebral Infarction: A Randomized, Open-Label, Controlled, Multicenter CAVIN (Chinese Assessment for Vinpocetine in Neurology) Trial.

Weiwei Zhang, Yining Huang, Ying Li, Liming Tan, Jianfei Nao, Hongtao Hu, Jingyu Zhang, Chen Li, Yuenan Kong, Yulin Song

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical drug investigation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

10 authors at 9 institutions in 1 country.

Weiwei ZhangDepartment of Neurology, Beijing Military General Hospital, Nanmencang #5, Dongsi Street, Beijing, 100700, China. weiweizhangbeijing@163.com.
Yining HuangPeking University First Hospital, No. 8 Xishiku St, Xicheng District, Beijing, 100034, China.
Ying LiDepartment of Neurology, Beijing Military General Hospital, Nanmencang #5, Dongsi Street, Beijing, 100700, China.
Liming TanThe Second Xiangya Hospital of Central South University, No. 139 Renmin Rd (Mid), Changsha, Hunan, China.
Jianfei NaoShengjing Hospital of China Medical University, No. 36 Sanhao St, Heping District, Shenyang, 110004, Liaoning, China.
Hongtao HuBeijing Jishuitan Hospital, No. 31 East St, Xijiekou, Xicheng District, Beijing, 100035, China.
Jingyu ZhangThe Fourth Hospital of Harbin Medical University, No. 37 Yuyuan St, Nangang District, Harbin, 150001, Heilongjiang, China.
Chen LiTianjin Fifth Central Hospital, No. 41 Zhejiang Rd, Tanggu District, Tianjin, 300450, China.
Yuenan KongWuxi No. 2 People's Hospital, No. 68 Zhongshan Rd, Wuxi, 214002, Jiangsu, China.
Yulin SongAnshan Changda Hospital, No. 69, Changda St, Teidong District, Anshan, Liaoning, China.
The Military General Hospital of Beijing PLA · CNAnshan Hospital · CNBeijing Jishuitan Hospital · CNChina Medical University · CNFifth Tianjin Central Hospital · CNFourth Affiliated Hospital of Harbin Medical University · CNPeking University · CNSecond Xiangya Hospital of Central South University · CNWuxi No.2 People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to evaluate the efficacy and safety of intravenous vinpocetine administration as part of a comprehensive treatment for acute cerebral infarction in a Chinese population.

methods610 acute cerebral infarction patients were randomized into two groups: the vinpocetine group (469 patients) received cytidine disphosphate choline 0.4-0.5 g in combination with aspirin 75-100 mg or clopidogrel 75 mg once daily, plus vinpocetine 30 mg intravenously once daily for 7 days, while the control group (141 patients) received cytidine disphosphate choline 0.4-0.5 g in combination with aspirin 75-100 mg or clopidogrel 75 mg once daily for 7 days. Additionally, patients received medications for symptoms such as hypertension, hyperglycemia, hyperlipidemia, and intracranial hypertension when necessary. Mini-Mental State Examination (MMSE), National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale, and Barthel Index (BI) scores and transcranial doppler (TCD) were assessed at baseline, 7, 14, and 90 days after treatment. Adverse events (AEs) and abnormalities in blood, urine, liver, and kidney function were monitored.

resultsMMSE, NIHSS, and BI scores were significantly higher in the vinpocetine group than in the control group 90 days after treatment, indicating significantly improved cognitive skill, neurological function, and quality of life (QOL) in the vinpocetine group versus the control group. Importantly, such effects of vinpocetine were maintained over time. In addition, TCD monitoring showed significantly increased cerebral blood flow associated with vinpocetine versus control. No significant difference in safety was noted between the two groups.

conclusionsWhen used as part of treatment for acute cerebral infarction, vinpocetine improves patients' cerebral blood flow, cognitive quality, neurological functions, and QOL. Vinpocetine could be an effective and safe component of treatment regimen for acute cerebral infarction.

Indexed as

AgedAnticoagulantsAspirinCerebral InfarctionCerebrovascular CirculationChinaClopidogrelCognitionFemaleHumansMaleMiddle AgedNeuroprotective AgentsNeuropsychological TestsPlatelet Aggregation InhibitorsQuality of LifeAnticoagulantsAspirinClopidogrelNeuroprotective AgentsPlatelet Aggregation InhibitorsTiclopidineVinca Alkaloidsvinpocetine

Identifiers

PMID27283947
OpenAlexW2417726579

What OpenQuestion holds

Textmetadata
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.