Evidence map›Paper›PMID 27311915›Full record

Trial reportBMJ open2016

Efficacy of ketamine in refractory convulsive status epilepticus in children: a protocol for a sequential design, multicentre, randomised, controlled, open-label, non-profit trial (KETASER01).

Anna Rosati, Lucrezia Ilvento, Manuela L'Erario, Salvatore De Masi, Annibale Biggeri, Giancarlo Fabbro, Roberto Bianchi, Francesca Stoppa, Lucia Fusco, Silvia Pulitanò and 21 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02431663 (Efficacy of Ketamine in Refractory Convulsive Status Epilepticus in Children), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.6field-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.

NCT02431663 phase3terminatednot on this map

Efficacy of Ketamine in Refractory Convulsive Status Epilepticus in Children: a Multicenter, Randomized, Controlled, Open-label, No-profit, With Sequential Design Study.

TypeinterventionalSponsorMeyer Children's Hospital IRCCSRan2015 to 2020Enrolled57ConditionsStatus EpilepticusArmsKetamine
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Ketamine Prolonged Infusions in the Pediatric Intensive Care Unit: a Tertiary-Care Single-Center Analysis.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Article
  11. Article
  12. Article
  13. Review
  14. Recent advances in epilepsy.Journal of neurology · 2017
    Review
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

31 authors at 14 institutions in 1 country.

Anna RosatiPaediatric Neurology Unit, Meyer Children's Hospital, University of Florence, Florence, Italy.
Lucrezia IlventoPaediatric Neurology Unit, Meyer Children's Hospital, University of Florence, Florence, Italy.
Manuela L'ErarioIntensive Care Unit, Meyer Children's Hospital, Florence, Italy.
Salvatore De MasiClinical Trial Office Meyer Children's Hospital, Florence, Italy.
Annibale BiggeriDepartment of Statistics, 'G Parenti', University of Florence, Florence, Italy.
Giancarlo FabbroDepartment of Statistics, 'G Parenti', University of Florence, Florence, Italy.
Roberto BianchiIntensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Francesca StoppaDEA Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Lucia FuscoNeurology Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Silvia PulitanòIntensive Care Unit, Catholic University, Rome, Italy.
Domenica BattagliaDepartment of Child Neurology and Psychiatry, Catholic University, Rome, Italy.
Andrea PettenazzoIntensive Care Unit, Department of Woman's and Child's Health, University Hospital of Padua, Padua, Italy.
Stefano SartoriPaediatric Neurology Unit, Department of Woman's and Child's Health, University Hospital of Padua, Padua, Italy.
Paolo BibanDepartment of Neonatal and Paediatric Intensive Care, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Elena FontanaUnit of Child Neuropsychiatry, University of Verona, Verona, Italy.
Elisabetta CesaroniChild Neuropsychiatry Unit, Polytechnic University of the Marche, Ancona, Italy.
Donatella MoraIntensive Care Unit, Polytechnic University of the Marche, Ancona, Italy.
Paola CostaIntensive Care Unit, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
Rosanna MeleleoDepartment of Neuropsychiatry Ward, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", Trieste, Italy.
Roberta VittoriniDepartment of Paediatric Neurology, Regina Margherita Children Hospital, University of Turin, Turin, Italy.
Alessandra ConioPaediatric Intensive Care Unit, Regina Margherita Children Hospital, University of Turin, Turin, Italy.
Andrea WolflerDepartment of Anaesthesia and Intensive Care, Women and Children's Hospital Vittore Buzzi, ICP, Milan, Italy.
Massimo MastrangeloPaediatric Neurology Unit, Women and Children's Hospital Vittore Buzzi, ICP, Milan, Italy.
Maria Cristina MondardiniDepartment of Paediatric Anaesthesia and Intensive Care, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Emilio FranzoniChild Neuropsychiatry Unit, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Kathleen S McGreevyResearch, Innovation and International Relations, Meyer Children's Hospital, Florence, Italy.
Lorena Di SimonePharmacy Unit, Meyer Children's Hospital, Florence, Italy.
Alessandra PugiClinical Trial Office Meyer Children's Hospital, Florence, Italy.
Lorenzo MirabileIntensive Care Unit, Meyer Children's Hospital, Florence, Italy.
Federico VigevanoNeurology Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Renzo GuerriniPaediatric Neurology Unit, Meyer Children's Hospital, University of Florence, Florence, Italy.
Meyer Children's Hospital · ITUniversity of Florence · ITBambino Gesù Children's Hospital · ITIRCCS Materno Infantile Burlo Garofolo · ITMarche Polytechnic University · ITOspedale dei Bambini Vittore Buzzi · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bologna · ITUniversity of Padua · ITAzienda Ospedaliera Universitaria Integrata Verona · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale Regina Margherita · ITUniversity of Turin · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStatus epilepticus (SE) is a life-threatening neurological emergency. SE lasting longer than 120 min and not responding to first-line and second-line antiepileptic drugs is defined as 'refractory' (RCSE) and requires intensive care unit treatment. There is currently neither evidence nor consensus to guide either the optimal choice of therapy or treatment goals for RCSE, which is generally treated with coma induction using conventional anaesthetics (high dose midazolam, thiopental and/or propofol). Increasing evidence indicates that ketamine (KE), a strong N-methyl-d-aspartate glutamate receptor antagonist, may be effective in treating RCSE. We hypothesised that intravenous KE is more efficacious and safer than conventional anaesthetics in treating RCSE. METHODS AND ANALYSIS: A multicentre, randomised, controlled, open-label, non-profit, sequentially designed study will be conducted to assess the efficacy of KE compared with conventional anaesthetics in the treatment of RCSE in children. 10 Italian centres/hospitals are involved in enrolling 57 patients aged 1 month to 18 years with RCSE. Primary outcome is the resolution of SE up to 24 hours after withdrawal of therapy and is updated for each patient treated according to the sequential method. ETHICS AND DISSEMINATION: The study received ethical approval from the Tuscan Paediatric Ethics Committee (12/2015). The results of this study will be published in peer-reviewed journals and presented at international conferences. TRIAL REGISTRATION NUMBER: NCT02431663; Pre-results.

Indexed as

Administration, IntravenousAdolescentAnticonvulsantsChildChild, PreschoolFemaleHumansInfantItalyKetamineMaleResearch DesignStatus EpilepticusTreatment OutcomeAnticonvulsantsKetamine

Identifiers

PMID27311915
PMCPMC4916612
OpenAlexW2429805485

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.