Evidence map›Paper›PMID 28676085›Full record

Trial reportBMC neurology2017

Nasal administration of the neuroprotective candidate NeuroEPO to healthy volunteers: a randomized, parallel, open-label safety study.

Orestes Santos-Morales, Alina Díaz-Machado, Daise Jiménez-Rodríguez, Yaisel Pomares-Iturralde, Tatiana Festary-Casanovas, Carlos A González-Delgado, Sonia Pérez-Rodríguez, Eulalia Alfonso-Muñoz, Carmen Viada-González, Patricia Piedra-Sierra and 17 more

Open access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

14 citing papers in PubMed, 39 citations in OpenAlex.

  1. NeuroEPO plus (NeuralCIMAlzheimer's research & therapy · 2023
    Trial
  2. Review
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  4. Nose-to-brain drug delivery: from bench to bedside.Translational neurodegeneration · 2025
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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

27 authors at 2 institutions in 1 country.

Orestes Santos-MoralesNeuroEPO Research and Development Group, Center of Molecular Immunology, Havana, Cuba.
Alina Díaz-MachadoNational Center for Toxicology, "Carlos J. Finlay" University Hospital, Havana, Cuba.
Daise Jiménez-RodríguezClinical Trials Group, Research Direction, Center for Drug Research and Development (CIDEM), Ave. 26 and Puentes Grandes, No. 1605, Nuevo Vedado, Havana, Cuba.
Yaisel Pomares-IturraldeNeuroEPO Research and Development Group, Center of Molecular Immunology, Havana, Cuba.
Tatiana Festary-CasanovasClinical Trials Group, Research Direction, Center for Drug Research and Development (CIDEM), Ave. 26 and Puentes Grandes, No. 1605, Nuevo Vedado, Havana, Cuba.
Carlos A González-DelgadoNational Center for Toxicology, "Carlos J. Finlay" University Hospital, Havana, Cuba.
Sonia Pérez-RodríguezNational Center for Toxicology, "Carlos J. Finlay" University Hospital, Havana, Cuba.
Eulalia Alfonso-MuñozNational Center for Toxicology, "Carlos J. Finlay" University Hospital, Havana, Cuba.
Carmen Viada-GonzálezNeuroEPO Research and Development Group, Center of Molecular Immunology, Havana, Cuba.
Patricia Piedra-SierraNeuroEPO Research and Development Group, Center of Molecular Immunology, Havana, Cuba.
Idrian García-GarcíaClinical Trials Group, Research Direction, Center for Drug Research and Development (CIDEM), Ave. 26 and Puentes Grandes, No. 1605, Nuevo Vedado, Havana, Cuba. idrian.garcia@cidem.cu.
Daniel Amaro-GonzálezNeuroEPO Research and Development Group, Center of Molecular Immunology, Havana, Cuba.
NeuroEPO Study Group
Julio César García-Rodríguez
Iliana Sosa-Testé
Alicia Lagarto-Parra
Laura Barrero-Viera
Marlene David-Baldo
Maura Tamayo-Rodríguez
Ivonne Rivero-Vázquez
Gricel González-Gamiz
Alis Martín-Trujillo
Yasmila Rodríguez-Fernández
Ana Alfa Ledo-de la Luz
Maylén Álvarez-Delgado
Ivón Howland-Álvarez
Yolanda Cruz-Gómez
Center of Molecular Immunology (Cuba) · CUFinlay Institute · CU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelivery of therapeutic agents as erythropoietin (EPO) into Central Nervous System through intranasal route could benefit patients with neurological disorders. A new nasal formulation containing a non-hematopoietic recombinant EPO (NeuroEPO) has shown neuroprotective actions in preclinical models. In the current study, the safety of NeuroEPO was evaluated for the first time in humans.

methodsA phase I, randomized, parallel, open-label study was carried out in healthy volunteers. They received, intranasally, 1 mg of NeuroEPO every 8 h during 4 days (Group A) or 0.5 mg of NeuroEPO (Group B) with the same schedule. The working hypothesis was that intranasal NeuroEPO produce <10% of severe adverse reactions in the evaluated groups. Therefore, a rigorous assessment of possible adverse events was carried out, which included tolerance of the nasal mucosa and the effect on hematopoietic activity. Clinical safety evaluation was daily during treatment and laboratory tests were done before and on days 5 and 14 after starting treatment.

resultsTwenty-five volunteers, 56% women, with a mean age of 27 yrs. were included. Twelve of them received the highest NeuroEPO dose. Twenty types of adverse events occurred, with headache (20%) and increase of hepatic enzymes (20%) as the most reported ones. Nasopharyngeal itching was the most common local event but only observed in four patients (16%), all of them from the lowest dose group. About half of the events were very probably or probably caused by the studied product. Most of the events were mild (95.5%), did not require treatment (88.6%) and were completely resolved (81.8%). No severe adverse events were reported. During the study the hematopoietic variables were kept within reference values.

conclusionsNeuroEPO was a safe product, well tolerated at the nasal mucosa level and did not stimulate erythropoiesis in healthy volunteers.

trial registrationCuban Public Registry of Clinical Trials RPCEC00000157 , June 10, 2013.

Indexed as

Administration, IntranasalAdultErythropoietinFemaleHumansMaleNeuroprotective AgentsRecombinant ProteinsYoung AdultErythropoietinNeuroprotective AgentsRecombinant ProteinsHealthy volunteersHematopoietic activityNeurodegenerative diseasesNeuroEPONon-hematopoietic recombinant erythropoietinSafetyStroke

Identifiers

PMID28676085
PMCPMC5496637
OpenAlexW2733692871

What OpenQuestion holds

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Registered trials

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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.