Evidence map›Paper›PMID 28710329›Full record

Trial reportNeurology2017

Open-label trial of ranolazine for the treatment of myotonia congenita.

W David Arnold, David Kline, Alan Sanderson, Ahmed A Hawash, Amy Bartlett, Kevin R Novak, Mark M Rich, John T Kissel

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Drug treatment for myotonia.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Pharmacological therapy of non-dystrophic myotonias.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Review
  6. Review
  7. Blockers of Skeletal Muscle NaInternational journal of molecular sciences · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Skeletal muscle ClC-1 chloride channels in health and diseases.Pflugers Archiv : European journal of physiology · 2020
    Review
  13. Treatment Updates for Neuromuscular Channelopathies.Current treatment options in neurology · 2020
    Review
  14. Genetic neuromuscular disorders: living the era of a therapeutic revolution. Part 2: diseases of motor neuron and skeletal muscle.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Review
  15. Article
  16. Skeletal Muscle Channelopathies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2018
    Review
  17. Myotonic Dystrophies: Targeting Therapies for Multisystem Disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2018
    Review
  18. Ranolazine: Multifaceted Role beyond Coronary Artery Disease, a Recent Perspective.Heart views : the official journal of the Gulf Heart Association
    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

8 authors at 1 institution in 1 country.

W David ArnoldFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH. william.arnold@osumc.edu.
David KlineFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH.
Alan SandersonFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH.
Ahmed A HawashFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH.
Amy BartlettFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH.
Kevin R NovakFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH.
Mark M RichFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH.
John T KisselFrom the Department of Neurology (W.D.A., A.S., A.B., J.T.K.), The Ohio State University Wexner Medical Center; Center for Biostatistics (D.K.), Department of Biomedical Informatics, The Ohio State University, Columbus; and Neuroscience, Cell Biology, and Physiology and Neurology (A.A.H., K.R.N., M.M.R.), Wright State University, Dayton, OH.
The Ohio State University · US

Funding

Rehabilitation Medicine Scientist Training (RMST) ProgramK12HD001097 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BONINGER, MICHAEL L. · 1995 to 2016
$14.1M
6 · The paper itself

Abstract

objectiveTo determine open-label, pilot study whether ranolazine could improve signs and symptoms of myotonia and muscle stiffness in patients with myotonia congenita (MC).

methodsThirteen participants were assessed at baseline and 2, 4, and 5 weeks. Ranolazine was started after baseline assessment (500 mg twice daily), increased as tolerated after week 2 (1,000 mg twice daily), and maintained until week 4. Outcomes included change from baseline to week 4 in self-reported severity of symptoms (stiffness, weakness, and pain), Timed Up and Go (TUG), hand grip and eyelid myotonia, and myotonia on EMG.

resultsSelf-reported severity of stiffness (

conclusionsRanolazine appeared to be well tolerated over a period of 4 weeks in individuals with MC, and ranolazine resulted in improvement of signs and symptoms of muscle stiffness. The findings of this study suggest that ranolazine should be investigated in a larger controlled study. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that ranolazine improves myotonia in myotonia congenita.

Indexed as

AdolescentAdultAgedCardiovascular AgentsElectromyographyFemaleFollow-Up StudiesHand StrengthHumansMaleMiddle AgedMyotonia CongenitaPilot ProjectsRanolazineSelf ReportSeverity of Illness IndexCardiovascular AgentsRanolazine

Identifiers

PMID28710329
PMCPMC5562961
OpenAlexW2734409895

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.