Evidence map›Paper›PMID 29073592›Full record

Trial reportEuropean neurology2017

Dronabinol Is a Safe Long-Term Treatment Option for Neuropathic Pain Patients.

Sebastian Schimrigk, Martin Marziniak, Christine Neubauer, Eva Maria Kugler, Gudrun Werner, Dimitri Abramov-Sommariva

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in European neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 9 pooled it
3.8field-weighted citation impact, top 6% 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

63 citing papers in PubMed, 9 syntheses or guidelines pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Cannabis-based medicines for chronic neuropathic pain in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  10. Trial
  11. Trial
  12. Review
  13. Article
  14. Article
  15. Review
  16. Role of the Endocannabinoid System in Fibromyalgia.Current issues in molecular biology · 2025
    Review
  17. Article
  18. Review
  19. The Use of Compounds Derived fromInternational journal of molecular sciences · 2024
    Review
  20. ΔJournal of clinical medicine · 2024
    Review

3 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 1 country.

Sebastian SchimrigkMärkische Kliniken GmbH, Klinikum Lüdenscheid, Klinik für Neurologie, Lüdenscheid, Germany.
Martin MarziniakKbo-Isar-Amper-Klinikum München-Ost, Klinik für Neurologie, Haar, Germany.
Christine NeubauerDepartment Clinical Research International, Bionorica SE, Neumarkt, Germany.
Eva Maria KuglerDepartment Clinical Research International, Bionorica SE, Neumarkt, Germany.
Gudrun WernerDepartment Clinical Research International, Bionorica SE, Neumarkt, Germany.
Dimitri Abramov-SommarivaDepartment Clinical Research International, Bionorica SE, Neumarkt, Germany.
Bionorica (Germany) · DEIsar-Amper-Klinikum München-Ost · DEKlinikum Lüdenscheid · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of neuropathic pain (NP) symptoms associated with multiple sclerosis (MS) is frequently insufficient. Yet, cannabis is still rarely offered for treatment of pain. This clinical trial aimed at showing the positive benefit-risk ratio of dronabinol. Two hundred forty MS patients with central NP entered a 16-weeks placebo-controlled phase-III study followed by a 32-weeks open-label period. One hundred patients continued therapy for overall up to 119 weeks. Primary endpoint was change of pain intensity on the 11-point Numerical Rating Scale over a 16-weeks treatment period. Safety was assessed on the basis of adverse reactions (ARs), signs of dependency and abuse. Pain intensity during 16-weeks dronabinol and placebo treatment was reduced by 1.92 and 1.81 points without significant difference in between (p = 0.676). Although the proportion of patients with ARs was higher under dronabinol compared to placebo (50.0 vs. 25.9%), it decreased during long-term use of dronabinol (26%). No signs of drug abuse and only one possible case of dependency occurred. The trial results demonstrate that dronabinol is a safe long-term treatment option.

Indexed as

AdultAnalgesics, Non-NarcoticDouble-Blind MethodDronabinolFemaleHumansMaleMiddle AgedNeuralgiaAnalgesics, Non-NarcoticDronabinolClinical trialDronabinolLong-termMultiple sclerosisNeuropathic painSafetyTetrahydrocannabinol

Identifiers

PMID29073592
PMCPMC5804828
OpenAlexW2765393731

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.