Evidence map›Paper›PMID 29194851›Full record

Trial reportEuropean journal of pain (London, England)2018

Superiority of capsaicin 8% patch versus oral pregabalin on dynamic mechanical allodynia in patients with peripheral neuropathic pain.

G Cruccu, T J Nurmikko, E Ernault, F K Riaz, W T McBride, M Haanpää

Open access · hybridAbstract readComparative StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in European journal of pain (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Herbal medicinal products or preparations for neuropathic pain.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Review
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  7. Article
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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

6 authors at 6 institutions in 4 countries.

G CruccuDepartment of Neurology and Psychiatry, Sapienza University, Rome, Italy.
T J NurmikkoThe Walton Centre NHS Foundation Trust, Liverpool, UK.
E ErnaultAstellas Pharma Inc., Leiden, The Netherlands.
F K RiazAstellas Pharma Inc., Chertsey, UK.
W T McBrideBelfast Health and Social Care Trust, Belfast, Northern Ireland.
M HaanpääHelsinki University Central Hospital, Helsinki, Finland.
Astellas Pharma (Netherlands) · NLAstellas Pharma (United Kingdom) · GBBelfast Health and Social Care Trust · GBHelsinki University Hospital · FISapienza University of Rome · ITWalton Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDynamic Mechanical Allodynia (DMA) is a typical symptom of neuropathic pain (NP). In a recent study, the capsaicin 8% patch was noninferior to pregabalin in overall peripheral NP relief. In this study, we report the comparison of the two treatments in relieving DMA.

methodsIn a randomized, open-label, head-to-head, 8-week study, 488 patients with peripheral NP were treated with the capsaicin 8% patch (one application) or an optimized dose of pregabalin. Assessments included the area and intensity of DMA, and the number of patients achieving complete resolution of DMA.

resultsAt baseline, 253 patients in the capsaicin 8% patch group and 235 patients in the pregabalin group had DMA. From baseline to end of study, the change in DMA intensity was significantly in favour of the capsaicin 8% patch versus pregabalin [-0.63 (95% CI: -1.04, -0.23; p = 0.002)]. Similarly, the capsaicin 8% patch was superior to pregabalin in reducing the area of DMA [-39.5 cm

conclusionCapsaicin 8% treatment was superior to pregabalin in reducing the intensity and area of DMA, and in the number of patients with complete resolution of DMA. SIGNIFICANCE: The superiority of a topical treatment over pregabalin in relieving DMA supports the view that both peripheral and central sensitization can mediate allodynia.

Indexed as

Administration, OralAdministration, TopicalAdolescentAdultAgedAged, 80 and overAnalgesicsCapsaicinFemaleHumansHyperalgesiaMaleMiddle AgedNeuralgiaPregabalinTreatment OutcomeAnalgesicsCapsaicinPregabalin

Identifiers

PMID29194851
PMCPMC5887877
OpenAlexW2771499474

What OpenQuestion holds

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LicenceCC BY
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.