Evidence map›Paper›PMID 29513699›Full record

Trial reportPloS one2018

Why do open-label placebos work? A randomized controlled trial of an open-label placebo induction with and without extended information about the placebo effect in allergic rhinitis.

Michael Schaefer, Tamay Sahin, Benjamin Berstecher

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 8 pooled it
7.9field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 8 syntheses or guidelines pooled it, 122 citations in OpenAlex.

  1. Methodologic challenges of patient reported outcome research: A systematic review of the treatment of cancer related fatigue with open label placebos and the trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. Expectation shapes hunger and craving: placebo effects of verbal suggestion on food-related experiences.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
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1 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

3 authors at 1 institution in 1 country.

Michael SchaeferMedical School Berlin, Calandrellistr, Berlin, Germany.
Tamay SahinMedical School Berlin, Calandrellistr, Berlin, Germany.
Benjamin BerstecherMedical School Berlin, Calandrellistr, Berlin, Germany.
MSB Medical School Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies demonstrated that placebo treatment may have a significant impact on many different symptoms. While in the traditional view concealment of the placebo is essential, recent studies report intriguing evidence that placebos may work even without deception. For example, it has been demonstrated that open-label placebos can improve symptoms in allergic rhinitis. However, the mechanisms of how placebos without concealment work remain unknown. TRIAL

designIn order to examine expectancy effects we conducted a randomized controlled trial (N = 46), in which patients with allergic symptoms received either placebos without deception or no pills at all. In half of those patients we induced positive expectations about the placebo effect. After two weeks we tested whether symptoms and quality of life had changed.

resultsResults revealed that open-label placebos improved allergic symptoms more than the control group. Inducing positive expectations had no effects on the improvement of allergic symptoms (the primary and more objective outcome), but on mental sum scores of the quality of life questionnaire.

conclusionsPlacebos without deception can improve symptoms in allergic rhinitis. Positive expectations do not contribute to the efficacy of open-label placebos, but seem to have an effect on more global and subjective well-being (mental or emotional quality of life). CLINICAL TRIAL REGISTRATION NUMBER: German Clinical Trials Register, DRKS00012303.

Indexed as

Placebo EffectAdolescentAdultAnti-Allergic AgentsCetirizineFemaleHumansLoratadineMalePlacebosQuality of LifeRhinitis, AllergicSurveys and QuestionnairesTreatment OutcomeYoung AdultAnti-Allergic AgentsCetirizineLoratadinePlacebos

Identifiers

PMID29513699
PMCPMC5841659
OpenAlexW2791565596

What OpenQuestion holds

Textmetadata
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.