Evidence map›Paper›PMID 30756475›Full record

Trial reportCNS neuroscience & therapeutics2019

Treatment of internuclear ophthalmoparesis in multiple sclerosis with fampridine: A randomized double-blind, placebo-controlled cross-over trial.

Kawita M S Kanhai, Jenny A Nij Bijvank, Yorick L Wagenaar, Erica S Klaassen, KyoungSoo Lim, Sandrin C Bergheanu, Axel Petzold, Ajay Verma, Jacob Hesterman, Mike P Wattjes and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in CNS neuroscience & therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Training effects in oculography in multiple sclerosis patients: a one-year longitudinal study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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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

13 authors at 6 institutions in 3 countries.

Kawita M S KanhaiCentre for Human Drug Research, Leiden, the Netherlands.ORCID 0000-0002-4503-6467
Jenny A Nij BijvankDepartment of Ophthalmology, Neuro-ophthalmology Expertise Center, Amsterdam UMC, Amsterdam, the Netherlands.
Yorick L WagenaarCentre for Human Drug Research, Leiden, the Netherlands.
Erica S KlaassenCentre for Human Drug Research, Leiden, the Netherlands.
KyoungSoo LimCentre for Human Drug Research, Leiden, the Netherlands.
Sandrin C BergheanuCentre for Human Drug Research, Leiden, the Netherlands.
Axel PetzoldDepartment of Ophthalmology, Neuro-ophthalmology Expertise Center, Amsterdam UMC, Amsterdam, the Netherlands.
Ajay VermaExperimental Medicine, Biogen, Cambridge, Massachusetts.
Jacob HestermaninviCRO, Boston, Massachusetts.
Mike P WattjesDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands.
Bernard M J UitdehaagDepartment of Neurology, MS Center and Neuro-ophthalmology Expertise Center, Amsterdam UMC, Amsterdam, the Netherlands.
Laurentius J van RijnDepartment of Ophthalmology, Neuro-ophthalmology Expertise Center, Amsterdam UMC, Amsterdam, the Netherlands.
Geert Jan GroeneveldCentre for Human Drug Research, Leiden, the Netherlands.
Centre for Human Drug Research · NLAmsterdam Neuroscience · NLAmsterdam University Medical Centers · NLBiogen (United States) · USInvicro (United States) · USOLVG · NL

Funding

Department of Health
6 · The paper itself

Abstract

aimTo examine whether the velocity of saccadic eye movements in internuclear ophthalmoparesis (INO) improves with fampridine treatment in patients with multiple sclerosis (MS).

methodsRandomized, double-blind, placebo-controlled, cross-over trial with fampridine in patients with MS and INO. Horizontal saccades were recorded at baseline and at multiple time points post-dose. Main outcome measures were the change of peak velocity versional dysconjugacy index (PV-VDI) and first-pass amplitude VDI (FPA-VDI). Both parameters were compared between fampridine and placebo using a mixed model analysis of variance taking patients as their own control. Pharmacokinetics was determined by serial blood sampling.

resultsThirteen patients had a bilateral and 10 had a unilateral INO. One patient had an INO of abduction (posterior INO of Lutz) and was excluded. Fampridine significantly reduced both PV-VDI (-17.4%, 95% CI: -22.4%, -12.1%; P < 0.0001) and FPA-VDI (-12.5%, 95% CI: -18.9%, -5.5%; P < 0.01). Pharmacokinetics demonstrated that testing coincided with the average t

conclusionFampridine improves saccadic eye movements due to INO in MS. Treatment response to fampridine may gauge patient selection for inclusion to remyelination strategies in MS using saccadic eye movements as primary outcome measure.

Indexed as

4-AminopyridineAdultAgedCross-Over StudiesDouble-Blind MethodFemaleHumansMaleMiddle AgedMultiple SclerosisOphthalmoplegiaPotassium Channel BlockersSaccadesTreatment Outcome4-AminopyridinePotassium Channel Blockersfampridineinternuclear ophthalmoplegiamultiple sclerosisvideo-oculography

Identifiers

PMID30756475
PMCPMC6515699
OpenAlexW2914363719

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.