Evidence map›Paper›PMID 31145219›Full record

ReviewPain2019

Nerve growth factor antibody for the treatment of osteoarthritis pain and chronic low-back pain: mechanism of action in the context of efficacy and safety.

Martin Schmelz, Patrick Mantyh, Anne-Marie Malfait, John Farrar, Tony Yaksh, Leslie Tive, Lars Viktrup

Open access · hybridAbstract readReview
In one paragraph

Review in Pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
9.0field-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

79 citing papers in PubMed, 2 syntheses or guidelines pooled it, 134 citations in OpenAlex.

  1. Pooled it
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  6. Functional and molecular diversity of human C-fibers in pain modulation.Current opinion in supportive and palliative care · 2026
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  19. Mechanism-based nonopioid analgesic targets.The Journal of clinical investigation · 2025
    Review
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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 2 countries.

Martin SchmelzDepartment of Experimental Pain Research Mannheim, University of Heidelberg, Heidelberg, Germany.
Patrick MantyhDepartment of Pharmacology, Cancer Center, University of Arizona, Tucson, AZ, United States.
Anne-Marie MalfaitDepartment of Internal Medicine, Division of Rheumatology, Rush University, Chicago, IL, United States.
John FarrarCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, United States.
Tony YakshDepartment of Anesthesiology and Pharmacology, University of California at San Diego, La Jolla, CA, United States.
Leslie TiveMedical Affairs, Pfizer, New York, NY, United States.
Lars ViktrupLilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN, United States.
Eli Lilly (United States) · USHeidelberg University · DEPfizer (United States) · USRush University · USUniversity of Arizona · USUniversity of California, San Diego · USUniversity of Pennsylvania · US

Funding

Sex, Stress and Immunity in the Acute to Chronic Pain TransitionR01NS099338 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI YAKSH, TONY L. · 2017 to 2021
$1.8M
NINDS NIH HHS R01 NS099338
6 · The paper itself

Abstract

Chronic pain continues to be a significant global burden despite the availability of a variety of nonpharmacologic and pharmacologic treatment options. Thus, there is a need for new analgesics with novel mechanisms of action. In this regard, antibodies directed against nerve growth factor (NGF-Abs) are a new class of agents in development for the treatment of chronic pain conditions such as osteoarthritis and chronic low-back pain. This comprehensive narrative review summarizes evidence supporting pronociceptive functions for NGF that include contributing to peripheral and central sensitization through tropomyosin receptor kinase A activation and stimulation of local neuronal sprouting. The potential role of NGF in osteoarthritis and chronic low-back pain signaling is also examined to provide a mechanistic basis for the observed efficacy of NGF-Abs in clinical trials of these particular pain states. Finally, the safety profile of NGF-Abs in terms of common adverse events, joint safety, and nerve structure/function is discussed.

Indexed as

Nerve Growth FactorAnimalsAntibodies, Monoclonal, HumanizedChronic PainClinical Trials as TopicHumansLow Back PainOsteoarthritisTreatment OutcomeAntibodies, Monoclonal, HumanizedNerve Growth FactorNGF protein, human

Identifiers

PMID31145219
PMCPMC6756297
OpenAlexW2948001442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.