Evidence map›Paper›PMID 31335651›Full record

Trial reportPain2019

Somatosensory predictors of response to pregabalin in painful chemotherapy-induced peripheral neuropathy: a randomized, placebo-controlled, crossover study.

Alexander Hincker, Karen Frey, Lesley Rao, Nina Wagner-Johnston, Arbi Ben Abdallah, Benjamin Tan, Manik Amin, Tanya Wildes, Rajiv Shah, Pall Karlsson and 4 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. BeyondFrontiers in pain research (Lausanne, Switzerland) · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Chemotherapy-induced peripheral neuropathy in breast cancer: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Pregabalin for chemotherapy-induced neuropathy: background and rationale for further study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Prevention, diagnosis and management of chemotherapy-induced peripheral neuropathy: a cross-sectional study of French oncologists' professional practices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  19. Article
  20. Translational issues in precision medicine in neuropathic pain.Canadian journal of pain = Revue canadienne de la douleur · 2020
    Review
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

14 authors at 6 institutions in 3 countries.

Alexander HinckerDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, United States.
Karen FreyDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, United States.
Lesley RaoDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, United States.
Nina Wagner-JohnstonSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Arbi Ben AbdallahDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, United States.
Benjamin TanDepartment of Medicine, Washington University School of Medicine, St Louis, MO, United States.
Manik AminDepartment of Medicine, Washington University School of Medicine, St Louis, MO, United States.
Tanya WildesDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, United States.
Rajiv ShahDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, United States.
Pall KarlssonDepartment of Clinical Medicine, Danish Pain Research Center, Aarhus University, Aarhus, Denmark.
Kristopher BakosInvestigation Drug Service, Department of Pharmacy, Barnes-Jewish Hospital, Saint Louis, MO, United States.
Katarzyna KosickaDepartment of Physical Pharmacy and Pharmacokinetics, Poznan University of Medical Sciences, Poznan, Poland.
Leonid KaganDepartment of Pharmaceutics, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, NJ, United States.
Simon HaroutounianDepartment of Anesthesiology, Washington University School of Medicine, Saint Louis, MO, United States.
Washington University in St. Louis · USAarhus University · DKBarnes-Jewish Hospital · USJohns Hopkins University · USPoznan University of Medical Sciences · PLRutgers, The State University of New Jersey · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
WOMEN'S HEALTH AGENDAU01AI025903 · NIAID · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 1987 to 2006
$12.5M
Mechanisms of obesity-induced changes in drug pharmacokineticsR01GM124046 · NIGMS · RUTGERS, THE STATE UNIV OF N.J. · PI KAGAN, LEONID · 2018 to 2022
$2.6M
NCATS NIH HHS UL1 TR002345NIAID NIH HHS U01 AI025903NIGMS NIH HHS R01 GM124046
6 · The paper itself

Abstract

Painful chemotherapy-induced peripheral neuropathy (CIPN) is a debilitating and treatment-resistant sequela of many chemotherapeutic medications. Ligands of α2δ subunits of voltage-gated Ca channels, such as pregabalin, have shown efficacy in reducing mechanical sensitivity in animal models of neuropathic pain. In addition, some data suggest that pregabalin may be more efficacious in relieving neuropathic pain in subjects with increased sensitivity to pinprick. We hypothesized that greater mechanical sensitivity, as quantified by decreased mechanical pain threshold at the feet, would be predictive of a greater reduction in average daily pain in response to pregabalin vs placebo. In a prospective, randomized, double-blinded study, 26 patients with painful CIPN from oxaliplatin, docetaxel, or paclitaxel received 28-day treatment with pregabalin (titrated to maximum dose 600 mg per day) and placebo in crossover design. Twenty-three participants were eligible for efficacy analysis. Mechanical pain threshold was not significantly correlated with reduction in average pain (P = 0.97) or worst pain (P = 0.60) in response to pregabalin. There was no significant difference between pregabalin and placebo in reducing average daily pain (22.5% vs 10.7%, P = 0.23) or worst pain (29.2% vs 16.0%, P = 0.13) from baseline. Post hoc analysis of patients with CIPN caused by oxaliplatin (n = 18) demonstrated a larger reduction in worst pain with pregabalin than with placebo (35.4% vs 14.6%, P = 0.04). In summary, baseline mechanical pain threshold tested on dorsal feet did not meaningfully predict the analgesic response to pregabalin in painful CIPN.

Indexed as

AgedAnalgesicsAntineoplastic AgentsCross-Over StudiesDocetaxelDouble-Blind MethodFemaleHumansMaleMiddle AgedOxaliplatinPaclitaxelPain ThresholdPeripheral Vascular DiseasesPredictive Value of TestsPregabalinAnalgesicsAntineoplastic AgentsDocetaxelOxaliplatinPaclitaxelPregabalin

Identifiers

PMID31335651
PMCPMC6687437
OpenAlexW2936264437

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.