Evidence map›Paper›PMID 31420703›Full record

Trial reportEuropean journal of clinical pharmacology2019

Cinnarizine/betahistine combination vs. the respective monotherapies in acute peripheral vertigo: a randomized triple-blind placebo-controlled trial.

Payman Asadi, Seyyed Mahdi Zia Ziabari, Alireza Majdi, Karim Vatanparast, Seyed Ahmad Naseri Alavi

Abstract readClinical Trial, Phase IIIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Payman AsadiGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Seyyed Mahdi Zia ZiabariGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Alireza MajdiNeurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Karim VatanparastGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Seyed Ahmad Naseri AlaviDepartment of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. dr.arsalan2010@gmail.com.ORCID http://orcid.org/0000-0002-3602-4966
Guilan University of Medical Sciences · IRTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the efficacy of cinnarizine/betahistine combination with the respective monotherapies in patients with acute peripheral vertigo (APV).

methodA randomized, triple-blind placebo-controlled phase III trial was performed on 162 patients with APV to compare the efficacy of cinnarizine/betahistine combination with the respective monotherapies. Patients were randomly allocated into three groups (n = 54 each) of Bet. (betahistine and placebo), Cin. (cinnarizine and placebo), and Bet. + Cin. (betahistine and cinnarizine). The first group received cinnarizine tablets (25 mg) plus placebo three times a day, the second group received betahistine tablets (8 mg) plus placebo three times a day, and the third group received betahistine (8 mg) plus cinnarizine (25 mg) combination three times a day. The treatments were continued for 1 week. Patients were followed up to 3 days and 1 week after initiation of the treatments for changes in vertigo severity measured by visual grading scale (VAS), mean vertigo score (MVS), and mean concomitant symptom score (MCSS).

resultsResults showed a significant difference between the groups in VAS (p = 0.001), MVS (p = 0.0001), and MCSS (p = 0.0001) at 1-week follow-up, where the respective values were significantly lower in the Cin. + Bet. group as compared with the respective monotherapies. Efficacy and tolerability of the treatment were found to be higher in the Cin. + Bet. group at 3-day and 1-week follow-up periods (p = 0.0001, for all comparisons). None of the patients reported any side effects during the study.

conclusionThis study indicated the superiority of the cinnarizine/betahistine combination over the respective monotherapies in the treatment of APV.

trial registrationIRCT20130710013947N9.

Indexed as

AdultBetahistineCalcium Channel BlockersCinnarizineDrug CombinationsFemaleHistamine AntagonistsHumansMaleMiddle AgedTreatment OutcomeVertigoBetahistineCalcium Channel BlockersCinnarizineDrug CombinationsHistamine AntagonistsAcute peripheral vertigoBetahistineCinnarizineCombinationMonotherapy

Identifiers

PMID31420703
OpenAlexW2968003292

What OpenQuestion holds

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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.