Evidence map›Paper›PMID 31621933›Full record

Trial reportMuscle & nerve2020

Long-term edaravone efficacy in amyotrophic lateral sclerosis: Post-hoc analyses of Study 19 (MCI186-19).

Jeremy Shefner, Terry Heiman-Patterson, Erik P Pioro, Martina Wiedau-Pazos, Shawn Liu, Jeffrey Zhang, Wendy Agnese, Stephen Apple

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Muscle & nerve, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Herbal medicines for SOD1Frontiers in immunology · 2024
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  18. Knockdown ofFrontiers in cellular neuroscience · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Jeremy ShefnerBarrow Neurological Institute, Phoenix, Arizona.
Terry Heiman-PattersonTemple University, Philadelphia, Pennsylvania.
Erik P PioroCleveland Clinic, Cleveland, Ohio.
Martina Wiedau-PazosDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
Shawn LiuMitsubishi Tanabe Pharma Development America, Inc., Jersey City, New Jersey.
Jeffrey ZhangPrinceton Pharmatech, Princeton Junction, New Jersey.
Wendy AgneseFormerly Mitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey.
Stephen AppleMitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey.
Mitsubishi Corporation (United States) · USBarrow Neurological Institute · USCleveland Clinic · USHun School of Princeton · USTemple University · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn a Phase 3 study, amyotrophic lateral sclerosis (ALS) patients experienced significantly less physical functional decline with 24-week edaravone vs placebo, followed by open-label treatment for an additional 24 weeks.

methodsOutcome (the change in ALS Functional Rating Scale-Revised, ALSFRS-R, from baseline) was projected for placebo patients through 48 weeks and compared with 48-week edaravone or 24-week edaravone after switching from placebo.

resultsA total of 123 patients received open-label treatment (65 edaravone-edaravone; 58 placebo-edaravone). The projected ALSFRS-R decline for placebo from baseline through week 48 was greater than for 48-week edaravone (P < .0001). For patients switching from placebo to edaravone, ALSFRS-R slope approached that of continued edaravone for 48 weeks. ALSFRS-R decline did not differ between actual and projected edaravone through week 48.

conclusionsCompared with placebo, these analyses suggest that edaravone is beneficial in ALS patients even after 6 mo of receiving placebo, and efficacy is maintained for up to 1 year.

Indexed as

AgedAmyotrophic Lateral SclerosisDisease ProgressionDouble-Blind MethodEdaravoneFemaleHumansMaleMiddle AgedNeuroprotective AgentsTreatment OutcomeEdaravoneNeuroprotective AgentsALSFRS-Rchronicdisease progressionfunctional declinelinear regressionoxidative stress

Identifiers

PMID31621933
PMCPMC7004197
OpenAlexW2981269454

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.