Evidence map›Paper›PMID 32256967›Full record

ArticleKansas journal of medicine2020

A Randomized, Double-Blinded, Placebo-Controlled, Cross Over Study Evaluating the Efficacy and Safety of Timolol Ophthalmic Solution as an Acute Treatment of Migraine.

Dipika Aggarwal, Andrew J Heim, Brennen Bittel, Deetra Ford, Richard Dubinsky, Gary Gronseth, Vernita Hairston, Patrick Landazuri, Fred Sachen, Laura Herbelin and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Kansas journal of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

11 authors.

Dipika AggarwalUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Andrew J HeimUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Brennen BittelUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Deetra FordUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Richard DubinskyUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Gary GronsethUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Vernita HairstonUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Patrick LandazuriUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Fred SachenUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Laura HerbelinUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.
Richard J BarohnUniversity of Kansas Medical Center, Kansas City, KS, Department of Neurology.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDaily oral beta-adrenoreceptor antagonist has been shown to be effective in preventing migraine headaches. Timolol 0.5% ophthalmic solution is a non-selective beta-adrenoreceptor antagonist, where the primary use is for glaucoma. There have been case reports that timolol is effective in aborting or improving an acute migraine headache. The objective of this study was to assess the efficacy (decrease of ≥ 50% in pain scale at 120 minutes) of timolol 0.5% ophthalmic solution compared to placebo in acute treatment of migraine headache.

methodsWe performed a randomized, double-blind, crossover, placebo-controlled, study. Study entry criteria required subjects to have one to eight migraine episodes per month. The primary outcome was comparison of the change in a visual analog pain scale (VAS) at 120 minutes after taking the study medication. Study subjects were given a pain scale with a range of 1 (no pain) to 10 (most severe pain) to complete after onset of migraine but before administration of study drops and 120 minutes after administration of study drops. Improvement was defined as a ≥ 50% decrease in pain scale.

resultsNineteen subjects completed the study and were used for analysis. The primary outcome changes in pain scale, 120 minutes after dose, showed a similar decrease for placebo and drug with a slightly wider 95% CI for placebo. Six subjects in each arm experienced a ≥ 50% decrease in pain scale.

conclusionThese results support that timolol 0.5% ophthalmic solution is not an efficacious treatment for acute migraine headache.

Indexed as

beta-blockerheadachemigraineopthamolic

Identifiers

PMID32256967
PMCPMC7106987
OpenAlexW3012962396

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.