Evidence map›Paper›PMID 32359104›Full record

Trial reportPsychiatry and clinical neurosciences2020

Long-term safety and efficacy of nalmefene in Japanese patients with alcohol dependence.

Susumu Higuchi, Masayoshi Takahashi, Yoshiyuki Murai, Kana Tsuneyoshi, Izuru Nakamura, Didier Meulien, Hisatsugu Miyata

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry and clinical neurosciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 61% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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

7 authors at 4 institutions in 2 countries.

Susumu HiguchiNational Hospital Organization, Kurihama Medical and Addiction Center, Yokosuka, Japan.
Masayoshi TakahashiDepartment of Clinical Management, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Yoshiyuki MuraiDepartment of Clinical Management, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.
Kana TsuneyoshiDepartment of Biometrics, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Osaka, Japan.
Izuru NakamuraMedical Affairs, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan.ORCID https://orcid.org/0000-0002-3872-2434
Didier MeulienClinical Research and Development, H. Lundbeck A/S, Valby, Denmark.
Hisatsugu MiyataDepartment of Psychiatry, Jikei University School of Medicine, Tokyo, Japan.
Otsuka (Japan) · JPJikei University School of Medicine · JPKurihama Medical and Addiction Center · JPLundbeck (Denmark) · DK

Funding

H. Lundbeck A/S Grant No.:N/AOtsuka Pharmaceutical Co., Ltd
6 · The paper itself

Abstract

aimThe safety and efficacy of nalmefene in Japanese patients with high or very high World Health Organization drinking risk level of alcohol dependence were assessed in a multicenter, randomized, double-blind, placebo-controlled, phase 3 (lead-in) study. Here, the long-term safety and efficacy of nalmefene in an open-label extension of the lead-in study are presented.

methodsPatients who completed the 24-week lead-in study were eligible for the extension study, where they were treated with nalmefene 20 mg as needed for 24 weeks. The long-term safety and efficacy of nalmefene 20 mg during the total 48-week period were evaluated. Treatment-emergent adverse events during the study period were recorded and change from baseline in the number of heavy drinking days and total alcohol consumption were calculated.

resultsOverall, long-term nalmefene 20 mg was well tolerated; the main treatment-emergent adverse events reported in ≥5% of patients included nasopharyngitis (37.2%), nausea (36.5%), somnolence (21.2%), dizziness (16.8%), malaise (14.6%), and vomiting (12.4%). The number of heavy drinking days and total alcohol consumption decreased from baseline to 48 weeks (mixed model for repeated measures, least squares mean ± standard error, -15.09 ± 0.77 days/month and -53.20 ± 2.29 g/day, respectively) during the study.

conclusionThis long-term evaluation in Japanese patients with high or very high drinking risk levels of alcohol dependence indicated that nalmefene was safe, well tolerated, and efficacious.

Indexed as

Outcome Assessment, Health CareAdultAlcohol DrinkingAlcoholismDouble-Blind MethodFemaleHumansJapanMaleMiddle AgedNaltrexoneNarcotic AntagonistsTime FactorsnalmefeneNaltrexoneNarcotic Antagonistsalcohol dependencedrinking behaviordrug therapyopioidsafety

Identifiers

PMID32359104
PMCPMC7496902
OpenAlexW3022505048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.