Evidence map›Paper›PMID 32503415›Full record

SynthesisThe journal of headache and pain2020

Short-term efficacy and safety of lasmiditan, a novel 5-HT

Min Hou, Haiyan Xing, Chen Li, Xianfeng Wang, Dongmei Deng, Juan Li, Pan Zhang, Jianhong Chen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The journal of headache and pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 8 pooled it
4.2field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 8 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pharmacological interventions for acute attacks of vestibular migraine.The Cochrane database of systematic reviews · 2023
    Pooled it
  6. Pooled it
  7. The Effect and Safety of 5-HTBioMed research international · 2021
    Pooled it
  8. Pooled it
  9. Review
  10. Article
  11. Review
  12. The Neuropsychiatric Safety Profile of Lasmiditan: A Comparative Disproportionality Analysis with Triptans.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Article
  13. Review
  14. Article
  15. Review
  16. Ditans: a new prospective for the therapy of migraine attack?Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Review
  17. Review
  18. The Roles of Serotonin in Neuropsychiatric Disorders.Cellular and molecular neurobiology · 2022
    Review
  19. Review
  20. 5-HTFrontiers in pharmacology · 2022
    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

8 authors at 2 institutions in 1 country.

Min HouDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China.
Haiyan XingDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China.
Chen LiDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China.
Xianfeng WangDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China.
Dongmei DengDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China.
Juan LiDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China.
Pan ZhangDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China.
Jianhong ChenDepartment of Pharmacy, Daping Hospital, Army Medical University, Chongqing, 400042, P. R. China. yaojike2017@163.com.
Army Medical University · CNDaping Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigraine has been recognized as one of common diseases in the world whose current treatment options are not ideal. Lasmiditan, an oral 5-hydroxytryptamine (HT)

methodsPubMed, Cochrane Library, Embase were searched on lasmiditan for the acute treatment of migraine from inception of the databases to Feb 1, 2020. Pain free and pain relief, global impression (very much/much better), and no/mild disability at 2 h in efficacy; total treatment-emergent adverse events (TEAEs), dizziness, nausea, fatigue, paraesthesia and somnolence in safety were extracted from the included studies. A systematic review and meta-analysis was performed using Review Manager Software version 5.3 (RevMan 5.3).

resultsFour RCTs with a total of 4960 subjects met our inclusion criteria. The overall effect estimate showed that lasmiditan was significantly superior to placebo in terms of pain free (RR 1.71, 95% CI 1.55-1.87), pain relief (RR 1.40, 95% CI 1.33-1.47), global impression (very much/much better) (RR 1.55, 95% CI 1.44-1.67), and no/mild disability (RR 1.15, 95% CI 1.10-1.20) at 2 h. For the safety, significant number of patients experienced TEAEs with lasmiditan than with placebo (RR 2.77, 95% CI 2.53-3.03), most TEAEs were central nervous system (CNS)-related and included dizziness (RR 5.81, 95% CI 4.72-7.14), nausea (RR 2.58, 95% CI 1.87-3.57), fatigue (RR 5.38, 95% CI 3.78-7.66), paraesthesia (RR 4.48, 95% CI 3.33-6.02), and somnolence (RR 2.82, 95% CI 2.18-3.66).

conclusionsThis meta-analysis suggests that lasmiditan is effective for the acute treatment of migraine with a higher incidence of CNS-related adverse reactions compared with placebo. Long-term, open-label, multi-dose trials are required to verify the current findings.

Indexed as

BenzamidesDizzinessHumansMigraine DisordersNauseaPiperidinesPyridinesReceptor, Serotonin, 5-HT1FReceptors, SerotoninSerotonin Receptor AgonistsTime FactorsTreatment OutcomeVertigoBenzamideslasmiditanPiperidinesPyridinesReceptor, Serotonin, 5-HT1FReceptors, SerotoninSerotonin Receptor Agonists5-HT1F receptor agonistLasmiditanMeta-analysisMigraine

Identifiers

PMID32503415
PMCPMC7275414
OpenAlexW3032926785

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.