Evidence map›Paper›PMID 32847570›Full record

Trial reportBMC endocrine disorders2020

Does moxonidine reduce Achilles tendon or musculoskeletal pain in women with polycystic ovarian syndrome? A secondary analysis of a randomised controlled trial.

Jacob Jewson, Elisabeth Lambert, Carolina Sari, Eveline Jona, Soulmaz Shorakae, Gavin Lambert, Jamie Gaida

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC endocrine disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01504321 (Polycystic Ovary Syndrome - Targeting the Sympathetic Nervous System to Improve Outcomes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 86% 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.

NCT01504321 phase4completednot on this map

Polycystic Ovary Syndrome - Targeting the Sympathetic Nervous System to Improve Outcomes

TypeinterventionalSponsorBaker Heart and Diabetes InstituteRan2012 to 2015Enrolled42ConditionsPolycystic Ovary SyndromeArmsMoxonidine, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 16 citations in OpenAlex.

  1. Review
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 5 institutions in 1 country.

Jacob JewsonFaculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia. jacobjewson@gmail.com.ORCID http://orcid.org/0000-0003-2881-3583
Elisabeth LambertIverson Health Innovation Research Institute and School of Health Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia.
Carolina SariBaker Heart and Diabetes Institute, Melbourne, Victoria, Australia.
Eveline JonaMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Soulmaz ShorakaeMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Gavin LambertIverson Health Innovation Research Institute and School of Health Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia.
Jamie GaidaUniversity of Canberra Research Institute for Sport and Exercise (UCRISE), Canberra, ACT, Australia.
Baker Heart and Diabetes Institute · AUMonash Health · AUMonash University · AUOlympic Park Sports Medicine Centre · AUUniversity of Canberra · AU

Funding

National Health and Medical Research Council APP1022793
6 · The paper itself

Abstract

backgroundSympathetic activity and insulin resistance have recently been linked with chronic tendon and musculoskeletal pain. Polycystic ovarian syndrome is linked with insulin resistance and increased sympathetic drive and was therefore an appropriate condition to study the effects of modulating sympathetic activity on Achilles tendon and musculoskeletal symptoms.

methodsA secondary analysis of a double-blinded, randomised controlled trial on women with polycystic ovarian syndrome was conducted. Participants received 12 weeks of moxonidine (n = 14) or placebo (n = 18). Musculoskeletal symptom and Victorian Institute of Sport Assessment - Achilles (VISA-A) questionnaires were distributed, and ultrasound tissue characterisation quantified tendon structure at 0 and 12 weeks. 2-way ANOVA was used for multiple comparisons.

resultsThere was no difference in mean change in musculoskeletal symptoms (- 0.6 ± 1.7 vs - 0.4 ± 1.8, p = 0.69) or VISA-A (moxonidine - 0.2 ± 8.8 vs placebo + 4.2 ± 14.6, p = 0.24) attributable to the intervention. There was no difference in any measures of Achilles structure. Moxonidine did not reduce sympathetic drive when compared to placebo.

conclusionsThis was the first study to investigate the effects of blocking sympathetic drive on musculoskeletal and Achilles tendon symptoms in a metabolically diverse population. While the study was limited by small sample size and lack of sympathetic modulation, moxonidine did not change tendon pain/structure or musculoskeletal symptoms.

trial registrationClinicalTrials.gov, NCT01504321 . Registered 5 January 2012.

Indexed as

Achilles TendonAdultDouble-Blind MethodFemaleFollow-Up StudiesHumansImidazolesMusculoskeletal PainPain MeasurementPlacebosPolycystic Ovary SyndromeTreatment OutcomeUltrasonographyYoung AdultImidazolesmoxonidinePlacebosInsulin resistanceMetabolic syndromeMusculoskeletal painPolycystic ovarian syndromeSympathetic nervous systemSympatholyticsTendinopathy

Identifiers

PMID32847570
PMCPMC7449016
OpenAlexW3080763222

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.