Evidence map›Paper›PMID 33159484›Full record

ArticleJournal of veterinary internal medicine2020

Imepitoin for treatment of idiopathic head tremor syndrome in dogs: A randomized, blinded, placebo-controlled study.

Nina Schneider, Heidrun Potschka, Sven Reese, Franziska Wielaender, Andrea Fischer

Open access · goldAbstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

5 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

5 authors at 2 institutions in 2 countries.

Nina SchneiderCentre for Clinical Veterinary Medicine, LMU Munich, Munich, Germany.
Heidrun PotschkaInstitute of Pharmacology, Toxicology, and Pharmacy, LMU Munich, Munich, Germany.
Sven ReeseDepartment of Veterinary Sciences, Faculty of Veterinary Medicine, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-4605-9791
Franziska WielaenderCentre for Clinical Veterinary Medicine, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-3113-5659
Andrea FischerCentre for Clinical Veterinary Medicine, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-7094-1947
LMU Klinikum · DEMunich School of Philosophy · DE

Funding

Boehringer Ingelheim Vetmedica GmbH, GermanyOpen access funding enabled and organized by Projekt DEAL
6 · The paper itself

Abstract

backgroundIdiopathic head tremor syndrome is a paroxysmal movement disorder of unknown etiology. Spontaneous remission may occur, but owners may request treatment in severely affected dogs with continued episodes. Controlled studies of the disease are not available. HYPOTHESIS/

objectivesA drug with gamma amino butyric acid-ergic and anxiolytic effects will decrease head tremor episodes. ANIMALS: Twenty-four dogs with severe nonremitting head tremor and presumptive clinical diagnosis of idiopathic head tremor syndrome.

methodsProspective, blinded, placebo-controlled clinical trial to compare imepitoin with placebo in dogs with frequent episodes of idiopathic head tremor. Evaluation of efficacy used the quotient T2/T1 that represented prolongation of the head tremor-free period compared to a 3-month baseline. A dog was considered a responder if tremors subsided or if the head tremor-free period was 3× longer than the longest period during baseline (T2/T1 ≥ 3). Sample size calculations considered a large effect of imepitoin on T2/T1 (Cohen's d = 0.8).

resultsThere were no responders in the placebo group (0/12). In the imepitoin group, the responder rate was 17% (2/12; P = .18) with T2/T1 3.8 and 4.0. Mean T2/T1 was 1.0 ± 1.4 in the imepitoin and 0.4 ± 0.4 in the placebo group (P = .37). CONCLUSION AND CLINICAL IMPORTANCE: Imepitoin did not result in a significant overall benefit. Future studies should focus on treatment of subgroups with a common pathophysiology and similar comorbidities.

Indexed as

Dog DiseasesEpilepsyImidazolesAnimalsAnticonvulsantsDogsFemaleMaleProspective StudiesTreatment OutcomeTremorAnticonvulsantsAWD 131-138Imidazolescaninedyskinesiaepilepsyhead bobbingmedical treatmentmovement disorders

Identifiers

PMID33159484
PMCPMC7694850
OpenAlexW3095590212

What OpenQuestion holds

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LicenceCC BY
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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.