Evidence map›Paper›PMID 33417146›Full record

Trial reportInternational urology and nephrology2021

Cardiovascular safety of mirabegron in individuals treated for spinal cord injury- or multiple sclerosis-induced neurogenic detrusor overactivity.

Jan Krhut, Peter Wohlfahrt, Jiří Pudich, Eliška Kufová, Vladimír Borovička, Karolína Bílková, Radek Sýkora, Jan Mokriš, Renata Cífková, Roman Zachoval and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Clinical Utility of βResearch and reports in urology · 2022
    Review
  4. 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

11 authors at 4 institutions in 2 countries.

Jan KrhutDepartment of Urology, University Hospital, Tř. 17. listopadu 1790, 708 52, Ostrava, Czech Republic. jan.krhut@fno.cz.ORCID http://orcid.org/0000-0003-4205-5926
Peter WohlfahrtCenter for Cardiovascular Prevention, 1st Faculty of Medicine of Charles University and Thomayer Hospital, Prague, Czech Republic.
Jiří PudichDepartment of Cardiology, University Hospital, Ostrava, Czech Republic.
Eliška KufováDepartment of Cardiology, University Hospital, Ostrava, Czech Republic.
Vladimír BorovičkaDepartment of Urology, 3rd Faculty of Medicine of Charles University and Thomayer Hospital, Prague, Czech Republic.
Karolína BílkováSpinal Cord Rehabilitation Unit, Rehabilitation Center, Kladruby, Czech Republic.
Radek SýkoraDepartment of Urology, University Hospital, Tř. 17. listopadu 1790, 708 52, Ostrava, Czech Republic.
Jan MokrišDepartment of Urology, 3rd Faculty of Medicine of Charles University and Thomayer Hospital, Prague, Czech Republic.
Renata CífkováCenter for Cardiovascular Prevention, 1st Faculty of Medicine of Charles University and Thomayer Hospital, Prague, Czech Republic.
Roman ZachovalDepartment of Urology, 3rd Faculty of Medicine of Charles University and Thomayer Hospital, Prague, Czech Republic.
Peter ZvaraDepartment of Clinical Research, Biomedical Laboratory and Research Unit of Urology, University of Southern Denmark, Odense, Denmark.
Charles University · CZUniversity Hospital Ostrava · CZUniversity of Ostrava · CZUniversity of Southern Denmark · DK

Funding

Astellas Pharma Europe ISR CZ-110-RG-14
6 · The paper itself

Abstract

purposeTo analyze cardiovascular safety of mirabegron in patients with spinal cord injury (SCI)- and multiple sclerosis (MS)-induced neurogenic detrusor overactivity (NDO) in a prospective, randomized, double-blind, placebo-controlled study.

methodsSeventy-eight patients were enrolled into the study, and 66 of them were included into the final analysis. In 49 (74.2%), NDO developed due to suprasacral SCI, 17 (25.8%) suffered from NDO due to MS. Eleven patients were previously treated for hypertension and one for arrhythmia. All study participants received placebo for 2 weeks run-in period. Subsequently, eligible subjects were randomized for 4 weeks of active treatment with mirabegron 50 mg once daily (Group A; n = 32) or placebo (Group B; n = 34). Data from resting electrocardiography (ECG), 24-h ECG and blood pressure monitoring, and echocardiographic examination, were used for cardiovascular safety assessment. All reported variables were evaluated at time of randomization and at the end of the study. Longitudinal changes of variables within the groups and differences between the groups were assessed using nonparametric Kruskal-Wallis test, and p ≤ 0.05 was considered statistically significant.

resultsNo statistically significant longitudinal changes were found in safety variables, except for prolongation of QT interval in placebo group (p = 0.0328) recorded by resting ECG. No significant difference between the Groups A and B, in any of the variables, was observed. A single cardiovascular study drug-related adverse event was recorded in a patient with cervical SCI (3.13%).

conclusionsOur results suggest that mirabegron can be safely used in the treatment of patients with SCI- and MS-induced NDO.

Indexed as

AcetanilidesAdolescentAdrenergic beta-3 Receptor AgonistsAdultAgedCardiovascular DiseasesDouble-Blind MethodFemaleHumansMaleMiddle AgedMultiple SclerosisProspective StudiesSpinal Cord InjuriesThiazolesUrinary Bladder, OveractiveAcetanilidesAdrenergic beta-3 Receptor AgonistsmirabegronThiazolesCardiovascular safetyMirabegronMultiple sclerosisNeurogenic detrusor overactivitySpinal cord injury

Identifiers

PMID33417146
OpenAlexW3118772202

What OpenQuestion holds

Textmetadata
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.