Evidence map›Paper›PMID 33620612›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2021

Cerebrolysin after moderate to severe traumatic brain injury: prospective meta-analysis of the CAPTAIN trial series.

Johannes C Vester, Anca D Buzoianu, Stefan I Florian, Volker Hömberg, Se-Hyuk Kim, Tatia M C Lee, Christian Matula, Wai Sang Poon, Dorel Sandesc, Nicole von Steinbüchel and 4 more

Open access · greenAbstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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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

14 authors at 10 institutions in 7 countries.

Johannes C VesterDepartment of Biometry and Clinical Research, idv Data Analysis and Study Planning, Gauting, Germany.
Anca D BuzoianuDepartment of Pharmacology, Toxicology and Clinical Pharmacology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Stefan I FlorianDepartment of Neurosciences, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Volker HömbergDepartment of Neurology, SRH Gesundheitszentrum Bad Wimpfen GmbH, Bad Wimpfen, Germany.
Se-Hyuk KimDepartment of Neurosurgery, Ajou University School of Medicine, Suwon, South Korea.
Tatia M C LeeState Key Laboratory of Brain and Cognitive Sciences, the University of Hong Kong, Hong Kong, China.
Christian MatulaDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Wai Sang PoonDivision of Neurosurgery, Prince of Wales Hospital, the Chinese University of Hong Kong, Hong Kong, China.
Dorel SandescDepartment of Anesthesia and Intensive Care, "V. Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Nicole von SteinbüchelInstitute of Medical Psychology and Medical Sociology, University Medical Centre Göttingen, Göttingen, Germany.
Stefan StrilciucDepartment of Neurosciences, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Pieter E VosDepartment of Neurology, Slingeland Hospital, Doetinchem, The Netherlands.
Klaus von WildMedical Faculty, Westphalia Wilhelm's University, Münster, Germany.
Dafin MuresanuDepartment of Neurosciences, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania. dafinm@ssnn.ro.ORCID http://orcid.org/0000-0002-9536-1153
Iuliu Hațieganu University of Medicine and Pharmacy · ROAjou University · KRChinese University of Hong Kong · HKMedical University of Vienna · ATPHV Dialysezentrum · DEPTV Group (Germany) · DESlingeland Ziekenhuis · NLUniversity of Hong Kong · HKUniversity of Münster · DEVictor Babeș University of Medicine and Pharmacy Timișoara · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis prospective meta-analysis summarizes results from the CAPTAIN trial series, evaluating the effects of Cerebrolysin for moderate-severe traumatic brain injury, as an add-on to usual care. MATERIALS AND

methodsThe study included two phase IIIb/IV prospective, randomized, double-blind, placebo-controlled clinical trials. Eligible patients with a Glasgow Coma Score (GCS) between 6 and 12 received study medication (50 mL of Cerebrolysin or physiological saline solution per day for ten days, followed by two additional treatment cycles with 10 mL per day for 10 days) in addition to usual care. The meta-analysis comprises the primary ensembles of efficacy criteria for 90, 30, and 10 days after TBI with a priori ordered hypotheses based on multivariate, directional tests.

resultsA total 185 patients underwent meta-analysis (mean admission GCS = 10.3, mean age = 45.3, and mean Baseline Prognostic Risk Score = 2.8). The primary endpoint, a multidimensional ensemble of functional and neuropsychological outcome scales indicated a "small-to-medium" sized effect in favor of Cerebrolysin, statistically significant at Day 30 and at Day 90 (Day 30: MW DISCUSSION: The meta-analysis of the CAPTAIN trials confirms the safety and efficacy of Cerebrolysin after moderate-severe TBI, opening a new horizon for neurorecovery in this field. Integration of Cerebrolysin into existing guidelines should be considered after careful review of internationally applicable criteria.

Indexed as

Brain Injuries, TraumaticNeuroprotective AgentsAmino AcidsClinical Trials, Phase III as TopicHumansMiddle AgedProspective StudiesRandomized Controlled Trials as TopicTreatment OutcomeAmino AcidscerebrolysinNeuroprotective AgentsCerebrolysinModerate-severe traumatic brain injury

Identifiers

PMID33620612
OpenAlexW3130301226

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.