Evidence map›Paper›PMID 33860901›Full record

ReviewCardiovascular drugs and therapy2022

Cilostazol: a Review of Basic Mechanisms and Clinical Uses.

Riyad Y Kherallah, Muzamil Khawaja, Michael Olson, Dominick Angiolillo, Yochai Birnbaum

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Cardiovascular drugs and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07249853 (Cilostazol for Preventing Delayed Cerebral Ischemia in Aneurysmal Subarachnoid Hemorrhage), which is not on this map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
13.2field-weighted citation impact, top 1% 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.

NCT07249853 phase3not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Cilostazol for Preventing Delayed Cerebral Ischemia in Aneurysmal Subarachnoid Hemorrhage: A Prospective, Multicenter, Randomized, Double-Blinded, Placebo-Controlled Trial

TypeinterventionalSponsorBeijing Tiantan HospitalRan2025 to 2027Enrolled316ConditionsAneurysmal Subarachnoid HemorrhageArmsCilostazol 100 mg BID, placebo
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
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  8. Pharmacokinetic Drug-Drug Interaction between Cilostazol and Rosuvastatin in Healthy Participants.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Trial
  9. Blood pressure during long-term cilostazol-based dual antiplatelet therapy after stroke: a post hoc analysis of the CSPS.com trial.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Trial
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  17. Review
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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 1 country.

Riyad Y KherallahDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0002-6990-4521
Muzamil KhawajaDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Michael OlsonDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Dominick AngiolilloDivision of Cardiology, University of Florida College of Medicine, Jacksonville, FL, USA.
Yochai BirnbaumSection of Cardiology, Department of Medicine, Baylor College of Medicine, 7200 Cambridge Street, Houston, TX, USA. Yochai.birnbaum@bcm.edu.
Baylor College of Medicine · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primarily used in the treatment of intermittent claudication, cilostazol is a 2-oxyquinolone derivative that works through the inhibition of phosphodiesterase III and related increases in cyclic adenosine monophosphate (cAMP) levels. However, cilostazol has been implicated in a number of other basic pathways including the inhibition of adenosine reuptake, the inhibition of multidrug resistance protein 4, among others. It has been observed to exhibit antiplatelet, antiproliferative, vasodilatory, and ischemic-reperfusion protective properties. As such, cilostazol has been investigated for clinical use in a variety of settings including intermittent claudication, as an adjunctive for reduction of restenosis after coronary and peripheral endovascular interventions, and in the prevention of secondary stroke, although its widespread implementation for indications other than intermittent claudication has been limited by relatively modest effect sizes and lack of studies in western populations. In this review, we highlight the pleiotropic effects of cilostazol and the evidence for its clinical use.

Indexed as

Intermittent ClaudicationStrokeAdenosineCilostazolHumansPlatelet Aggregation InhibitorsTetrazolesAdenosineCilostazolPlatelet Aggregation InhibitorsTetrazolesCilostazolPhosphodiesterase inhibitorPlatelet inhibition

Identifiers

PMID33860901
OpenAlexW3152522482

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.