Evidence map›Paper›PMID 34325544›Full record

ArticleGlobal spine journal2023

Somnolence and Dizziness During Mirogabalin Treatment in Patients With Neuropathic Pain Related to Lumbar Disease Who Switched From Pregabalin: A Retrospective Study.

Tsutomu Akazawa, Gen Inoue, Masahiro Tanaka, Tasuku Umehara, Toshihiro Nagai, Yusuke Oshita, Takayuki Imura, Masayuki Miyagi, Wataru Saito, Kosuke Sako and 10 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. 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
0.5field-weighted citation impact, top 37% 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, 8 citations in OpenAlex.

  1. Calcium Channel αPain and therapy · 2025
    Review
  2. Article
  3. Mirogabalin as a novel calcium channel αFrontiers in pharmacology · 2024
    Review
  4. Article
  5. 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

20 authors at 6 institutions in 1 country.

Tsutomu AkazawaDepartment of Orthopaedic Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.ORCID 0000-0003-2348-0994
Gen InoueKanagawa Spine Research Society, Isehara, Kanagawa, Japan.ORCID 0000-0001-6500-9004
Masahiro TanakaDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Tasuku UmeharaDepartment of Orthopaedic Surgery, St. Marianna University Yokohama Seibu Hospital, Yokohama, Kanagawa, Japan.
Toshihiro NagaiKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Yusuke OshitaKanagawa Spine Research Society, Isehara, Kanagawa, Japan.ORCID 0000-0003-1908-2803
Takayuki ImuraKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Masayuki MiyagiKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Wataru SaitoKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Kosuke SakoDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Satoshi NomuraDepartment of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Akihiko HiyamaKanagawa Spine Research Society, Isehara, Kanagawa, Japan.ORCID 0000-0002-2474-9118
Hiroyuki KatohKanagawa Spine Research Society, Isehara, Kanagawa, Japan.ORCID 0000-0003-0046-3008
Daisuke SakaiKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Masato SatoKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Atsuhiro YoshidaDepartment of Orthopaedic Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Masahiro IinumaDepartment of Orthopaedic Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Hisateru NikiDepartment of Orthopaedic Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.
Masashi TakasoKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Masahiko WatanabeKanagawa Spine Research Society, Isehara, Kanagawa, Japan.
Tokai University · JPKitasato University · JPSt. Marianna University School of Medicine · JPShonan Oiso Hospital · JPShowa University Northern Yokohama Hospital · JPYokohama City Seibu Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designMulticenter retrospective study.

objectivesTo investigate adverse events (AEs) in patients with neuropathic pain related to lumbar disease who switched to mirogabalin from pregabalin.

methodsThis study surveyed the records of 82 patients with peripheral neuropathic leg pain related to lumbar disease who switched to mirogabalin from pregabalin. We evaluated AEs associated with pregabalin and mirogabalin, the continuation rate of mirogabalin, and the pain-relieving effect at 4 weeks after switching from pregabalin to mirogabalin. We compared patients who switched due to lack of efficacy (LoE group) and patients who switched due to AEs (AE group).

resultsThe incidence rates of somnolence and dizziness with pregabalin were 12.2% and 14.6%, respectively, while the incidence rates with mirogabalin were reduced to 7.3% for somnolence and 4.9% for dizziness. The incidence of AEs with pregabalin was significantly higher in the AE group (LoE group: 11.1%, AE group 100%), especially for somnolence (LoE group: 3.2%, AE group: 47.1%) and dizziness (LoE group: 4.8%, AE: 52.9%). After switching, the incidences of AEs with mirogabalin were not significantly different between the 2 groups (LoE group: 15.9%, AE group: 23.5%), including for somnolence (LoE group: 7.9%, AE group: 5.9%) and dizziness (LoE group: 4.8%, AE group: 5.9%). There were no significant differences in continuation rate of mirogabalin or the pain-relieving effect between groups.

conclusionsThe patients who experience somnolence and dizziness with pregabalin might be able to continue safely receiving treatment for their pain by switching to mirogabalin.

Indexed as

adverse eventlumbar diseasemirogabalinneuropathic painpregabalin

Identifiers

PMID34325544
PMCPMC10416605
OpenAlexW3184826315

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.