Evidence map›Paper›PMID 34854403›Full record

Trial reportIndian journal of pharmacology

A randomized comparative study of methylcobalamin, methylcobalamin plus pregabalin and methylcobalamin plus duloxetine in patients of painful diabetic neuropathy.

Chetna Sharma, Inderpal Kaur, Harpreet Singh, Inderpal Singh Grover, Jatinder Singh

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% 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, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  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

5 authors at 1 institution in 1 country.

Chetna SharmaDepartment of Pharmacology, GMC, Amritsar, Punjab, India.
Inderpal KaurDepartment of Pharmacology, GMC, Amritsar, Punjab, India.
Harpreet SinghDepartment of Medicine, GMC, Amritsar, Punjab, India.
Inderpal Singh GroverDepartment of Pharmacology, GMC, Amritsar, Punjab, India.
Jatinder SinghDepartment of Pharmacology, GMC, Amritsar, Punjab, India.
Government Medical College, Amritsar · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextDiabetic neuropathy affects 10.5%-32.2% of diabetic population posing clinical burden onto society.

aimsWe aimed to study the efficacy, safety, and tolerability of methylcobalamin, methylcobalamin plus pregabalin, and methylcobalamin plus duloxetine in patients of painful diabetic neuropathy. SETTINGS AND

designIt is a prospective, randomized, open-label, interventional, and parallel-group study done in patients of painful diabetic neuropathy. MATERIALS AND

methodsA total of 100 patients were recruited and randomized to three study groups A, B, and C on methylcobalamin, methylcobalamin and pregabalin, and methylcobalamin and duloxetine, respectively. Patients were assessed at day 0 and 4, 8, and 12 weeks. The tuning fork test, monofilament test, Thermal Sensitivity testing, and Visual Analog Scale (VAS) were used to analyze vibration, pressure, thermal sensitivity, and pain. STATISTICAL ANALYSIS USED: The results are expressed as mean ± standard deviation. Appropriate statistical methods were used to calculate P value (<0.05 - significant).

resultsThe increase in number of patients with vibration perception is 11.6%, 37.9%, and 41.4%; pressure sensation is 7.6%, 37.9%, and 37.9%; and thermal sensitivity is 15.4%, 31.1%, and 37.9% in Groups A, B, and C, respectively. The decrease in VAS scores is 0.58 ± 0.14, 3.82 ± 0.05, and 4.17 ± 0.48 in Groups A, B, and C correspondingly. The adverse effects reported in Groups A, B, and C are 0%, 6.9%, and 10.3%, respectively.

conclusionsGroup C is more efficacious when compared to Groups A and B while Group B is safer.

Indexed as

AnalgesicsDiabetic NeuropathiesDrug Therapy, CombinationDuloxetine HydrochlorideFemaleHumansMaleMiddle AgedPain MeasurementPregabalinTreatment OutcomeVitamin B 12AnalgesicsDuloxetine HydrochloridemecobalaminPregabalinVitamin B 12Duloxetinemethylcobalaminpainful diabetic neuropathypregabalin

Identifiers

PMID34854403
PMCPMC8641739
OpenAlexW3216546451

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.