Evidence map›Paper›PMID 36352620›Full record

Trial reportNeurology India

Use of Fluoxetine to Augment the Inter-Ictal Hypercapnic Ventilatory Response in Patients with Epilepsy: A Pilot Study.

Rup K Sainju, Deidre N Dragon, Harold B Winnike, Patrick Ten Eyck, Mark A Granner, Brian K Gehlbach, George B Richerson

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurology India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Sudden Unexpected Death in Epilepsy: Central Respiratory Chemoreception.International journal of molecular sciences · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. 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

7 authors at 1 institution in 1 country.

Rup K SainjuDepartment of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Deidre N DragonDepartment of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Harold B WinnikeInstitute for Clinical and Translational Science, University of Iowa, Iowa City, IA, USA.
Patrick Ten EyckInstitute for Clinical and Translational Science, University of Iowa, Iowa City, IA, USA.
Mark A GrannerDepartment of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Brian K GehlbachDepartment of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
George B RichersonDepartment of Neurology; Department of Molecular Physiology and Biophysics, Carver College of Medicine, University of Iowa; Department of Neurology, Veterans Affairs Medical Center, Iowa City, IA, USA.
University of Iowa · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
The role of central CO2 chemosensitivity in postictal respiratory depression and SUDEPR01NS113764 · NINDS · UNIVERSITY OF IOWA · PI Brian Gehlbach, GEORGE B RICHERSON · 2019 to 2026
$5.5M
SUDEP Research Alliance: Respiratory and Arousal Mechanisms, Application 5 of 7U01NS090414 · NINDS · UNIVERSITY OF IOWA · PI RICHERSON, GEORGE B · 2014 to 2018
$3.3M
NCATS NIH HHS UL1 TR002537NINDS NIH HHS R01 NS113764NINDS NIH HHS U01 NS090414
6 · The paper itself

Abstract

Background: Severe peri-ictal respiratory dysfunction is a potential biomarker for high SUDEP risk and correlates with an attenuated hypercapnic ventilatory response (HCVR). Prior studies suggest a potential role for selective serotonergic reuptake inhibitors in modifying the HCVR, but this approach has not been studied in the epilepsy population. Objectives: To assess the feasibility of using fluoxetine to augment HCVR in epilepsy patients. Methods and Material: An inter-ictal HCVR was measured using a CO Results: Of the 30 subjects enrolled, 22 were randomized (mean: 3.8 subjects/3 months), with a retention rate of 100% in fluoxetine and 95% in placebo. Conclusions: Our results demonstrate feasibility for a larger definitive future study to assess the efficacy of fluoxetine in augmenting HCVR.

Indexed as

EpilepsyFluoxetineCarbon DioxideHumansHypercapniaPilot ProjectsCarbon DioxideFluoxetineEpilepsyfluoxetineHCVRSSRISUDEP

Identifiers

PMID36352620
PMCPMC10234457
OpenAlexW4308766903

What OpenQuestion holds

Textmetadata
LicenceTDM
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.