Evidence map›Paper›PMID 36504406›Full record

Trial reportMuscle & nerve2023

Oral edaravone demonstrated a favorable safety profile in patients with amyotrophic lateral sclerosis after 48 weeks of treatment.

Angela Genge, Gary L Pattee, Gen Sobue, Masashi Aoki, Hiide Yoshino, Philippe Couratier, Christian Lunetta, Susanne Petri, Daniel Selness, Sachin Bidani and 7 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Muscle & nerve, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04165824 (Safety Study of Oral Edaravone Administered in Subjects With ALS), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.7field-weighted citation impact, top 8% 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.

NCT04165824 phase3completednot on this map

Safety Study of Oral Edaravone Administered in Subjects With ALS

TypeinterventionalSponsorShionogiRan2019 to 2021Enrolled185ConditionsALSArmsMT-1186
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
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  5. Review
  6. Introduction to the Supplement.Muscle & nerve · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Molecular mechanisms and therapeutic strategies for neuromuscular diseases.Cellular and molecular life sciences : CMLS · 2024
    Review
  17. Review
  18. Edaravone: A Possible Treatment for Acute Lung Injury.International journal of general medicine · 2024
    Review
  19. Article
  20. Gene Therapy in ALS and SMA: Advances, Challenges and Perspectives.International journal of molecular sciences · 2023
    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

17 authors at 13 institutions in 6 countries.

Angela GengeClinical Research and ALS Clinic, Montreal Neurological Institute and Hospital, Montreal, Canada.
Gary L PatteeNeurological Sciences Department, University of Nebraska Medical Center, Lincoln, Nebraska, USA.ORCID 0000-0001-8365-6707
Gen SobueDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Masashi AokiDepartment of Neurology, Tohoku University School of Medicine, Sendai, Japan.
Hiide YoshinoDepartment of Neurology, Yoshino Neurology Clinic, Chiba, Japan.
Philippe CouratierDepartment of Neurology, University Hospital of Limoges, Limoges, France.
Christian LunettaIstituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Unit of Milano, Milan, Italy.
Susanne PetriClinic for Neurology, Hannover Medical School, Hannover, Germany.
Daniel SelnessClinical and Technical Operations, Mitsubishi Tanabe Pharma Development America, Inc., Jersey City, New Jersey, USA.
Sachin BidaniClinical Development, Mitsubishi Tanabe Pharma Development America, Inc., Jersey City, New Jersey, USA.
Manabu HiraiClinical Research & Development, Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan.
Takeshi SakataGlobal Products Management Department, Mitsubishi Tanabe Pharma Corporation, Tokyo, Japan.
Alejandro SalahMedical Affairs, Mitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.
Stephen AppleMedical Affairs, Mitsubishi Tanabe Pharma America, Inc., Jersey City, New Jersey, USA.ORCID 0000-0002-3051-3953
Art WamilNeurology, Medical Science, Mitsubishi Tanabe Pharma Development America, Inc., Jersey City, New Jersey, USA.
Alexander KalinDrug Safety, Mitsubishi Tanabe Pharma Development America, Inc., Jersey City, New Jersey, USA.
Carlayne E JacksonDepartment of Neurology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Mitsubishi Corporation (United States) · USAichi Medical University · JPIstituti Clinici Scientifici Maugeri · ITJersey City Medical Center · USMedizinische Hochschule Hannover · DEMitsubishi Group (Japan) · JPMitsubishi Tanabe Pharma CorporationMontreal Neurological Institute and Hospital · CAThe University of Texas Health Science Center at San Antonio · USTohoku University · JPUniversité de Limoges · FRUniversity of Nebraska–Lincoln · USYoshino Kogyosho (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

aimsAn intravenous (IV) formulation of edaravone has been shown to slow the rate of physical functional decline in amyotrophic lateral sclerosis (ALS). An oral suspension formulation of edaravone was recently approved by the United States Food and Drug Administration for use in patients with ALS. This study assessed the safety and tolerability of oral edaravone.

methodsThis global, open-label, phase 3 study evaluated the long-term safety and tolerability of oral edaravone in adults with ALS who had a baseline forced vital capacity ≥70% of predicted and disease duration ≤3 y. The primary safety analysis was assessed at weeks 24 and 48. Patients received a 105-mg dose of oral edaravone in treatment cycles replicating the dosing of IV edaravone.

resultsThe study enrolled 185 patients (64.3% male; mean age, 59.9 y; mean disease duration, 1.56 y). The most common treatment-emergent adverse events (TEAEs) at week 48 were fall (22.2%), muscular weakness (21.1%) and constipation (17.8%). Serious TEAEs were reported by 25.9% of patients; the most common were worsening ALS symptoms, dysphagia, dyspnea, and respiratory failure. Twelve TEAEs leading to death were reported. Forty-six (24.9%) patients reported TEAEs that were considered related to study drug; the most common were fatigue, dizziness, headache, and constipation. Sixteen (8.6%) patients discontinued study drug due to TEAEs. No serious TEAEs were related to study drug. DISCUSSION: This study indicated that oral edaravone was well tolerated during 48 wk of treatment, with no new safety concerns identified.

Indexed as

Amyotrophic Lateral SclerosisEdaravoneAdministration, OralConstipationFemaleHumansMaleMiddle AgedEdaravoneamyotrophic lateral sclerosisclinical trialsedaravonemotor neuron diseasesafety

Identifiers

PMID36504406
PMCPMC10107134
OpenAlexW4311128389

What OpenQuestion holds

Textmetadata
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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.