Evidence map›Paper›PMID 36538782›Full record

Trial reportPain medicine (Malden, Mass.)2023

Randomized controlled study to evaluate the efficacy and safety of soticlestat as adjunctive therapy in adults with complex regional pain syndrome.

Stuart Ratcliffe, Dimitrios Arkilo, Mahnaz Asgharnejad, Sudipta Bhattacharya, R Norman Harden

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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 3 institutions in 2 countries.

Stuart RatcliffeSt Pancras Clinical Research, London, EC2Y 8EA, United Kingdom.
Dimitrios ArkiloTakeda Pharmaceutical Company Limited, Cambridge, MA 02139, United States.
Mahnaz AsgharnejadTakeda Pharmaceutical Company Limited, Cambridge, MA 02139, United States.ORCID 0000-0001-8060-2148
Sudipta BhattacharyaTakeda Pharmaceutical Company Limited, Cambridge, MA 02139, United States.
R Norman HardenDepartments of Physical Medicine and Rehabilitation and Physical Therapy and Human Movement Science, , Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Takeda (United States) · USNorthwestern University · USSt Pancras Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective was to investigate the efficacy and safety of soticlestat as adjunctive therapy in participants with complex regional pain syndrome (CRPS).

designA proof-of-concept phase 2a study, comprising a 15-week randomized, double-blind, placebo-controlled, parallel-group study (part A), and an optional 14-week open-label extension (part B).

methodsTwenty-four participants (median age 44.5 years [range, 18-62 years]; 70.8% female) with chronic CRPS were randomized (2:1) to receive oral soticlestat or placebo. Soticlestat dosing started at 100 mg twice daily and was titrated up to 300 mg twice daily. In part B, soticlestat dosing started at 200 mg twice daily and was titrated up or down at the investigator's discretion. Pain intensity scores using the 11-point Numeric Pain Scale (NPS) were collected daily. The Patient-Reported Outcomes Measurement Information System (PROMIS)-29, Patients' Global Impression of Change (PGI-C), and CRPS Severity Score (CSS) were completed at screening and weeks 15 and 29.

resultsFrom baseline to week 15, soticlestat treatment was associated with a mean change in 24-hour pain intensity NPS score (95% confidence interval) of -0.75 (-1.55, 0.05) vs -0.41 (-1.41, 0.59) in the placebo group, resulting in a non-significant placebo-adjusted difference of -0.34 (-1.55, 0.88; P = .570). Statistically non-significant numerical changes were observed for the PROMIS-29, PGI-C, and CSS at weeks 15 and 29.

conclusionsAdjunctive soticlestat treatment did not significantly reduce pain intensity in participants with chronic CRPS.

Indexed as

Complex Regional Pain SyndromesAdultDouble-Blind MethodFemaleHumansMalePain MeasurementPiperidinesPyridinesTreatment OutcomePiperidinesPyridinessoticlestatcomplex regional pain syndromeCRPSinterdisciplinary treatmentsmall sample size

Identifiers

PMID36538782
PMCPMC10321763
OpenAlexW4312066875

What OpenQuestion holds

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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.