Evidence map›Paper›PMID 36703238›Full record

Trial reportCancer medicine2023

Oral application of magnesium-L-threonate enhances analgesia and reduces the dosage of opioids needed in advanced cancer patients-A randomized, double-blind, placebo-controlled trial.

Siyin Wu, Tian Jin, Bingjie Ma, Yun Ji, Xuehua Huang, Peiliang Wang, Xiaoming Liu, Boris V Krylov, Xianguo Liu, Ke Ma

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 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
2.4field-weighted citation impact, top 12% 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, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  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

10 authors at 2 institutions in 2 countries.

Siyin WuDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.ORCID 0000-0003-1386-9955
Tian JinDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Bingjie MaDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Yun JiDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Xuehua HuangDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Peiliang WangDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Xiaoming LiuDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.
Boris V KrylovPavlov Institute of Physiology of the Russian Academy of Sciences, Saint Petersburg, Russia.
Xianguo LiuDepartment of Physiology and Pain Research Center, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China.
Ke MaDepartment of Pain Medicine, Xinhua Hospital affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai, China.ORCID 0000-0002-5603-9321
XinHua Hospital · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effects of oral administration of magnesium-L-threonate, a novel magnesium compound, on the analgesic effect of opioids in patients with advanced cancer.

methodsWe performed a prospective, randomized, double-blind trial at a tertiary hospital in Shanghai, China. Eligible cancer patients who took opioids orally were assigned randomly to receive L-TAMS capsules (1.5 g or 2.0 g according to weight) or a placebo (starch capsules). The primary outcome was the increase in the daily oral dose of morphine in each of the two groups, measured at 7, 14, 21, 30, 60, and 90 days during this trial.

resultsA total of 116 patients from the oncology and pain departments, including inpatients and outpatients, were screened; 83 were enrolled. The increases in daily morphine doses began to differ from day 30 (L-TAMS group 9.85 mg/d vs. Placebo group 20.49 mg/d, p < 0.05); the differences persisted on day 60 (L-TAMS group 15.96 mg/d vs. Placebo group 29.06 mg/d, p < 0.05) and on day 90 (L-TAMS group 21.20 mg/d vs. Placebo group 40.44 mg/d, p < 0.01).

conclusionsL-TAMS outperforms a placebo in enhancing the analgesic effect of opioids and reducing the necessary opioid dosage. Moreover, L-TAMS can significantly relieve opioid-induced constipation. These advantages may be beneficial to patients with advanced cancer.

Indexed as

AnalgesiaNeoplasmsAnalgesics, OpioidButyratesCapsulesChinaConstipationDouble-Blind MethodHumansMagnesiumMorphinePainProspective StudiesAnalgesics, OpioidButyratesCapsulesMagnesiumMorphinethreonic acidanalgesiccancer painconstipationmagnesium-L-Threonatemorphine

Identifiers

PMID36703238
PMCPMC9972038
OpenAlexW4318263770

What OpenQuestion holds

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LicenceCC BY
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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.