Evidence map›Paper›PMID 37021629›Full record

Trial reportJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2023

Effectiveness of butylphthalide on cerebral autoregulation in ischemic stroke patients with large artery atherosclerosis (EBCAS study): A randomized, controlled, multicenter trial.

Zhen-Ni Guo, Bing-Hong Yue, Lei Fan, Jie Liu, Yuanyuan Zhu, Yuanqi Zhao, Jingxin Zhong, Zhan Lou, Xing-Liang Liu, Reziya Abuduxukuer and 10 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 15 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

20 authors at 5 institutions in 1 country.

Zhen-Ni GuoStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Bing-Hong YueDepartment of Neurology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China.
Lei FanDepartment of Neurology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China.
Jie LiuDepartment of Neurology, The People's Hospital of Lixin County, Bozhou, China.
Yuanyuan ZhuDepartment of Neurology, The People's Hospital of Lixin County, Bozhou, China.
Yuanqi ZhaoDepartment of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jingxin ZhongDepartment of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhan LouDepartment of Neurology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China.
Xing-Liang LiuDepartment of Neurology, The First Affiliated Hospital of Hebei North University, Zhangjiakou, China.
Reziya AbuduxukuerStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Peng ZhangStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.ORCID 0000-0001-5536-0255
Yang QuStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Ziduo ShenStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Baoyang ShiStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Ke-Jia ZhangStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Jia LiuLaboratory for Engineering and Scientific Computing, Institute of Advanced Computing and Digital Engineering, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Junlei ChangCenter for Protein and Cell-based Drugs, Institute of Biomedicine and Biotechnology, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.ORCID 0000-0002-0319-9022
Hang JinStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Xin SunStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.
Yi YangStroke Center, Department of Neurology, The First Hospital of Jilin University, Changchun, China.ORCID 0000-0002-9729-8522
Jilin University · CNHebei North University · CNChinese Academy of Sciences · CNGuangzhou University of Chinese Medicine · CNBozhou People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Finding appropriate drugs to improve cerebral autoregulation (CA) in patients with acute ischemic stroke (AIS) is necessary to improve prognosis. We aimed to investigate the effect of butylphthalide on CA in patients with AIS. In this randomized controlled trial, 99 patients were 2:1 randomized to butylphthalide or placebo group. The butylphthalide group received intravenous infusion with a preconfigured butylphthalide-sodium chloride solution for 14 days and an oral butylphthalide capsule for additional 76 days. The placebo group synchronously received an intravenous infusion of 100 mL 0.9% saline and an oral butylphthalide simulation capsule. The transfer function parameter, phase difference (PD), and gain were used to quantify CA. The primary outcomes were CA levels on the affected side on day 14 and day 90. Eighty patients completed the follow-up (52 in the butylphthalide group and 28 in the placebo group). The PD of the affected side on 14 days or discharge and on 90 days was higher in the butylphthalide group than in the placebo group. The differences in safety outcomes were not significant. Therefore, butylphthalide treatment for 90 days can significantly improve CA in patients with AIS.

Indexed as

AtherosclerosisBrain IschemiaIschemic StrokeStrokeArteriesBenzofuransHomeostasisHumansTreatment Outcome3-n-butylphthalideBenzofuransAcute ischemic strokebutylphthalidecerebral autoregulationclinical trialprognosis

Identifiers

PMID37021629
PMCPMC10581234
OpenAlexW4362658039

What OpenQuestion holds

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LicenceCC BY-NC
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.