Evidence map›Paper›PMID 37084261›Full record

Trial reportPain medicine (Malden, Mass.)2023

Preliminary results from a randomized, controlled, cross-over trial of intrathecal oxytocin for neuropathic pain.

James C Eisenach, Regina S Curry, Timothy T Houle

Registry-linked trialOpen access · greenAbstract 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. It is linked to trial NCT02100956 (Efficacy of Intrathecal Oxytocin in Patients With Neuropathic Pain), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 17% 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.

NCT02100956 phase2terminatednot on this map

Efficacy of Intrathecal Oxytocin in Patients With Neuropathic Pain

TypeinterventionalSponsorWake Forest University Health SciencesRan2014 to 2022Enrolled8ConditionsNeuropathic PainArmsoxytocin 100 micrograms, Normal Saline (preservative free)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
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

3 authors at 2 institutions in 1 country.

James C EisenachDepartment of Anesthesiology, Wake Forest University School of Medicine, Winston Salem, NC 27157, United States.ORCID 0000-0002-9841-0176
Regina S CurryDepartment of Anesthesiology, Wake Forest University School of Medicine, Winston Salem, NC 27157, United States.
Timothy T HouleDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA 02441, United States.
Wake Forest University · USMassachusetts General Hospital · US

Funding

Receptor Selective Spinal AnalgesiaR37GM048085 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI EISENACH, JAMES · 2011 to 2020
$3.7M
NIGMS NIH HHS R37 GM048085
6 · The paper itself

Abstract

objectiveCompare intrathecal oxytocin, 100 µg to placebo on ongoing neuropathic pain and mechanical hyperalgesia and allodynia. STUDY

designRandomized, controlled, double-blind cross-over.

settingClinical research unit. SUBJECTS: Individuals aged 18 to 70 years with neuropathic pain for at least 6 months.

methodsIndividuals received intrathecal injections of oxytocin and saline, separated by at least 7 days, and ongoing pain in neuropathic area (VAS [visual analog scale]) and areas of hypersensitivity to von Frey filament and cotton wisp brushing were measured for 4 hours. Primary outcome was VAS pain in the first 4 hours after injection, analyzed by linear mixed effects model. Secondary outcomes were verbal pain intensity scores at daily intervals for 7 days and areas of hypersensitivity and elicited pain for 4 hours after injections.

resultsThe study was stopped early after completion of 5 of 40 subjects planned due to slow recruitment and funding limitations. Pain intensity prior to injection was 4.75 ± 0.99 and modeled pain intensity decreased more after oxytocin than placebo to 1.61 ± 0.87 and 2.49 ± 0.87, respectively (P = .003). Daily pain scores were lower in the week following injection of oxytocin than saline (2.53 ± 0.89 vs 3.66 ± 0.89; P = .001). Allodynic area decreased by 11%, but hyperalgesic area increased by 18% after oxytocin compared to placebo. There were no study drug related adverse effects.

conclusionAlthough limited by the small number of subjects studied, oxytocin reduced pain more than placebo in all subjects. Further study of spinal oxytocin in this population is warranted.

trial registrationThis study was registered at ClinicalTrials.gov on 03/27/2014 (NCT02100956). The first subject was studied on 06/25/2014.

Indexed as

NeuralgiaOxytocinCross-Over StudiesDouble-Blind MethodHumansHyperalgesiaPain MeasurementOxytocinallodyniaanalgesiahyperalgesianeuropathic painoxytocinspinal injection

Identifiers

PMID37084261
PMCPMC10472486
OpenAlexW4366602889

What OpenQuestion holds

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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.