Evidence map›Paper›PMID 37233510›Full record

SynthesisMarine drugs2023

Efficacy and Security of Tetrodotoxin in the Treatment of Cancer-Related Pain: Systematic Review and Meta-Analysis.

Miguel Á Huerta, Javier de la Nava, Antonia Artacho-Cordón, Francisco R Nieto

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Marine drugs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.2field-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.

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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. BeyondFrontiers in pain research (Lausanne, Switzerland) · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Extended local anesthesia enabled by flavonoid permeation enhancers.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
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  12. 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

4 authors at 1 institution in 1 country.

Miguel Á HuertaDepartment of Pharmacology, University of Granada, 18016 Granada, Spain.ORCID 0000-0003-2842-0085
Javier de la NavaDepartment of Pharmacology, University of Granada, 18016 Granada, Spain.ORCID 0000-0002-1239-7960
Antonia Artacho-CordónDepartment of Pharmacology, University of Granada, 18016 Granada, Spain.
Francisco R NietoDepartment of Pharmacology, University of Granada, 18016 Granada, Spain.ORCID 0000-0001-9555-0651
Universidad de Granada · ES

Funding

Government of Spain FPU grant (FPU21/02736)Regional Government of Andalusia CTS-109
6 · The paper itself

Abstract

The pharmacological treatment of cancer-related pain is unsatisfactory. Tetrodotoxin (TTX) has shown analgesia in preclinical models and clinical trials, but its clinical efficacy and safety have not been quantified. For this reason, our aim was to perform a systematic review and meta-analysis of the clinical evidence that was available. A systematic literature search was conducted in four electronic databases (Medline, Web of Science, Scopus, and ClinicalTrials.gov) up to 1 March 2023 in order to identify published clinical studies evaluating the efficacy and security of TTX in patients with cancer-related pain, including chemotherapy-induced neuropathic pain. Five articles were selected, three of which were randomized controlled trials (RCTs). The number of responders to the primary outcome (≥30% improvement in the mean pain intensity) and those suffering adverse events in the intervention and placebo groups were used to calculate effect sizes using the log odds ratio. The meta-analysis showed that TTX significantly increased the number of responders (mean = 0.68; 95% CI: 0.19-1.16,

Indexed as

Cancer PainNeoplasmsNeuralgiaAnalgesicsHumansTetrodotoxinAnalgesicsTetrodotoxincancer-related painchemotherapy-induced peripheral neuropathymeta-analysisneuropathic painsystematic reviewtetrodotoxin

Identifiers

PMID37233510
PMCPMC10221257
OpenAlexW4377291885

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.