Evidence map›Paper›PMID 37249667›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2023

Safety and efficacy of edaravone in patients with amyotrophic lateral sclerosis: a systematic review and meta-analysis.

Anas Zakarya Nourelden, Ibrahim Kamal, Abdulrahman Ibrahim Hagrass, Abdelrahman G Tawfik, Mahmoud M Elhady, Ahmed Hashem Fathallah, Mona Muhe Eldeen Eshag, Mohamed Sayed Zaazouee

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Critical issues in the use of edaravone for the treatment of amyotrophic lateral sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Using an expanded algorithm to estimate prevalence of amyotrophic lateral sclerosis in U.S. and UK.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  15. Review
  16. Tofersen for SOD1 ALS.Neurodegenerative disease management · 2024
    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

8 authors at 5 institutions in 3 countries.

Anas Zakarya Nourelden *Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ibrahim Kamal *Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abdulrahman Ibrahim HagrassFaculty of Medicine, Al-Azhar University, Cairo, Egypt. Abdulrahmanelsayed.stu.3@azhar.edu.eg.ORCID http://orcid.org/0000-0002-0297-9385
Abdelrahman G TawfikDepartment of Pharmacotherapy, College of Pharmacy, The University of Utah, Salt Lake City, UT, USA.
Mahmoud M ElhadyFaculty of Medicine, Benha University, Qalubiya, Egypt.
Ahmed Hashem FathallahFaculty of Medicine, Minia University, Minia, Egypt.
Mona Muhe Eldeen EshagFaculty of Medicine, University of Bahri, Khartoum, Sudan.
Mohamed Sayed ZaazoueeFaculty of Medicine, Al-Azhar University, Assiut, Egypt.
Al-Azhar University · EGBenha University · EGMinia University · EGUniversity of Bahri · SDUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe study aims to increase understanding of edaravone's efficacy and safety as an amyotrophic lateral sclerosis (ALS) treatment and provide significant insights regarding this field's future research.

methodsWe conducted a comprehensive search of the Embase, PubMed, Cochrane Library, Web of Science, and Scopus databases for randomized controlled trials and observational studies up until September 2022. We evaluated the studies' quality using the Cochrane risk of bias tool and the National Institutes of Health tool.

resultsWe included 11 studies with 2845 ALS patients. We found that edaravone improved the survival rate at 18, 24, and 30 months (risk ratio (RR) = 1.03, 95% confidence interval (CI) [1.02 to 1.24], P = 0.02), (RR = 1.22, 95% CI [1.06 to 1.41], P = 0.007), and (RR = 1.17, 95% CI [1.01 to 1.34], P = 0.03), respectively. However, the administration of edaravone did not result in any significant difference in adverse effects or efficacy outcomes between the two groups, as indicated by a P value greater than 0.05.

conclusionEdaravone improves survival rates of ALS patients at 18, 24, and 30 months with no adverse effects. However, edaravone does not affect functional outcomes. In order to ensure the validity of our findings and assess the results in accordance with the disease stage, it is essential to carry out additional prospective, rigorous, and high-quality clinical trials. The current study offers preliminary indications regarding the effectiveness and safety of edaravone. However, further comprehensive research is required to establish the generalizability and sustainability of the findings.

Indexed as

Amyotrophic Lateral SclerosisEdaravoneHumansProspective StudiesQuality of LifeSeverity of Illness IndexUnited StatesEdaravoneALSAmyotrophic lateral sclerosisEdaravoneMeta-analysis

Identifiers

PMID37249667
PMCPMC10495275
OpenAlexW4378745425

What OpenQuestion holds

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LicenceCC BY
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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.