Evidence map›Paper›PMID 37745913›Full record

ArticleTherapeutic advances in neurological disorders2023

A

Clara Grazia Chisari, Joe Guadagno, Peyman Adjamian, Carlos Vila Silvan, Teresa Greco, Makarand Bagul, Francesco Patti

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00681538 (A Two-phase, Phase 3 Study of the Safety and Efficacy of Sativex, in the Symptomatic Relief of Spasticity in Subjects With Spasticity Due to Multiple Sclerosis), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT00681538 phase3completednot on this map

A Two-phase, Phase 3 Study of the Safety and Efficacy of Sativex, in the Symptomatic Relief of Spasticity in Subjects With Spasticity Due to Multiple Sclerosis: Phase A - Single-blind Response Assessment; Phase B - Double-blind, Randomised, Placebo Controlled, Parallel Group Study.

TypeinterventionalSponsorJazz PharmaceuticalsRan2008 to 2009Enrolled572ConditionsSpasticity, Multiple SclerosisArmsSativex®, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Clara Grazia ChisariDepartment of Medical and Surgical Sciences and Advanced Technologies 'GF Ingrassia', Multiple Sclerosis Center, University of Catania, Catania, Italy.
Joe GuadagnoDepartment of Neurology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Peyman AdjamianGW Pharmaceuticals, Cambridge, UK.
Carlos Vila SilvanAlmirall SA, Barcelona, Spain.
Teresa GrecoJazz Pharmaceuticals - Gentium Srl, Villa Guardia, Italy.
Makarand BagulGW Pharmaceuticals, Cambridge, UK.
Francesco PattiDepartment of Medical and Surgical Sciences and Advanced Technologies 'GF Ingrassia', Multiple Sclerosis Center, University of Catania Italy.ORCID https://orcid.org/0000-0002-6923-0846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Over 80% of individuals with multiple sclerosis (MS) experience MS-associated spasticity (MSS). In many European countries, after failure of first-line treatments, moderate or severe MSS can be treated with nabiximols, a cannabis-based add-on treatment. Objective: This Methods: Previously published data from two randomised controlled trials (RCTs), GWSP0604 (NCT00681538) and SAVANT (EudraCT2015-004451-40), and one large real-world study (consistent with EU label), all enriched for responders, were re-analysed. Spasticity severity, measured using the 0-10 numerical rating scale (spasticity NRS), was categorised as none/mild (score <4), moderate (score ⩾4-7), or severe (score ⩾7). Results: In the two RCTs, the shift of participants with severe MSS into a lower category was significantly greater at week 12 for those receiving nabiximols Conclusions: A meaningful proportion of MSS patients treated with nabiximols shifted to a lower category of spasticity severity, typically maintained to the end of the 12-week study period.

Indexed as

cannabidiolcannabinoidsmultiple sclerosisnabiximolsspasticitytetrahydrocannabinol

Identifiers

PMID37745913
PMCPMC10515604

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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.