Evidence map›Paper›PMID 38375188›Full record

ArticleCerebral circulation - cognition and behavior2024

A multicenter, single-arm, phase II clinical trial of adrenomedullin in patients with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy.

Kazuo Washida, Satoshi Saito, Tomotaka Tanaka, Yuriko Nakaoku, Hiroyuki Ishiyama, Soichiro Abe, Takehito Kuroda, Shinsaku Nakazawa, Chikage Kakuta, Katsuhiro Omae and 10 more

Abstract read
In one paragraph

Article in Cerebral circulation - cognition and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Vascular cognitive impairment and dementia: Prevention, treatments, mechanisms and management options for the future.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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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.

Kazuo WashidaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Satoshi SaitoDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Tomotaka TanakaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Yuriko NakaokuDepartment of Preventive Medicine and Epidemiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Hiroyuki IshiyamaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Soichiro AbeDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Takehito KurodaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Shinsaku NakazawaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Chikage KakutaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Katsuhiro OmaeDepartment of Data Science, National Cerebral and Cardiovascular Center, Suita, Japan.
Kenta TanakaDepartment of Data Science, National Cerebral and Cardiovascular Center, Suita, Japan.
Manabu MinamiDepartment of Data Science, National Cerebral and Cardiovascular Center, Suita, Japan.
Yoshiaki MoritaDepartment of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Tetsuya FukudaDepartment of Radiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Akihiro ShindoDepartment of Neurology, Mie University Graduate school of Medicine, Tsu, Japan.
Takakuni MakiDepartment of Neurology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kazuo KitamuraDepartment of Projects Research, Frontier Science Research Center, University of Miyazaki, Miyazaki, Japan.
Hidekazu TomimotoDepartment of Neurology, Mie University Graduate school of Medicine, Tsu, Japan.
Toshihiko AsoLaboratory for Brain Connectomics Imaging, RIKEN Center for Biosystems Dynamics Research, Kobe, Japan.
Masafumi IharaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), the most common form of hereditary cerebral small vessel disease (SVD), currently lacks disease-modifying treatments. Adrenomedullin (AM), a vasoactive peptide with angiogenic, vasodilatory, anti-inflammatory, and anti-oxidative properties, shows potential effects on the neuro-glial-vascular unit. Objective: The AdrenoMedullin for CADASIL (AMCAD) study aims to assess the efficacy and safety of AM in patients with CADASIL. Sample size: Overall, 60 patients will be recruited. Methods: The AMCAD is a multicenter, investigator-initiated, single-arm phase II trial. Patients with a confirmed CADASIL diagnosis, based on Study outcomes: The primary endpoint is the cerebral blood flow change rate in the frontal cortex, evaluated using arterial spin labeling magnetic resonance imaging, from baseline to day 28. Summary statistics, 95% confidence intervals, and a one-sample Conclusion: The AMCAD study aims to represent the therapeutic potential of AM in patients with CADASIL, addressing an unmet medical need in this challenging condition. Clinical Trial Registration: jRCT 2,051,210,117 (https://jrct.niph.go.jp/en-latest-detail/jRCT2051210117).

Indexed as

AdrenomedullinArterial spin labelingCerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathyCerebral blood flowClinical trial

Identifiers

PMID38375188
PMCPMC10875187

What OpenQuestion holds

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Registered trials

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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.