Evidence map›Paper›PMID 39262633›Full record

ReviewIBRO neuroscience reports2024

Efficacy of preladenant in improving motor symptoms in Parkinson's disease: A systematic review and meta-analysis.

Mohammad Amin Karimi, Alireza Ghajari, Reza Khademi, Mohammad Hossein Etemadi, Narges Safar Firouz, Behnaz Mohammadvand, Kimia Janeshin, Afra Darvishi, Shafagh Asgarzadeh, Sayedeh-Fatemeh Sadat-Madani and 10 more

Abstract readReview
In one paragraph

Review in IBRO neuroscience reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

20 authors.

Mohammad Amin KarimiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Alireza GhajariSchool of pharmacy Mashhad University of medical science, Mashhad, Iran.
Reza KhademiStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Hossein EtemadiStudents Research Committee, School of Medicine, Shahrekord University of Medical Science, Shahrekord, Iran.
Narges Safar FirouzDepartment of Psychology, University of Guilan, Rasht, Iran.
Behnaz MohammadvandStudent Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Kimia JaneshinSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Afra DarvishiSchool of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Shafagh AsgarzadehDepartment of Neurology, Urumia Medical Science University, Urumia, Iran.
Sayedeh-Fatemeh Sadat-MadaniSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Mohammad AbbasalizadehStudent Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Zahra Jafari ShendiSchool of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Ata Akhtari KohnehshahriStudent Research Committee, Faculty of Medicine, Tabriz Medical Sciences, Islamic Azad University, Tabriz, Iran.
Niloofar DeraviStudent Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Amirhossein MazhariStudent Research Committee, Azerbaijan Medical University, Baku, Azerbaijan.
Mahsa AzizHealth Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Matin BidaresHealth Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohaddeseh BelbasiStudents research committee, School of pharmacy, Zanjan University of Medical Sciences, Zanjan, Iran.
Mahdyieh NaziriStudent Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Hossein Ashkpour MotlaghBushehr University of Medical Sciences, Bushehr, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Parkinson's disease (PD) is a complex neurodegenerative disorder characterized by dopamine depletion and severe motor impairments. Preladenant, an adenosine A2 receptor antagonist, is an investigational treatment for PD. This systematic review and meta-analysis aimed to critically evaluate the efficacy of Preladenant in improving motor symptoms in patients with PD. Methods: A comprehensive literature search was conducted in PubMed, Embase, and Cochrane Central Register of Controlled Trials from inception to March 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Randomized controlled trials (RCTs) comparing Preladenant with placebo in PD patients were included. The primary outcome was the change in daily ON time without troublesome dyskinesia. Secondary outcomes included the change in daily OFF time and adverse events. The risk of bias was assessed using the Cochrane Risk of Bias tool. Results: Four RCTs with a total of 2097 PD patients were included. Pooled analysis showed that Preladenant could generally increase daily ON time (pooled effect 0.15 and 95 % CI: -0.19-0.48) and reduce daily OFF time (pooled effect -0.04 and 95 % CI: -0.43-0.36) compared to placebo, however it was not significant. The included studies had moderate to high heterogeneity. No significant differences in adverse events were observed between Preladenant and placebo. Conclusion: This meta-analysis suggests that Preladenant may improve motor fluctuations in PD patients by increasing ON time and reducing OFF time. However, the high heterogeneity among studies warrants further large-scale, high-quality RCTs to confirm these findings and establish the long-term safety and efficacy of Preladenant in PD management.

Indexed as

Adenosine A2 receptor antagonistMotor fluctuationsMotor symptomsParkinson's diseasePreladenant

Identifiers

PMID39262633
PMCPMC11387384

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.