Evidence map›Paper›PMID 39397127›Full record

Trial reportInflammopharmacology2024

Efficacy and safety of 4-hydroxy-2-methyl-N-(5-methyl-2-thiazolyl)-2H-1, 2-benzothiazin-3-carboxamide 1,1-dioxide, a rapid-acting meloxicam formulation, for analgesia after orthopaedic surgery under general anaesthesia: a randomized controlled trial.

Yingyong Zhou, Yan Jiang, Kaiming Duan, Qiongcan Li, Mengchang Yang, Qing Lei, Mingsheng Bao, Guijie Xie, Jie Sun, Liang Chen and 16 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Inflammopharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

26 authors.

Yingyong Zhou *Department of Anesthesiology, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, 410013, China.
Yan Jiang *Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, No. 101 Longmian Avenue, Jiangning District, Nanjing, 210029, China.
Kaiming DuanDepartment of Anesthesiology, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, 410013, China.
Qiongcan LiDepartment of Anesthesiology, Changsha Central Hospital, Changsha, China.
Mengchang YangDepartment of Anesthesiology, Sichuan Academy of Medical Sciences - Sichuan Provincial People's Hospital (SAMSPH), Chengdu, China.
Qing LeiDepartment of Orthopedics, The Third Hospital of Changsha, Changsha, China.
Mingsheng BaoDepartment of Anesthesiology, The People's Hospital of Chizhou, Chizhou, China.
Guijie XieDepartment of Orthopedics, The People's Hospital of Chizhou, Chizhou, China.
Jie SunDepartment of Anesthesiology, Zhongda Hospital Southeast University, Nanjing, China.
Liang ChenDepartment of Orthopedics, Huaibei Miners Central Hospital, Huaibei, China.
Hongmei ZhouDepartment of Anesthesiology, The Second Hospital of Jiaxing, Jiaxing, China.
Yanzhuo ZhangDepartment of Anesthesiology, Liuzhou Worker's Hospital, Liuzhou, China.
Yidan HuangDepartment of Anesthesiology, Liuzhou People's Hospital, Liuzhou, China.
Yuanli GaoDepartment of Anesthesiology, Maanshan People's Hospital, Maansha, China.
Liu HanDepartment of Anesthesiology, Nan Jing First Hospital, Nanjing, China.
Han LinDepartment of Anesthesiology, The 2nd Affiliated Hospital and Yuying Children's Hospital of WMU, Wenzhou, China.
Yafeng ZhangDepartment of Orthopedics and Traumatology, Wuxi Traditional Chinese Medicine Hospital, Wuxi, China.
Yongquan ChenDepartment of Anesthesiology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Ling ZhaoDepartment of Anesthesiology, The First Affiliated Hospital of Xi'an Medical University, Xian, China.
Shuangtao ChenDepartment of Orthopedics, Xingtai Orthopedic Hospital, Xingtai, China.
Chun ChenDepartment of Anesthesiology, Yichang Central People's Hospital, Yichang, China.
Haitao JiangDepartment of Anesthesiology, Yueyang People's Hospital, Yueyang, China.
Jinghua RenDepartment of Anesthesiology, The Second People's Hospital of Yibin, Yibin, China.
Wen OuyangDepartment of Anesthesiology, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, 410013, China.
Shaowen TangDepartment of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, No. 101 Longmian Avenue, Jiangning District, Nanjing, 210029, China. tomswen@njmu.edu.cn.
Saiying WangDepartment of Anesthesiology, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Yuelu District, Changsha, 410013, China. 1771303488@qq.com.ORCID http://orcid.org/0000-0003-0083-5764

Funding

Natural Science Foundation of Hunan Province 2021JJ31022Natural Science Foundation of Hunan Province 2023JJ30820
6 · The paper itself

Abstract

backgroundPostoperative pain management is one of the most challenging treatments after orthopaedic surgery, and improved medical treatment options are urgently needed. This study aimed to evaluate the efficacy and safety of 4-hydroxy-2-methyl-N-(5-methyl-2-thiazolyl)-2H-1, 2-benzothiazin-3-carboxamide 1,1-dioxide (QP001) for moderate to severe pain following orthopaedic surgery.

methodsThis randomized clinical trial enlisted patients experiencing moderate to severe pain following orthopaedic surgery in 20 hospitals in China. We allocated randomly 132 participants to receive 30 mg QP001 and 66 participants to receive 0.9% saline pre-surgery. The primary efficacy outcome was the total morphine consumption within 24 h.

resultsThe total morphine consumption in the QP001 group, versus placebo group, was significantly lower over the following 24 h [12.53 (10.51) vs. 26.13 (13.98), P < 0.001]. The total morphine consumption in the QP001 group, versus placebo group, was also significantly decreased over the following 48 h (P < 0.001). The QP001 group, versus placebo, showed a significant decrease in the effective pressing times of the analgesic pump, morphine relief analgesia ratio over the 24 h and 48 h periods and the area under the curve for pain intensity-time as well as a significant prolonged in the time of first pressing the analgesic pump and the time of first morphine rescue analgesia (P < 0.001). The QP001 groups, versus placebo, show no significant difference in adverse events, but the incidence of adverse drug reactions decreased (59.4% vs. 75.8%, P = 0.023).

conclusionQP001 provides analgesia and reduces opioid consumption in patients with moderate to severe pain after orthopaedic surgery, with a favorable safety profile.

Indexed as

Analgesics, OpioidAnesthesia, GeneralMeloxicamMorphineOrthopedic ProceduresPostoperative PainAdultAgedAnalgesiaChinaDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementAnalgesics, OpioidMeloxicamMorphineThiazinesLong-lasting analgesiaNSAIDsOrthopaedic surgeryPostoperative painQP001

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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.