Evidence map›Paper›PMID 39867639›Full record

ReviewCurrent therapeutic research, clinical and experimental2025

Efficacy of Cevimeline on Xerostomia in Sjögren's Syndrome Patients: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Mehdi Karimi, Fatemeh Ahmadi Hajikolaei, Fahime Hoseinpour, Seyed-Ali Hashemi, Anita Fatehi, Seyed-Abbas Pakmehr, Niloofar Deravi, Mahdyieh Naziri, Mohaddeseh Belbasi, Sahar Khoshravesh and 1 more

Abstract readReview
In one paragraph

Review in Current therapeutic research, clinical and experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. 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

11 authors.

Mehdi KarimiFaculty of Medicine, Bogomolets National Medical University (NMU), Kyiv, Ukraine.
Fatemeh Ahmadi HajikolaeiSchool of Medicine, Babol University of Medical Sciences (MUBabol), Babol, Iran.
Fahime HoseinpourStudent Research Committee, Medical Faculty, Islamic Azad University of Mashhad, Mashhad, Iran.
Seyed-Ali HashemiStudent research committee, Faculty of Medicine, Islamic Azad University of Najafabad, Isfahan, Iran.
Anita FatehiSchool of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Seyed-Abbas PakmehrSchool of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Niloofar DeraviStudents Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences (SBMUS), Tehran, Iran.
Mahdyieh NaziriStudents Research Committee, Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Mohaddeseh BelbasiStudents Research Committee, School of Pharmacy, Zanjan University of Medical Sciences, Zanjan, Iran.
Sahar KhoshraveshShahid Beheshti University of Medical Sciences (SBUMS), Tehran, Iran.
Seyed Hossein VaezzadehInnovative Medical Research Center, Faculty of Medicine, Islamic Azad University, Mashhad Medical Sciences Branch, Mashhad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Xerostomia, or dry mouth, is a common and debilitating symptom in patients with Sjögren's syndrome, affecting their quality of life. Although Cevimeline, a muscarinic agonist, has been investigated as a potential treatment, its efficacy and optimal dosage remain uncertain. This study aims to assess the effectiveness of Cevimeline in relieving xerostomia in patients with Sjögren's syndrome by a meta-analysis of randomized clinical trials (RCT). Method: A comprehensive search was conducted across PubMed, Scopus, Cochrane, and Web of Science databases, utilizing Medical Subject Headings terms and keywords related to "cevimeline," "xerostomia," and "Sjögren's syndrome" from inception until January 3, 2024. Studies were selected based on predefined inclusion criteria, focusing on clinical trials involving human subjects treated with cevimeline for xerostomia in Sjögren's syndrome. Data extraction was performed systematically, and statistical analysis was conducted using STATA software. Result: This meta-analysis included three RCTs with a total of 302 patients with Sjögren's syndrome (Cevimeline = 187; Placebo = 115). The analysis demonstrated that Cevimeline significantly reduces xerostomia (regarded as salivary flow, mouth dryness) in patients with Sjögren's syndrome with a pooled odds ratio -5.79 (95% CI [-10.55, -1.03]; Conclusions: In summary, cevimeline significantly increases salivary flow secretion rates in patients with Sjögren's syndrome. With a favorable safety profile at recommended dosages, cevimeline represents a viable therapeutic option for managing xerostomia, particularly in patients with mild to moderate salivary gland destruction.

Indexed as

autoimmunecevimelinedry mouthmeta-analysisSjogren syndromexerostomia

Identifiers

PMID39867639
PMCPMC11764655

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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.