Evidence map›Paper›PMID 39925427›Full record

ArticleiScience2025

Lepalvir: Biomaterial efficacy and safety for patients with acute ischemic stroke.

Benke Zhao, Kai Dong, Qingfeng Ma, Yutong Ma, Aihong Guo, Runhui Li, Jianghua Liu, Hong Zhang, Qingcheng Yang, Wei Yue and 3 more

Abstract read
In one paragraph

Article in iScience, 2025. 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. Article
  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

13 authors.

Benke ZhaoDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Kai DongDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Qingfeng MaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yutong MaDepartment of Neurology, Beipiao Central Hospital, Beipiao, China.
Aihong GuoDepartment of Neurology, Xianyang Hospital of Yan'an University, Xianyang, China.
Runhui LiDepartment of Neurology, Central Hospital of Shenyang Medical College, Shenyang, China.
Jianghua LiuDepartment of Neurology, Daqing Oilfield General Hospital, Daqing, China.
Hong ZhangDepartment of Neurology, Liaoning Health Industry Group Fukuang General Hospital, Fushun, China.
Qingcheng YangDepartment of Neurology, Anyang People's Hospital, Anyang, China.
Wei YueDepartment of Neurology, Tianjin Huanhu Hospital, Tianjin, China.
Yi SuiDepartment of Neurology, Shenyang First People's Hospital, Shenyang, China.
Yuan WangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Haiqing SongDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lepalvir, derived from inflamed rabbit skin inoculated with vaccinia virus, has potential neuroprotective and anti-inflammatory effects. We conducted a phase II, multicenter, randomized, blind, placebo-controlled trial investigating the efficacy and safety of Lepalvir for acute ischemic stroke (AIS). Participants aged 18-80 years with AIS in the anterior circulation and a National Institutes of Health Stroke Scale (NIHSS) score of 4-24 within 48 h post-onset were randomized to receive high-dose (192U), low-dose (96U) Lepalvir, or saline placebo for 14 days. The primary outcome was the proportion of patients achieving a modified Rankin Scale (mRS) score ≤ 1 at day 90 (D90) post-randomization. Among 238 patients, no significant difference in mRS score at D90 was observed across groups, yet a higher percentage in the high-dose group achieved a mRS score ≤ 1 at D90, compared to the control and low-dose group. No significant safety concerns were noted. While functional improvement was not significantly different at D90, Lepalvir showed a favorable safety profile and potential at the higher dosage, warranting further phase III investigation.

Indexed as

applied scienceshealth sciencesnatural sciences

Identifiers

PMID39925427
PMCPMC11804740

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.