Evidence map›Paper›PMID 40498097›Full record

Trial reportNaunyn-Schmiedeberg's archives of pharmacology2025

A randomized trial on efficacy of purified cannabidiol on spasticity in multiple sclerosis patients with gait problems: first report in Iran.

Pegah Mousavi, Maryam Emadzadeh, Bahar Karimikhoshnoudian, Mohammad Ali Sahraian, Mehran Ghaffari, Vahid Shaygannejad, Maryam Payere, Ava Baghaei, Aram Zabeti, Mohammadali Nahayati

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Naunyn-Schmiedeberg's archives of pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

10 authors.

Pegah MousaviDepartment of Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Maryam EmadzadehClinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID 0000-0002-1526-3765
Bahar KarimikhoshnoudianFaculty of Medicine, Islamic Azad University of Tehran Medical Sciences, Tehran, Iran.ORCID 0009-0005-7769-7840
Mohammad Ali SahraianDepartment of Neurology, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3224-8807
Mehran GhaffariDepartment of Neurology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-1717-0690
Vahid ShaygannejadDepartment of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0009-0008-6960-1265
Maryam PayereDepartment of Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID 0000-0002-6599-833X
Ava BaghaeiDepartment of Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Aram ZabetiDepartment of Neurology and Rehabilitation Medicine, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0002-0424-7460
Mohammadali NahayatiDepartment of Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. nahayatim.aa@gmail.com.ORCID 0000-0001-8373-6053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to assess the effectiveness of pure cannabidiol (CBD) in reducing spasticity in multiple sclerosis (MS) patients with spasticity-related walking difficulties. 49Forty-nine MS patients were randomly assigned to receive either CBD C2 oral drops (n = 24, initially 5 mg/day, increasing to 70 mg/day over 2 weeks, and 80 mg/day from the third week to the fourth week) or a placebo (n = 25) at Ghaem Hospital, Mashhad, Iran. After one 1 month of treatment, the timed 25-foot walk (T25-FW) test was conducted, and patients completed several questionnaires, including the Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Walking Scale (MSWS-12), Urinary Frequency, Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI-II), and EuroQoL (EQ-5D).The duration of the T25-FW test decreased in both groups, but the reduction was significantly greater in the intervention group (IG) compared to the placebo group (PG) (p = 0.031). Both groups experienced a reduction in maximum pain after 1 month, with the IG showing a significantly higher decrease (p = 0.033). There was no significant difference in plasticity levels between the groups at baseline, 4, and 8 weeks. Results indicate that CBD does not significantly reduce spasticity severity in MS patients. However, the T25-FW test results showed a notable reduction in test duration.

Indexed as

CannabidiolGait Disorders, NeurologicMultiple SclerosisMuscle SpasticityAdultDouble-Blind MethodFemaleHumansIranMaleMiddle AgedTreatment OutcomeCannabidiolCannabidiolGait problemsMultiple sclerosisSpasticityTimed 25-foot walk test

Identifiers

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Textmetadata
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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.