Evidence map›Paper›PMID 40596570›Full record

Trial reportScientific reports2025

Post hoc analysis of a randomized placebo-controlled trial suggests potential visual benefits of branched-chain amino acids in retinitis pigmentosa.

Tomoko Hasegawa, Hanako Ohashi Ikeda, Hiroyasu Abe, Yoko Amino, Takayuki Nakagawa, Harue Tada, Manabu Miyata, Akio Oishi, Satoshi Morita, Akitaka Tsujikawa

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Tomoko HasegawaDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Shogoin-kawahara-cho 54, Sakyo, Kyoto, Japan.
Hanako Ohashi IkedaDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Shogoin-kawahara-cho 54, Sakyo, Kyoto, Japan. hanakoi@kuhp.kyoto-u.ac.jp.
Hiroyasu AbeInstitute for Advancement of Clinical and Translational Science, Kyoto University Hospital, Shogoin-Kawahara-cho 54, Sakyo, Kyoto, Japan.
Yoko AminoInstitute for Advancement of Clinical and Translational Science, Kyoto University Hospital, Shogoin-Kawahara-cho 54, Sakyo, Kyoto, Japan.
Takayuki NakagawaDepartment of Clinical Pharmacology and Therapeutics, Kyoto University Hospital, Shogoin-kawahara-cho 54, Sakyo, Kyoto, Japan.
Harue TadaInstitute for Advancement of Clinical and Translational Science, Kyoto University Hospital, Shogoin-Kawahara-cho 54, Sakyo, Kyoto, Japan.
Manabu MiyataDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Shogoin-kawahara-cho 54, Sakyo, Kyoto, Japan.
Akio OishiDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Shogoin-kawahara-cho 54, Sakyo, Kyoto, Japan.
Satoshi MoritaInstitute for Advancement of Clinical and Translational Science, Kyoto University Hospital, Shogoin-Kawahara-cho 54, Sakyo, Kyoto, Japan.
Akitaka TsujikawaDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Shogoin-kawahara-cho 54, Sakyo, Kyoto, Japan.

Funding

Bayer Academic Support grantJapan Agency for Medical Research and Development 20ek0109333h0003Japan Intractable Diseases Research Foundation 2019B01Japan Society for the Promotion of Science KAKENHI 20J40157Mishima Saiichi Memorial Foundation grantTakeda Science Foundation grantUehara Memorial Foundation grant
6 · The paper itself

Abstract

This study assessed and compensated for baseline differences in a randomized clinical trial of branched-chain amino acids (BCAAs) in patients with retinitis pigmentosa (RP). Seventy patients with eyes showing a mean deviation (MD) of - 5.0 to - 25.0 dB in the Humphrey visual-field (HFA 10-2) test were included. Participants were administered BCAAs (TK-98) or a placebo for 78 weeks. We evaluated the reliability of the baseline screening HFA test, analyzed HFA data from 13 weeks after treatment initiation, and conducted a covariate-adjusted analysis. Eyes showed paradoxical improvement as the start of the clinical trial approached. The proportion of eyes demonstrating visual-field improvement in the eligibility screening test was higher in the TK-98 group than in the placebo group. Analysis of HFA 10-2 data from 13 weeks post-treatment, excluding screening data, showed slower decrease rates of total point score (TPS) and MD in the TK-98 group. After covariate adjustment, TPS and MD reductions tended to be slower in the TK-98 group than in the placebo group. The eligibility screening visual-field test could be affected by psychological factors, such as patients' concentration or motivation, leading to better-than-usual screening test results and making them less appropriate as baseline data.

Indexed as

Amino Acids, Branched-ChainRetinitis PigmentosaAdultAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeVisual FieldsVisual Field TestsAmino Acids, Branched-ChainBranched-chain amino acidHumphrey visual-field testPlacebo effectRetinitis pigmentosa

Identifiers

PMID40596570
PMCPMC12218208

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.