Evidence map›Paper›PMID 41090403›Full record

SynthesisClinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery2026

Is Verapamil Effective for Treating Patients With Chronic Rhinosinusitis With Nasal Polyps? A Systematic Review.

Fangxing Yin, Haris Ali, Alaa Abdelhalim, Hassan A Elhassan

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Is Verapamil Effective for Treating Patients With Chronic Rhinosinusitis With Nasal Polyps? A Systematic Review.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Pooled it
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

4 authors.

Fangxing YinSchool of Medicine and Dentistry, Queen Mary University of London, London, UK.ORCID 0000-0001-6602-4724
Haris AliMedway Hospital, Kent, UK.ORCID 0009-0002-6846-2562
Alaa AbdelhalimSchool of Medicine and Dentistry, Queen Mary University of London, London, UK.ORCID 0009-0006-4804-3829
Hassan A ElhassanDepartment of ENT, Homerton University Hospital Foundation Trust, London, UK.ORCID 0000-0001-5378-8709

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIdentify and summarise the evidence on the efficacy of low-dose verapamil use for adult patients with Chronic Rhinosinusitis with Nasal Polyps (CRSwNP).

methodsTwo reviewers independently searched the data sources until the 28th of December 2023. From 262 studies identified, PRISMA guidelines were implemented to include three randomised controlled trials that used verapamil for patients diagnosed with CRSwNP. Primary endpoints were extracted, including quality-of-life questionnaires and imaging gradings.

resultsAcross 116 participants, all three studies showed statistically significant improvement in the subjective scores of patients who experienced symptoms in the verapamil group. The mean differences between the two intervention groups and placebo in SNOT-22 were -19.17 (95% CI: -30.76 to -7.58) and -27.7 (95% CI: -49.36 to -6.05). On the objective metrics, statistically significant improvement in TNPS or LMS between groups was seen in two out of the three studies (0.01 [p = 0.001], -5.2 [p = 0.02]).

conclusionAlthough verapamil usage resulted in significant improvements in the subjective and objective measurements of the severity of CRSwNP, the current evidence is insufficient to support widespread usage of verapamil for CRSwNP. Further studies should focus on recruiting a clinically significant number of patients, while ensuring robustness and homogeneity in the methodological design.

Indexed as

Calcium Channel BlockersNasal PolypsRhinitisSinusitisVerapamilChronic DiseaseHumansQuality of LifeRandomized Controlled Trials as TopicRhinosinusitisTreatment OutcomeCalcium Channel BlockersVerapamilchronic rhinosinusitisnasal polyposisnovel therapyP‐gPtype 2 inflammationverapamil

Identifiers

PMID41090403
PMCPMC12703681

What OpenQuestion holds

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LicenceCC BY
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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.