Evidence map›Paper›PMID 42334216›Full record

Trial reportEuropean journal of neurology2026

Tolerability, Safety and Effectiveness of Sigh Introduction During Non-Invasive Mechanical Ventilation Cycles in Patients With Amyotrophic Lateral Sclerosis.

Nilo Riva, Paride Schito, Tommaso Russo, Ottavia Eleonora Ferraro, Gianluca Durante, Andrea Tettamanti, Elisa Riboldi, Teuta Domi, Laura Pozzi, Angelo Quattrini and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of neurology, 2026. 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

14 authors.

Nilo RivaDivision of Neuroscience, Neurology and Neuro-Rehabilitation Unit, IRCCS San Raffaele, Milan, Italy.ORCID https://orcid.org/0000-0002-0513-9517
Paride SchitoDivision of Neuroscience, Neurology and Neuro-Rehabilitation Unit, IRCCS San Raffaele, Milan, Italy.
Tommaso RussoDivision of Neuroscience, Neurology and Neuro-Rehabilitation Unit, IRCCS San Raffaele, Milan, Italy.
Ottavia Eleonora FerraroDepartment of Public Health, Experimental and Forensic Medicine, Unit of Biostatistics and Clinical Epidemiology, University of Pavia, Pavia, Italy.
Gianluca DuranteDepartment of Rehabilitation and Functional Recovery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Andrea TettamantiDepartment of Rehabilitation and Functional Recovery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Elisa RiboldiDepartment of Rehabilitation and Functional Recovery, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Teuta DomiDivision of Neuroscience, Experimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), san Raffaele Scientific Institute, Milan, Italy.
Laura PozziDivision of Neuroscience, Experimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), san Raffaele Scientific Institute, Milan, Italy.
Angelo QuattriniDivision of Neuroscience, Experimental Neuropathology Unit, Institute of Experimental Neurology (INSPE), san Raffaele Scientific Institute, Milan, Italy.
Mauro ComolaDivision of Neuroscience, Neurology and Neuro-Rehabilitation Unit, IRCCS San Raffaele, Milan, Italy.
Federica AgostaDivision of Neuroscience, Neurology and Neuro-Rehabilitation Unit, IRCCS San Raffaele, Milan, Italy.
George CremonaUnit of Respiratory Medicine, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Massimo FilippiDivision of Neuroscience, Neurology and Neuro-Rehabilitation Unit, IRCCS San Raffaele, Milan, Italy.

Funding

AriSLA - Fondazione Italiana di ricerca per la SLAGiovanni Marazzina Foudation
6 · The paper itself

Abstract

backgroundRespiratory failure is the main cause of death in Amyotrophic lateral sclerosis (ALS), in which the physiological sigh reflex is impaired due to inspiratory muscle weakness. Aim of this study is to assess the tolerability, safety, and effectiveness of adding a sigh cycle to non-invasive mechanical ventilation (NIMV) settings in ALS patients.

methodsIn this randomized, blind-controlled proof-of concept study, 44 consecutive ALS patients with indication for NIMV were randomized to: Group I: NIMV with Sigh cycles; Group II: NIMV without Sigh. The primary outcome was the reduction in the Oxygen Desaturation Index (ODI); secondary outcomes included: Overnight Oximetry (OvOx), Arterial blood gas (ABG), and Visual Analog Scale (VAS; 0-10) scores to assess sleep quality, symptom intensity, mask interface, and NIMV tolerance. Assessments were conducted at baseline, after NIMV adaptation (T1) and at 1-month follow-up (T2).

resultsThe Sigh cycle was safe and well tolerated. No significant group differences were observed at T1 or T2 in the primary outcome ODI (median ΔODI: Group A:-4.2; Group B:-4.6: p = 0.54), as well as in the OvOx parameters and pO

conclusionsSigh is safe, well tolerated in ALS patients. Although this study did not reach the primary outcome, we also cannot rule out that sigh doesn't benefit the patient.

Indexed as

Amyotrophic Lateral SclerosisNoninvasive VentilationRespiratory InsufficiencyAgedFemaleHumansMaleMiddle AgedTreatment Outcomemotor neuron diseaseNIVrehabilitationrespiratory failuresurvival

Identifiers

PMID42334216
PMCPMC13288602

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.