Evidence map›Paper›PMID 42784294›Full record

Trial reportToxins2026

Pain-Specific Benefits of Higher-Dose Neubotulinum Toxin Type A in Cervical Dystonia: A Multicenter Randomized Double-Blind Crossover Trial.

Arkhom Arayawichanont, Subsai Kongsaengdao

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Toxins, 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

2 authors.

Arkhom ArayawichanontDivision of Neurology, Department of Medicine, Sunpasitthiprasong Hospital, Ubon Ratchathani 34000, Thailand.
Subsai KongsaengdaoOffice of Senior Advisor, Department of Medical Services, Ministry of Public Health, Nonthaburi 11000, Thailand.ORCID 0000-0002-4613-1730

Funding

Medyceles Co. Ltd.
6 · The paper itself

Abstract

Pain is a major contributor to disability in cervical dystonia (CD) and may persist despite improvement in abnormal head posture after botulinum toxin treatment. Whether increasing the dose of Neubotulinum toxin type A (Neu-BoNT-A) provides additional analgesic benefit without compromising safety remains uncertain. In this prospective, multicenter, randomized, double-blind, two-period crossover trial, 50 adults with CD were randomized 1:1 to Neu-BoNT-A 100 U followed by 50 U or 50 U followed by 100 U, with each treatment period lasting 12 weeks. The principal between-dose TWSTRS analysis used a crossover mixed-effects model including treatment, period, and randomized sequence, with participant as a random effect. TWSTRS total, severity, and disability did not differ significantly between regimens. Neu-BoNT-A 100 U produced greater improvement in TWSTRS pain (adjusted 100 U minus 50 U difference, -1.83 points; 95% CI, -2.93 to -0.73;

Indexed as

Botulinum Toxins, Type ANeuromuscular AgentsTorticollisAdultAgedCross-Over StudiesDouble-Blind MethodFemaleHumansMaleMiddle AgedPain MeasurementProspective StudiesTreatment OutcomeBotulinum Toxins, Type ANeuromuscular Agentsbotulinum toxincervical dystonianeubotulinum toxin type Apainrandomized crossover trial

Identifiers

PMID42784294
PMCPMC13611609

What OpenQuestion holds

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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.