Responder analysis for pain relief and numbers needed to treat in a meta-analysis of etoricoxib osteoarthritis trials: bridging a gap between clinical trials and clinical practice
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Though long-term exposure to nicotine is highly addictive, one "beneficial" consequence of chronic tobacco use is a reduced risk for Parkinson9s disease. Interestingly, these effects both reflect structural and functional plasticity of brain circuits controlling reward and motor behavior, and specifically recruitment of nicotinic acetylcholine receptors (nAChR) in mesencephalic dopaminergic neurons. Since the underlying cellular mechanisms are poorly understood, we addressed this issue employing primary cultures of mouse mesencephalic dopaminergic neurons. Exposure to nicotine (1-10 μM) for 72 hr in vitro increased dendritic arborization and soma size in primary cultures. These effects were blocked by mecamylamine and dihydro-β-erythroidine, but not methyllycaconitine. The involvement of α4β2 nAChR was supported by the lack of nicotine-induced structural remodeling in neurons from α4 null mutant mice (KO). Challenge with nicotine triggered phosphorylation of the extracellular signal-regulated kinase (ERK) and the thymoma viral proto-oncogene (Akt) followed by activation of the mTORC1-dependent p70 ribosomal S6 protein kinase. Upstream pathway blockade using the phosphatidylinositol 3-kinase inhibitor LY294002 resulted in suppression of nicotine-induced phosphorylations and structural plasticity. These effects were dependent upon functional DA D3 receptor (D3R) since nicotine was inactive both in cultures from D3R KO mice and following pharmacologic blockade with D3R antagonist SB-277011-A (50 nM). Finally, exposure to nicotine in utero (5 mg/kg/day for 5 days) resulted in increased soma area of DAergic neurons of newborn mice, effects not observed in D3KO mice. These findings indicate that nicotine-induced structural plasticity in mesencephalic dopaminergic neurons involves α4β2 nAChRs together with dopamine D3R-mediated recruitment of ERK/Akt-mTORC1 signaling.
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The overview planned to compare only like with like, such as study duration, because insufficient length can be an additional source of bias.
“We planned to compare only like with like (where possible); for example in study duration, which can be an additional source of bias if insufficient in length (Moore 2010).”
From Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews (2017) · cites this paper as Moore 2010
Small studies of fewer than 100 participants per arm are at increased risk of random effects in estimating both the direction and magnitude of treatment effects.
“small studies of fewer than 100 participants per arm (Moore 2010; Nüesch 2010) are at increased risk of succumbing to the random effects in estimating both direction and magnitude of treatment effects”
From Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews (2017) · cites this paper as Moore 2010
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Gaskell, H., Derry, S., Stannard, C., & Moore, R. A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010692.pub3 · Cited by 129 · see citing works
Self-citationMorphine for chronic neuropathic pain in adults
Cooper, T. E., Chen, J., Wiffen, P. J., Derry, S., Carr, D. B., Aldington, D. J., Cole, P., & Moore, R. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011669.pub2 · Cited by 127 · see citing works
Self-citationPregabalin in fibromyalgia - responder analysis from individual patient data
Straube, S., Derry, S., Moore, R. A., Paine, J., & McQuay, H. J. (2010) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-11-150 · Cited by 126 · see citing works
Self-citationTopical NSAIDs for chronic musculoskeletal pain in adults
Derry, S., Moore, R. A., & Rabbie, R. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007400.pub2 · Cited by 126 · see citing works
Self-citationNewer Biological Agents in Rheumatoid Arthritis
Strand, V., & Singh, J. A. (2010) · Drugs · doi:10.2165/11531980-000000000-00000 · Cited by 121 · see citing works
Pregabalin in fibromyalgia: meta-analysis of efficacy and safety from company clinical trial reports
Straube, S., Derry, S., Moore, R. A., & McQuay, H. J. (2010) · Lara D. Veeken · doi:10.1093/rheumatology/kep432 · Cited by 120 · see citing works
Self-citationNortriptyline for neuropathic pain in adults
Derry, S., Wiffen, P. J., Aldington, D. J., & Moore, R. A. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011209.pub2 · Cited by 116 · see citing works
Self-citationTranscutaneous electrical nerve stimulation (TENS) for fibromyalgia in adults
Johnson, M. I., Claydon, L. S., Herbison, P., Jones, G., & Paley, C. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012172.pub2 · Cited by 118 · see citing works
Eccleston, C., Cooper, T. E., Fisher, E., Anderson, B. J., & Wilkinson, N. M. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012537.pub2 · Cited by 115 · see citing works
Lamotrigine for chronic neuropathic pain and fibromyalgia in adults
Wiffen, P. J., Derry, S., & Moore, A. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006044.pub4 · Cited by 104 · see citing works
Self-citationProfessionals underestimate patients' pain: a comprehensive review
Seers, T., Derry, S., Seers, K., & Moore, A. (2018) · Pain · doi:10.1097/j.pain.0000000000001165 · Cited by 102 · see citing works
Self-citationChallenges in design and interpretation of chronic pain trials
Moore, A., Derry, S., & Wiffen, P. J. (2013) · British Journal of Anaesthesia · doi:10.1093/bja/aet126 · Cited by 100 · see citing works
Self-citationMechanisms of pain transmission and pharmacologic management
Argoff, C. E. (2011) · Current Medical Research and Opinion · doi:10.1185/03007995.2011.614934 · Cited by 100 · see citing works
Gabapentin for chronic neuropathic pain in adults
Moore, A., Wiffen, P. J., Derry, S., & McQuay, H. J. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007938 · Cited by 99 · see citing works
Self-citationMoore, R. A., Derry, S., McQuay, H. J., Straube, S., Aldington, D., Wiffen, P., Bell, R. F., Kalso, E., & Rowbotham, M. C. (2010) · Pain · doi:10.1016/j.pain.2009.08.007 · Cited by 98 · see citing works
Self-citationMou, J., Paillard, F., Turnbull, B. A., Trudeau, J., Stoker, M., & Katz, N. P. (2013) · Pain · doi:10.1016/j.pain.2013.04.044 · Cited by 97 · see citing works
Medical cannabis treatment for chronic pain: Outcomes and prediction of response
Aviram, J., Pud, D., Gershoni, T., Schiff‐Keren, B., Ogintz, M., Vulfsons, S., Yashar, T., Adahan, H., Brill, S., Amital, H., et al. (2020) · European Journal of Pain · doi:10.1002/ejp.1675 · Cited by 98 · see citing works
PANLAR Consensus Recommendations for the Management in Osteoarthritis of Hand, Hip, and Knee
Rillo, O. L., Riera, H., Acosta, C., Liendo, V., Bolaños, J., Monterola, L., Nieto, E., Arape, R. D. C., Franco, L. M., Vera, M., et al. (2016) · JCR Journal of Clinical Rheumatology · doi:10.1097/rhu.0000000000000449 · Cited by 95 · see citing works
Oral nonsteroidal anti-inflammatory drugs (NSAIDs) for cancer pain in adults
Derry, S., Wiffen, P. J., Moore, A., McNicol, E. D., Bell, R. F., Carr, D. B., McIntyre, M., & Wee, B. L. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012638.pub2 · Cited by 95 · see citing works
Self-citationLacosamide for neuropathic pain and fibromyalgia in adults
Hearn, L., Derry, S., & Moore, R. A. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009318.pub2 · Cited by 95 · see citing works
Self-citationSaloman, J. L., Scheff, N. N., Snyder, L. M., Ross, S. E., Davis, B. M., & Gold, M. S. (2016) · Journal of Neuroscience · doi:10.1523/jneurosci.3480-15.2016 · Cited by 94 · see citing works
Opioids for chronic non-cancer pain in children and adolescents
Cooper, T. E., Fisher, E., Gray, A. L., Krane, E. J., Sethna, N. F., van Tilburg, M. A. L., Zernikow, B., & Wiffen, P. J. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012538.pub2 · Cited by 93 · see citing works
Oral paracetamol (acetaminophen) for cancer pain
Wiffen, P. J., Derry, S., Moore, A., McNicol, E. D., Bell, R. F., Carr, D. B., McIntyre, M., & Wee, B. L. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012637.pub2 · Cited by 94 · see citing works
Self-citationTransdermal fentanyl for cancer pain
Hadley, G., Derry, S., Moore, R. A., & Wiffen, P. J. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010270.pub2 · Cited by 92 · see citing works
Self-citationGabapentin for fibromyalgia pain in adults
Cooper, T. E., Derry, S., Wiffen, P. J., & Moore, R. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012188.pub2 · Cited by 92 · see citing works
Self-citationTopical Diclofenac, an Efficacious Treatment for Osteoarthritis: A Narrative Review
Revel, F. B., Fayet, M., & Hagen, M. (2020) · Rheumatology and Therapy · doi:10.1007/s40744-020-00196-6 · Cited by 91 · see citing works
Topical lidocaine for neuropathic pain in adults
Derry, S., & Moore, A. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010958 · Cited by 89 · see citing works
Self-citationBuprenorphine for neuropathic pain in adults
Moore, R. A., Derry, S., Wiffen, P. J., Stannard, C., Aldington, D. J., Cole, P., & Knaggs, R. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011603 · Cited by 86 · see citing works
Self-citationMilnacipran for pain in fibromyalgia in adults
Cording, M., Derry, S., Phillips, T., Moore, A., & Wiffen, P. J. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008244.pub3 · Cited by 84 · see citing works
Self-citationHow to define responders in osteoarthritis
Cooper, C. C., Adachi, J. D., Bardin, T., Berenbaum, F., Flamion, B., Jónsson, H., Kanis, J. А., Pelousse, F., Lems, W. F., Pelletier, J., et al. (2013) · Current Medical Research and Opinion · doi:10.1185/03007995.2013.792793 · Cited by 83 · see citing works
Oral nonsteroidal anti-inflammatory drugs (NSAIDs) for cancer pain in adults
Derry, S., Wiffen, P. J., Moore, R. A., McNicol, E. D., Bell, R. F., Carr, D. B., McIntyre, M., & Wee, B. L. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012638 · Cited by 83 · see citing works
Self-citationOral nonsteroidal anti-inflammatory drugs for fibromyalgia in adults
Derry, S., Wiffen, P. J., Häuser, W., Mücke, M., Tölle, T. R., Bell, R. F., & Moore, A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012332.pub2 · Cited by 82 · see citing works
Self-citationAntidepressants for chronic non-cancer pain in children and adolescents
Cooper, T. E., Heathcote, L. C., Clinch, J., Gold, J. I., Howard, R. F., Lord, S. M., Schechter, N. L., Wood, C. H., & Wiffen, P. J. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012535.pub2 · Cited by 80 · see citing works
Sakurai, Y., Fujita, M., Kawasaki, S., Sanaki, T., Yoshioka, T., Higashino, K., Tofukuji, S., Yoneda, S., Takahashi, T., Koda, K., et al. (2018) · Pain · doi:10.1097/j.pain.0000000000001466 · Cited by 79 · see citing works
Atkinson, J. H., Slater, M. A., Capparelli, E. V., Patel, S. M., Wolfson, T. J., Gamst, A. C., ABRAMSON, I. S., Wallace, M. S., Funk, S. D., Rutledge, T. R., et al. (2016) · Pain · doi:10.1097/j.pain.0000000000000554 · Cited by 78 · see citing works
Antiepileptic drugs for chronic non-cancer pain in children and adolescents
Cooper, T. E., Wiffen, P. J., Heathcote, L. C., Clinch, J., Howard, R. F., Krane, E. J., Lord, S. M., Sethna, N. F., Schechter, N. L., & Wood, C. H. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012536.pub2 · Cited by 77 · see citing works
Oxycodone for neuropathic pain and fibromyalgia in adults
Gaskell, H., Moore, R. A., Derry, S., & Stannard, C. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010692.pub2 · Cited by 76 · see citing works
Self-citationArendt‐Nielsen, L., Egsgaard, L. L., & Petersen, K. K. (2016) · Pain · doi:10.1097/j.pain.0000000000000562 · Cited by 75 · see citing works
Naproxen with or without an antiemetic for acute migraine headaches in adults
Law, S., Derry, S., & Moore, R. A. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009455.pub2 · Cited by 73 · see citing works
Self-citationHerbal medicinal products or preparations for neuropathic pain
Boyd, A., Bleakley, C., Hurley, D. A., Gill, C. I. R., Hannon-Fletcher, M. P. A., Bell, P., & McDonough, S. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010528.pub4 · Cited by 74 · see citing works
Clonazepam for neuropathic pain and fibromyalgia in adults
Corrigan, R. A., Derry, S., Wiffen, P. J., & Moore, A. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009486.pub2 · Cited by 72 · see citing works
Self-citationSumatriptan plus naproxen for the treatment of acute migraine attacks in adults
Law, S., Derry, S., & Moore, R. A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008541.pub3 · Cited by 73 · see citing works
Self-citationSystematic review of enriched enrolment, randomised withdrawal trial designs in chronic pain
Moore, R. A., Wiffen, P. J., Eccleston, C., Derry, S., Baron, R., Bell, R. F., Furlan, A. D., Gilron, I., Haroutounian, S., Katz, N. P., et al. (2015) · Pain · doi:10.1097/j.pain.0000000000000088 · Cited by 70 · see citing works
Self-citationHua, C., Daïen, C., Combe, B. G., & Landewé, R. (2017) · RMD Open · doi:10.1136/rmdopen-2016-000406 · Cited by 70 · see citing works
Methadone for neuropathic pain in adults
McNicol, E. D., Ferguson, M. C., & Schumann, R. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012499.pub2 · Cited by 69 · see citing works
Tramadol with or without paracetamol (acetaminophen) for cancer pain
Wiffen, P. J., Derry, S., & Moore, R. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012508.pub2 · Cited by 67 · see citing works
Self-citationNonsteroidal Anti‐Inflammatory Drugs, Gastroprotection, and Benefit–Risk
Moore, R. A., Derry, S., Simon, L. S., & Emery, P. (2013) · Pain Practice · doi:10.1111/papr.12100 · Cited by 66 · see citing works
Self-citation
- Authors
- Moore, R. A., Moore, O. A., Derry, S., Peloso, P. M., Gammaitoni, A. R., & Wang, H.
- Affiliations
- John Radcliffe Hospital (GB)
- Musgrave Park Hospital (GB)
- University of Oxford (GB)
- Merck & Co., Inc., Rahway, NJ, USA (United States) (US)
- Corresponding author
- Moore, R A
- Moore, O A
- Venue
- Annals of the Rheumatic Diseases
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 69
- Issue
- 2
- Pages
- 374-379
- ISSN
- 0003-4967 (ISSN-L)
- PMC
- PMC2800200
- OpenAlex
- W2103600429
- Cited by
- 279
- References
- 38
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 8 · 2023: 2 · 2022: 9 · 2021: 5 · 2020: 4 · 2019: 14 · 2018: 13 · 2017: 38 · 2016: 27 · 2015: 31 · 2014: 25 · 2013: 32 · 2012: 16
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Annals of the Rheumatic Diseases (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Oxford University Research Archive (ORA) (University of Oxford) (acceptedVersion, cc-by-nc)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Pfizer
- AstraZeneca
- National Institute for Health and Care Research
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- etoricoxib, osteoarthritis, analgesia, number needed to treat, responder analysis, nicotine, Parkinson's disease risk, nicotinic acetylcholine receptors, alpha4beta2 nAChR, midbrain dopaminergic neurons, dendritic branching, dopamine D3 receptor
- MeSH terms
- Etoricoxib, Diffusion of Innovation, Dose-Response Relationship, Drug, Humans, Pain, Pain Measurement, Pyridines, Sulfones, Osteoarthritis, Hip, Randomized Controlled Trials as Topic, Treatment Outcome, Osteoarthritis, Knee, Cyclooxygenase 2 Inhibitors
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