What the evidence says
How to read these marks1 finding · 1 endpoint · 1 paper · by grade
What moved
1 finding
Increases withdrawal due to adverse events
LikelyGrade B, Likely. Human evidence with one recorded weakness, or capped at B by its design or by unread numbers.Finding“We found high certainty evidence that propranolol increases the proportion of patients who discontinue due to adverse events compared to placebo with a risk difference of 0.02 (95% CI 0.00 to 0.03); absolute risk difference: 20 more per 1,000 (95% CI 0 to 30).”
Quoted verbatim from European Headache Federation (EHF) critical re-appraisal and meta-analysis of oral drugs in migraine prevention - part 4: propranolol.. - Study
- meta-analysis
- Participants
- 1,291
- Population
- Adults with migraine; meta-analysis of 20 randomized trials of oral propranolol versus placebo for migraine prophylaxis
European Headache Federation (EHF) critical re-appraisal and meta-analysis of oral drugs in migraine prevention - part 4: propranolol.2024PMID:39044170Permalink
Papers screened
1,402 papers
- Compound
- propranolol
- Screened
- 1,402
- Admitted
- 1
- Discarded
- 5
- Not read
- 1,396
- Showing
- 200 of 1,402
Produced a finding1 paper
and 1 more.
Discarded: an endpoint this vocabulary does not hold2 papers
and 2 more.
Discarded: no comparator1 paper
and 1 more.
Discarded: no extractable result1 paper
and 1 more.
Discarded: another reason, stated per paper1 paper
and 1 more.
Not read yet1,396 papers
- PMID:104400082026-09-29
- PMID:106941912026-09-29
- PMID:107318662026-09-29
- PMID:107521682026-09-29
- PMID:109500522026-09-29
- PMID:11088242026-09-29
- PMID:111048782026-09-29
- PMID:114174542026-09-29
- PMID:114338842026-09-29
- PMID:11573502026-09-29
- PMID:126733762026-09-29
- PMID:12939742026-09-29
and 1,384 more.
Measured, not recorded
- Compound
- propranolol
- Endpoints measured
- 36 endpoints
- Recorded as a finding
- No
Show what was measured
conditioned fear freezing (%) at drug-free retention Test 1
no effect, n = 215
A Bayesian meta-analysis including all 9 experiments indicated weak evidence in favor of the absence of a group difference at Test.
PMID:38733644 · one of two readings recorded this
conditioned fear freezing behaviour (% time) during extinction training and drug-free retention testing in rats, and fear-potentiated startle, skin conductance response and US expectancy in a human fear-conditioning study, following propranolol versus saline/placebo prior to extinction
decreases, n = 215
Not recorded as a finding: this platform holds no node for the endpoint
A Bayesian meta-analysis including all 9 experiments indicated extreme evidence for a group difference, with PROP rats showing less freezing than SAL rats during Extinction.
PMID:38733644 · one of two readings recorded this
conditioned fear freezing (%) during extinction training
decreases, n = 215
A Bayesian meta-analysis including all 9 experiments indicated extreme evidence for a group difference, with PROP rats showing less freezing than SAL rats during Extinction.
PMID:38733644 · one of two readings recorded this
extinction learning (US expectancy, fear-potentiated startle, skin conductance) on Day 2
no effect, n = 72
The absence of significant Group effects and of interactions with Group, however, indicate that there were no significant differences in extinction learning between the 3 groups.
PMID:38733644 · one of two readings recorded this
fear-potentiated startle, skin conductance response, and US expectancy during extinction learning
no effect, n = 72
The absence of significant Group effects and of interactions with Group, however, indicate that there were no significant differences in extinction learning between the 3 groups.
PMID:38733644 · one of two readings recorded this
freezing at drug-free retention Test 1 (percentage time freezing to conditioned tone)
no effect, n = 215
In most experiments, there was no evidence for a group difference.
PMID:38733644 · one of two readings recorded this
freezing during the 12 Extinction trials (percentage time freezing to conditioned tone)
decreases, n = 215
Freezing during the 12 Extinction trials was significantly lower in PROP than SAL rats in Experiments 1, 2, 4, 6 and 8.
PMID:38733644 · one of two readings recorded this
freezing to conditioned tones during extinction training and drug-free retention testing (fear extinction memory retention), plus salivary alpha-amylase, heart rate, blood pressure and subjective arousal as manipulation checks
no effect
Not recorded as a finding: this platform holds no node for the endpoint
In most experiments, there was no evidence for a group difference.
PMID:38733644 · one of two readings recorded this
salivary alpha-amylase, heart rate, systolic and diastolic blood pressure
decreases, n = 72
As expected, propranolol acutely lowered salivary α-amylase (marker of noradrenergic activity), heart rate, systolic and diastolic blood pressure.
PMID:38733644 · one of two readings recorded this
salivary alpha-amylase, heart rate, systolic and diastolic blood pressure (acute manipulation check)
decreases, n = 72
As expected, propranolol acutely lowered salivary α-amylase (marker of noradrenergic activity), heart rate, systolic and diastolic blood pressure.
PMID:38733644 · one of two readings recorded this
subjective arousal rating
no effect, n = 72
In contrast with the clearly significant effects on α-amylase, heart rate and blood pressure, there was no significant effect of propranolol on subjective arousal.
PMID:38733644 · one of two readings recorded this
subjective arousal ratings (9-point scale)
no effect, n = 72
In contrast with the clearly significant effects on α-amylase, heart rate and blood pressure, there was no significant effect of propranolol on subjective arousal.
PMID:38733644 · one of two readings recorded this
reduction in monthly migraine days
decreases, -1.27; 95% CI: -2.25 to -0.3, n = 1291
The analysis revealed a moderate certainty evidence that propranolol leads to a reduction in monthly migraine days versus placebo (-1.27; 95% CI: -2.25 to -0.3).
PMID:39044170 · both readings recorded this
reduction in monthly migraine days, RCT meta-analysis of propranolol versus placebo
decreases, -1.27; 95% CI: -2.25 to -0.3, n = 1291
Not recorded as a finding: no outcome node exists for migraine-day frequency/mean reduction; node list has no migraine-frequency endpoint
The analysis revealed a moderate certainty evidence that propranolol leads to a reduction in monthly migraine days versus placebo (-1.27; 95% CI: -2.25 to -0.3).
PMID:39044170 · one of two readings recorded this
calcification, bone glutamate protein, free triiodothyronine, free tetraiodothyronine, thyroid-stimulating hormone, cortisol, and adrenocorticotropic hormone
n = 1543
In addition, calcification, bone glutamate protein, free triiodothyronine, free tetraiodothyronine, thyroid-stimulating hormone, cortisol, and adrenocorticotropic hormone were significantly different between the 2 groups (P < .05).
PMID:39533554 · one of two readings recorded this
calcification, bone glutamate protein, free triiodothyronine, free tetraiodothyronine, thyroid-stimulating hormone, cortisol, and adrenocorticotropic hormone levels
n = 1543
In addition, calcification, bone glutamate protein, free triiodothyronine, free tetraiodothyronine, thyroid-stimulating hormone, cortisol, and adrenocorticotropic hormone were significantly different between the 2 groups (P < .05).
PMID:39533554 · one of two readings recorded this
cure rate, total effective rate, and heart rate
increases, n = 1543
The results of the meta-analysis demonstrated that methimazole combined with propranolol improved the cure rate, the total effective rate, and heart rate, compared with the control group (P < .05).
PMID:39533554 · both readings recorded this
cure rate, total effective rate, and heart rate; also calcification, bone glutamate protein, free triiodothyronine, free tetraiodothyronine, thyroid-stimulating hormone, cortisol, and adrenocorticotropic hormone levels, in methimazole-treated hyperthyroidism patients with propranolol added versus methimazole alone
increases
Not recorded as a finding: no estimate is reported anywhere
The results of the meta-analysis demonstrated that methimazole combined with propranolol improved the cure rate, the total effective rate, and heart rate, compared with the control group (P < .05).
PMID:39533554 · one of two readings recorded this
cure rate, total effective rate, and heart rate in patients with hyperthyroidism, methimazole combined with propranolol versus methimazole alone
increases, n = 1543
Not recorded as a finding: no estimate is reported anywhere
The results of the meta-analysis demonstrated that methimazole combined with propranolol improved the cure rate, the total effective rate, and heart rate, compared with the control group (P < .05).
PMID:39533554 · one of two readings recorded this
leukemia, headache, dizziness, skin pruritus, bone pain, arthralgia, parathyroid hormone improvement, gastrointestinal reactions
no effect, n = 1543
There were no significant differences in leukemia, headache, dizziness, skin pruritus, bone pain, arthralgia, or in improving parathyroid hormone or reducing gastrointestinal reactions between the 2 groups.
PMID:39533554 · one of two readings recorded this
leukopenia, headache, dizziness, skin pruritus, bone pain, arthralgia, parathyroid hormone, gastrointestinal reactions
no effect, n = 1543
There were no significant differences in leukemia, headache, dizziness, skin pruritus, bone pain, arthralgia, or in improving parathyroid hormone or reducing gastrointestinal reactions between the 2 groups.
PMID:39533554 · one of two readings recorded this
cardiac output decrease
decreases, MD = 0.92, 95% CI = 0.45-1.38; p = 0.004, p = 0.004, n = 351
Decrease in cardiac output was greater in the propranolol group (MD = 0.92, 95% CI = 0.45-1.38; p = 0.004).
PMID:40387434 · one of two readings recorded this
cardiac output reduction
MD = 0.92, 95% CI = 0.45-1.38, p = 0.004, n = 351
Decrease in cardiac output was greater in the propranolol group (MD = 0.92, 95% CI = 0.45-1.38; p = 0.004).
PMID:40387434 · one of two readings recorded this
hepatic venous pressure gradient (HVPG) reduction
decreases, MD = -0.76, 95% CI = -1.45 to -0.08; p = 0.03, p = 0.03, n = 351
Reduction in hepatic venous pressure gradient was significantly greater in the carvedilol group (MD = -0.76, 95% CI = -1.45 to -0.08; p = 0.03).
PMID:40387434 · one of two readings recorded this
hepatic venous pressure gradient reduction
MD = -0.76, 95% CI = -1.45 to -0.08, p = 0.03, n = 351
Reduction in hepatic venous pressure gradient was significantly greater in the carvedilol group (MD = -0.76, 95% CI = -1.45 to -0.08; p = 0.03).
PMID:40387434 · one of two readings recorded this
mean pulmonary arterial pressure decrease
no effect, MD = -0.75, 95% CI = -1.60 to 0.10; p = 0.08, p = 0.08, n = 351
Decrease in mean pulmonary arterial pressure appeared to be greater in the carvedilol group; however, this was not statistically significant (MD = -0.75, 95% CI = -1.60 to 0.10; p = 0.08).
PMID:40387434 · one of two readings recorded this
rebleeding, shortness of breath, hepatic encephalopathy, hypotension incidence
no effect, n = 351
There was no difference in incidence of rebleeding, shortness of breath, hepatic encephalopathy, and hypotension between the two groups.
PMID:40387434 · one of two readings recorded this
adverse event incidence
no effect, OR = 0.95, 95% CI: 0.54-1.70, p = 0.87, n = 719
The pooled analysis indicated no significant difference in adverse event incidence between the propranolol and control groups (OR = 0.95, 95% CI: 0.54–1.70, p = 0.87) (Table 5).
PMID:41700540 · one of two readings recorded this
overall treatment response rate (≥50% reduction in lesion size)
no effect, OR = 1.29, 95% CI: 0.80-2.09, p = 0.2977, n = 900
The pooled analysis showed no statistically significant difference between propranolol and control groups (OR = 1.29, 95% CI: 0.80–2.09, p = 0.2977) (Table 4).
PMID:41700540 · one of two readings recorded this
adverse event incidence
increases, OR = 0.14, 95% CrI: 0.03–0.57 (placebo relative to propranolol), n = 1143
Compared with oral propranolol, corticosteroids were associated with higher odds of adverse events (OR = 52.92, 95% CrI: 3.12–2,874.40), whereas placebo showed significantly lower odds (OR = 0.14, 95% CrI: 0.03–0.57).
PMID:42479211 · one of two readings recorded this
adverse event incidence, propranolol vs corticosteroids
decreases
Compared with oral propranolol, corticosteroids were associated with higher odds of adverse events (OR = 52.92, 95% CrI: 3.12–2,874.40), whereas placebo showed significantly lower odds (OR = 0.14, 95% CrI: 0.03–0.57).
PMID:42479211 · one of two readings recorded this
adverse event incidence, propranolol vs placebo
increases, OR = 0.14, 95% CrI: 0.03-0.57 (placebo vs propranolol reference)
Compared with oral propranolol, corticosteroids were associated with higher odds of adverse events (OR = 52.92, 95% CrI: 3.12–2,874.40), whereas placebo showed significantly lower odds (OR = 0.14, 95% CrI: 0.03–0.57).
PMID:42479211 · one of two readings recorded this
treatment success rate (complete lesion resolution or >75% reduction in lesion size at 6 months) for infantile hemangioma, oral propranolol as network reference versus placebo/observation and seven other active interventions
increases, OR = 0.12, 95% CrI: 0.03-0.52 (placebo/observation vs oral propranolol reference)
Not recorded as a finding: this platform holds no node for the endpoint
Using oral propranolol as the reference, only placebo/observation showed a statistically significant difference (OR = 0.12, 95% CrI: 0.03–0.52), demonstrating propranolol’s superiority over no active treatment.
PMID:42479211 · one of two readings recorded this
treatment success rate (complete lesion resolution or >75% reduction in size at 6 months)
increases, OR = 0.12, 95% CrI: 0.03–0.52, n = 2639
Using oral propranolol as the reference, only placebo/observation showed a statistically significant difference (OR = 0.12, 95% CrI: 0.03–0.52), demonstrating propranolol’s superiority over no active treatment.
PMID:42479211 · one of two readings recorded this
treatment success rate (complete lesion resolution or >75% reduction in size at 6 months) and adverse event incidence, Bayesian network meta-analysis anchored on oral propranolol
increases, OR = 0.12, 95% CrI: 0.03–0.52, n = 2639
Not recorded as a finding: this platform holds no node for the endpoint
Using oral propranolol as the reference, only placebo/observation showed a statistically significant difference (OR = 0.12, 95% CrI: 0.03–0.52), demonstrating propranolol’s superiority over no active treatment.
PMID:42479211 · one of two readings recorded this
treatment success rate (complete resolution or >75% size reduction at 6 months)
increases, OR = 0.12, 95% CrI: 0.03-0.52 (placebo vs propranolol reference)
Using oral propranolol as the reference, only placebo/observation showed a statistically significant difference (OR = 0.12, 95% CrI: 0.03–0.52), demonstrating propranolol’s superiority over no active treatment.
PMID:42479211 · one of two readings recorded this
Sources cited
1 paper
- Subject
- propranolol
- Findings
- 1
- Papers
- 1