Evidence map›Paper›PMID 34080920›Full record

Trial reportJournal of applied physiology (Bethesda, Md. : 1985)2021

Mirtazapine reduces susceptibility to hypocapnic central sleep apnea in males with sleep-disordered breathing: a pilot study.

Joel Prowting, Scott Maresh, Sarah Vaughan, Elizabeth Kruppe, Bander Alsabri, M Safwan Badr, Abdulghani Sankari

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of applied physiology (Bethesda, Md. : 1985), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 37% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pharmacological treatment for central sleep apnoea in adults.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Article
  3. Review
  4. Special Issue "Neuromodulatory Effects of Serotonin".International journal of molecular sciences · 2025
    Article
  5. Article
  6. Review
  7. Sleep apnea pathophysiology.Sleep & breathing = Schlaf & Atmung · 2023
    Review
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

7 authors at 1 institution in 1 country.

Joel ProwtingSleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.
Scott MareshSleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.
Sarah VaughanSleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.ORCID 0000-0001-7962-4526
Elizabeth KruppeSleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.
Bander AlsabriSleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.
M Safwan BadrSleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.
Abdulghani SankariSleep Research Laboratory, John D. Dingell Veterans Affairs Medical Center, Detroit, Michigan.
Wayne State University · US

Funding

CENTRAL SLEEP APNEA--ROLE OF LONGTERM FACILITATIONR01HL053443 · NHLBI · WAYNE STATE UNIVERSITY · PI BADR, M.SAFWAN · 1999 to 2009
$1.8M
Sleep-Disordered Breathing in patients with C-SCI: Mechanisms and TherapyR01HL130552 · NHLBI · WAYNE STATE UNIVERSITY · PI BADR, M.SAFWAN · 2016 to 2020
$1.5M
Sleep and Breathing in Patients With Spinal Cord InjuryI01CX001040 · VA · JOHN D DINGELL VA MEDICAL CENTER · PI BADR, M.SAFWAN · 2014 to 2017
–
Pathogenesis of Sleep Disordered Breathing in Spinal Cord Injury PatientsIK2CX000547 · VA · JOHN D DINGELL VA MEDICAL CENTER · PI SANKARI, ABDULGHANI · 2013 to 2019
–
CSRD VA I01 CX001040CSRD VA IK2 CX000547NHLBI NIH HHS R01 HL053443NHLBI NIH HHS R01 HL130552
6 · The paper itself

Abstract

Studies in humans and animal models with spinal cord injury (SCI) have demonstrated that medications targeting serotonin receptors may decrease the susceptibility to central sleep-disordered breathing (SDB). We hypothesized that mirtazapine would decrease the propensity to develop hypocapnic central sleep apnea (CSA) during sleep. We performed a single-blind pilot study on a total of 10 men with SDB (7 with chronic SCI and 3 noninjured) aged 52.0 ± 11.2 yr. Participants were randomly assigned to either mirtazapine (15 mg at bedtime) or a placebo for at least 1 wk, followed by a 7-day washout period before crossing over to the other intervention. Split-night studies included polysomnography and induction of hypocapnic CSA using a noninvasive ventilation (NIV) protocol. The primary outcome was CO

Indexed as

Sleep Apnea, CentralSleep Apnea SyndromesAnimalsHumansMaleMirtazapinePilot ProjectsSingle-Blind MethodMirtazapinecentral sleep apneaCO2 reservemirtazapinesleep disordered-breathingspinal cord injury

Identifiers

PMID34080920
PMCPMC8325612
OpenAlexW3165638038

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.