PMID- 31004288 OWN - NLM STAT- MEDLINE DCOM- 20191226 LR - 20191226 IS - 2240-2993 (Electronic) IS - 0300-9009 (Linking) VI - 119 IP - 2 DP - 2019 Jun TI - Nocebo effect in myasthenia gravis: systematic review and meta-analysis of placebo-controlled clinical trials. PG - 257-264 LID - 10.1007/s13760-019-01143-1 [doi] AB - Nocebo refers to the adverse events (AEs) experienced when taking a placebo drug and is believed to be a centrally mediated process. We sought to examine the AEs following placebo administration in Randomised Controlled Trials (RCTs) for Myasthenia Gravis (MG) patients. A systematic literature search was performed on Medline and Web of Science for RCTs for MG pharmacological treatments. We assessed the number of placebo-treated patients reporting at least one AE and the number of dropouts because of AEs. Data were extracted from six RCTs fulfilling the search criteria. Four out of five placebo-treated participants (80.1%) reported at least one AE and one in 40 (2.4%) discontinued placebo treatment because of AE. All patients participating in the MG trials reported similar AEs independent of the study arm to which they belonged (placebo or active treatment). This meta-analysis demonstrates a low nocebo dropout rate in MG compared to central nervous system disorders. FAU - Varma, Adithya AU - Varma A AD - Sheffield Institute for Translational Neuroscience, Sheffield, UK. FAU - Zis, Panagiotis AU - Zis P AUID- ORCID: 0000-0001-8567-3092 AD - Academic Department of Neurosciences, Sheffield Teaching Hospitals, NHS Trust, Sheffield, UK. takiszis@gmail.com. AD - Medical School, University of Cyprus, Nicosia, Cyprus. takiszis@gmail.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20190419 PL - Italy TA - Acta Neurol Belg JT - Acta neurologica Belgica JID - 0247035 RN - 0 (Placebos) SB - IM MH - *Clinical Trials as Topic MH - *Drug-Related Side Effects and Adverse Reactions MH - Humans MH - MEDLINE MH - Myasthenia Gravis/diagnosis/*drug therapy MH - *Nocebo Effect MH - Placebos OTO - NOTNLM OT - Adverse events OT - Myasthenia gravis OT - Nocebo OT - Placebo OT - Systematic review EDAT- 2019/04/21 06:00 MHDA- 2019/12/27 06:00 CRDT- 2019/04/21 06:00 PHST- 2019/01/10 00:00 [received] PHST- 2019/04/11 00:00 [accepted] PHST- 2019/04/21 06:00 [pubmed] PHST- 2019/12/27 06:00 [medline] PHST- 2019/04/21 06:00 [entrez] AID - 10.1007/s13760-019-01143-1 [pii] AID - 10.1007/s13760-019-01143-1 [doi] PST - ppublish SO - Acta Neurol Belg. 2019 Jun;119(2):257-264. doi: 10.1007/s13760-019-01143-1. Epub 2019 Apr 19.