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Short-Term Ultramicronized Palmitoylethanolamide Therapy in Patients with Myasthenia Gravis: a Pilot Study to Possible Future Implications of Treatment

Onesti E, Frasca V, Ceccanti M, Tartaglia G, Gori MC, Cambieri C, Libonati L, Palma E, Inghilleri M. CNS Neurol Disord Drug Targets. 2019;18(3):232-238.

Open-label, no control groupHumans

Design
Open-label, no control group
Subjects
22 patients with myasthenia gravis
Dose used in the study
Ultramicronised PEA 600 mg twice a day for one week, added to usual treatment
Duration
3 weeks of weekly assessments around a 1-week treatment period
What was measured
Quantitative myasthenia gravis score; repetitive nerve stimulation of the masseter and axillary nerves; acetylcholine receptor antibody titre

What the authors reported

The clinical score improved (p = 0.034) and the decremental response on masseter nerve stimulation lessened (p = 0.018) during treatment. Antibody titres did not change. The authors note the response was rapid and reversible.

Limits of this study

Open pilot with each patient as their own control, 22 patients, one week of treatment. No placebo, so expectation cannot be excluded for the clinical score; the nerve stimulation measure is more objective.

Source

PubMed 30706796 · doi:10.2174/1871527318666190131121827

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.