Evidence map›Paper›PMID 15711832›Full record

Trial reportEuropean journal of clinical pharmacology2005

Access of HTB, main metabolite of triflusal, to cerebrospinal fluid in healthy volunteers.

M Valle, M J Barbanoj, A Donner, I Izquierdo, U Herranz, N Klein, H G Eichler, M Müller, M Brunner

Registry-linked trialAbstract readClinical TrialRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02616497 (Comparison of Triflusal With Aspirin in the Secondary Prevention of Atherothrombotic Events), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 31% 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.

NCT02616497 phase4completednot on this mapstarted 2015, after this paper: background citation

Comparison of Triflusal With Aspirin in the Secondary Prevention of Atherothrombotic Events

TypeinterventionalSponsorUniversity of IoanninaRan2015 to 2018Enrolled1,220ConditionsAtherothrombosisArmsAspirin, Triflusal
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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

9 authors at 4 institutions in 3 countries.

M ValleCentre d'Investigació de Medicaments, Institut de Recerca del HSCSP, Hospital de la Santa Creu i Sant Pau and Departamento de Farmacología y Terapéutica de la Universidad Autónoma de Barcelona, Spain. MValleC@hsp.santpau.es
M J Barbanoj
A Donner
I Izquierdo
U Herranz
N Klein
H G Eichler
M Müller
M Brunner
Medical University of Vienna · ATHospital de Sant Pau · ESSwiss Red Cross · CHUriach (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTriflusal has been shown to exert neuroprotective effects by downregulating molecules considered responsible for the development of Alzheimer's disease (AD). The aim of this study was to develop a population pharmacokinetic model to characterize plasma and cerebrospinal fluid (CSF) pharmacokinetics of the main active metabolite of triflusal-HTB (2-hydroxy-4-trifluoro-methylbenzoic acid)-in healthy volunteers.

methodsData from two studies were combined. Study A: subjects received single oral doses of triflusal 900 mg. Triflusal and HTB plasma concentrations were extensively measured. Study B: triflusal 600 mg once daily was administered orally for 14 days. HTB plasma and CSF concentrations were determined in healthy volunteers. Population pharmacokinetic modeling was performed using NONMEM.

resultsA one-compartmental model with rapid first-order absorption for triflusal and first-order formation of HTB best described plasma concentrations. Triflusal elimination rate constant was 50 times faster than that estimated for the metabolite. CSF concentrations of HTB ranged between 0.011 microg/ml and 0.341 microg/ml. A CSF-plasma partition coefficient of 0.002 and a k(e0) value of 0.059 h(-1) were estimated by means of population modeling.

conclusionIn the present study in healthy volunteers, HTB penetrated into the CSF in a range of concentrations experimentally proven to have protective effects in AD. These concentrations suggest that triflusal could be used in the treatment of central nervous system diseases in doses similar to those used in cardiovascular diseases. Access to the CSF compartment was characterized by a slow equilibrium rate constant and a low CSF-plasma partition coefficient.

Indexed as

AdultBlood-Brain BarrierChromatography, High Pressure LiquidClinical Trials as TopicFemaleHumansMaleMetabolic Clearance RateModels, BiologicalNeuroprotective AgentsSalicylates4-trifluoromethylsalicylic acidNeuroprotective AgentsSalicylatestriflusal

Identifiers

PMID15711832
OpenAlexW2057682844

What OpenQuestion holds

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Registered trials

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 OpenQuestion graph.