Evidence map›Paper›PMID 21515002›Full record

ArticleDrug and alcohol dependence2011

Gender differences in pharmacokinetics of maintenance dosed buprenorphine.

David E Moody, Wenfang B Fang, Jerdravee Morrison, Elinore McCance-Katz

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  14. A Novel Maintenance Therapeutic for Opioid Use Disorder.The Journal of pharmacology and experimental therapeutics · 2021
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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

4 authors at 2 institutions in 1 country.

David E MoodyCenter for Human Toxicology, Department of Pharmacology and Toxicology, University of Utah, Salt Lake City, UT 84108, USA. david.moody@utah.edu
Wenfang B Fang
Jerdravee Morrison
Elinore McCance-Katz
University of Utah · USUniversity of California, San Francisco · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
X-LINKED HYPOPHOSPHATEMIAM01RR000065 · NCRR · VIRGINIA COMMONWEALTH UNIVERSITY · PI SANYAL, ARUN J · 1985 to 2010
$24.8M
Opioids &HIV Medications: Interactions in Drug AbusersR01DA013004 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI MCCANCE-KATZ, ELINORE F. · 1999 to 2008
$4.9M
Role of Buprenorphine in Improving Clinical Care in Opioid Addiction and HIVK24DA023359 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCANCE-KATZ, ELINORE F. · 2007 to 2011
$918k
Human Metabolism of Anti-Abuse MedicationsR01DA010100 · NIDA · UNIVERSITY OF UTAH · PI MOODY, DAVID E · 1997 to 2005
$750k
NCRR NIH HHS M01RR00065NCRR NIH HHS UL1 RR024131NIDA NIH HHS K24 DA023359NIDA NIH HHS K24DA023359NIDA NIH HHS R01 DA010100NIDA NIH HHS R01 DA013004NIDA NIH HHS R01DA10100NIDA NIH HHS R01DA13004
6 · The paper itself

Abstract

aimsGender differences are known to occur in the pharmacokinetics of many drugs. Mechanisms may include differences in body composition, body weight, cardiac output, hormonal status, and use of different co-medications. Recently subtle gender-dependent differences in cytochrome P450 (CYP) 3A-dependent metabolism have been demonstrated. Buprenorphine N-dealkylation to norbuprenorphine is primarily performed by CYP3A. We therefore asked whether gender-dependent differences occur in the pharmacokinetics of buprenorphine.

methodsA retrospective examination was made of control (buprenorphine/naloxone-only) sessions from a number of drug interaction studies between buprenorphine and antiretroviral drugs. Twenty males and eleven females were identified who had a negative cocaine urine test prior to participation in the control session and were all on the same maintenance dose (16/4 mg) of sublingual buprenorphine/naloxone. Pharmacokinetic data from their control sessions (buprenorphine/naloxone only) were sorted by gender and compared using the two-sample t-test.

resultsFemales had significantly higher area under the plasma concentration curve (AUC) and maximum plasma concentrations for buprenorphine, norbuprenorphine and norbuprenorphine-3-glucuronide. AUCs relative to dose per body weight and surface area were significantly higher for only norbuprenorphine. AUCs relative to lean body mass were, however, not significantly different.

conclusionsGender-related differences exist in the pharmacokinetics of buprenorphine; differences in body composition appear to have a major impact; differences in CYPA-dependent metabolism may also contribute.

Indexed as

Sex CharacteristicsAdultBuprenorphineFemaleHumansMaleMiddle AgedNarcoticsRetrospective StudiesBuprenorphineNarcotics

Identifiers

PMID21515002
PMCPMC3162987
OpenAlexW1994778322

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.