Evidence map›Paper›PMID 22468627›Full record

Trial reportDiabetes technology & therapeutics2012

Single-dose pharmacokinetics of different oral sodium nitrite formulations in diabetes patients.

Frank L Greenway, Benjamin L Predmore, Douglas R Flanagan, Tony Giordano, Yang Qiu, Angela Brandon, David J Lefer, Rakesh P Patel, Christopher G Kevil

Open access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Diabetes technology & therapeutics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
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  6. Article
  7. Review
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  9. Article
  10. Review
  11. Does the Oral Microbiome Play a Role in Hypertensive Pregnancies?Frontiers in cellular and infection microbiology · 2020
    Review
  12. Review
  13. Nitrite and nitrate chemical biology and signalling.British journal of pharmacology · 2019
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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 6 institutions in 2 countries.

Frank L GreenwayPennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana 70808, USA. frank.greenway@pbrc.edu
Benjamin L Predmore
Douglas R Flanagan
Tony Giordano
Yang Qiu
Angela Brandon
David J Lefer
Rakesh P Patel
Christopher G Kevil
Emory University · USUniversity of Alabama at Birmingham · USUniversity of Iowa · USLouisiana State University Health Sciences Center Shreveport · USPennington Biomedical Research Center · USSant Gadge Baba Amravati University · IN

Funding

Cardioprotective Actions of Hydrogen SulfideR01HL092141 · NHLBI · LSU HEALTH SCIENCES CENTER · PI LEFER, DAVID JOSEPH · 2009 to 2013
$1.9M
Nitrite Mediated CardioprotectionR01HL093579 · NHLBI · LSU HEALTH SCIENCES CENTER · PI LEFER, DAVID JOSEPH · 2009 to 2012
$1.5M
NHLBI NIH HHS R01 HL092141NHLBI NIH HHS R01 HL093579
6 · The paper itself

Abstract

backgroundDiabetic foot ulcers, although associated with macrovascular disease and neuropathy, have a microvascular disease causing ischemia not amenable to surgical intervention. Nitrite selectively releases nitric oxide in ischemic tissues, and diabetes subjects have low nitrite levels that do not increase with exercise. This study explores the safety and pharmacokinetics of a single dose of sodium nitrite in subjects with diabetic foot ulcers. SUBJECTS AND

methodsUsing a blinded, randomized crossover study design, 12 subjects with diabetes mellitus and active or healed foot ulcers received a single dose of sodium nitrite on two occasions 7-28 days apart, once with an immediate release (IR) formulation and once with an enteric-coated (EC) formulation for delayed release. Serum nitrite, nitrate, methemoglobin, sulfhemoglobin, blood pressure, pulse rate, complete blood count, chemistry panel, electrocardiogram, and adverse events were followed for up to 6 h after each dose. The IR and EC nitrite levels were analyzed by one-way analysis of variance and by pharmacokinetic modeling.

resultsThe IR formulation elevated nitrite levels between 0.25 and 0.75 h (P<0.05). The EC formulation did not elevate nitrite levels significantly, but both formulations gave plasma nitrite levels previously suggested to be therapeutic (approximately 2-5 μM). The IR formulation gave an asymptomatic blood pressure drop of 10/6 mm Hg (P<0.003), and two subjects experienced mild flushing. There was no elevation of methemoglobin or other safety concerns. Pharmacokinetic modeling of plama nitrite levels gave r(2) values of 0.81 and 0.97 for the fits for IR and EC formulations, respectively.

conclusionsOral sodium nitrite administration is well tolerated in diabetes patients.

Indexed as

Administration, OralBlood PressureChemistry, PharmaceuticalChromatography, High Pressure LiquidCross-Over StudiesDelayed-Action PreparationsDiabetic FootDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansIntestinal AbsorptionMaleMiddle AgedSodium NitriteTreatment OutcomeDelayed-Action PreparationsSodium Nitrite

Identifiers

PMID22468627
PMCPMC3389382
OpenAlexW2008003710

What OpenQuestion holds

Textmetadata
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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.