Evidence map›Paper›PMID 23596347›Full record

Trial reportDrug design, development and therapy2013

In vitro and in vivo evaluation of a sublingual fentanyl wafer formulation.

Stephen C B Lim, Michael J Paech, Bruce Sunderland, Yandi Liu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

4 authors.

Stephen C B LimPharmacy Department, Armadale Health Service, Armadale, Australia. stephen.lim@health.wa.gov.au
Michael J Paech
Bruce Sunderland
Yandi Liu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to prepare a novel fentanyl wafer formulation by a freeze-drying method, and to evaluate its in vitro and in vivo release characteristics, including its bioavailability via the sublingual route.

methodsThe wafer formulation was prepared by freeze-drying an aqueous dispersion of fentanyl containing sodium carboxymethylcellulose and amylogum as matrix formers. Uniformity of weight, friability, and dissolution testing of the fentanyl wafer was achieved using standard methods, and the residual moisture content was measured. The fentanyl wafer was also examined using scanning electron microscopy and x-ray diffraction. The absolute bioavailability of the fentanyl wafer was evaluated in 11 opioid-naïve adult female patients using a randomized crossover design.

resultsIn vitro release showed that almost 90% of the fentanyl dissolved in one minute. In vivo, the first detectable plasma fentanyl concentration was observed after 3.5 minutes and the peak plasma concentration between 61.5 and 67 minutes. The median absolute bioavailability was 53.0%.

conclusionThese results indicate that this wafer has potential as an alternative sublingual fentanyl formulation.

Indexed as

Administration, SublingualAdultAgedAnalgesics, OpioidBiological AvailabilityCarboxymethylcellulose SodiumCross-Over StudiesExcipientsFemaleFentanylFreeze DryingHumansMicroscopy, Electron, ScanningMiddle AgedPilot ProjectsSolubilityAnalgesics, OpioidCarboxymethylcellulose SodiumExcipientsFentanylabsolute bioavailabilityfentanyl waferin vitro dissolutionin vivo studypharmacokineticssublingual

Identifiers

PMID23596347
PMCPMC3627472

What OpenQuestion holds

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Registered trials

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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.