Evidence map›Paper›PMID 23761054›Full record

Trial reportPharmaceutical research2013

Diclofenac enables unprecedented week-long microneedle-enhanced delivery of a skin impermeable medication in humans.

Nicole K Brogden, Stan L Banks, Leslie J Crofford, Audra L Stinchcomb

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pharmaceutical research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 46 citations in OpenAlex.

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  16. Single compartment drug delivery.Journal of controlled release : official journal of the Controlled Release Society · 2014
    Review
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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.

Nicole K BrogdenDepartment of Pharmaceutical Sciences, University of Kentucky College of Pharmacy, Lexington, Kentucky, USA.
Stan L Banks
Leslie J Crofford
Audra L Stinchcomb
University of Kentucky · USUniversity of Maryland, Baltimore · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
KENTUCKY CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCEUL1RR033173 · NCRR · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2011 to 2011
$3.5M
Naltrexone Prodrugs for Transdermal DeliveryR01DA013425 · NIDA · UNIVERSITY OF KENTUCKY · PI STINCHCOMB, AUDRA L. · 2002 to 2010
$2.0M
Transdermal Naltrexone for Opiate Addiction and AlcoholismR42DA032191 · NIDA · ALLTRANZ, INC. · PI STINCHCOMB, AUDRA L. · 2012 to 2014
$1.2M
Clinical Evaluation of Novel Methods for Extending Microneedle Pore LifetimeF31DA029374 · NIDA · UNIVERSITY OF KENTUCKY · PI BROGDEN, NICOLE K · 2010 to 2011
$66k
NCATS NIH HHS UL1 TR000117NCRR NIH HHS 1UL1RR033173-01NCRR NIH HHS UL1 RR033173NIDA NIH HHS 1F31DA029374NIDA NIH HHS F31 DA029374NIDA NIH HHS R01 DA013425NIDA NIH HHS R01DA13425NIDA NIH HHS R42 DA032191NIDA NIH HHS R42DA32191
6 · The paper itself

Abstract

purposeMicroneedles applied to the skin create micropores, allowing transdermal drug delivery of skin-impermeable compounds. The first human study with this technique demonstrated delivery of naltrexone (an opioid antagonist) for two to three days. Rapid micropore closure, however, blunts the delivery window. Application of diclofenac (an anti-inflammatory) allows seven days of naltrexone delivery in animals. The purpose of the current work was to demonstrate delivery of naltrexone for seven days following one microneedle treatment in humans.

methodsHuman subjects were treated with microneedles, diclofenac (or placebo), and naltrexone. Impedance measurements were used as a surrogate marker to measure micropore formation, and plasma naltrexone concentrations were measured for seven days post-microneedle application.

resultsImpedance dropped significantly from baseline to post-microneedle treatment, confirming micropore formation. Naltrexone was detected for seven days in Group 1 (diclofenac + naltrexone, n = 6), vs. 72 h in Group 2 (placebo + naltrexone, n = 2). At study completion, a significant difference in impedance was observed between intact and microneedle-treated skin in Group 1 (confirming the presence of micropores).

conclusionThis is the first study demonstrating week-long drug delivery after one microneedle application, which would increase patient compliance and allow delivery of therapies for chronic diseases.

Indexed as

Drug Delivery SystemsMicroinjectionsAdministration, CutaneousAdultAnti-Inflammatory Agents, Non-SteroidalDiclofenacFemaleHumansMaleNaltrexoneNarcotic AntagonistsNeedlesSkin AbsorptionYoung AdultAnti-Inflammatory Agents, Non-SteroidalDiclofenacNaltrexoneNarcotic Antagonists

Identifiers

PMID23761054
PMCPMC3773937
OpenAlexW2034922414

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.