Evidence map›Paper›PMID 25170571›Full record

ArticleAnesthesiology2014

Advancing novel anesthetics: pharmacodynamic and pharmacokinetic studies of cyclopropyl-methoxycarbonyl metomidate in dogs.

Jason A Campagna, Kevin Pojasek, David Grayzel, John Randle, Douglas E Raines

Open access · bronzeAbstract read
In one paragraph

Article in Anesthesiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
7.5field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Pharmacological management of severe Cushing's syndrome: the role of etomidate.Therapeutic advances in endocrinology and metabolism · 2022
    Review
  6. Review
  7. Discovery of the EL-0052 as a potential anesthetic drug.Computational and structural biotechnology journal · 2021
    Article
  8. Dimethoxy-etomidate: A Nonhypnotic Etomidate Analog that Potently Inhibits Steroidogenesis.The Journal of pharmacology and experimental therapeutics · 2018
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Etomidate derivatives: Novel pharmaceutical agents in anesthesia.Journal of anaesthesiology, clinical pharmacology
    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

5 authors at 1 institution in 2 countries.

Jason A CampagnaFrom the Medicines Company, Inc., Parsippany, New Jersey (J.A.C.); Annovation BioPharma, Inc., Cambridge, Massachusetts (K.P., D.G., J.R.); and Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts (D.E.R.).
Kevin Pojasek
David Grayzel
John Randle
Douglas E Raines
Massachusetts General Hospital · US

Funding

Etomidate Analogues as Safer General AnestheticsR01GM087316 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI RAINES, DOUGLAS E · 2010 to 2016
$3.2M
NIGMS NIH HHS R01 GM087316NIGMS NIH HHS R01-GM087316
6 · The paper itself

Abstract

backgroundCyclopropyl-methoxycarbonyl metomidate (CPMM, also known as ABP-700) is a second-generation "soft" (i.e., metabolically labile) etomidate analogue. The purpose of this study was to characterize CPMM's pharmacology in beagle dogs in preparation for potential first in human phase 1 clinical trials.

methodsCPMM's and etomidate's hypnotic activity and duration of action were assessed using loss of righting reflex and anesthesia score assays in three or four dogs. Their pharmacokinetics were defined after single bolus administration and single bolus followed by 2-h infusion. Adrenocortical recovery times after single bolus followed by 2-h infusion of CPMM, propofol, etomidate, and vehicle were measured using an adrenocorticotropic hormone stimulation test.

resultsCompared with etomidate, CPMM was half as potent as a hypnotic (ED50 approximately 0.8 mg/kg), was more rapidly metabolized, and had a shorter duration of sedative-hypnotic action. Recovery times after CPMM administration were also independent of infusion duration. After hypnotic infusion, adrenocorticotropic hormone-stimulated plasma cortisol concentrations were 4- to 27-fold higher in dogs that received CPMM versus etomidate. Adrenocortical recovery was faster in dogs after CPMM infusion versus etomidate infusion (half-time: 215 vs. 1,623 min, respectively). Adrenocortical responsiveness assessed 90 min after CPMM infusion was not significantly different from that after propofol infusion.

conclusionThe studies in dogs confirm that CPMM has hypnotic and adrenocortical recovery profiles that are superior than those of etomidate, supporting the continued development of CPMM as a clinical sedative-hypnotic to be used as a single bolus and by continuous infusion to induce and maintain general anesthesia or procedural sedation.

Indexed as

Adrenal CortexAnesthesiaAnesthetics, IntravenousAnimalsArea Under CurveBehavior, AnimalChemistry, PharmaceuticalDogsEtomidateHypnotics and SedativesMaleModels, StatisticalPropofolAnesthetics, IntravenousEtomidateHypnotics and SedativesmetomidatePropofol

Identifiers

PMID25170571
PMCPMC4237671
OpenAlexW2012203450

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.