Evidence map›Paper›PMID 25236342›Full record

Observational studyPharmaceutical research2015

An observational study of blood concentrations and kinetics of methyl- and propyl-parabens in neonates.

H Mulla, S Yakkundi, J McElnay, I Lutsar, T Metsvaht, H Varendi, G Nellis, A Nunn, J Duncan, H Pandya and 1 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Pharmaceutical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
6.1field-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

12 citing papers in PubMed, 44 citations in OpenAlex.

  1. Observational
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

11 authors at 7 institutions in 2 countries.

H MullaDepartment of Pharmacy, University Hospitals of Leicester, Leicester, UK, hussain.mulla@uhl-tr.nhs.uk.
S Yakkundi
J McElnay
I Lutsar
T Metsvaht
H Varendi
G Nellis
A Nunn
J Duncan
H Pandya
M Turner
University of Tartu · EEAlder Hey Children's NHS Foundation Trust · GBQueen's University Belfast · GBLiverpool Women's Hospital · GBTartu University Hospital · EEUniversity Hospitals of Leicester NHS Trust · GBUniversity of Leicester · GB

Funding

Medical Research Council MC_G1100158
6 · The paper itself

Abstract

purposeSystemic exposure to parabens in the neonatal population, in particular propyl-parabens (PPB), remains a concern. Blood concentrations and kinetics of methyl-parabens (MPB) and PPB were therefore determined in neonates receiving medicines containing these excipients.

methodsA multi-centre, non-interventional, observational study of excipient-kinetics in neonates. 'Dried Blood Spot' samples were collected opportunistically at the same time as routine samples and the observations modelled using a non-linear mixed effects approach.

resultsA total of 841 blood MPB and PPB concentration data were available for evaluation from 181 pre- and term-neonates. Quantifiable blood concentrations of MPB and PPB were observed in 99% and 49% of patients, and 55% and 25% of all concentrations were above limit of detection (10 ng/ml), respectively. Only MPB data was amenable to modelling. Oral bioavailability was influenced by type of formulation and disposition was best described by a two compartment model with clearance (CL) influenced by post natal age (PNA); CL PNA<21 days 0.57 versus CL PNA>21 days 0.88 L/h.

conclusionsDaily repeated administration of parabens containing medicines can result in prolonged systemic exposure to the parent compound in neonates. Animal toxicology studies of PPB that specifically address the neonatal period are required before a permitted daily exposure for this age group can be established.

Indexed as

Administration, OralBiological AvailabilityChemistry, PharmaceuticalComputer SimulationDried Blood Spot TestingDrug Administration ScheduleEnglandEstoniaExcipientsGestational AgeHumansInfant, NewbornInfant, PrematureMetabolic Clearance RateModels, BiologicalNonlinear DynamicsExcipientsmethylparabenParabenspropylparaben

Identifiers

PMID25236342
OpenAlexW2005406888

What OpenQuestion holds

Textmetadata
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.