Evidence map›Paper›PMID 25421879›Full record

Trial reportClinical pharmacokinetics2015

Pharmacokinetics, pharmacodynamics, safety, and tolerability of nebulized sodium nitrite (AIR001) following repeat-dose inhalation in healthy subjects.

Peter J Rix, Andrew Vick, Neil J Attkins, Geoffrey E Barker, Adrian W Bott, Harry Alcorn, Mark T Gladwin, Sruti Shiva, Stephen Bradley, Azra Hussaini and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Clinical pharmacokinetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01431313 (A Dose Escalation Study to Evaluate the Effect of Inhaled Nitrite on Cardiopulmonary Hemodynamics in Subjects With Pulmonary Hypertension), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.6field-weighted citation impact, top 11% 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.

NCT01431313 phase2completednot on this map

A Dose Escalation Study to Evaluate the Effect of Inhaled Nitrite on Cardiopulmonary Hemodynamics in Subjects With Pulmonary Hypertension

TypeinterventionalSponsorSchmidhofer, Mark, MDRan2012 to 2017Enrolled48ConditionsPulmonary Hypertension, Heart Failure, DiastolicArmsInhaled Nitrite
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Complex Interplay of Heme-Copper Oxidases with Nitrite and Nitric Oxide.International journal of molecular sciences · 2022
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Nitrite and nitrate chemical biology and signalling.British journal of pharmacology · 2019
    Review
  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

13 authors at 7 institutions in 2 countries.

Peter J RixSeragon Pharmaceuticals, Inc., 12780 El Camino Real, San Diego, CA, 92130, USA, peter.rix@seragonpharm.com.
Andrew Vick
Neil J Attkins
Geoffrey E Barker
Adrian W Bott
Harry Alcorn
Mark T Gladwin
Sruti Shiva
Stephen Bradley
Azra Hussaini
William L Hoye
Ed L Parsley
Hiroko Masamune
University of Pittsburgh · USAshland (United States) · USBioanalytical Systems (United States) · USDaVita Clinical Research (United States) · USEdison Pharmaceuticals (United States) · USPAREXEL International (United Kingdom) · GBPAREXEL International (United States) · US

Funding

Vascular Subphenotypes of Lung DiseaseP01HL103455 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FREEMAN, BRUCE ALAN · 2011 to 2020
$26.1M
NHLBI NIH HHS P01 HL103455
6 · The paper itself

Abstract

introductionThe efficacy of nebulized sodium nitrite (AIR001) has been demonstrated in animal models of pulmonary arterial hypertension (PAH), but it was not known if inhaled nitrite would be well tolerated in human subjects at exposure levels associated with efficacy in these models.

methodsInhaled nebulized sodium nitrite was assessed in three independent studies in a total of 82 healthy male and female subjects. Study objectives included determination of the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) under normal and mildly hypoxic conditions, and following co-administration with steady-state sildenafil, assessment of nitrite pharmacokinetics, and evaluation of the fraction exhaled nitric oxide (FENO) and concentrations of iron-nitrosyl hemoglobin (Hb(Fe)-NO) and S-nitrosothiols (R-SNO) as biomarkers of local and systemic NO exposure, respectively.

resultsNebulized sodium nitrite was well tolerated following 6 days of every 8 h administration up to 90 mg, producing significant increases in circulating Hb(Fe)-NO, R-SNO, and FENO. Pulmonary absorption of nitrite was rapid and complete, and plasma exposure dose was proportional through the MTD dosage level of 90 mg, without accumulation following repeated inhalation. At higher dosage levels, DLTs were orthostasis (observed at 120 mg) and hypotension with tachycardia (at 176 mg), but venous methemoglobin did not exceed 3.0 % at any time in any subject. Neither the tolerability nor pharmacokinetics of nitrite was impacted by conditions of mild hypoxia, or co-administration with sildenafil, supporting the safe use of inhaled nitrite in the clinical setting of PAH.

conclusionOn the basis of these results, nebulized sodium nitrite (AIR001) has been advanced into randomized trials in PAH patients.

Indexed as

Administration, InhalationAdolescentAdultBiomarkersCohort StudiesDrug InteractionsFemaleHumansHypertension, PulmonaryHypoxiaMaleMiddle AgedNitric OxidePiperazinesPurinesSildenafil CitrateBiomarkersNitric OxidePiperazinesPurinesSildenafil CitrateSodium NitriteSulfonamides

Identifiers

PMID25421879
PMCPMC4335132
OpenAlexW1999575173

What OpenQuestion holds

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Registered trials

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.