Evidence map›Paper›PMID 26021605›Full record

Trial reportJournal of translational medicine2015

Gastrointestinal delivery of propofol from fospropofol: its bioavailability and activity in rodents and human volunteers.

Krystyna M Wozniak, James J Vornov, Bipin M Mistry, Ying Wu, Rana Rais, Barbara S Slusher

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.8field-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.

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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Krystyna M WozniakEisai Inc., Baltimore, MD, USA. kwoznia3@jhmi.edu.
James J VornovEisai Inc., Baltimore, MD, USA. jvornov1@jhmi.edu.
Bipin M MistryEisai Inc., Baltimore, MD, USA. Bipin.Mistry@fda.hhs.gov.
Ying WuEisai Inc., Baltimore, MD, USA. ywu58@jhmi.edu.
Rana RaisJohns Hopkins Drug Discovery, Johns Hopkins School of Medicine, The John G. Rangos, Sr. Building, 855 N. Wolfe Street, Baltimore, MD, 21205, USA. rrais2@jhmi.edu.
Barbara S SlusherEisai Inc., Baltimore, MD, USA. bslusher@jhmi.edu.
Eisai (United States) · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPropofol is a safe and widely used intravenous anesthetic agent, for which additional clinical uses including treatment of migraine, nausea, pain and anxiety have been proposed (Vasileiou et al. Eur J Pharmacol 605:1-8, 2009). However, propofol suffers from several disadvantages as a therapeutic outside anesthesia including its limited aqueous solubility and negligible oral bioavailability. The purpose of the studies described here was to evaluate, in both animals and human volunteers, whether fospropofol (a water soluble phosphate ester prodrug of propofol) would provide higher propofol bioavailability through non-intravenous routes.

methodsFospropofol was administered via intravenous, oral and intraduodenal routes to rats. Pharmacokinetic and pharmacodynamic parameters were then evaluated. Based on the promising animal data we subsequently conducted an oral and intraduodenal pharmacokinetic/pharmacodynamic study in human volunteers.

resultsIn rats, bioavailability of propofol from fospropofol delivered orally was found to be appreciable, in the order of around 20-70%, depending on dose. Availability was especially marked following fospropofol administration via the intraduodenal route, where bioavailability approximated 100%. Fospropofol itself was not appreciably bioavailable when administered by any route except for intravenous. Pharmacologic effect following oral fospropofol was confirmed by observation of sedation and alleviation of thermal hyperalgesia in the rat chronic constrictive injury model of neuropathic pain. The human data also showed systemic availability of propofol from fospropofol administration via oral routes, a hereto novel finding. Assessment of sedation in human volunteers was correlated with pharmacokinetic measurements.

conclusionsThese data suggest potential utility of oral administration of fospropofol for various therapeutic indications previously considered for propofol.

Indexed as

Healthy VolunteersAdministration, IntravenousAdministration, OralAdolescentAdultAnalgesicsAnimalsBiological AvailabilityDose-Response Relationship, DrugDrug Administration RoutesGastrointestinal TractHumansHypnotics and SedativesMaleMiddle AgedPropofolAnalgesicsfospropofolHypnotics and SedativesPropofol

Identifiers

PMID26021605
PMCPMC4448313
OpenAlexW1521762281

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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.