Evidence map›Paper›PMID 26315828›Full record

ArticleJournal of nuclear medicine : official publication, Society of Nuclear Medicine2015

Intraarterial Microdosing: A Novel Drug Development Approach, Proof-of-Concept PET Study in Rats.

Tal Burt, Douglas C Rouse, Kihak Lee, Huali Wu, Anita T Layton, Thomas C Hawk, Douglas H Weitzel, Bennett B Chin, Michael Cohen-Wolkowiez, Shein-Chung Chow and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02304211 (Intra-Arterial Microdosing), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT02304211 early_phase1completednot on this map

Intra-Arterial Microdosing: Proof-of-Concept in Humans

TypeinterventionalSponsorDuke UniversityRan2014 to 2015Enrolled10ConditionsHealthyArmsInsulin
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. 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.

Tal BurtDuke University, Durham, North Carolina; and tal.burt@duke.edu.
Douglas C RouseDuke University, Durham, North Carolina; and.
Kihak LeeSiemens Medical Solutions USA, Knoxville, Tennessee.
Huali WuDuke University, Durham, North Carolina; and.
Anita T LaytonDuke University, Durham, North Carolina; and.
Thomas C HawkDuke University, Durham, North Carolina; and.
Douglas H WeitzelDuke University, Durham, North Carolina; and.
Bennett B ChinDuke University, Durham, North Carolina; and.
Michael Cohen-WolkowiezDuke University, Durham, North Carolina; and.
Shein-Chung ChowDuke University, Durham, North Carolina; and.
Robert J NoveckDuke University, Durham, North Carolina; and.

Funding

Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
Physiologically-Based Pharmacokinetic Models for Optimal Drug Dosing in ChildrenR01HD076676 · NICHD · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL · 2014 to 2017
$2.6M
Small Animal PET/SPECT/CT Molecular ImagingS10RR031792 · NCRR · DUKE UNIVERSITY · PI CHIN, BENNETT B · 2011 to 2011
$600k
Clinical Practice Data to Aid Narrow Therapeutic Index Drug ClassificationU01FD004858 · FDA · DUKE UNIVERSITY · PI COHEN-WOLKOWIEZ, MICHAEL · 2013 to 2014
$497k
FDA HHS 1U01FD004858-01FDA HHS U01 FD004858NCATS NIH HHS UL1 TR001117NCATS NIH HHS UL1TR001117NCRR NIH HHS 1S10RR31792‐1NCRR NIH HHS S10 RR031792NIAID NIH HHS HHSN272201300017CNIAID NIH HHS HHSN272201300017INIAID NIH HHS HHSN272201500006CNICHD NIH HHS 1R01-HD076676-01A1NICHD NIH HHS HHSN275201000003CNICHD NIH HHS HHSN275201000003INICHD NIH HHS R01 HD076676
6 · The paper itself

Abstract

unlabelledIntraarterial microdosing (IAM) is a novel drug development approach combining intraarterial drug delivery and microdosing. We aimed to demonstrate that IAM leads to target exposure similar to that of systemic full-dose administration but with minimal systemic exposure. IAM could enable the safe, inexpensive, and early study of novel drugs at the first-in-human stage and the study of established drugs in vulnerable populations.

methodsInsulin was administered intraarterially (ipsilateral femoral artery) or systemically to 8 CD IGS rats just before blood sampling or 60-min (18)F-FDG uptake PET imaging of ipsilateral and contralateral leg muscles (lateral gastrocnemius) and systemic muscles (spinotrapezius). The (18)F-FDG uptake slope analysis was used to compare the interventions. Plasma levels of insulin and glucose were compared using area under the curve calculated by the linear trapezoidal method. A physiologically based computational pharmacokinetics/pharmacodynamics model was constructed to simulate the relationship between the administered dose and response over time.

results(18)F-FDG slope analysis found no difference between IAM and systemic full-dose slopes (0.0066 and 0.0061, respectively; 95% confidence interval [CI], -0.024 to 0.029; P = 0.7895), but IAM slope was statistically significantly greater than systemic microdose (0.0018; 95% CI, -0.045 to -0.007; P = 0.0147) and sham intervention (-0.0015; 95% CI, 0.023-0.058; P = 0.0052). The pharmacokinetics/pharmacodynamics data were used to identify model parameters that describe membrane insulin binding and glucose-insulin dynamics.

conclusionTarget exposure after IAM was similar to systemic full dose administration but with minimal systemic effects. The computational pharmacokinetics/pharmacodynamics model can be generalized to predict whole-body response. Findings should be validated in larger, controlled studies in animals and humans using a range of targets and classes of drugs.

Indexed as

AlgorithmsAnimalsBlood GlucoseComputer SimulationDrug Delivery SystemsFluorodeoxyglucose F18Hypoglycemic AgentsImage Interpretation, Computer-AssistedInjections, Intra-ArterialInsulinMaleModels, StatisticalPositron-Emission TomographyRadiopharmaceuticalsRatsBlood GlucoseFluorodeoxyglucose F18Hypoglycemic AgentsInsulinRadiopharmaceuticalsdrug developmentexploratory investigational new drug (eIND)intra-arterialmicrodosingPET imaging

Identifiers

PMID26315828
PMCPMC4767259

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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.