Evidence map›Paper›PMID 27017097›Full record

ArticleJournal of pharmaceutical and biomedical analysis2016

Subchronic administration of (R,S)-ketamine induces ketamine ring hydroxylation in Wistar rats.

R Moaddel, M Sanghvi, A Ramamoorthy, K Jozwiak, N Singh, C Green, K O'Loughlin, M Torjman, I W Wainer

Abstract read
In one paragraph

Article in Journal of pharmaceutical and biomedical analysis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Guideline
  2. Ketamine metabolites, clinical response, and gamma power in a randomized, placebo-controlled, crossover trial for treatment-resistant major depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Mouse, rat, and dog bioavailability and mouse oral antidepressant efficacy of (Journal of psychopharmacology (Oxford, England) · 2019
    Article
  8. Review
  9. Article
  10. Article
  11. 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

9 authors at 6 institutions in 2 countries.

R MoaddelLaboratory of Clinical Investigation, National institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA.
M SanghviLaboratory of Clinical Investigation, National institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA.
A RamamoorthyLaboratory of Clinical Investigation, National institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA.
K JozwiakDepartment of Biopharmacy, Medical University of Lublin, Lublin, Poland.
N SinghLaboratory of Clinical Investigation, National institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA.
C GreenSRI International, Menlo Park, CA, USA.
K O'LoughlinSRI International, Menlo Park, CA, USA.
M TorjmanCooper University Hospital, Robert Wood Johnson Medical School, UMDNJ, Department of Anesthesiology, USA.
I W WainerLaboratory of Clinical Investigation, National institute on Aging, National Institutes of Health, Baltimore, MD 21224, USA; Mitchell Woods Pharmaceuticals, Shelton, CT, USA. Electronic address: iwwainer@mitchellwoods.com.
National Institutes of Health · USNational Institute on Aging · USCooper University Hospital · USMedical University of Lublin · PLMenlo School · USSRI International · US

Funding

Disease Status Drug Metabolism and New Drug Discovery ZIAAG000297 · NIA · NATIONAL INSTITUTE ON AGING · PI EGAN, JOSEPHINE · 2009 to 2025
$38.2M
Intramural NIH HHS Z99 AG999999Intramural NIH HHS ZIA AG000297
6 · The paper itself

Abstract

Subchronic administration of (R,S)-ketamine, (R,S)-Ket, is used in the treatment of neuropathic pain, in particular Complex Regional Pain Syndrome, but the effect of this protocol on the metabolism of (R,S)-Ket is unknown. In this study, daily administration of a low dose of (R,S)-Ket for 14-days to Wistar rats was conducted to determine the impact of sub-chronic dosing on the pharmacokinetics of (R,S)-Ket and its major metabolites. The data indicate that, relative to a single administration of (R,S)-Ket, subchronic administration resulted in increased clearance of (R,S)-Ket and the N-demethylated metabolite norketamine measured as elimination half-life (t1/2) and decreased plasma concentrations of these compounds. Subchronic administration produced a slight decrease in t1/2 and an increase in plasma concentration of the major metabolite, (2S,6S;2R,6R)-hydroxynorketamine, and produced significant increases in the plasma concentrations of the (2S,6R;2R,6S)-hydroxynorketamine and (2S,4R;2R,4S)-hydroxynorketamine metabolites. The metabolism of (R,S)-Ket predominately occurs via two microsomal enzyme-mediated pathways: (R,S)-Ket⇒(R,S)-norketamine⇒(2S,6S;2R,6R)-hydroxynorketamine and (2S,4R;2R,4S)-hydroxynorketamine and the (R,S)-Ket⇒(2S,6R;2R,6S)-hydroxyketamine⇒(2S,6R;2R,6S)-hydroxynorketamine and (2S,6S;2R,6R)-hydroxynorketamine. The results indicate that the activity of both metabolic pathways are increased by subchronic administration of (R,S)-Ket producing new metabolite patterns and potential differences in clinical effects.

Indexed as

AnalgesicsAnimalsArea Under CurveBiotransformationDose-Response Relationship, DrugHalf-LifeHydroxylationInjections, IntraperitonealKetamineMaleMetabolic Networks and PathwaysRats, WistarStereoisomerismAnalgesicsKetamine(2S,6R)-hydroxynorketamineComplex Regional Pain SyndromeNeuropathic pain

Identifiers

PMID27017097
PMCPMC5972519
OpenAlexW2301628323

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.