Evidence map›Paper›PMID 28097004›Full record

ArticlePharmacology research & perspectives2016

Rifampicin decreases exposure to sublingual buprenorphine in healthy subjects.

Nora M Hagelberg, Mari Fihlman, Tuija Hemmilä, Janne T Backman, Jouko Laitila, Pertti J Neuvonen, Kari Laine, Klaus T Olkkola, Teijo I Saari

Open access · goldAbstract read
In one paragraph

Article in Pharmacology research & perspectives, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Voriconazole greatly increases the exposure to oral buprenorphine.European journal of clinical pharmacology · 2018
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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

9 authors at 5 institutions in 2 countries.

Nora M HagelbergDepartment of Anaesthesiology, Intensive Care and Pain Medicine University of Turku and Turku University Hospital Turku Finland.
Mari FihlmanDepartment of Anaesthesiology, Intensive Care and Pain Medicine University of Turku and Turku University Hospital Turku Finland.
Tuija HemmiläDepartment of Anaesthesiology, Intensive Care and Pain Medicine University of Turku and Turku University Hospital Turku Finland.
Janne T BackmanDepartment of Clinical Pharmacology University of Helsinki and Helsinki University Hospital Helsinki Finland.
Jouko LaitilaDepartment of Clinical Pharmacology University of Helsinki and Helsinki University Hospital Helsinki Finland.
Pertti J NeuvonenDepartment of Clinical Pharmacology University of Helsinki and Helsinki University Hospital Helsinki Finland.
Kari LaineDepartment of Pharmacology Drug Development and Therapeutics University of Turku Turku Finland; Medbase Ltd Turku Finland.
Klaus T OlkkolaDepartment of Anaesthesiology, Intensive Care and Pain Medicine University of Helsinki and Helsinki University Hospital Helsinki Finland.
Teijo I SaariDepartment of Anaesthesiology, Intensive Care and Pain Medicine University of Turku and Turku University Hospital Turku Finland.
University of Turku · FIHelsinki University Hospital · FIUniversity of Helsinki · FITurku University Hospital · FITurku University of Applied Sciences · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Buprenorphine is mainly metabolized by the cytochrome P450 (CYP) 3A4 enzyme. The aim of this study was to evaluate the role of first-pass metabolism in the interaction of rifampicin and analgesic doses of buprenorphine. A four-session paired cross-over study design was used. Twelve subjects ingested either 600 mg oral rifampicin or placebo once daily in a randomized order for 7 days. In the first part of the study, subjects were given 0.6-mg (placebo phase) or 0.8-mg (rifampicin phase) buprenorphine sublingually on day 7. In the second part of the study, subjects received 0.4-mg buprenorphine intravenously. Plasma concentrations of buprenorphine and urine concentrations of buprenorphine and its primary metabolite norbuprenorphine were measured over 18 h. Adverse effects were recorded. Rifampicin decreased the mean area under the dose-corrected plasma concentration-time curve (AUC

Indexed as

Cytochrome (P450) 3A4first‐pass metabolisminteractionrifampicinsublingual and intravenous buprenorphine

Identifiers

PMID28097004
PMCPMC5226287
OpenAlexW2547603378

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.