Evidence map›Paper›PMID 28990191›Full record

SynthesisJournal of applied toxicology : JAT2018

Chemical warfare agent simulants for human volunteer trials of emergency decontamination: A systematic review.

Thomas James, Stacey Wyke, Tim Marczylo, Samuel Collins, Tom Gaulton, Kerry Foxall, Richard Amlôt, Raquel Duarte-Davidson

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of applied toxicology : JAT, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Mass Casualty Decontamination for Chemical Incidents: Research Outcomes and Future Priorities.International journal of environmental research and public health · 2021
    Review
  8. Article
  9. 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

8 authors at 2 institutions in 1 country.

Thomas JamesChemical and Environmental Effects Department, Centre for Radiation, Chemicals and Environmental Hazards (CRCE), Public Health England, Chilton, OX11 0RQ, UK.ORCID http://orcid.org/0000-0001-9295-014X
Stacey WykeChemical and Environmental Effects Department, Centre for Radiation, Chemicals and Environmental Hazards (CRCE), Public Health England, Chilton, OX11 0RQ, UK.
Tim MarczyloToxicology Department, Centre for Radiation, Chemicals and Environmental Hazards (CRCE), Public Health England, Chilton, OX11 0RQ, UK.ORCID http://orcid.org/0000-0001-9744-473X
Samuel CollinsChemical and Environmental Effects Department, Centre for Radiation, Chemicals and Environmental Hazards (CRCE), Public Health England, Chilton, OX11 0RQ, UK.ORCID http://orcid.org/0000-0003-4721-0040
Tom GaultonChemical and Environmental Effects Department, Centre for Radiation, Chemicals and Environmental Hazards (CRCE), Public Health England, Chilton, OX11 0RQ, UK.
Kerry FoxallToxicology Department, Centre for Radiation, Chemicals and Environmental Hazards (CRCE), Public Health England, Chilton, OX11 0RQ, UK.
Richard AmlôtEmergency Response Department, Science & Technology, Public Health England, Porton Down, Salisbury, Wiltshire, SP4 0JG, UK.
Raquel Duarte-DavidsonChemical and Environmental Effects Department, Centre for Radiation, Chemicals and Environmental Hazards (CRCE), Public Health England, Chilton, OX11 0RQ, UK.
Public Health England · GBDefence Science and Technology Laboratory · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incidents involving the release of chemical agents can pose significant risks to public health. In such an event, emergency decontamination of affected casualties may need to be undertaken to reduce injury and possible loss of life. To ensure these methods are effective, human volunteer trials (HVTs) of decontamination protocols, using simulant contaminants, have been conducted. Simulants must be used to mimic the physicochemical properties of more harmful chemicals, while remaining non-toxic at the dose applied. This review focuses on studies that employed chemical warfare agent simulants in decontamination contexts, to identify those simulants most suitable for use in HVTs of emergency decontamination. Twenty-two simulants were identified, of which 17 were determined unsuitable for use in HVTs. The remaining simulants (n = 5) were further scrutinized for potential suitability according to toxicity, physicochemical properties and similarities to their equivalent toxic counterparts. Three suitable simulants, for use in HVTs were identified; methyl salicylate (simulant for sulphur mustard), diethyl malonate (simulant for soman) and malathion (simulant for VX or toxic industrial chemicals). All have been safely used in previous HVTs, and have a range of physicochemical properties that would allow useful inference to more toxic chemicals when employed in future studies of emergency decontamination systems.

Indexed as

Healthy VolunteersChemical Warfare AgentsDatabases, FactualDecontaminationHumansIn Vitro TechniquesLethal Dose 50MalathionMalonatesSalicylatesChemical Warfare Agentsdiethyl malonateMalathionMalonatesmethyl salicylateSalicylateschemical warfare agentdecontaminationemergencyhuman volunteer trialssimulant

Identifiers

PMID28990191
PMCPMC5725685
OpenAlexW2763064579

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.