Evidence map›Paper›PMID 29416230›Full record

ReviewJournal of anaesthesiology, clinical pharmacology

Etomidate derivatives: Novel pharmaceutical agents in anesthesia.

Raymond J Malapero, Michael P Zaccagnino, Ethan Y Brovman, Alan David Kaye, Richard D Urman

Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04921046 (Effect of Pretreatment of Lignocaine Versus Midazolam in the Prevention of Etomidate Induced Myoclonus), 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
0.5field-weighted citation impact, top 29% 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.

NCT04921046 phase4completednot on this map

Effect of Pretreatment of Lignocaine Versus Midazolam in the Prevention of Etomidate Induced Myoclonus

TypeinterventionalSponsorRawalpindi Medical CollegeRan2015 to 2015Enrolled224ConditionsMyoclonic JerkArmslignocaine, Midazolam 1 milligram Prefilled Syringe
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 22 citations in OpenAlex.

  1. Remimazolam in anesthesia and sedation: A narrative review.Journal of anesthesia and translational medicine · 2025
    Review
  2. Article
  3. Emergency care drugs' chemical stability after eight weeks' deployment in the prehospital setting.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  4. Article
  5. Article
  6. Discovery of the EL-0052 as a potential anesthetic drug.Computational and structural biotechnology journal · 2021
    Article
  7. Allosteric GABAMolecules (Basel, Switzerland) · 2020
    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

5 authors at 3 institutions in 1 country.

Raymond J MalaperoDepartment of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA 02115, USA.
Michael P ZaccagninoDepartment of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA 02115, USA.
Ethan Y BrovmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA 02115, USA.
Alan David KayeDepartment of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA 70112, USA.
Richard D UrmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Boston, MA 02115, USA.
Brigham and Women's Hospital · USHarvard University · USLouisiana State University Health Sciences Center New Orleans · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Etomidate is an imidazole derivative that possesses important sedative properties employed in anesthesia practice, however, etomidate has a number of well-know side effects which limit its use in certain subpopulations and over long periods of time, mostly related to dose-dependent adrenal suppression. This review focuses on novel etomidate derivatives with an emphasis on pharmacological properties which afford improved safety profile and potentially desirable clinical effects. The pharmacology and clinical investigation of some of these etomidate derivatives, e.g. cyclopropyl-methoxycarbonyl, carboetomidate metomidate, methoxycarbonyl-etomidate, cyclopropyl-methoxycarbonyl metomidate (CPMM), and dimethyl-methoxycarbonyl metomidate, are discussed in detail. The increased potency and decreased metabolite build-up of CPMM potentially makes it a very favorable drug, particularly in the setting of prolonged infusions. Further, when compared with etomidate, CPMM produces lower plasma cytokine concentration and improved survival in lipopolysaccharide inflammatory sepsis models.

Indexed as

Adrenal suppressioncarboetomidate metomidatecyclopropyl-methoxycarbonylcyclopropyl-methoxycarbonyl metomidatedimethyl-methoxycarbonyl metomidateetomidateimidazolemethoxycarbonyl-etomidate

Identifiers

PMID29416230
PMCPMC5791251
OpenAlexW2791672752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.