Evidence map›Paper›PMID 29666901›Full record

Trial reportEuropean journal of clinical pharmacology2018

Subcutaneously administered dexmedetomidine is efficiently absorbed and is associated with attenuated cardiovascular effects in healthy volunteers.

P Uusalo, D Al-Ramahi, I Tilli, R A Aantaa, M Scheinin, T I Saari

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02724098 (Bioavailability of Subcutaneously Given Dexmedetomidine in Healthy Volunteers), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.6field-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.

NCT02724098 phase4completednot on this map

Bioavailability of Subcutaneously Given Dexmedetomidine in Healthy Volunteers

TypeinterventionalSponsorTurku University HospitalRan2016 to 2017Enrolled10ConditionsPainArmsDexmedetomidine
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 39 citations in OpenAlex.

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  6. Investigation and Clinical Experience With Subcutaneous Dexmedetomidine: An Educational Focused Review With a Focus on Pediatric-Aged Patients.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
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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

6 authors at 2 institutions in 1 country.

P UusaloDepartment of Anaesthesiology and Intensive Care, University of Turku, P.O. Box 51, (Kiinamyllynkatu 4-8), 20521, Turku, Finland. pijuus@utu.fi.ORCID http://orcid.org/0000-0001-5120-8854
D Al-RamahiInstitute of Biomedicine, University of Turku, and Unit of Clinical Pharmacology, Turku University Hospital, Turku, Finland.
I TilliDepartment of Anaesthesiology and Intensive Care, University of Turku, P.O. Box 51, (Kiinamyllynkatu 4-8), 20521, Turku, Finland.
R A AantaaPerioperative Services, Intensive Care and Pain Medicine, Turku University Hospital, Turku, Finland.
M ScheininInstitute of Biomedicine, University of Turku, and Unit of Clinical Pharmacology, Turku University Hospital, Turku, Finland.
T I SaariDepartment of Anaesthesiology and Intensive Care, University of Turku, P.O. Box 51, (Kiinamyllynkatu 4-8), 20521, Turku, Finland.
University of Turku · FITurku University Hospital · FI

Funding

Varsinais-Suomen Sairaanhoitopiiri 13821Varsinais-Suomen Sairaanhoitopiiri (FI) 13693
6 · The paper itself

Abstract

purposePalliative care patients often need sedation to alleviate intractable anxiety, stress, and pain. Dexmedetomidine is used for sedation of intensive care patients, but there is no prior information on its subcutaneous (SC) administration, a route that would be favored in palliative care. We compared the pharmacokinetics and cardiovascular, sympatholytic, and sedative effects of SC and intravenously (IV) administered dexmedetomidine in healthy volunteers.

methodsAn open two-period, cross-over design with balanced randomization was used. Ten male subjects were randomized to receive 1 μg/kg dexmedetomidine both IV and SC. Concentrations of dexmedetomidine and catecholamines in plasma were measured. Pharmacokinetic variables were calculated with non-compartmental methods. In addition, cardiovascular and sedative drug effects were monitored.

resultsEight subjects completed both treatment periods. Peak concentrations of dexmedetomidine were observed 15 min after SC administration (median; range 15-240). The mean bioavailability of SC dexmedetomidine was 81% (AUC

conclusionsDexmedetomidine is relatively rapidly and efficiently absorbed after SC administration. Subcutaneous dexmedetomidine may be a feasible alternative in palliative sedation, and causes attenuated cardiovascular effects compared to IV administration. CLINICALTRIALS. GOV IDENTIFIER: NCT02724098 . EUDRA CT number 2015-004698-34 .

Indexed as

Subcutaneous AbsorptionAdministration, IntravenousBiological AvailabilityCatecholaminesCross-Over StudiesDexmedetomidineHealthy VolunteersHemodynamicsHumansHypnotics and SedativesInjections, SubcutaneousMaleYoung AdultCatecholaminesDexmedetomidineHypnotics and SedativesDexmedetomidinePalliative carePharmacokineticsSubcutaneous

Identifiers

PMID29666901
OpenAlexW2801978448

What OpenQuestion holds

Textmetadata
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.