Evidence map›Paper›PMID 30348664›Full record

ArticleAntimicrobial agents and chemotherapy2018

Ceftriaxone Absorption Enhancement for Noninvasive Administration as an Alternative to Injectable Solutions.

Boubakar Ba, Karen Gaudin, Amélie Désiré, Thida Phoeung, Marie-Hélène Langlois, Charan R Behl, Joel Unowsky, Indravadan H Patel, A Waseem Malick, Melba Gomes and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 4 institutions in 5 countries.

Boubakar BaEA 4575 Analytical and Pharmaceutical Developments Applied to Neglected Diseases and Counterfeits, Université Bordeaux, Bordeaux, France.
Karen GaudinEA 4575 Analytical and Pharmaceutical Developments Applied to Neglected Diseases and Counterfeits, Université Bordeaux, Bordeaux, France.
Amélie DésiréEA 4575 Analytical and Pharmaceutical Developments Applied to Neglected Diseases and Counterfeits, Université Bordeaux, Bordeaux, France.
Thida PhoeungEA 4575 Analytical and Pharmaceutical Developments Applied to Neglected Diseases and Counterfeits, Université Bordeaux, Bordeaux, France.
Marie-Hélène LangloisEA 4575 Analytical and Pharmaceutical Developments Applied to Neglected Diseases and Counterfeits, Université Bordeaux, Bordeaux, France.
Charan R BehlHoffmann-La Roche Inc., Little Falls, New Jersey, USA.
Joel UnowskyHoffmann-La Roche Inc., Little Falls, New Jersey, USA.
Indravadan H PatelHoffmann-La Roche Inc., Little Falls, New Jersey, USA.
A Waseem MalickHoffmann-La Roche Inc., Little Falls, New Jersey, USA.
Melba GomesConsultant, World Health Organization, Geneva, Switzerland.
Nicholas WhiteCentre for Tropical Medicine, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Tina KaussEA 4575 Analytical and Pharmaceutical Developments Applied to Neglected Diseases and Counterfeits, Université Bordeaux, Bordeaux, France tina.kauss@u-bordeaux.fr.ORCID 0000-0002-0541-6684
Université de Bordeaux · FRLa Roche College · USMahidol University · THWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

Neonatal sepsis is a major cause of infant mortality in developing countries because of delayed injectable treatment, making it urgent to develop noninjectable formulations that can reduce treatment delays in resource-limited settings. Ceftriaxone, available only for injection, needs absorption enhancers to achieve adequate bioavailability via nonparenteral administration. This article presents all available data on the nonparenteral absorption of ceftriaxone in humans and animals, including unpublished work carried out by F. Hoffmann-La Roche (Roche) in the 1980s and new data from preclinical studies with rabbits, and discusses the importance of these data for the development of noninjectable formulations for noninvasive treatment. The combined results indicate that the rectal absorption of ceftriaxone is feasible and likely to lead to a bioavailable formulation that can reduce treatment delays in neonatal sepsis. A bile salt, chenodeoxycholate sodium salt (Na-CDC), used as an absorption enhancer at a 125-mg dose, together with a 500-mg dose of ceftriaxone provided 24% rectal absorption of ceftriaxone and a maximal plasma concentration of 21 µg/ml with good tolerance in human subjects. The rabbit model developed can also be used to screen for the bioavailability of other formulations before assessment in humans.

Indexed as

Administration, RectalAdultAnimalsAnti-Bacterial AgentsBiological AvailabilityCeftriaxoneChenodeoxycholic AcidDrug Administration ScheduleDrug Evaluation, PreclinicalFemaleHealthy VolunteersHumansInfant, NewbornIntestinal AbsorptionMaleNeonatal SepsisAnti-Bacterial AgentsCeftriaxoneChenodeoxycholic AcidTriglycerideswitepsolantibioticpediatricpediatric drug therapyrectal routethird-generation cephalosporins

Identifiers

PMID30348664
PMCPMC6256799
OpenAlexW2895523065

What OpenQuestion holds

Textmetadata
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.