Evidence map›Paper›PMID 30513738›Full record

ArticlePharmaceutics2018

Moisture-Resistant Co-Spray-Dried Netilmicin with l-Leucine as Dry Powder Inhalation for the Treatment of Respiratory Infections.

Yingtong Cui, Xuejuan Zhang, Wen Wang, Zhengwei Huang, Ziyu Zhao, Guanlin Wang, Shihao Cai, Hui Jing, Ying Huang, Xin Pan and 1 more

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-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

18 citing papers in PubMed, 54 citations in OpenAlex.

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  18. Physical stability of dry powder inhaler formulations.Expert opinion on drug delivery · 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

11 authors at 2 institutions in 1 country.

Yingtong CuiSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. cuiyt3@mail2.sysu.edu.cn.
Xuejuan ZhangSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. zhanghongdou0223@126.com.
Wen WangSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. Wen.wang@chindexmedical.com.
Zhengwei HuangSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. hzhengw3@mail2.sysu.edu.cn.
Ziyu ZhaoSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. zhaozy7@mail2.sysu.edu.cn.
Guanlin WangSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. wangglin3@mail2.sysu.edu.cn.
Shihao CaiSchool of Pharmaceutical Sciences, Wuhan University, Wuhan 430072, China. Alan1031csh@163.com.
Hui JingSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. m13424469491@163.com.
Ying HuangSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. huangying3@mail.sysu.edu.cn.
Xin PanSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. panxin2@mail.sysu.edu.cn.
Chuanbin WuSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510006, China. wuchuanb@mail.sysu.edu.cn.
Sun Yat-sen University · CNWuhan University · CN

Funding

Sun Yat-sen University 16ykpy23the National Natural Science Foundation of China 81673375; 81703431the Science and Technology Foundation Guangzhou 201509030006
6 · The paper itself

Abstract

Netilmicin (NTM) is one of the first-line drugs for lower respiratory tract infections (LRTI) therapy, but its nephrotoxicity and ototoxicity caused by intravenous injection restrict its clinical application. Dry powder inhalation (DPI) is a popular local drug delivery system that is introduced as a solution. Due to the nature of NTM hygroscopicity that hinders its direct use through DPI, in this study, L-leucine (LL) was added into NTM dry powder to reduce its moisture absorption rate and improve its aerosolization performance. NTM DPIs were prepared using spray-drying with different LL proportions. The particle size, density, morphology, crystallinity, water content, hygroscopicity, antibacterial activity, in vitro aerosolization performance, and stability of each formulation were characterized. NTM DPIs were suitable for inhalation and amorphous with a corrugated surface. The analysis indicated that the water content and hygroscopicity were decreased with the addition of LL, whilst the antibacterial activity of NTM was maintained. The optimal formulation ND₂ (NTM:LL = 30:1) showed high fine particle fraction values (85.14 ± 8.97%), which was 2.78-fold those of ND₀ (100% NTM). It was stable after storage at 40 ± 2 °C, 75 ± 5% relative humidity (RH). The additional LL in NTM DPI successfully reduced the hygroscopicity and improved the aerosolization performance. NTM DPIs were proved to be a feasible and desirable approach for the treatment of LRTI.

Indexed as

dry powder inhalationl-leucinelower respiratory tract infectionmoisture resistantnetilmicin

Identifiers

PMID30513738
PMCPMC6321429
OpenAlexW2903390343

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.