Evidence map›Paper›PMID 30564869›Full record

Trial reportPsychopharmacology2019

Minocycline does not affect experimental pain or addiction-related outcomes in opioid maintained patients.

Caroline A Arout, Andrew J Waters, R Ross MacLean, Peggy Compton, Mehmet Sofuoglu

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. The neuroimmune-glutamate hypothesis of addiction.Neuroscience and biobehavioral reviews · 2026
    Review
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  7. Article
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  15. Opioid-Induced Hyperalgesia and Tolerance Are Driven by HCN Ion Channels.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  16. Review
  17. Review
  18. Article
  19. Control of complex behavior by astrocytes and microglia.Neuroscience and biobehavioral reviews · 2022
    Review
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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

5 authors at 4 institutions in 1 country.

Caroline A AroutDepartment of Psychiatry, Yale University School of Medicine, West Haven, CT, USA. Caroline.Arout@nyspi.columbia.edu.ORCID http://orcid.org/0000-0003-0444-6432
Andrew J WatersDepartment of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
R Ross MacLeanDepartment of Psychiatry, Yale University School of Medicine, West Haven, CT, USA.
Peggy ComptonDepartment of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Mehmet SofuogluDepartment of Psychiatry, Yale University School of Medicine, West Haven, CT, USA.
Veterans Health Administration · USColumbia University Irving Medical Center · USUniformed Services University of the Health Sciences · USUniversity of Pennsylvania · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Research Training Fellowship in Substance use and Addiction (RTFSA)T32DA007238 · NIDA · YALE UNIVERSITY · PI BRIAN D. KILUK, ISMENE L. PETRAKIS · 1988 to 2026
$5.7M
Effect of opioid taper on pain responses in patients with chronic painR21DA046364 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI COMPTON, PEGGY A · 2019 to 2020
$443k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS R21 DA046364NIDA NIH HHS T32 DA007238
6 · The paper itself

Abstract

rationaleMinocycline, a tetracycline antibiotic, inhibits activation of microglia. In preclinical studies, minocycline prevented development of opioid tolerance and opioid-induced hyperalgesia (OIH). The goal of this study was to determine if minocycline changes pain threshold and tolerance in individuals with opioid use disorder who are maintained on agonist treatment.

methodsIn this double-blind, randomized human laboratory study, 20 participants were randomized to either minocycline (200 mg/day) or placebo treatment for 15 days. The study had three test sessions (days 1, 8, and 15 of treatment) and one follow-up visit 1 week after the end of treatment. In each test session, participants were assessed on several subjective and cognitive measures, followed by assessment of pain sensitivity using the Cold Pressor Test (CPT). Daily surveys and cognitive measures using Ecological Momentary Assessment (EMA) were also collected four times a day on days 8 through 14 of treatment, and proinflammatory serum cytokines were assessed before and on the last day of treatment.

resultsMinocycline treatment did not change pain threshold or tolerance on the CPT. Similarly, minocycline did not change severity of pain, opioid craving, withdrawal, or serum cytokines. Minocycline treatment increased accuracy on a Go/No-Go task.

conclusionsWhile these findings do not support minocycline's effects on OIH, minocycline may have a potential use as a cognitive enhancer for individuals with opioid use disorder, a finding that warrants further systematic studies.

Indexed as

AdultAnalgesics, OpioidBehavior, AddictiveDouble-Blind MethodDrug ToleranceFemaleFollow-Up StudiesHumansMaleMiddle AgedMinocyclineOpiate Substitution TreatmentOpioid-Related DisordersPainPain MeasurementPain ThresholdAnalgesics, OpioidMinocyclineEMAHyperalgesiaMicrogliaMinocyclineOpioid

Identifiers

PMID30564869
PMCPMC6581631
OpenAlexW2904616460

What OpenQuestion holds

Textmetadata
LicenceTDM
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.