Evidence map›Paper›PMID 30583819›Full record

ArticleUltrasound in medicine & biology2019

Transdermal Delivery of Enfuvirtide in a Porcine Model Using a Low-Frequency, Low-Power Ultrasound Transducer Patch.

Kevin A Snook, Robert Van Ess, Jacob R Werner, Ryan S Clement, Olga M Ocon-Grove, Jeffery W Dodds, Kevin J Ryan, Edward P Acosta, John J Zurlo, Maureen L Mulvihill

Open access · greenAbstract read
In one paragraph

Article in Ultrasound in medicine & biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Novel Antiretroviral Therapeutic Strategies for HIV.Molecules (Basel, Switzerland) · 2021
    Review
  3. Article
  4. 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

10 authors at 3 institutions in 1 country.

Kevin A SnookActuated Medical, Inc., Bellefonte, Pennsylvania, USA. Electronic address: kevin.snook@actuatedmedical.com.
Robert Van EssActuated Medical, Inc., Bellefonte, Pennsylvania, USA.
Jacob R WernerAnimal Resource Program, The Pennsylvania State University, University Park, Pennsylvania, USA.
Ryan S ClementActuated Medical, Inc., Bellefonte, Pennsylvania, USA.
Olga M Ocon-GroveActuated Medical, Inc., Bellefonte, Pennsylvania, USA.
Jeffery W DoddsAnimal Resource Program, The Pennsylvania State University, University Park, Pennsylvania, USA.
Kevin J RyanDivision of Clinical Pharmacology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Edward P AcostaDivision of Clinical Pharmacology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
John J ZurloInfectious Diseases, College of Medicine, Pennsylvania State University, Hershey, Pennsylvania, USA.
Maureen L MulvihillActuated Medical, Inc., Bellefonte, Pennsylvania, USA.
Actuated Medical (United States) · USPennsylvania State University · USUniversity of Alabama at Birmingham · US

Funding

Portable Transdermal Acoustic Patch for Delivery of Large Molecules to Improve HIV Patient Medication Regime Compliance by Elimination of Side-Effects, Including Injection Site ReactionsR44AI080335 · NIAID · ACTUATED MEDICAL, INC. · PI MULVIHILL, MAUREEN L. · 2012 to 2017
$3.5M
NIAID NIH HHS R44 AI080335
6 · The paper itself

Abstract

Ultrasound-mediated transdermal delivery is a promising parenteral administration method for large-molecule or unstable medications. This study evaluated skin health and systemic delivery when administering enfuvirtide, an injectable anti-retroviral medication, over a 1-mo period in a porcine model using a low-frequency cymbal transducer. Three groups received twice-daily treatments: (i) enfuvirtide injection control (n = 12); (ii) saline ultrasound control (n = 6); and (iii) enfuvirtide ultrasound treatment (n = 13). Ultrasound parameters were as follows: 30-min exposure, 90 mW/cm², 24-26 kHz and 15% duty cycle. No statistical difference in trans-epidermal water loss, a measure of skin health and function, was seen between ultrasound-treated and control skin sites for either saline (p = 0.50) or enfuvirtide (p = 0.29) groups. Average trough plasma concentrations of enfuvirtide were 0.6 ± 0.2 and 2.8 ± 0.8 μg/mL for ultrasound and injection, respectively. Tolerability and efficacy results indicate that chronic, low-frequency ultrasound exposure can be a practical means for transdermal delivery of medications such as enfuvirtide.

Indexed as

Transdermal PatchAdministration, CutaneousAnimalsDrug Delivery SystemsEnfuvirtideFemaleHIV Fusion InhibitorsMaleModels, AnimalSkin AbsorptionSwineTransducersUltrasonicsEnfuvirtideHIV Fusion InhibitorsChronicCymbalDeliveryEnfuvirtideLarge-moleculeSkinTransdermalTransducerTrans-epidermal water lossUltrasound

Identifiers

PMID30583819
PMCPMC6476176
OpenAlexW2906117813

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.