Evidence map›Paper›PMID 30706409›Full record

ArticleAdvances in therapy2019

Physical and Chemical Compatibility of Extended-Release Triamcinolone Acetonide (TA-ER) with Common Local Anesthetics.

J Derek Jackson, Lindsey Cotton, Melinda Turkington, Daniel Leblanc, Scott Kelley

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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 1 institution in 1 country.

J Derek JacksonFlexion Therapeutics, Inc., Burlington, MA, USA. djackson@flexiontherapeutics.com.
Lindsey CottonFlexion Therapeutics, Inc., Burlington, MA, USA.
Melinda TurkingtonFlexion Therapeutics, Inc., Burlington, MA, USA.
Daniel LeblancFlexion Therapeutics, Inc., Burlington, MA, USA.
Scott KelleyFlexion Therapeutics, Inc., Burlington, MA, USA.
Flexion Therapeutics (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntra-articular (IA) corticosteroids are used extensively for the treatment of patients with knee osteoarthritis pain. In clinical practice, local anesthetics are frequently combined with corticosteroids prior to IA injection to provide rapid-onset analgesia. From this common practice there is no evidence to suggest that the addition of local anesthetics to corticosteroid preparations, including triamcinolone acetonide (TA), alters the physical properties or efficacy of the corticosteroid. Triamcinolone acetonide extended-release (TA-ER, formerly FX006) is a novel, microsphere-based TA formulation that demonstrated analgesic efficacy in phase 2 and 3 randomized controlled trials.

methodsThe current study assessed the compatibility of TA-ER and lidocaine, ropivacaine, and/or bupivacaine in vitro. The TA-ER and local anesthetic mixtures were assayed for changes in syringeability, pH, particle size, percentage free drug, purity, and appearance compared with TA-ER alone.

resultsBy these measures, the combination of local anesthetics with TA-ER did not negatively impact the chemical or physical properties of TA-ER when compared to TA-ER controls.

conclusionThese results demonstrate that lidocaine, bupivacaine, and ropivacaine are physically and chemically compatible with TA-ER, suggesting that local anesthetic solutions can be added to TA-ER preparations in clinical practice without adversely affecting TA-ER in vitro product characteristics.

fundingFlexion Therapeutics, Inc.

Indexed as

Drug IncompatibilityAnesthetics, LocalAnti-Inflammatory AgentsDelayed-Action PreparationsFemaleHumansHydrogen-Ion ConcentrationInjections, Intra-ArticularMicrospheresOsteoarthritis, KneeParticle SizeTechnology, PharmaceuticalTreatment OutcomeTriamcinolone AcetonideAnesthetics, LocalAnti-Inflammatory AgentsDelayed-Action PreparationsFX006Triamcinolone AcetonideCorticosteroidDrug combinationsInjectionIntra-articularLidocaineLocal anestheticOsteoarthritisTriamcinolone acetonide extended-release

Identifiers

PMID30706409
PMCPMC6824335
OpenAlexW2912690992

What OpenQuestion holds

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LicenceCC BY-NC
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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.