Evidence map›Paper›PMID 30802415›Full record

ReviewExpert opinion on therapeutic targets2019

Current strategies toward safer mu opioid receptor drugs for pain management.

Aliza T Ehrlich, Brigitte L Kieffer, Emmanuel Darcq

2 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Expert opinion on therapeutic targets, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT07246785 phase4terminatednot on this mapstarted 2025, after this paper: background citation

Efficacy of Anrikefon-based Patient-controlled Intravenous Analgesia for Pain Management After Laparoscopic Surgery: a Randomized, Double-blind, Active-controlled Pilot Trial

TypeinterventionalSponsorPeking University First HospitalRan2025 to 2026Enrolled13ConditionsLaparoscopic Surgery, Visceral Pain, Postoperative, Anrikefon, Patient-controlled Intravenous AnalgesiaArmsHigh-dose anrikefon, Medium-dose anrikefon, Low-dose anrikefon, Morphine
NCT07525986 phase4recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of Anrikefon-based Patient-controlled Intravenous Analgesia for Pain Management After Laparoscopic Surgery: a Randomized, Double-blind, Active-controlled Pilot Tria

TypeinterventionalSponsorPeking University First HospitalRan2026 to 2027Enrolled140ConditionsLaparoscopic Surgery, Visceral Pain, Postoperative, Anrikefon, Patient-controlled Intravenous AnalgesiaArmsHigh-dose anrikefon, Medium-dose anrikefon, Low-dose anrikefon, Morphine
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 62 citations in OpenAlex.

  1. Structural basis of opioid receptor activation by PCP and ketamine.Nature structural & molecular biology · 2026
    Article
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  8. Review
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  11. Nanotherapeutics for Alleviating Anesthesia-Associated Complications.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  12. Review
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  15. Review
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  19. Modulatory effects of photobiomodulation in the anterior cingulate cortex of diabetic rats.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2021
    Article
  20. Recent Advances in Peripheral Opioid Receptor Therapeutics.Current pain and headache reports · 2021
    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

3 authors at 2 institutions in 1 country.

Aliza T Ehrlicha Department of Psychiatry , McGill University, Douglas Hospital Research Center , Montréal , QC , Canada.
Brigitte L Kieffera Department of Psychiatry , McGill University, Douglas Hospital Research Center , Montréal , QC , Canada.
Emmanuel Darcqa Department of Psychiatry , McGill University, Douglas Hospital Research Center , Montréal , QC , Canada.
McGill University · CADouglas Mental Health University Institute · CA

Funding

The Role of Striosome Neurons in Mediating Opiod RewardP50DA005010 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI YANG, XIANGDONG WILLIAM · 1987 to 2021
$30.7M
Nr4a1 and GPR88 as novel gene targets for alcoholism: mouse genetic approachesU01AA016658 · NIAAA · UNIVERSITE DE STRASBOURG · PI LAURA ADELA HARSAN · 2006 to 2026
$3.8M
NIAAA NIH HHS U01 AA016658NIDA NIH HHS P50 DA005010
6 · The paper itself

Abstract

introductionPain relief remains a major public health challenge. The most efficient available painkillers are opioids targeting the mu opioid receptor (MOR). MORs are expressed in the areas of the brain [including pain and respiratory centers] that are important for processing reward and aversion. Thus, MOR activation efficiently alleviates severe pain, but the concomitant reward and respiratory depressant effects pose a threat; patients taking opioids potentially develop opioid addiction and high risk for overdose. Areas covered: Ongoing efforts to generate safer opioid analgesics are reviewed here. The design of biased compounds that trigger MOR induced G protein over β-arrestin signaling, peripheral opioids, drugs targeting MORs in heteromers and drugs enhancing endogenous opioid activity are discussed. Expert opinion: There is evidence that throttling MOR signaling may lead to an era of opioids that are truly efficient painkillers with lower side effects and risk of overdose. However, few of the drugs derived from the advanced approaches outlined here, are getting approval by regulatory committees for use in clinical settings. Thus, there is an urgent need to (i) better clarify mechanisms underlying the hazardous physiological effects of MOR activation, and (ii) fully validate the safety of these new MOR-based therapies.

Indexed as

Analgesics, OpioidAnimalsDrug OverdoseHumansOpioid-Related DisordersPainReceptors, Opioid, muAnalgesics, OpioidOPRM1 protein, humanReceptors, Opioid, muaddictionallostericanaloguebiased agonismdiscoverydrugGPCRheteromeropiateOpioid receptorpainperipherally limited opioidpH-dependent agonist and endogenous opioid

Identifiers

PMID30802415
PMCPMC6497449
OpenAlexW2917260877

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.