Evidence map›Paper›PMID 32142739›Full record

SynthesisAdvanced drug delivery reviews2020

Intrathecal drug delivery in the era of nanomedicine.

M J Fowler, J D Cotter, B E Knight, E M Sevick-Muraca, D I Sandberg, R W Sirianni

2 registry-linked trialsOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Advanced drug delivery reviews, 2020. 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 88 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 1% 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.

NCT06330337 phase3recruitingnot on this mapstarted 2024, after this paper: background citation

Specific Model Electroacupuncture Stimulation Promotes Paclitaxel Delivery Across the BBB for Postoperative Glioma Patients: A Randomized Controlled Study

TypeinterventionalSponsorThe Third Affiliated hospital of Zhejiang Chinese Medical UniversityRan2024 to 2027Enrolled58ConditionsGliomaArmsTemozolomide(TMZ) injection or oral administration, Albumin-Bound Paclitaxel(ABX) intravenous drip, Specific mode electroacupuncture stimulation(SMES) intervention
NCT06818331 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of Clinical Efficacy and Safety of Specific Mode Electroacupuncture Stimulation for Paclitaxel Across BBB Delivery in Patients With Postoperative Recurrence of Malignant Glioma: A Single-arm Trial

TypeinterventionalSponsorThe Third Affiliated hospital of Zhejiang Chinese Medical UniversityRan2025 to 2028Enrolled20ConditionsGliomaArmsSMES+PTX, Paclitaxel, Specific mode electroacupuncture stimulation
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 1 synthesis or guideline pooled it, 176 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Intrathecal Isoniazid and Dexamethasone Therapy May Improve Outcomes in Patients With Tuberculous Meningitis: A 2-Center Retrospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Hypothalamic wars: the last nanodelivery.Reviews in endocrine & metabolic disorders · 2026
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Comparison ofMolecular therapy. Nucleic acids · 2025
    Article
  17. Article
  18. Review
  19. Article
  20. Review

28 more citing papers are in PubMed but not listed here.

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

6 authors at 2 institutions in 1 country.

M J FowlerVivian L. Smith Department of Neurosurgery, McGovern Medical School/University of Texas Health Science Center at Houston, Houston, TX 77030, United States of America.
J D CotterVivian L. Smith Department of Neurosurgery, McGovern Medical School/University of Texas Health Science Center at Houston, Houston, TX 77030, United States of America.
B E KnightVivian L. Smith Department of Neurosurgery, McGovern Medical School/University of Texas Health Science Center at Houston, Houston, TX 77030, United States of America.
E M Sevick-MuracaBrown Foundation Institute of Molecular Medicine, Center for Molecular Imaging, Houston, TX 77030, United States of America.
D I SandbergVivian L. Smith Department of Neurosurgery, McGovern Medical School/University of Texas Health Science Center at Houston, Houston, TX 77030, United States of America; Department of Pediatric Surgery, McGovern Medical School/University of Texas Health Science Center at Houston, Houston, TX 77030, United States of America; Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, United States of America.
R W SirianniVivian L. Smith Department of Neurosurgery, McGovern Medical School/University of Texas Health Science Center at Houston, Houston, TX 77030, United States of America. Electronic address: Rachael.w.sirianni@uth.tmc.edu.
The University of Texas Health Science Center at Houston · USBrown Foundation · US

Funding

Intrathecal delivery of radiation sensitizing nanoparticles in pediatric neuro-oncologyR01HD099543 · NICHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SIRIANNI, RACHAEL W · 2019 to 2023
$3.5M
Exploiting sex-dependent brain injury response for nanoparticle therapeuticsR01NS116657 · NINDS · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI SIRIANNI, RACHAEL W, STABENFELDT, SARAH E · 2021 to 2025
$2.5M
Targeting Leptomeningeal Metastasis in MedulloblastomaR01NS111292 · NINDS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SIRIANNI, RACHAEL W · 2019 to 2024
$2.4M
Nanotherapeutics to alleviate neuroinflammation after TBIR21NS107985 · NINDS · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI SIRIANNI, RACHAEL W, STABENFELDT, SARAH E · 2018 to 2019
$425k
NICHD NIH HHS R01 HD099543NINDS NIH HHS R01 NS111292NINDS NIH HHS R01 NS116657NINDS NIH HHS R21 NS107985
6 · The paper itself

Abstract

Administration of substances directly into the cerebrospinal fluid (CSF) that surrounds the brain and spinal cord is one approach that can circumvent the blood-brain barrier to enable drug delivery to the central nervous system (CNS). However, molecules that have been administered by intrathecal injection, which includes intraventricular, intracisternal, or lumbar locations, encounter new barriers within the subarachnoid space. These barriers include relatively high rates of turnover as CSF clears and potentially inadequate delivery to tissue or cellular targets. Nanomedicine could offer a solution. In contrast to the fate of freely administered drugs, nanomedicine systems can navigate the subarachnoid space to sustain delivery of therapeutic molecules, genes, and imaging agents within the CNS. Some evidence suggests that certain nanomedicine agents can reach the parenchyma following intrathecal administration. Here, we will address the preclinical and clinical use of intrathecal nanomedicine, including nanoparticles, microparticles, dendrimers, micelles, liposomes, polyplexes, and other colloidalal materials that function to alter the distribution of molecules in tissue. Our review forms a foundational understanding of drug delivery to the CSF that can be built upon to better engineer nanomedicine for intrathecal treatment of disease.

Indexed as

AnimalsBiological TransportBlood-Brain BarrierCerebral VentriclesCerebrospinal FluidDrug Delivery SystemsHumansInjections, SpinalLiposomesMicellesNanoparticlesSubarachnoid SpaceLiposomesMicellesCentral nervous systemCerebrospinal fluidGene deliveryIntracerebroventricularIntracisternalIntraventricularLumbarNanotechnologyPolymerSubarachnoid space

Identifiers

PMID32142739
PMCPMC8182643
OpenAlexW3009270825

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.