Evidence map›Paper›PMID 32219207›Full record

ArticleACS pharmacology & translational science2018

High-Precision Control of Plasma Drug Levels Using Feedback-Controlled Dosing.

Netzahualcóyotl Arroyo-Currás, Gabriel Ortega, David A Copp, Kyle L Ploense, Zoe A Plaxco, Tod E Kippin, João P Hespanha, Kevin W Plaxco

Open access · greenAbstract read
In one paragraph

Article in ACS pharmacology & translational science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 92 citations in OpenAlex.

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  17. Enhancing immunotherapy with tumour-responsive nanomaterials.Nature reviews. Clinical oncology · 2025
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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

8 authors at 3 institutions in 2 countries.

Netzahualcóyotl Arroyo-CurrásDepartment of Pharmacology and Molecular Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland 21205, United States.
Gabriel OrtegaDepartment of Chemistry and Biochemistry, Center for Bioengineering, Center for Control, Dynamical Systems, and Computation, Department of Psychological and Brain Sciences, and The Neuroscience Research Institute and Department of Molecular, Cellular, and Developmental Biology, University of California Santa Barbara, Santa Barbara, California 93106, United States.
David A CoppDepartment of Chemistry and Biochemistry, Center for Bioengineering, Center for Control, Dynamical Systems, and Computation, Department of Psychological and Brain Sciences, and The Neuroscience Research Institute and Department of Molecular, Cellular, and Developmental Biology, University of California Santa Barbara, Santa Barbara, California 93106, United States.
Kyle L PloenseDepartment of Chemistry and Biochemistry, Center for Bioengineering, Center for Control, Dynamical Systems, and Computation, Department of Psychological and Brain Sciences, and The Neuroscience Research Institute and Department of Molecular, Cellular, and Developmental Biology, University of California Santa Barbara, Santa Barbara, California 93106, United States.
Zoe A PlaxcoDepartment of Chemistry and Biochemistry, Center for Bioengineering, Center for Control, Dynamical Systems, and Computation, Department of Psychological and Brain Sciences, and The Neuroscience Research Institute and Department of Molecular, Cellular, and Developmental Biology, University of California Santa Barbara, Santa Barbara, California 93106, United States.
Tod E KippinDepartment of Chemistry and Biochemistry, Center for Bioengineering, Center for Control, Dynamical Systems, and Computation, Department of Psychological and Brain Sciences, and The Neuroscience Research Institute and Department of Molecular, Cellular, and Developmental Biology, University of California Santa Barbara, Santa Barbara, California 93106, United States.
João P HespanhaDepartment of Chemistry and Biochemistry, Center for Bioengineering, Center for Control, Dynamical Systems, and Computation, Department of Psychological and Brain Sciences, and The Neuroscience Research Institute and Department of Molecular, Cellular, and Developmental Biology, University of California Santa Barbara, Santa Barbara, California 93106, United States.
Kevin W PlaxcoDepartment of Chemistry and Biochemistry, Center for Bioengineering, Center for Control, Dynamical Systems, and Computation, Department of Psychological and Brain Sciences, and The Neuroscience Research Institute and Department of Molecular, Cellular, and Developmental Biology, University of California Santa Barbara, Santa Barbara, California 93106, United States.
University of California, Santa Barbara · USCIC bioGUNE · ESJohns Hopkins University · US

Funding

Bio-electrochemical detectors for in vivo continuous monitoringR01EB022015 · NIBIB · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI KIPPIN, TOD EDWARD, PLAXCO, KEVIN W · 2017 to 2025
$4.6M
Feedback controlled, ultra-high-precision drug deliveryR01AI145206 · NIAID · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI PLAXCO, KEVIN W · 2019 to 2023
$2.0M
A new approach to quantitative, point-of-care serologyR01AI107936 · NIAID · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI PLAXCO, KEVIN W · 2014 to 2017
$1.4M
NIAID NIH HHS R01 AI107936NIAID NIH HHS R01 AI145206NIBIB NIH HHS R01 EB022015
6 · The paper itself

Abstract

By, in effect, rendering pharmacokinetics an experimentally adjustable parameter, the ability to perform feedback-controlled dosing informed by high-frequency in vivo drug measurements would prove a powerful tool for both pharmacological research and clinical practice. Efforts to this end, however, have historically been thwarted by an inability to measure in vivo drug levels in real time and with sufficient convenience and temporal resolution. In response, we describe a closed-loop, feedback-controlled delivery system that uses drug level measurements provided by an in vivo electrochemical aptamer-based (E-AB) sensor to adjust dosing rates every 7 s. The resulting system supports the maintenance of either constant or predefined time-varying plasma drug concentration profiles in live rats over many hours. For researchers, the resultant high-precision control over drug plasma concentrations provides an unprecedented opportunity to (1) map the relationships between pharmacokinetics and clinical outcomes, (2) eliminate inter- and intrasubject metabolic variation as a confounding experimental variable, (3) accurately simulate human pharmacokinetics in animal models, and (4) measure minute-to-minute changes in a drug's pharmacokinetic behavior in response to changing health status, diet, drug-drug interactions, or other intrinsic and external factors. In the clinic, feedback-controlled drug delivery would improve our ability to accurately maintain therapeutic drug levels in the face of large, often unpredictable intra- and interpatient metabolic variation. This, in turn, would improve the efficacy and safety of therapeutic intervention, particularly for the most gravely ill patients, for whom metabolic variability is highest and the margin for therapeutic error is smallest.

Identifiers

PMID32219207
PMCPMC7088981
OpenAlexW2895114828

What OpenQuestion holds

Textmetadata
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.