Evidence map›Paper›PMID 32606914›Full record

ArticleJournal of pain research2020

A Randomized, Open-Label, Bioequivalence Study of Lidocaine Topical System 1.8% and Lidocaine Patch 5% in Healthy Subjects.

Jeffrey Gudin, Charles Argoff, Jeffrey Fudin, Emileigh Greuber, Kip Vought, Kalpana Patel, Sri Nalamachu

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of pain research, 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 37% 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.

NCT04144192 phase1completednot on this map

Phase 1, Randomized, Comparative Pharmacokinetic Study of Bolus Intravenous Lidocaine 0.7 mg/kg, Lidocaine Patch 1.8%, and Lidocaine Patch 5% (Lidoderm®) in Healthy Subjects

TypeinterventionalSponsorScilex Pharmaceuticals, Inc.Ran2014 to 2014Enrolled58ConditionsHealthyArmsLidocaine patch 1.8%, Lidocaine 5% patch, Lidocaine 2% Injectable Solution
NCT04149938 phase1completednot on this map

Phase 1, Randomized Comparative Pharmacokinetic Study of Lidocaine Patch 1.8% (ZTlido™) and Lidocaine Patch 5% (Lidoderm®) in Healthy Subjects

TypeinterventionalSponsorScilex Pharmaceuticals, Inc.Ran2016 to 2016Enrolled54ConditionsHealthyArmsLidocaine topical system 1.8%, Lidocaine patch 5%
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
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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

7 authors at 3 institutions in 1 country.

Jeffrey GudinDepartment of Anesthesiology, Englewood Hospital and Medical Center, Englewood, NJ, USA.
Charles ArgoffDepartment of Neurology, Albany Medical Center, Albany, NY, USA.
Jeffrey FudinProfessional Practice, Albany College of Pharmacy and Health Sciences, Albany, NY, USA.ORCID 0000-0001-9929-1909
Emileigh GreuberScilex Pharmaceuticals Inc., Palo Alto, CA, USA.ORCID 0000-0001-6450-1988
Kip VoughtScilex Pharmaceuticals Inc., Palo Alto, CA, USA.
Kalpana PatelScilex Pharmaceuticals Inc., Palo Alto, CA, USA.
Sri NalamachuMid America PolyClinic, Overland Park, KS, USA.
Albany College of Pharmacy and Health Sciences · USAlbany Medical Center Hospital · USEnglewood Hospital and Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was designed to characterize drug delivery with lidocaine topical system 1.8% vs lidocaine patch 5% through 2 PK studies. PATIENTS AND

methodsTwo Phase 1, single-center, open-label, randomized PK studies were performed in healthy adults. In Study 1, 56 subjects received a single intravenous bolus of 0.7 mg/kg of lidocaine as a lead-in to allow for the accurate determination of apparent dose of both products. After a 7-day washout period, subjects were randomized to receive either lidocaine topical system 1.8% or lidocaine patch 5% for 12 hours followed by another 7-day washout period, after which subjects crossed over to receive the other treatment for 12 hours. In Study 2, 54 subjects were randomized to receive either lidocaine topical system 1.8% or lidocaine patch 5% for 12 hours. After a 7-day washout period, subjects crossed over to receive the other treatment. Adhesion and skin irritation assessments were performed after application of the products in Study 2. In both studies, serial blood samples were collected to measure the plasma concentration of lidocaine after product application. Safety assessments and adverse events were monitored in both studies.

resultsThe comparative PK analysis demonstrated that the two products, despite their difference in drug load and strength, are bioequivalent. Both products were well tolerated. In Study 2, dermal response scores (skin tolerability after removal) were similar between lidocaine topical system 1.8% and lidocaine patch 5%, with a mean irritation score per patch <1 (barely perceptible erythema), which is not considered to be clinically significant.

conclusionBioequivalence was demonstrated between lidocaine topical system 1.8% and lidocaine patch 5%. A comparison of the single-time adhesion scores at 12 hours in Study 2 favored lidocaine topical system 1.8% over lidocaine patch 5%. Both products were well tolerated as a single application in healthy adult human subjects. CLINICALTRIALSGOV: NCT04144192, NCT04149938.

Indexed as

lidocainepharmacokineticspostherpetic neuralgiatopical

Identifiers

PMID32606914
PMCPMC7319520
OpenAlexW3036124903

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.