Evidence map›Paper›PMID 33113208›Full record

ReviewClinical pharmacology and therapeutics2021

Countermeasures for Preventing and Treating Opioid Overdose.

Charles P France, Gerard P Ahern, Saadyah Averick, Alex Disney, Heather A Enright, Babak Esmaeli-Azad, Arianna Federico, Lisa R Gerak, Stephen M Husbands, Benedict Kolber and 13 more

Open access · greenAbstract readReview
In one paragraph

Review in Clinical pharmacology and therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 67 citations in OpenAlex.

  1. Trial
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  7. Is Fentanyl Rebound an Intrinsic Feature of Naloxone Reversal?Pharmaceuticals (Basel, Switzerland) · 2025
    Article
  8. Article
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  17. Nalbuphine Potentiates Reversal of Fentanyl Overdose by Naloxone.Pharmaceuticals (Basel, Switzerland) · 2024
    Article
  18. Nanotherapeutics for Alleviating Anesthesia-Associated Complications.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 10 institutions in 2 countries.

Charles P FranceDepartment of Pharmacology, Addiction Research, Treatment and Training Center of Excellence, University of Texas Health Science Center, San Antonio, Texas, USA.
Gerard P AhernGeorgetown University, Washington, DC, USA.
Saadyah AverickNeuroscience Institute, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Alex DisneyDepartment of Pharmacy and Pharmacology, University of Bath, Bath, UK.
Heather A EnrightLawrence Livermore National Laboratory, Livermore, California, USA.
Babak Esmaeli-AzadCellCure (Stem Cell Division of CiBots, Inc.), San Diego, California, USA.
Arianna FedericoCellCure (Stem Cell Division of CiBots, Inc.), San Diego, California, USA.
Lisa R GerakDepartment of Pharmacology, Addiction Research, Treatment and Training Center of Excellence, University of Texas Health Science Center, San Antonio, Texas, USA.
Stephen M HusbandsDepartment of Pharmacy and Pharmacology, University of Bath, Bath, UK.
Benedict KolberUniversity of Texas Dallas, Richardson, Texas, USA.
Edmond Y LauLawrence Livermore National Laboratory, Livermore, California, USA.
Victoria LaoLawrence Livermore National Laboratory, Livermore, California, USA.
David R MaguireDepartment of Pharmacology, Addiction Research, Treatment and Training Center of Excellence, University of Texas Health Science Center, San Antonio, Texas, USA.
Michael A MalfattiLawrence Livermore National Laboratory, Livermore, California, USA.
Girardo MartinezCellCure (Stem Cell Division of CiBots, Inc.), San Diego, California, USA.
Brian P MayerLawrence Livermore National Laboratory, Livermore, California, USA.
Marco PravetoniDepartment of Pharmacology, Center for Immunology, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Niaz SahibzadaGeorgetown University, Washington, DC, USA.
Phil SkolnickOpiant Pharmaceuticals, Inc., Santa Monica, California, USA.
Evan Y SnyderSanford Burnham Prebys Medical Discovery Institute, La Jolla, California, USA.
Nestor TomyczNeuroscience Institute, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Carlos A ValdezLawrence Livermore National Laboratory, Livermore, California, USA.
Jim ZapfCellCure (Stem Cell Division of CiBots, Inc.), San Diego, California, USA.
Lawrence Livermore National Laboratory · USTargazyme (United States) · USThe University of Texas Health Science Center at San Antonio · USAllegheny Health Network · USGeorgetown University · USUniversity of Bath · GBProvid Pharmaceuticals (United States) · USSanford Burnham Prebys Medical Discovery Institute · USThe University of Texas at Dallas · USUniversity of Minnesota Medical Center · US

Funding

Phase 1a/1b Clinical Trials of Multivalent Opioid Vaccine ComponentsUG3DA047711 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI COMER, SANDRA D, PRAVETONI, MARCO · 2018 to 2019
$9.4M
DISCRIMINATIVE STIMULUS OF OPIOID WITHDRAWALR01DA005018 · NIDA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FRANCE, CHARLES P · 1988 to 2025
$8.8M
Vaccines for prescription opioid and heroin abuseU01DA038876 · NIDA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI PENTEL, PAUL R, PRAVETONI, MARCO · 2015 to 2018
$7.4M
Narcotic Drug and Opioid Peptide Basic Research projectP01DA000254 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOODS, JAMES H · 2003 to 2006
$5.0M
DISCOVERY OF NEW TREATMENTS FOR INTRAVENOUS DRUG ABUSER01DA007315 · NIDA · UNIVERSITY OF BRISTOL · PI HUSBANDS, STEPHEN M, TRAYNOR, JOHN R. · 1991 to 2019
$4.8M
Vaccines for fentanyl and its derivatives: A strategy to reduce illicit use and overdoseUG3DA048386 · NIDA · UNIVERSITY OF MINNESOTA · PI PRAVETONI, MARCO · 2019 to 2020
$3.3M
Novel nanovaccines against opioid use disordersUG3DA048775 · NIDA · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI PRAVETONI, MARCO, ZHANG, CHENMING M · 2019 to 2020
$3.1M
A novel opioid receptor antagonist for treating abuse and overdoseR01DA048417 · NIDA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FRANCE, CHARLES P · 2019 to 2023
$2.6M
Antibody-based countermeasures against fentanyl and its analoguesU01DA051658 · NIDA · UNIVERSITY OF WASHINGTON · PI PRAVETONI, MARCO · 2020 to 2022
$2.4M
Enhancing efficacy of vaccines for substance abuse through polymer-assisted delivery of immunomodulatorsR01DA041730 · NIDA · UNIVERSITY OF MINNESOTA · PI PRAVETONI, MARCO · 2016 to 2018
$1.3M
NIDA NIH HHS P01 DA000254NIDA NIH HHS R01 DA005018NIDA NIH HHS R01 DA007315NIDA NIH HHS R01 DA041730NIDA NIH HHS R01 DA048417NIDA NIH HHS U01 DA038876NIDA NIH HHS U01 DA051658NIDA NIH HHS UG3 DA047711NIDA NIH HHS UG3 DA048386NIDA NIH HHS UG3 DA048775
6 · The paper itself

Abstract

The only medication available currently to prevent and treat opioid overdose (naloxone) was approved by the US Food and Drug Administration (FDA) nearly 50 years ago. Because of its pharmacokinetic and pharmacodynamic properties, naloxone has limited utility under some conditions and would not be effective to counteract mass casualties involving large-scale deployment of weaponized synthetic opioids. To address shortcomings of current medical countermeasures for opioid toxicity, a trans-agency scientific meeting was convened by the US National Institute of Allergy and Infectious Diseases/National Institutes of Health (NIAID/NIH) on August 6 and 7, 2019, to explore emerging alternative approaches for treating opioid overdose in the event of weaponization of synthetic opioids. The meeting was initiated by the Chemical Countermeasures Research Program (CCRP), was organized by NIAID, and was a collaboration with the National Institute on Drug Abuse/NIH (NIDA/NIH), the FDA, the Defense Threat Reduction Agency (DTRA), and the Biomedical Advanced Research and Development Authority (BARDA). This paper provides an overview of several presentations at that meeting that discussed emerging new approaches for treating opioid overdose, including the following: (1) intranasal nalmefene, a competitive, reversible opioid receptor antagonist with a longer duration of action than naloxone; (2) methocinnamox, a novel opioid receptor antagonist; (3) covalent naloxone nanoparticles; (4) serotonin (5-HT)

Indexed as

Medical CountermeasuresOpioid EpidemicAnalgesics, OpioidAnimalsCongresses as TopicDrug OverdoseHumansNaloxoneNarcotic AntagonistsOpioid-Related DisordersPrognosisRisk AssessmentRisk FactorsAnalgesics, OpioidNaloxoneNarcotic Antagonists

Identifiers

PMID33113208
PMCPMC8193687
OpenAlexW3095475212

What OpenQuestion holds

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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.