Evidence map›Paper›PMID 33161036›Full record

Trial reportInternational journal of pharmaceutics2021

A crossover clinical study to evaluate pain intensity from microneedle insertion in different parts of the oral cavity.

Stephany Di Carla Santos, Nádia Cristina Fávaro-Moreira, Henrique Ballassin Abdalla, Gabriela Gama Xavier Augusto, Yuri Martins Costa, Maria Cristina Volpato, Francisco Carlos Groppo, Harvinder Singh Gill, Michelle Franz-Montan

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of pharmaceutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 35 citations in OpenAlex.

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  4. [Oral mucosal administration].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
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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

9 authors at 2 institutions in 2 countries.

Stephany Di Carla SantosDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil.
Nádia Cristina Fávaro-MoreiraDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil.
Henrique Ballassin AbdallaDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil; Laboratory of Neuroimmune Interface of Pain Research, Faculdade São Leopoldo Mandic, Instituto e Centro de Pesquisas São Leopoldo Mandic, Campinas, SP, Brazil.
Gabriela Gama Xavier AugustoDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil.
Yuri Martins CostaDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil.
Maria Cristina VolpatoDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil.
Francisco Carlos GroppoDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil.
Harvinder Singh GillDepartment of Chemical Engineering, Texas Tech University, Lubbock, TX, USA. Electronic address: harvinder.gill@ttu.edu.
Michelle Franz-MontanDepartment of Biosciences, Piracicaba Dental School, University of Campinas - UNICAMP, Piracicaba, São Paulo, Brazil. Electronic address: mfranz@unicamp.br.
Universidade Estadual de Campinas (UNICAMP) · BRTexas Tech University · US

Funding

Microneedles for treatment of peanut allergyR01AI135197 · NIAID · TEXAS TECH UNIVERSITY · PI GILL, HARVINDER SINGH · 2018 to 2022
$3.3M
Microneedles for allergy immunotherapyR01AI121322 · NIAID · TEXAS TECH UNIVERSITY · PI GILL, HARVINDER SINGH · 2016 to 2020
$1.8M
NIAID NIH HHS R01 AI121322NIAID NIH HHS R01 AI135197
6 · The paper itself

Abstract

The objective of the present study was to evaluate discomfort and safety of microneedle (MN) insertion in several intraoral regions. A device was developed to standardize MN insertions. MNs were inserted in the following regions of the oral cavity: gingiva, palatine alveolar process, buccal mucosa, dorsum of the tongue and inner portion of the lower lip. Perforations from MNs post insertion were confirmed with topical gentian violet stain. Pain was evaluated in a randomized, double-blinded, crossover study in 30 volunteers. Each volunteer received a MN patch, a 30G hypodermic needle (positive control) and an identical MN patch with its needles laying flat in the plane of the patch (negative control). Adverse events were visually evaluated immediately after (0 h) and 24 h post MN application. The application device developed a consistent application force (10 N) and promoted perforation of all individual MNs on a patch. At all sites, insertion of the hypodermic needle promoted more pain when compared to the negative control (p < 0.001). Application of the MNs promoted less pain than the hypodermic needle (p < 0.05), but slightly more pain as compared to the negative control (p < 0.05) at all sites except the tongue, where the MN did not differ from the negative control (p > 0.05). Hypodermic needle caused bleeding at all insertion sites. In contrast, MNs did not cause bleeding at most sites except in some cases of insertion into the hard gingiva and the palatine alveolar process where tiny blood spots appeared immediately after MN application for few of the MNs on the patch. There were no cases of bleeding at 24 h post MN application. In conclusion, MNs can perforate different sites of the oral cavity in a safe and significantly less painful manner as compared to the 30G hypodermic needle. Thus, analogous to the skin, MN-based approaches could be an attractive approach for drug delivery in the oral cavity.

Indexed as

NeedlesSkinAdministration, CutaneousCross-Over StudiesDrug Delivery SystemsHumansMicroinjectionsMouthPainClinical trialDrug deliveryMicroneedlesOral mucosaTopical administrationTransmucosal

Identifiers

PMID33161036
PMCPMC7856577
OpenAlexW3095510024

What OpenQuestion holds

Textmetadata
LicenceTDM
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.