Evidence map›Paper›PMID 33403697›Full record

Trial reportBritish journal of clinical pharmacology2021

Comprehensive evaluation of microneedle-based intradermal adalimumab delivery vs. subcutaneous administration: results of a randomized controlled clinical trial.

Justin Jacobse, Wouter Ten Voorde, Anushka Tandon, Stefan G Romeijn, Hendrika W Grievink, Koen van der Maaden, Michiel J van Esdonk, Dirk Jan A R Moes, Floris Loeff, Karien Bloem and 12 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Localized NF-κB Inhibition Reduces Lipid Nanoparticle-Associated Inflammation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Exploiting Unique Features of Microneedles to Modulate Immunity.Advanced materials (Deerfield Beach, Fla.) · 2023
    Review
  11. Review
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

22 authors at 4 institutions in 2 countries.

Justin JacobseDepartment of Pediatric Rheumatology Willem-Alexander Children's Hospital, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-1899-0319
Wouter Ten VoordeCentre for Human Drug Research, Leiden, the Netherlands.
Anushka TandonCentre for Human Drug Research, Leiden, the Netherlands.
Stefan G RomeijnDivision of BioTherapeutics, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.ORCID 0000-0003-0980-7743
Hendrika W GrievinkCentre for Human Drug Research, Leiden, the Netherlands.
Koen van der MaadenDivision of BioTherapeutics, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.
Michiel J van EsdonkCentre for Human Drug Research, Leiden, the Netherlands.ORCID 0000-0001-8159-0273
Dirk Jan A R MoesDepartment of Clinical Pharmacy & Toxicology, Leiden University Medical Center, Leiden, the Netherlands.
Floris LoeffBiologics Lab, Sanquin Diagnostic Services, Amsterdam, the Netherlands.
Karien BloemBiologics Lab, Sanquin Diagnostic Services, Amsterdam, the Netherlands.ORCID 0000-0003-4325-8223
Annick de VriesBiologics Lab, Sanquin Diagnostic Services, Amsterdam, the Netherlands.
Theo RispensBiologics Lab, Sanquin Diagnostic Services, Amsterdam, the Netherlands.
Gertjan WolbinkBiologics Lab, Sanquin Diagnostic Services, Amsterdam, the Netherlands.
Marieke de KamCentre for Human Drug Research, Leiden, the Netherlands.
Dimitrios ZiagkosCentre for Human Drug Research, Leiden, the Netherlands.
Matthijs MoerlandCentre for Human Drug Research, Leiden, the Netherlands.
Wim JiskootDivision of BioTherapeutics, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.
Joke BouwstraDivision of BioTherapeutics, Leiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands.
Jacobus BurggraafCentre for Human Drug Research, Leiden, the Netherlands.
Lenneke SchrierDepartment of Pediatric Rheumatology Willem-Alexander Children's Hospital, Leiden University Medical Center, Leiden, the Netherlands.
Robert RissmannCentre for Human Drug Research, Leiden, the Netherlands.ORCID 0000-0002-5867-9090
Rebecca Ten CateDepartment of Pediatric Rheumatology Willem-Alexander Children's Hospital, Leiden University Medical Center, Leiden, the Netherlands.
Leiden University · NLCentre for Human Drug Research · NLSanquin · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate feasibility of intradermal (i.d.) adalimumab administration using hollow microneedles, and to compare a single i.d. dose of adalimumab using a hollow microneedle with a single subcutaneous (s.c.) dose using a conventional needle.

methodsIn this single-centre double-blind, placebo-controlled, double-dummy clinical trial in 24 healthy adults we compared 40 mg adalimumab (0.4 mL) administered i.d. using a hollow microneedle with a s.c. dose using a conventional needle. Primary parameters were pain, acceptability and local tolerability; secondary parameters safety, pharmacokinetics and immunogenicity. We explored usability of optical coherence tomography, clinical photography, thermal imaging, and laser speckle contrast imaging to evaluate skin reaction after i.d. injections. In vitro protein analysis was performed to assess compatibility of adalimumab with the hollow microneedle device.

resultsWhile feasible and safe, injection pain of i.d. adalimumab was higher compared to s.c. adalimumab (35.4 vs. 7.9 on a 100-point visual analogue scale). Initial absorption rate and relative bioavailability were higher after i.d. adalimumab (time to maximum plasma concentration = 95 h [47-120]; F

conclusionsIntradermal injection of adalimumab using hollowing microneedles was perceived as more painful and less accepted than s.c. administration, but yields a higher relative bioavailability with similar safety and pharmacodynamic effects.

Indexed as

NeedlesSkinAdalimumabAdultHumansInjections, IntradermalInjections, SubcutaneousPain MeasurementAdalimumabadalimumabintradermalmicroneedlepainsubcutaneous

Identifiers

PMID33403697
PMCPMC8359405
OpenAlexW3120316780

What OpenQuestion holds

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Registered trials

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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.