Evidence map›Paper›PMID 33502739›Full record

ArticlePain and therapy2021

Low Incidence of Opioid-Induced Respiratory Depression Observed with Oliceridine Regardless of Age or Body Mass Index: Exploratory Analysis from a Phase 3 Open-Label Trial in Postsurgical Pain.

Marek Brzezinski, Gregory B Hammer, Keith A Candiotti, Sergio D Bergese, Peter H Pan, Michael H Bourne, Cathy Michalsky, Linda Wase, Mark A Demitrack, Ashraf S Habib

Open access · goldAbstract read
In one paragraph

Article in Pain and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  10. Determination of the EDWorld journal of clinical cases · 2022
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  15. Determination of EDBMC anesthesiology · 2025
    Article
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  19. Overview and Prospects of the Clinical Application of Oliceridine.Drug design, development and therapy · 2025
    Review
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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

10 authors at 7 institutions in 1 country.

Marek BrzezinskiVA Medical Center, University of California San Francisco, San Francisco, CA, USA. marek.brzezinski@ucsf.edu.
Gregory B HammerStanford University School of Medicine, Stanford, CA, USA.
Keith A CandiottiDepartment of Anesthesiology, University of Miami/Jackson Health System, Miami, FL, USA.
Sergio D BergeseSchool of Medicine, Stony Brook University, Stony Brook, NY, USA.
Peter H PanWake Forest School of Medicine, Winston-Salem, NC, USA.
Michael H BourneSalt Lake Orthopaedic Clinic, St. Marks Hospital, Utah, USA.
Cathy MichalskyTrevena, Inc., Chesterbrook, PA, USA.
Linda WaseTrevena, Inc., Chesterbrook, PA, USA.
Mark A DemitrackTrevena, Inc., Chesterbrook, PA, USA.
Ashraf S HabibDuke University Medical Center, Durham, NC, USA.
Duke Medical Center · USSan Francisco VA Medical Center · USStanford University · USSt. Mark's Hospital · USStony Brook University · USUniversity of Miami · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdvanced age and obesity are reported to increase the risk of opioid-induced respiratory depression (OIRD). Oliceridine, an intravenous opioid, is a G-protein-biased agonist at the µ-opioid receptor that may provide improved safety. The recent phase 3 ATHENA open-label, multicenter study evaluated postoperative use of oliceridine in patients with moderate-to-severe acute pain. This exploratory analysis of the ATHENA data examined the incidence of OIRD in older (≥ 65 years) and/or obese (BMI ≥ 30 kg/m

methodsPatients aged ≥ 18 years with a score ≥ 4 on an 11-point numeric pain rating scale (NPRS) received IV oliceridine as needed via bolus dosing and/or patient-controlled analgesia (PCA). OIRD occurring within 48 h of last dose of oliceridine was defined using two established definitions: (1) naloxone use, (2) respiratory rate < 10 breaths per minute and/or oxygen saturation < 90%.

resultsA total of 724 surgical patients with a mean age of 54.5 ± 15.9 years and a mean NRS score of 6.2 ± 2.1 were included in this analysis; 33.3% (241/724) were ≥ 65 years of age and 46.3% (335/724) had BMI (body mass index) ≥ 30 kg/m

conclusionsPostoperative oliceridine use in patients with advanced age and/or increased BMI was not associated with increased risk of OIRD.

Indexed as

AnalgesiaBiased opioidOliceridinePostoperative painRespiratory depression

Identifiers

PMID33502739
PMCPMC8119589
OpenAlexW3124059305

What OpenQuestion holds

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LicenceCC BY-NC
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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.