Evidence map›Paper›PMID 33734167›Full record

Trial reportJournal of clinical psychopharmacology

Pharmacokinetic Profile of the Asenapine Transdermal System (HP-3070).

Katsumi Suzuki, Mariacristina Castelli, Marina Komaroff, Brittney Starling, Takaaki Terahara, Leslie Citrome

Open access · hybridAbstract readClinical Trial, Phase IComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical psychopharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. New Antipsychotic Medications in the Last Decade.Current psychiatry reports · 2021
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
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  8. Review
  9. Review
  10. Article
  11. Asenapine: an atypical antipsychotic with atypical formulations.Therapeutic advances in psychopharmacology · 2021
    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

6 authors at 1 institution in 1 country.

Katsumi SuzukiFrom Product Development, Noven Pharmaceuticals, Inc, Jersey City, NJ.
Mariacristina CastelliFrom Product Development, Noven Pharmaceuticals, Inc, Jersey City, NJ.
Marina KomaroffFrom Product Development, Noven Pharmaceuticals, Inc, Jersey City, NJ.
Brittney StarlingFrom Product Development, Noven Pharmaceuticals, Inc, Jersey City, NJ.
Takaaki TeraharaHisamitsu Pharmaceutical Co, Inc, Chiyoda-ku, Tokyo, Japan.
Leslie CitromePsychiatry and Behavioral Sciences, New York Medical College, Valhalla, NY.
Hisamitsu Pharmaceutical (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PURPOSE/

backgroundThe asenapine transdermal system (HP-3070) is the first antipsychotic patch approved in the United States for treatment of adults with schizophrenia. METHODS/PROCEDURES: Three phase 1, open-label, randomized studies characterized the pharmacokinetic (PK) profile of HP-3070 by assessing its relative bioavailability compared with sublingual asenapine, its single-/multiple-dose PK and dose proportionality, and the effects of application site, ethnicity, and external heat on bioavailability. Two studies were conducted in healthy subjects, and 1 was conducted in adults with schizophrenia. FINDINGS/

resultsDuring single HP-3070 administration, asenapine concentrations increased gradually over approximately 12 hours and remained steady until the patch was removed 24 hours after application. Asenapine area under the curve values at HP-3070 3.8 and 7.6 mg/24 hours doses were similar to those for sublingual asenapine 5 and 10 mg twice-daily doses, respectively, whereas peak exposure (maximum observed plasma concentration) was significantly lower. During daily application of HP-3070, steady-state PK was reached within approximately 72 hours after initiating daily dosing and was characterized by peak-to-trough asenapine plasma concentration ratio of approximately 1.5. HP-3070 PK was dose proportional in the dose range studied, not affected by administration site, and similar across the studied ethnic groups. Application of external heat increased the rate of asenapine absorption (time to reach maximum observed plasma concentration) but did not significantly affect peak and total exposure. IMPLICATIONS/

conclusionsHP-3070 exhibited a dose-dependent PK profile unaffected by site of administration or ethnicity. HP-3070 showed a predictable absorption profile with limited variability, with an area under the curve similar to that of sublingual asenapine. Based on these PK metrics, HP-3070 steadily delivers asenapine with lower peaks and troughs than sublingual administration of asenapine.

Indexed as

Administration, CutaneousAdministration, SublingualAdultAntipsychotic AgentsArea Under CurveBiological AvailabilityCross-Over StudiesDibenzocycloheptenesDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedSchizophreniaTransdermal PatchYoung AdultAntipsychotic AgentsasenapineDibenzocycloheptenes

Identifiers

PMID33734167
PMCPMC8083160
OpenAlexW3137936912

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.