Evidence map›Paper›PMID 33768731›Full record

ArticleClinical and translational science2021

A population pharmacodynamic Markov mixed-effects model for determining remimazolam-induced sedation when co-administered with fentanyl in procedural sedation.

Jie Zhou, Laura Curd, Lauren R L Lohmer, Natalie Delpratt, Joachim Ossig, Frank Schippers, Thomas Stoehr, Virginia D Schmith

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Clinical Pharmacokinetics, Pharmacodynamics, and Drug Interactions of Remimazolam.European journal of drug metabolism and pharmacokinetics · 2025
    Review
  6. Review
  7. The EDFrontiers in medicine · 2025
    Article
  8. Article
  9. Article
  10. Equilibration rate constant, kJournal of anesthesia · 2022
    Article
  11. Review
  12. Article
  13. 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

8 authors at 1 institution in 1 country.

Jie ZhouNuventra Pharma Sciences, Durham, North Carolina, USA.
Laura CurdNuventra Pharma Sciences, Durham, North Carolina, USA.
Lauren R L LohmerNuventra Pharma Sciences, Durham, North Carolina, USA.
Natalie DelprattNuventra Pharma Sciences, Durham, North Carolina, USA.
Joachim OssigPAION UK Ltd, Cambridge, UK.
Frank SchippersPAION UK Ltd, Cambridge, UK.
Thomas StoehrPAION UK Ltd, Cambridge, UK.
Virginia D SchmithNuventra Pharma Sciences, Durham, North Carolina, USA.
Paion (United Kingdom) · GB

Funding

Paion
6 · The paper itself

Abstract

The clinical effects of remimazolam (an investigational, ultra-short acting benzodiazepine being studied in procedural sedation) were measured using the Modified Observer's Assessment of Awareness/Sedation Scale (MOAA/S). The objective of this analysis was to develop a population pharmacokinetic/pharmacodynamic model to describe remimazolam-induced sedation with fentanyl over time in procedural sedation. MOAA/S from 10 clinical phase I-III trials were pooled for analysis, where data were collected after administration of placebo or remimazolam with or without concomitant fentanyl. A Markov model described transition states for 35,356 MOAA/S-time observations from 1071 subjects. Effect-compartment models of remimazolam and fentanyl linked plasma concentrations to the Markov model, and drug effects were described using a synergistic maximum effect (E

Indexed as

Models, BiologicalAgedAge FactorsBenzodiazepinesBiological Variation, PopulationClinical Trials as TopicComputer SimulationDeep SedationDose-Response Relationship, DrugDrug SynergismFemaleFentanylHealthy VolunteersHumansInfusions, IntravenousMaleBenzodiazepinesFentanylremimazolam

Identifiers

PMID33768731
PMCPMC8301564
OpenAlexW3136238762

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.