Evidence map›Paper›PMID 33826133›Full record

Trial reportPharmacological reports : PR2021

Alleviating neuropathy of diabetic foot ulcer by co-delivery of venlafaxine and matrix metalloproteinase drug-loaded cellulose nanofiber sheets: production, in vitro characterization and clinical trial.

Rokhsareh Meamar, Sana Chegini, Jaleh Varshosaz, Ashraf Aminorroaya, Masoud Amini, Mansour Siavosh

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Pharmacological reports : PR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Nanocomposites used in the treatment of skin lesions: a scoping review.Revista da Escola de Enfermagem da U S P · 2024
    Article
  3. Review
  4. Review
  5. 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.

Rokhsareh MeamarIsfahan University of Medical Sciences, Isfahan, Iran.
Sana CheginiIsfahan University of Medical Sciences, Isfahan, Iran.
Jaleh VarshosazIsfahan University of Medical Sciences, Isfahan, Iran. varshosaz@pharm.mui.ac.ir.ORCID http://orcid.org/0000-0001-9333-5798
Ashraf AminorroayaIsfahan University of Medical Sciences, Isfahan, Iran.
Masoud AminiIsfahan University of Medical Sciences, Isfahan, Iran.
Mansour SiavoshIsfahan University of Medical Sciences, Isfahan, Iran.
Isfahan University of Medical Sciences · IR

Funding

Isfahan Endocrine and Metabolism Research Center. 9531
6 · The paper itself

Abstract

backgroundThe objective of the present study was co-delivery of venlafaxin (VEN) and doxycycline (DOX), a matrix metalloproteinase inhibitor drug, for alleviating inflammation and neuropathy in diabetic foot ulcer (DFU).

methodsBacterial cellulose nanofiber sheets (BCNS) were loaded with DOX and VEN and categorized by their loading efficiency, release profiles and ex vivo permeation throughrat skin. The optimized nanofibers were used in patients with DFU to compare with the standard wound care regimen during a 12-week trial. Wound area was measured every 2 weeks. Biochemical parameters and microscopic studies of the skin were examined prior and at the end of the treatment. The Michigan Neuropathy Screening Instrument (MNSI) questionnaire was utilized to assess diabetic neuropathy.

resultsThe optimum formulation showed loading efficiency of 37.8 ± 1.6% for DOX and 48 ± 1.9% for VEN. Rat skin permeation was 40% for DOX after 7-29 h and 83% for VEN during 105 h. Patients treated with BCNS showed no significant difference in their biochemical parameters before and after intervention. The ulcer size showed faster reduction after 12 weeks in the treatment group compared to the control group. The abnormal responses in the MNSI questionnaire decreased and pain-free walking distance increased significantly in the treatment group compared with the control group (p < 0.001). Microscopic studies of the skin after using nanofibers showed a large number of polymorphonuclear chronic inflammatory cells and formation of new capillary beds.

conclusionsThe BCNS loaded with DOX and VEN may expedite healing and reduce neuropathy in the DFU of diabetic patients.

Indexed as

AgedAnimalsCelluloseDiabetic FootDoxycyclineFemaleHumansMaleMatrix Metalloproteinase InhibitorsMatrix MetalloproteinasesNanofibersRatsRats, WistarSkinVenlafaxine HydrochlorideWound HealingCelluloseDoxycyclineMatrix Metalloproteinase InhibitorsMatrix MetalloproteinasesVenlafaxine HydrochlorideBacterial cellulose nanofibers sheetDiabetic foot ulcerDoxycyclineNeuropathyVenlafaxine

Identifiers

PMID33826133
OpenAlexW3151826207

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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.