Evidence map›Paper›PMID 34423111›Full record

ArticleAdvanced therapeutics2021

Clinically translatable formulation strategies for systemic administration of nerve-specific probes.

Connor W Barth, Vidhi M Shah, Lei G Wang, Alexander L Antaris, Alwin Klaassen, Jonathan Sorger, Deepa A Rao, Darcy A Kerr, Eric R Henderson, Adam W G Alani and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Advanced therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  9. Tissue-seeking dyes for in vivo applications.Smart molecules : open access · 2024
    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

11 authors at 6 institutions in 2 countries.

Connor W Barth *Biomedical Engineering Department, Oregon Health & Science University, Portland, OR 97201.
Vidhi M Shah *Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University/OHSU, Portland, OR, 97201.
Lei G WangBiomedical Engineering Department, Oregon Health & Science University, Portland, OR 97201.
Alexander L AntarisIntuitive Surgical, Sunnyvale, CA 94086.
Alwin KlaassenIntuitive Surgical, Sunnyvale, CA 94086.
Jonathan SorgerIntuitive Surgical, Sunnyvale, CA 94086.
Deepa A RaoSchool of Pharmacy, Pacific University, Hillsboro, OR 97123.
Darcy A KerrDepartment of Pathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756.
Eric R HendersonDepartment of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756.
Adam W G AlaniBiomedical Engineering Department, Oregon Health & Science University, Portland, OR 97201.
Summer L GibbsBiomedical Engineering Department, Oregon Health & Science University, Portland, OR 97201.
Intuitive Surgical (Switzerland) · CHOregon Health & Science University · USPortland State University · USDartmouth College · USDartmouth–Hitchcock Medical Center · USPacific University Oregon · US

Funding

First-in-Human Clinical Translation of a Near-Infrared, Nerve-Specific Fluorophore to Facilitate Tissue-Specific Fluorescence-Guided SurgeryR01NS116994 · NINDS · DARTMOUTH-HITCHCOCK CLINIC · PI GIBBS, SUMMER LYNNE, HENDERSON, ERIC R · 2020 to 2025
$2.8M
NIR Nerve-specific Fluorescent Imaging for Robotic-assisted Radical ProstatectomyR01EB021362 · NIBIB · OREGON HEALTH & SCIENCE UNIVERSITY · PI GIBBS, SUMMER LYNNE · 2016 to 2019
$1.9M
Multimodal Fluorescence- and Imaging-Guided Surgical Navigation: Developing Methods for Subsurface, Indirect Visualization of Cancers Requiring Wide Local ExcisionK23EB026507 · NIBIB · DARTMOUTH-HITCHCOCK CLINIC · PI HENDERSON, ERIC R · 2018 to 2021
$679k
NIBIB NIH HHS K23 EB026507NIBIB NIH HHS R01 EB021362NINDS NIH HHS R01 NS116994
6 · The paper itself

Abstract

Nerves are extremely difficult to identify and are often accidently damaged during surgery, leaving patients with lasting pain and numbness. Herein, a novel near-infrared (NIR) nerve-specific fluorophore, LGW01-08, was utilized for enhanced nerve identification using fluorescence guided surgery (FGS), formulated using clinical translatable strategies. Formulated LGW01-08 was examined for toxicology, pharmacokinetics (PK), and pharmacodynamics (PD) parameters in preparation for future clinical translation. Optimal LGW01-08 imaging doses were identified in each formulation resulting in a 10x difference between the toxicity to imaging dose window. Laparoscopic swine surgery completed using the da Vinci surgical robot (Intuitive Surgical) demonstrated the efficacy of formulated LGW01-08 for enhanced nerve identification. NIR fluorescence imaging enabled clear identification of nerves buried beneath ~3 mm of tissue that were unidentifiable by white light imaging. These studies provide a strong basis for future clinical translation of NIR nerve-specific fluorophores for utility during FGS to improve patient outcomes.

Identifiers

PMID34423111
PMCPMC8372234
OpenAlexW3162773360

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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.