Evidence map›Paper›PMID 36100355›Full record

Trial reportArchives of disease in childhood2023

Pharmacokinetics and tolerability of intranasal or intravenous administration of nalbuphine in infants.

Miriam Pfiffner, Verena Gotta, Marc Pfister, Priska Vonbach, Eva Berger-Olah

Registry-linked trialOpen access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Archives of disease in childhood, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03059511 (Pharmacokinetics of Nalbuphine After Intravenous and Intranasal Administration in Infants), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT03059511 phase1terminatednot on this map

Pharmacokinetics of Nalbuphine After Intravenous and Intranasal Administration in Infants: A Single Center, Open-label, Prospective Study

TypeinterventionalSponsorUniversity Children's Hospital, ZurichRan2017 to 2018Enrolled51ConditionsPharmacokineticArmsNalbuphine
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Observational
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

5 authors at 2 institutions in 2 countries.

Miriam Pfiffner *Hospital Pharmacy, University Children's Hospital Zurich, Zurich, Switzerland miriam.pfiffner@kispi.uzh.ch.ORCID 0000-0002-3511-6295
Verena Gotta *Pediatric Pharmacology and Pharmacometrics, University of Basel Children's Hospital, Basel, Switzerland.
Marc PfisterPediatric Pharmacology and Pharmacometrics, University of Basel Children's Hospital, Basel, Switzerland.
Priska VonbachPEDeus, a subsidiary of the University Children's Hospital Zurich, Zurich, Switzerland.
Eva Berger-OlahEmergency Unit, University Children's Hospital Zurich, Zurich, Switzerland.
University Children's Hospital Zurich · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIntranasal nalbuphine could be a safe, efficacious and non-invasive alternative to parenteral pain medication in infants. We aimed to assess pharmacokinetics (PK) and tolerability of intranasal and intravenous nalbuphine administration in infants.

methodsProspective open-label study including infants 1-3 months of age admitted to the emergency department, receiving nalbuphine for procedural pain management. Patients were alternately allocated to a single nalbuphine dose of 0.05 mg/kg intravenously or 0.1 mg/kg intranasally. Nalbuphine PK samples were collected 15, 30 and 120-180 min after dosing. Area under the concentration time curve (AUC

resultsOut of 52 study subjects receiving nalbuphine, 31 were eligible for NCA (11 intravenous, 20 intranasal). Median AUC

conclusionThis is the first study investigating intranasal administration of nalbuphine in infants suggesting an intranasal bioavailability close to 50%. Non-invasive intranasal application was well tolerated. Additional studies are warranted to optimise dosing and timing of interventions as C TRIAL REGISTRATION NUMBER: NCT03059511.

Indexed as

NalbuphineAdministration, IntranasalAdministration, IntravenousBiological AvailabilityHumansInfantPainProspective StudiesNalbuphinepaediatric emergency medicinepain

Identifiers

PMID36100355
PMCPMC9763164
OpenAlexW4295758738

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.