Evidence map›Paper›PMID 38350381›Full record

ArticleInternational journal of pediatric otorhinolaryngology2024

In vivo biodistribution and ototoxicity assessment of cationic liposomal-ceftriaxone via noninvasive trans-tympanic delivery in chinchilla models: Implications for otitis media therapy.

Shayan Shafiee, Wenzhou Hong, Julliette Lucas, Pawjai Khampang, Christina L Runge, Clive Wells, Ke Yan, Joseph E Kerschner, Amit Joshi

Open access · greenAbstract read
In one paragraph

Article in International journal of pediatric otorhinolaryngology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. [Progress of tympanic administration with its application in the treatment of inner ear disease].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    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

9 authors at 2 institutions in 1 country.

Shayan ShafieeJoint Department of Biomedical Engineering, Medical College of Wisconsin and Marquette University, Milwaukee, WI, USA.
Wenzhou HongDepartment of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Julliette LucasMedical College of Wisconsin, Milwaukee, WI, USA.
Pawjai KhampangDepartment of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Christina L RungeDepartment of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Clive WellsDepartment of Microbiology and Immunology, Medical College of Wisconsin, Milwaukee, WI, USA.
Ke YanDepartment of Pediatrics Quantitative Health Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Joseph E KerschnerDepartment of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.
Amit JoshiJoint Department of Biomedical Engineering, Medical College of Wisconsin and Marquette University, Milwaukee, WI, USA. Electronic address: ajoshi@mcw.edu.
Medical College of Wisconsin · USMarquette University · US

Funding

Develop novel trans-tympanic drug delivery formulas to treat otitis mediaR21AI147607 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI JOSHI, AMIT, KERSCHNER, JOSEPH E · 2019 to 2020
$424k
NIAID NIH HHS R21 AI147607
6 · The paper itself

Abstract

objectivesWe report the in vivo biodistribution and ototoxicity of cationic liposomal-ceftriaxone (CFX) delivered via ear drop formulation in adult chinchilla.

methodsCFX was encapsulated in liposomes with size of ∼100 nm and surface charge of +20 mV. 100 μl liposomes or free drug was applied twice daily in both external ear canals of adult chinchillas for either 3 or 10 days. Study groups included free ceftriaxone (CFX, Day 3: n = 4, Day 10: n = 8), liposomal ceftriaxone (CFX-Lipo, Day 3: n = 4, Day 10: n = 8), and a systemic control group (Day 3: n = 4, Day 10: n = 4). Ceftriaxone delivery to the middle ear and systemic circulation was quantified by HPLC assays. Liposome transport was visualized via confocal microscopy. Auditory brainstem response (ABR) tests and cochlear histology were used to assess ototoxicity.

resultsLiposomal ceftriaxone (CFX-Lipo) displayed a ∼658-fold increase in drug delivery efficiency in the middle ear relative to the free CFX (8.548 ± 0.4638% vs. 0.013 ± 0.0009%, %Injected dose, Mean ± SEM). CFX measured in blood serum (48.2 ± 7.78 ng/ml) following CFX-Lipo treatment in ear was 41-fold lower compared to systemic free-CFX treatment (1990.7 ± 617.34 ng/ml). ABR tests and histological analysis indicated no ototoxicity due to the treatment.

conclusionCationic liposomal encapsulation results in potent drug delivery across the tympanic membrane to the middle ear with minimal systemic exposure and no ototoxicity.

Indexed as

Otitis MediaOtotoxicityAnimalsCeftriaxoneChinchillaEar, MiddleHumansLiposomesTissue DistributionTympanic MembraneCeftriaxoneLiposomesBiodistribution studyLiposomal-ceftriaxoneNanoparticle drug deliveryOtitis media treatmentOtotoxicity evaluationTrans-tympanic delivery

Identifiers

PMID38350381
PMCPMC10939715
OpenAlexW4391647934

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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.