Evidence map›Paper›PMID 38474495›Full record

Trial reportMolecules (Basel, Switzerland)2024

Human Mitragynine and 7-Hydroxymitragynine Pharmacokinetics after Single and Multiple Daily Doses of Oral Encapsulated Dried Kratom Leaf Powder.

Marilyn A Huestis, Martin A Brett, John Bothmer, Ramsey Atallah

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecules (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
16.3field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Indole Alkaloids as Biased Opioid Receptor Modulators.Pharmaceuticals (Basel, Switzerland) · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. A Call to Colleagues on Concentrated Synthetic 7-OH.Substance abuse and rehabilitation · 2026
    Article
  16. Article
  17. Review
  18. Evaluating the drug interactions in kratom usage: clinical application.Expert opinion on drug metabolism & toxicology · 2025
    Review
  19. Article
  20. Article
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

4 authors at 2 institutions in 2 countries.

Marilyn A HuestisInstitute of Emerging Health Professions, Thomas Jefferson University, Philadelphia, PA 19107, USA.ORCID 0000-0003-2137-4645
Martin A BrettPK Consultant, 50259 Pulheim, Germany.ORCID 0000-0002-7223-854X
John BothmerJB Pharma Consulting, 6418PR Heerlen, The Netherlands.
Ramsey AtallahDella Terra Pharmaceuticals, Atlanta, GA 30309, USA.
Thomas Jefferson University · USUCB Pharma (Netherlands) · NL

Funding

Johnson Foods, LLC NA
6 · The paper itself

Abstract

Kratom leaves, consumed by millions worldwide as tea or ground leaf powder, contain multiple alkaloids, with mitragynine being the most abundant and responsible for most effects. Mitragynine is a partial µ-opioid receptor agonist and competitive antagonist at κ- and δ-opioid receptors; however, unlike morphine, it does not activate the β-arrestin-2 respiratory depression pathway. Due to few human mitragynine data, the largest randomized, between-subject, double-blind, placebo-controlled, dose-escalation study of 500-4000 mg dried kratom leaf powder (6.65-53.2 mg mitragynine) was conducted. LC-MS/MS mitragynine and 7-hydroxymitragynine plasma concentrations were obtained after single and 15 daily doses. Mitragynine and 7-hydroxymitragynine C

Indexed as

MitragynaSecologanin Tryptamine AlkaloidsChromatography, LiquidHumansPlant LeavesPowdersTandem Mass Spectrometry7-hydroxymitragyninemitragyninePowdersSecologanin Tryptamine Alkaloids7-hydroxymitragynineanalytical toxicologykratommass spectrometrymetabolismmitragynine

Identifiers

PMID38474495
PMCPMC10934259
OpenAlexW4392124559

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.