Evidence map›Paper›PMID 39441938›Full record

ArticleScience advances2024

An autonomous implantable device for the prevention of death from opioid overdose.

Joanna L Ciatti, Abraham Vázquez-Guardado, Victoria E Brings, Jihun Park, Brian Ruyle, Rebecca A Ober, Alicia J McLuckie, Michael R Talcott, Emily A Carter, Amy R Burrell and 16 more

Abstract read
In one paragraph

Article in Science advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. A Fentanyl-Responsive Microneedle Patch for Harm Reduction.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  6. Article
  7. Tissue-bioelectronics interfaces.Chemical Society reviews · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Materials and System Design for Self-Decision Bioelectronic Systems.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  12. Article
  13. Review
  14. Smart closed-loop drug delivery systems.Nature reviews bioengineering · 2025
    Article
  15. Autonomous devices for drug delivery.Nature biomedical engineering · 2025
    Article
  16. Review
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

Joanna L CiattiDepartment of Materials Science and Engineering, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0001-5393-522X
Abraham Vázquez-GuardadoQuerrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0002-0648-5921
Victoria E BringsDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Jihun ParkQuerrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0002-4402-6881
Brian RuyleDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0001-8507-8218
Rebecca A OberCenter for Comparative Medicine, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0001-7959-1250
Alicia J McLuckieCenter for Comparative Medicine, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0003-0748-707X
Michael R TalcottDivision of Cardiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0001-7371-3296
Emily A CarterCenter for Comparative Medicine, Northwestern University, Evanston, IL 60208, USA.ORCID 0009-0007-1196-5114
Amy R BurrellCenter for Comparative Medicine, Northwestern University, Evanston, IL 60208, USA.
Rebecca A SponenburgChemistry of Life Processes Institute (Quantitative Bio-element Imaging Center), Northwestern University, Evanston, IL 60208, USA.
Jacob TruebQuerrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0002-1627-5178
Prashant GuptaDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0009-0008-6291-9465
Joohee KimQuerrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0002-0294-9565
Raudel AvilaDepartment of Mechanical Engineering, Northwestern University, Evanston, IL 60208, USA.
Minho SeongQuerrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0003-0768-1120
Richard A SlivickiDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-3191-7749
Melanie A KaplanQuerrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL 60208, USA.ORCID 0009-0000-7544-6240
Bryan Villalpando-HernandezDepartment of Materials Science and Engineering, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0001-5266-0439
Nicolas MassalyDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0003-3440-5957
Michael C MontanaDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-2762-8936
Mitchell PetDivision of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-5072-1733
Yonggang HuangDepartment of Materials Science and Engineering, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0002-0483-8359
Jose A MorónDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0003-3216-2488
Robert W GereauDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-5428-4251
John A RogersDepartment of Materials Science and Engineering, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0002-3830-5980

Funding

Development of an implantable closed-loop system for delivery of naloxone for the prevention of opioid-related overdose deathsUH3DA050303 · NIDA · WASHINGTON UNIVERSITY · PI GEREAU, ROBERT W, ROGERS, JOHN · 2021 to 2021
$6.3M
TRAINING PROGRAM IN ANESTHESIOLOGY RESEARCHT32GM108539 · NIGMS · WASHINGTON UNIVERSITY · PI Aaron J Norris · 2014 to 2026
$4.9M
Development of an implantable closed-loop system for delivery of naloxone for the prevention of opioid-related overdose deathsUG3DA050303 · NIDA · WASHINGTON UNIVERSITY · PI GEREAU, ROBERT W, ROGERS, JOHN · 2019 to 2020
$4.2M
An IC-ICP-MS for advanced speciation and metalomics analysisS10OD020118 · OD · NORTHWESTERN UNIVERSITY · PI O'HALLORAN, THOMAS V · 2015 to 2015
$268k
NIDA NIH HHS UG3 DA050303NIDA NIH HHS UH3 DA050303NIGMS NIH HHS T32 GM108539NIH HHS S10 OD020118
6 · The paper itself

Abstract

Opioid overdose accounts for nearly 75,000 deaths per year in the United States, now a leading cause of mortality among young people aged 18 to 45 years. At overdose levels, opioid-induced respiratory depression becomes fatal without the administration of naloxone within minutes. Currently, overdose survival relies on bystander intervention, requiring a nearby person to find the overdosed individual and have immediate access to naloxone to administer. To circumvent the bystander requirement, we developed the Naloximeter: a class of life-saving implantable devices that autonomously detect and treat overdose while simultaneously contacting first responders. We present three Naloximeter platforms, for fundamental research and clinical translation, all equipped with optical sensors, drug delivery mechanisms, and a supporting ecosystem of technology to counteract opioid-induced respiratory depression. In small and large animal studies, the Naloximeter rescues from otherwise fatal opioid overdose within minutes. This work introduces life-changing, clinically translatable technologies that can broadly benefit a susceptible population recovering from opioid use disorder.

Indexed as

NaloxoneOpiate OverdoseAnalgesics, OpioidAnimalsDrug OverdoseHumansMaleNarcotic AntagonistsProstheses and ImplantsAnalgesics, OpioidNaloxoneNarcotic Antagonists

Identifiers

PMID39441938
PMCPMC11498215

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.