Evidence map›Paper›PMID 40032775›Full record

Trial reportPharmaceutical research2025

Clinical Evaluation of the Temperature Dependence of Subcutaneous Injection Experience in Healthy Volunteers.

Galen Shi, Hannie Shih, Jonathan Parker, Hemant Patel, Rhea Sirkar, Vivek Sree, David Collins

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pharmaceutical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Galen Shi *Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46221, USA.
Hannie Shih *Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46221, USA.
Jonathan ParkerEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46221, USA.
Hemant PatelEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46221, USA.
Rhea SirkarAlnylam Pharmaceuticals, 675 West Kendall Street, Cambridge, MA, 02142, USA.
Vivek SreeEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46221, USA.
David CollinsEli Lilly and Company, Lilly Corporate Center, Indianapolis, IN, 46221, USA. collins_david_s@lilly.com.ORCID http://orcid.org/0000-0002-5552-4587

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical effect of the warming step for subcutaneous (SC) injection on injection site pain (ISP).

methodsA single center, randomized, partially blinded, crossover study in 44 healthy participants was conducted. Participants self-injected with autoinjectors (1 mL) with either high pain (citrate/sodium chloride (NaCl)) or low pain (mannitol) formulations at refrigerated temperature or warmed to room temperature (RT) according to the instructions for use (IFU). The ISP was recorded using visual analog scale (VAS) and injection site reactions (ISRs) were captured using severity scores.

resultsThe average VAS scores were clinically different between high pain and low pain formulation but not affected by the warming step. While the average VAS was not affected by injectate temperature, some individual participants reported bidirectional VAS responses to injectate temperature. A post injection questionnaire showed that most participants were not bothered by the cold sensation of the injected solution. The clinical results are consistent with modeling that indicates rapid temperature equilibration of subcutaneously injected solutions.

conclusionFormulation composition was the dominating factor contributing to ISP as compared to solution temperature due to transient thermal equilibrium of the injected solution in SC tissue. While injection temperature may be a lever for improving the injection experience for some patients, the warming step is unlikely to reduce ISP for most patients. Although this study was conducted with 1 mL injection of two representative formulations, this finding of lack of correlation between ISP and solution temperature is likely extrapolatable to most small volume (e.g., ≤ 2 mL) injections of subcutaneous formulations.

Indexed as

Injection Site ReactionPainAdultCitric AcidCross-Over StudiesFemaleHealthy VolunteersHumansInjections, SubcutaneousMaleMannitolMiddle AgedPain MeasurementSodium ChlorideTemperatureYoung AdultCitric AcidMannitolSodium Chlorideautoinjectorformulationinjection site painsubcutaneous injectiontemperature

Identifiers

What OpenQuestion holds

Textmetadata
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.