Evidence map›Paper›PMID 40050536›Full record

Trial reportAAPS PharmSciTech2025

Enhanced Transdermal Delivery of Piroxicam via Nanocarriers, Formulation, Optimization, Characterization, Animal Studies and Randomized Double-Blind Clinical Trial.

Moein Masjedi, Mohammad Ali Helforoush, Katayoun Rohani Rad, Soliman Mohammadi-Samani, Talieh Montahaei, Zarindokht Helforoush, Afshin Amini

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in AAPS PharmSciTech, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Engineering Nanoscale Drug Delivery Systems for Pain.Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology
    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

7 authors.

Moein MasjediDepartment of Research and Development, Daroosazan Sorena Exir Pharmaceutical Company, Shiraz, Iran. Masjedi_m@sums.ac.ir.ORCID http://orcid.org/0000-0003-3351-8730
Mohammad Ali HelforoushDepartment of Research and Development, Daroosazan Sorena Exir Pharmaceutical Company, Shiraz, Iran.
Katayoun Rohani RadDepartment of Research and Development, Daroosazan Sorena Exir Pharmaceutical Company, Shiraz, Iran.
Soliman Mohammadi-SamaniDepartment of Pharmaceutics, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.
Talieh MontahaeiSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Zarindokht HelforoushDepartment of Mathematics and Systems Engineering, Florida Institute of Technology, Melbourne, Florida, 32901, USA.
Afshin AminiDepartment of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Piroxicam is a non-steroidal anti-inflammatory drug which is used topically as an adjunctive treatment of knee osteoarthritis and as an option to control joint pain in patients suffering rheumatoid arthritis. In this study, an emulgel containing optimized nano-niosomal piroxicam was formulated and characterized in terms of mean size, polydispersity index, zeta potential, drug entrapment efficiency and capacity, release and transdermal permeation. Also, animal studies including pain level assessment, synovial prostaglandin E2 levels, knee joint swelling degree and histopathologic investigations were conducted. A randomized double-blind clinical trial was also performed to compare the analgesic effect of nano-niosomal piroxicam emulgel with piroxicam gel. The results showed optimized niosome formulation with 142 ± 7nm mean size and 0.23 ± 0.08 PDI, entrapped 99.48 ± 0.79% of added piroxicam with a sustained release pattern. Permeation studies indicated a 3.31-fold transdermal permeation of niosomal piroxicam emulgel compared with the piroxicam gel. The niosomal formulation significantly reduced knee joint swelling and prostaglandin E2 levels. The clinical trial indicated that the painkilling efficiency of the niosomal piroxicam emulgel was 37.30-fold and 3.16-fold greater compared to the placebo and the positive control groups, respectively. In conclusion, the niosomal piroxicam emulgel which may enable the drug to permeate through the skin and accumulate in synovial tissue more efficiently, showed a promising performance in lowering pain and inflammation based on the animal studies and the human clinical trial.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalDrug CarriersNanoparticlesPiroxicamAdministration, CutaneousAdultAnimalsChemistry, PharmaceuticalDinoprostoneDouble-Blind MethodFemaleHumansLiposomesMaleMiddle AgedOsteoarthritis, KneeAnti-Inflammatory Agents, Non-SteroidalDinoprostoneDrug CarriersLiposomesPiroxicamclinical trialniosomeNSAIDsosteoarthritispainpiroxicamrheumatoid arthritis

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.