Evidence map›Paper›PMID 40295323›Full record

ArticleArchives of toxicology2025

Dipyanone, a new methadone-like synthetic opioid: In vitro and in vivo human metabolism and pharmacological profiling.

Diletta Berardinelli, Johannes Kutzler, Omayema Taoussi, Simona Zaami, Simona Pichini, Giuseppe Basile, Francesco Paolo Busardò, Volker Auwärter, Jeremy Carlier

Abstract read
In one paragraph

Article in Archives of toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  5. 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.

Diletta Berardinelli *Marche Polytechnic University, Department of Biomedical Sciences and Public Health, Section of Legal Medicine, Unit of Forensic Toxicology, Ancona, Italy.ORCID http://orcid.org/0009-0001-3005-5825
Johannes Kutzler *Institute of Forensic Medicine, Forensic Toxicology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.ORCID http://orcid.org/0000-0002-8693-9312
Omayema TaoussiMarche Polytechnic University, Department of Biomedical Sciences and Public Health, Section of Legal Medicine, Unit of Forensic Toxicology, Ancona, Italy.ORCID http://orcid.org/0009-0008-0633-2117
Simona ZaamiSapienza University of Rome, Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Rome, Italy.ORCID http://orcid.org/0000-0001-5741-7139
Simona PichiniNational Institute of Health, National Centre On Addiction and Doping, Rome, Italy.ORCID http://orcid.org/0000-0002-6347-0750
Giuseppe BasileMarche Polytechnic University, Department of Biomedical Sciences and Public Health, Section of Legal Medicine, Unit of Forensic Toxicology, Ancona, Italy.ORCID http://orcid.org/0000-0001-9602-4223
Francesco Paolo BusardòMarche Polytechnic University, Department of Biomedical Sciences and Public Health, Section of Legal Medicine, Unit of Forensic Toxicology, Ancona, Italy. fra.busardo@libero.it.ORCID http://orcid.org/0000-0002-3082-4532
Volker AuwärterInstitute of Forensic Medicine, Forensic Toxicology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.ORCID http://orcid.org/0000-0002-1883-2804
Jeremy CarlierMarche Polytechnic University, Department of Biomedical Sciences and Public Health, Section of Legal Medicine, Unit of Forensic Toxicology, Ancona, Italy.ORCID http://orcid.org/0000-0003-3332-9518

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergence of novel synthetic opioids (NSOs) poses significant challenges to public health, toxicologists, and law enforcement. Since the comprehensive scheduling of fentanyl analogues in many countries worldwide, several non-fentanyl NSOs have emerged on the illicit drug market, increasing the risks of addiction and fatal overdoses. Dipyanone, a methadone-like NSO, was first identified in drug seizures in 2021 and later also in postmortem cases. This study aimed to assess the metabolism of dipyanone in humans using in silico predictions, in vitro human hepatocyte incubations, and authentic urine specimens. Dipyanone was primarily metabolised through the opening of the pyrrolidine ring to form the corresponding N-butan-4-ol or N-butanoic acid compound, followed by cyclisation to 4'-[2-ethylidene-5-methyl-3,3-diphenylpyrrolidin-1-yl]butan-1'-ol (EMDPB) and 4'-[2-ethylidene-5-methyl-3,3-diphenylpyrrolidin-1-yl]butanoic acid (EMDPBA); other metabolic transformations included hydroxylation, reduction, and O-glucuronidation. We propose EMDPB and EMDPBA as specific biomarkers of dipyanone consumption. Additionally, dipyanone's activation of µ- (MOR), κ- (KOR), and δ- (DOR) opioid receptors was evaluated with a homogeneous time-resolved fluorescence-based GTP G

Indexed as

Analgesics, OpioidMethadonePyrrolidinesHepatocytesHumansMaleAnalgesics, OpioidMethadonePyrrolidinesDipyanoneMetabolismNew synthetic opioidOpioid receptorPyrrolidine ring opening

Identifiers

PMID40295323
PMCPMC12185669

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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.