Evidence map›Paper›PMID 40792647›Full record

Trial reportExperimental dermatology2025

Effect of Intradermal Morphine on Histaminergic and Non-Histaminergic Itch: A Randomised, Single-Blinded, Human Study.

Silvia Lo Vecchio, Giulia Erica Aliotta, Hiroai Okutani, Nadia Ammitzbøll, Anne-Marie Wegeberg, Asbjørn Mohr Drewes, Lars Arendt-Nielsen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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.

Silvia Lo VecchioDepartment of Health Science and Technology, School of Medicine, Center for Neuroplasticity and Pain, SMI, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0000-0001-6548-2459
Giulia Erica AliottaDepartment of Health Science and Technology, School of Medicine, Center for Neuroplasticity and Pain, SMI, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0000-0001-9981-8854
Hiroai OkutaniDepartment of Health Science and Technology, School of Medicine, Center for Neuroplasticity and Pain, SMI, Aalborg University, Aalborg, Denmark.
Nadia AmmitzbøllDepartment of Gastroenterology and Hepatology, Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.
Anne-Marie WegebergDepartment of Gastroenterology and Hepatology, Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.
Asbjørn Mohr DrewesDepartment of Gastroenterology and Hepatology, Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.
Lars Arendt-NielsenDepartment of Health Science and Technology, School of Medicine, Center for Neuroplasticity and Pain, SMI, Aalborg University, Aalborg, Denmark.ORCID https://orcid.org/0000-0003-0892-1579

Funding

Danish National Research Foundation DNRF121
6 · The paper itself

Abstract

Itch can be a side-effect of drugs like opioids, with prevalence depending on the route of administration. This study aimed to investigate if morphine (1) induced itch and neurogenic inflammation after intradermal injection and (2) modulates the responses to locally experimentally induced histaminergic and non-histaminergic itch. Twenty-four healthy volunteers participated in this randomised, single-blinded study. Two areas on the volar forearms of each participant were randomly treated with either intradermal morphine 0.05 mL (0.1 mg/mL) or saline (isotonic saline 0.05 mL), followed by assessment of itch intensity, wheal, and flare reactions. After injection, histamine and cowhage (non-histaminergic itch) were randomly applied intradermally and topically, respectively at the sites of morphine/saline injection, and the assessments were repeated. Before saline/morphine injections (baseline measurement), after injections (post-intervention measurement), and after pruritogen application (post-pruritogen measurement), superficial blood perfusions were measured using full-field laser perfusion imaging. Morphine induced increased peak itch intensity and itch area under the curve compared to saline, without further increase by the experimentally induced histaminergic and non-histaminergic itch. Morphine also caused a larger wheal area compared to saline. Morphine increased superficial blood perfusion compared to saline both after treatment and after pruritogens. This study confirmed that (1) intradermal morphine induces spontaneous itch, (2) morphine induced neurogenic inflammation which alone and in combination with the pruritogens caused larger responses (wheal and flare) when compared with saline and (3) the itch intensities provoked by experimentally induced histaminergic and non-histaminergic substances were not modulated when applied to the morphine-treated areas.

Indexed as

Analgesics, OpioidMorphinePruritusAdultFemaleHistamineHumansInjections, IntradermalMaleSingle-Blind MethodSkinYoung AdultAnalgesics, OpioidHistamineMorphinecowhage spiculeshistamineitchmorphinepain

Identifiers

PMID40792647
PMCPMC12341364

What OpenQuestion holds

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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.