Evidence map›Paper›PMID 41055732›Full record

ArticleArchives of toxicology2026

Synthetic cannabinoid receptor agonists containing silicon: exploring the metabolic pathways of ADMB- and Cumyl-3TMS-PrINACA in human urine specimens and post mortem material compared to in vitro and in silico data.

Annette Zschiesche, Jeremy Carlier, Jörg Pietsch, Martin Scheu, Jasmin Seibt, Francesco P Busardò, Volker Auwärter, Laura M Huppertz

Abstract readComparative Study
In one paragraph

Article in Archives of toxicology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

8 authors.

Annette ZschiescheInstitute of Forensic Medicine, Forensic Toxicology, Medical Center and Faculty of Medicine, University of Freiburg, Albertstr. 9, 79104, Freiburg, Germany.ORCID 0009-0005-9017-0111
Jeremy CarlierSection of Legal Medicine, Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Via Tronto 10/a, 60126, Ancona, Italy.ORCID 0000-0003-3332-9518
Jörg PietschInstitute of Legal Medicine, Medical Faculty Carl Gustav Carus, Dresden Technical University, Fetscherstr. 74, 01307, Dresden, Germany.ORCID 0000-0001-7049-186X
Martin ScheuInstitute of Forensic Medicine, Forensic Toxicology, Medical Center and Faculty of Medicine, University of Freiburg, Albertstr. 9, 79104, Freiburg, Germany.
Jasmin SeibtInstitute of Legal Medicine, Medical Faculty Carl Gustav Carus, Dresden Technical University, Fetscherstr. 74, 01307, Dresden, Germany.
Francesco P BusardòSection of Legal Medicine, Department of Biomedical Sciences and Public Health, Marche Polytechnic University, Via Tronto 10/a, 60126, Ancona, Italy.ORCID 0000-0002-3082-4532
Volker AuwärterInstitute of Forensic Medicine, Forensic Toxicology, Medical Center and Faculty of Medicine, University of Freiburg, Albertstr. 9, 79104, Freiburg, Germany.ORCID 0000-0002-1883-2804
Laura M HuppertzInstitute of Forensic Medicine, Forensic Toxicology, Medical Center and Faculty of Medicine, University of Freiburg, Albertstr. 9, 79104, Freiburg, Germany. laura.huppertz@uniklinik-freiburg.de.ORCID 0000-0002-4190-5469

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rapid emergence of synthetic cannabinoid receptor agonists (SCRAs) poses challenges for drug testing, particularly when analyzing urine samples due to the rapid metabolization of the parent compounds. In early 2023, two novel SCRAs were reported to the European Union Drugs Agency (EUDA): ADMB-3TMS-PrINACA and Cumyl-3TMS-PrINACA, which are both indazole SCRAs featuring a trimethylsilyl propyl moiety connected to the tertiary indazole nitrogen. Peaks corresponding to metabolites of ADMB-BINACA (also known as ADB-BUTINACA) and Cumyl-4CN-BINACA observed with retention time shifts in a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for detecting SCRAs were later identified as metabolites of ADMB- and Cumyl-3TMS-PrINACA. Pooled human liver microsome (pHLMs, 25 µmol/L) and pooled human hepatocyte (PHH, 20 µmol/L) assays were performed to generate metabolites. Additionally, human urine samples were analyzed by reversed phase liquid chromatography-quadrupole-time-of-flight-mass spectrometry (LC-QToF-MS), assisted by GLORYx and BioTransformer 3.0 for in silico metabolite prediction. Gas chromatography-mass spectrometry (GC-MS) was used to identify substances in seized materials. In total, 34 metabolites for ADMB-3TMS-PrINACA and 38 for Cumyl-3TMS-PrINACA were tentatively identified. Major biotransformations included side chain monohydroxylation (specific markers) and TMS-group cleavage, likely initiated by oxidative Si-demethylation followed by further hydroxylation resulting in an N-3-OH-propyl metabolite and further oxidation to the respective N-propionic acid. Most of these biomarkers were detected in the blood, urine, and stomach content of a deceased poly-drug user exposed to ADMB-3TMS-PrINACA. Overall, Cumyl-3TMS-PrINACA was more prevalent than ADMB-3TMS-PrINACA in Germany according to routine urine testing. This work provides the first investigation of the metabolic fate and suggests biomarkers for these new SCRAs.

Indexed as

Cannabinoid Receptor AgonistsIndazolesChromatography, LiquidComputer SimulationHepatocytesHumansMetabolic Networks and PathwaysMicrosomes, LiverSubstance Abuse DetectionTandem Mass SpectrometryCannabinoid Receptor AgonistsIndazoles3-Trimethylsilyl propyl tail (3TMS-moiety)In silico metabolite predictionLC-HRMS/MSMetabolismNew psychoactive substancesSynthetic cannabinoids

Identifiers

PMID41055732
PMCPMC12886380

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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.