Evidence map›Paper›PMID 41580131›Full record

ArticleJournal of controlled release : official journal of the Controlled Release Society2026

Fenofibrate microemulsion eyedrops for treating nitrogen mustard induced corneal injury.

Ehsan Kaffash, Rudra Pangeni, Wentao Liang, Sagun Poudel, Long Zhao, Jian-Xing Ma, Qingguo Xu

Abstract read
In one paragraph

Article in Journal of controlled release : official journal of the Controlled Release Society, 2026. 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. BRD4 inhibition mitigates acute and chronic corneal injury following topical nitrogen mustard exposure.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  2. Ferroptosis: A Novel Mechanism in Diabetic Keratopathy.Investigative ophthalmology & visual science · 2026
    Article
  3. Fenofibrate in ophthalmology: therapeutic efficacy and mechanisms.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2026
    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.

Ehsan KaffashDepartment of Pharmaceutics, Virginia Commonwealth University, Richmond, VA 23298, USA.
Rudra PangeniDepartment of Pharmaceutics, Virginia Commonwealth University, Richmond, VA 23298, USA.
Wentao LiangDepartment of Biochemistry, Wake Forest University School of Medicine, NC 27101, USA.
Sagun PoudelDepartment of Pharmaceutics, Virginia Commonwealth University, Richmond, VA 23298, USA.
Long ZhaoDepartment of Pharmaceutics, Virginia Commonwealth University, Richmond, VA 23298, USA.
Jian-Xing MaDepartment of Biochemistry, Wake Forest University School of Medicine, NC 27101, USA. Electronic address: Jianxing.Ma@wfusm.edu.
Qingguo XuDepartment of Pharmaceutics, Virginia Commonwealth University, Richmond, VA 23298, USA; Department of Ophthalmology, Department of Pediatrics, Department of Biomedical Engineering, Center for Pharmaceutical Engineering, Center for Drug Discovery, Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23298, USA. Electronic address: qxu@vcu.edu.

Funding

A new pathogenic mechanism for diabetic retinopathyR01EY019309 · NEI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jian-Xing Jay Ma · 2009 to 2026
$6.1M
Sustained release of fenofibrate for the treatment of diabetic retinopathyR01EY033477 · NEI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Jian-Xing Jay Ma, QINGGUO XU · 2022 to 2026
$2.7M
cGAS-STING signaling in diabetic retinopathyR01EY033330 · NEI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jian-Xing Jay Ma, Yusuke Takahashi · 2022 to 2026
$1.9M
Fenofibrate microemulsion for treating nitrogen mustard induced corneal injuryUG3EY036558 · NEI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Jian-Xing Jay Ma, QINGGUO XU · 2025 to 2026
$1.1M
DSP nanoparticles for treating nitrogen mustard induced corneal injuryR21EY035974 · NEI · VIRGINIA COMMONWEALTH UNIVERSITY · PI XU, QINGGUO · 2024 to 2025
$408k
NEI NIH HHS R01 EY019309NEI NIH HHS R01 EY033330NEI NIH HHS R01 EY033477NEI NIH HHS R21 EY035974NEI NIH HHS UG3 EY036558
6 · The paper itself

Abstract

Vesicants are highly toxic chemicals used as warfare agents, primarily absorbed through the skin, inhalation, or ocular surface. Nitrogen mustard (NM), a potent vesicant, often leads to blindness due to the inadequacies of existing therapies. This study explores the role of peroxisome proliferator-activated receptor-α (PPARα) in NM-induced ocular injury and evaluates the efficacy of fenofibrate (Feno), a PPARα agonist, in preventing corneal injury progression. Feno, an FDA-approved oral medication used to treat dyslipidemia, has shown off-labelled potential in promoting corneal wound healing. However, its limited ocular distribution following oral administration reduces its therapeutic efficacy. We developed Feno-loaded oil-in-water microemulsion (Feno ME) eyedrop formulations to enhance aqueous solubility and ocular bioavailability of Feno, aiming to improve the therapeutic efficacy in treating NM-induced corneal injury. Feno ME exhibited a mean droplet size of approximately 20 nm, remained physically stable for at least twelve months, showed prolonged ocular retention, and demonstrated well-accepted rheological properties without inducing ocular irritation or toxicity. Furthermore, Feno ME demonstrated sustained drug levels in ocular tissues with minimal systemic absorption. A 14-day treatment with 0.5% Feno ME (3×/day) significantly reduced corneal-ulceration, neovascularization (NV), and opacity in NM-induced ocular injury in rats. Histopathological analysis confirmed preserved corneal integrity and reduced inflammation. Immunohistochemistry revealed that NM injury significantly reduced PPARα levels in the corneal epithelium, which was restored with Feno ME eyedrop treatment, suggesting PPARα as a promising drug target for NM-induced corneal injury. Our Feno ME eyedrop formulation represents an effective topical delivery platform that effectively mitigates NM-induced corneal injury and offers a novel therapeutic strategy for vesicant exposure.

Indexed as

Chemical Warfare AgentsCorneal InjuriesFenofibrateHypolipidemic AgentsMechlorethamineOphthalmic SolutionsAnimalsCorneaEmulsionsIrritantsMaleOff-Label UsePPAR alphaRatsRats, Sprague-DawleyWound HealingChemical Warfare AgentsEmulsionsFenofibrateHypolipidemic AgentsIrritantsMechlorethamineOphthalmic SolutionsPPAR alphaOcular drug deliveryOcular injuryPPARα agonistTopical administrationVesicants

Identifiers

PMID41580131
PMCPMC13011889

What OpenQuestion holds

Textmetadata
LicenceTDM
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.