Evidence map›Paper›PMID 29194445›Full record

ArticlePloS one2017

Safety and efficacy of an oxycodone vaccine: Addressing some of the unique considerations posed by opioid abuse.

M D Raleigh, S J Peterson, M Laudenbach, F Baruffaldi, F I Carroll, S D Comer, H A Navarro, T L Langston, S P Runyon, S Winston and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
9.2field-weighted citation impact, top 2% of its field
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

41 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
  2. An antifentanyl monoclonal antibody reverses fentanyl-induced apnea in pigs.The Journal of pharmacology and experimental therapeutics · 2025
    Article
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  4. A novel cationic liposome-formulated toll like receptor (TLR) 7/8 agonist enhances the efficacy of a vaccine against fentanyl toxicity.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Opioid Overdose Detection in a Murine Model Using a Custom-Designed Photoplethysmography Device.Ingenierie et recherche biomedicale : IRBM = Biomedical engineering and research · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Review
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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

12 authors at 4 institutions in 1 country.

M D RaleighMinneapolis Medical Research Foundation, Minneapolis, MN, United States of America.ORCID http://orcid.org/0000-0002-9715-6962
S J PetersonMinneapolis Medical Research Foundation, Minneapolis, MN, United States of America.
M LaudenbachMinneapolis Medical Research Foundation, Minneapolis, MN, United States of America.
F BaruffaldiMinneapolis Medical Research Foundation, Minneapolis, MN, United States of America.
F I CarrollResearch Triangle Institute, Research Triangle Park, NC, United States of America.
S D ComerNew York State Psychiatric Institute and Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, NY, United States of America.
H A NavarroResearch Triangle Institute, Research Triangle Park, NC, United States of America.
T L LangstonResearch Triangle Institute, Research Triangle Park, NC, United States of America.
S P RunyonResearch Triangle Institute, Research Triangle Park, NC, United States of America.
S WinstonWinston Biopharmaceutical Consulting, Boulder, CO, United States of America.
M PravetoniMinneapolis Medical Research Foundation, Minneapolis, MN, United States of America.
P R PentelMinneapolis Medical Research Foundation, Minneapolis, MN, United States of America.
Orthopaedic Research Foundation · USRTI International · USUniversity of Minnesota Medical Center · USColumbia University · US

Funding

Vaccines for prescription opioid and heroin abuseU01DA038876 · NIDA · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI PENTEL, PAUL R, PRAVETONI, MARCO · 2015 to 2018
$7.4M
NIDA NIH HHS U01 DA038876
6 · The paper itself

Abstract

Among vaccines aimed at treating substance use disorders, those targeting opioids present several unique medication development challenges. 1) Opioid overdose is a common complication of abuse, so it is desirable for an opioid vaccine to block the toxic as well as the addictive effects of opioids. 2) It is important that an opioid vaccine not interfere with the action of opioid antagonists used to reverse opioid overdose or treat addiction. 3) Some opioids are immunosuppressive and chronic ongoing opioid use could interfere with vaccine immunogenicity. 4) Although antibody-bound oxycodone is unable to enter the brain because of its size, it might still be able to activate peripheral opioid receptors. To assess vaccine impact on opioid toxicity, rats vaccinated with oxycodone conjugated to keyhole limpet hemocyanin subunit dimer (OXY-dKLH) adsorbed to alum or controls vaccinated with dKLH were compared with regard to oxycodone-induced hotplate analgesia and oxycodone-induced respiratory depression and bradycardia. Vaccination shifted the dose-response curves to the right, representing protection, for each of these endpoints. Naloxone was equally effective in both OXY-dKLH and control groups, providing complete and rapid reversal of respiratory depression. The administration of a long-acting naltrexone formulation during vaccination did not impair vaccine immunogenicity in mice. Similarly, serum anti-oxycodone antibody titers were not altered by continuous morphine infusion during vaccination compared to opioid-naïve controls. Competitive ELISA assay showed negligible or low affinity of immune antiserum for endogenous opioids or opioid antagonists. In vitro receptor binding assays showed that antibody-bound oxycodone does not activate mu opioid receptors. These data support further study of OXY-dKLH as a potential treatment for oxycodone abuse and suggest that vaccination might also reduce the severity of oxycodone overdose.

Indexed as

AnimalsAntidotesMaleMiceNaloxoneOpioid-Related DisordersOxycodoneRatsVaccinesAntidotesNaloxoneOxycodoneVaccines

Identifiers

PMID29194445
PMCPMC5711015
OpenAlexW2773895504

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.