Evidence map›Paper›PMID 42244881›Full record

ArticleFrontiers in pharmacology2026

Human exposure and stability of a novel

Antonella Smeriglio, Eleonora Agostino, Souda Belaid, Mariarosaria Ingegneri, Paola Gualtieri, Matteo Salina, Sara Langone, Diego Bosco, Laura Di Renzo, Domenico Trombetta

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Antonella SmeriglioDepartment of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, Messina, Italy.
Eleonora AgostinoDepartment of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, Messina, Italy.
Souda BelaidDepartment of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, Messina, Italy.
Mariarosaria IngegneriDepartment of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, Messina, Italy.
Paola GualtieriSection of Food Science, Clinical Nutrition and Pharmaceutical Sciences, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.
Matteo SalinaConsorzio Italbiotec, Milano, Italy.
Sara LangoneConsorzio Italbiotec, Milano, Italy.
Diego BoscoItalbiotec S.r.l. Società Benefit, Milano, Italy.
Laura Di RenzoSection of Food Science, Clinical Nutrition and Pharmaceutical Sciences, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.
Domenico TrombettaDepartment of Chemical, Biological, Pharmaceutical and Environmental Sciences, University of Messina, Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Citrus flavanone glycosides are widely investigated for their potential health benefits, including antioxidant, anti-inflammatory, and cardiometabolic effects; however, human exposure and metabolic fate are often inferred from plasma measurements alone, despite limited systemic absorption and extensive intestinal processing. Methods: In this study, we performed an integrated, translational assessment of human exposure to a novel Citrus flavanone-based nutraceutical formulation (FlavonAid™), combining plasma, urinary, and fecal analyses with comprehensive analytical characterization and stability evaluation. Six healthy volunteers received a single oral dose (174 mg total flavanones), and flavanone-related compounds were quantified in plasma, urine, and feces using validated chromatographic methods. Results: Accelerated stability testing demonstrated minimal degradation (<3.5% over 6 months) and high reliability of the formulation. Plasma analysis revealed low and intermittent systemic exposure, with concentrations frequently close to analytical limits and no reproducible pharmacokinetic profiles. In contrast, urinary and fecal analyses showed substantial recovery of flavanone-related compounds within 24 h. Mass balance analysis indicated that approximately 39% of the administered dose was recovered in urine and feces during the first 24 h, mainly as hydrolyzed parent flavanone glycoside equivalents, while shared low-molecular-weight phenolic metabolites accounted for a major fraction of the excreted material. Discussion: Overall, these findings demonstrate that human exposure to Citrus flavanones is best described through a multi-matrix approach that captures coordinated intestinal metabolism, partial systemic handling, and prolonged elimination rather than relying solely on plasma data. This study establishes a robust methodological framework for evaluating flavanone-based nutraceuticals in humans and supports further investigation of formulations designed to achieve sustained intestinal exposure with limited systemic availability.

Indexed as

Citrus flavanonesflavanone dispositionformulation stabilityhuman exposureintestinal metabolismmass balancemulti-matrix analysisnutraceuticals

Identifiers

PMID42244881
PMCPMC13230250

What Socratic holds

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LicenceCC BY
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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 Socratic graph.