Evidence map›Paper›PMID 42583055›Full record

ArticleNature reviews bioengineering2025

Smart closed-loop drug delivery systems.

Marco M Paci, Tamoghna Saha, Omeed Djassemi, Steven Wu, Corrine Ying Xuan Chua, Joseph Wang, Alessandro Grattoni

Abstract read
In one paragraph

Article in Nature reviews bioengineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Sprayable Hydrogel Dressings in Wound-Healing Applications.Bioengineering (Basel, Switzerland) · 2026
    Review
  12. Review
  13. Article
  14. Ionic-Bionic Interfaces: Advancing Iontronic Strategies for Bioelectronic Sensing and Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  15. Article
  16. Materials and System Design for Self-Decision Bioelectronic Systems.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  17. Review
  18. Review
  19. Bioelectronics forNanotheranostics · 2026
    Review
  20. 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.

Marco M PaciDepartment of Nanomedicine, Houston Methodist Hospital, Houston, TX, USA.ORCID 0009-0001-4330-3365
Tamoghna SahaAiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0002-0753-3577
Omeed DjassemiAiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, USA.ORCID 0009-0004-6061-3316
Steven WuDepartment of Biomedical Engineering, Texas A&M University, College Station, TX, USA.ORCID 0009-0002-1338-9708
Corrine Ying Xuan ChuaDepartment of Nanomedicine, Houston Methodist Hospital, Houston, TX, USA.ORCID 0000-0002-5724-8715
Joseph WangAiiso Yufeng Li Family Department of Chemical and Nanoengineering, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0002-4921-9674
Alessandro GrattoniDepartment of Nanomedicine, Houston Methodist Hospital, Houston, TX, USA.ORCID 0000-0001-7888-422X

Funding

Ultra-long Acting Transcutaneously Refillable Islatravir Nanofluidic Implant for HIV Pre-ExposureR01AI165372 · NIAID · METHODIST HOSPITAL RESEARCH INSTITUTE · PI GRATTONI, ALESSANDRO · 2022 to 2025
$4.5M
Vascularized NICHE with local immunosuppression for cell replacement for Type 1 diabetesR01DK133610 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Alessandro Grattoni, NORMA S. KENYON · 2022 to 2026
$4.3M
Long-acting multi prevention implant for 2-year contraception and HIV PrEPR01AI167659 · NIAID · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Alessandro Grattoni, Patrick S. Stayton · 2023 to 2026
$3.3M
Vascularized Islet transplantation NICHE with local immunosuppression for the treatment of type 1 diabetesR01DK132104 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI GRATTONI, ALESSANDRO, NICHOLS, JOAN ELIZABETH · 2022 to 2025
$2.8M
NIAID NIH HHS R01 AI165372NIAID NIH HHS R01 AI167659NIDDK NIH HHS R01 DK132104NIDDK NIH HHS R01 DK133610
6 · The paper itself

Abstract

The administration of therapeutics for long-term chronic disease management or treatment faces considerable challenges, such as the need for precise dosage control, timely delivery and adherence to medication regimens. Traditional drug delivery methods often result in suboptimal therapeutic outcomes owing to variable responses, fluctuating drug concentrations and lack of feedback from real-time monitoring. Smart closed-loop systems (CLSs) could address these limitations by integrating real-time biosensing with automated drug delivery, thereby personalizing treatments to individual needs. This Review explores the current landscape of CLSs, highlighting recent advancements in wearable and implantable technologies that facilitate continuous monitoring of biomarkers and offer responsive therapeutic interventions. We discuss the implications of device design and the trade-offs between wearable and implantable systems. In addition, we highlight the potential of artificial intelligence enhancement of CLS control algorithms by enabling systems to learn from and predict responses to achieve more effective and adaptive optimal therapies. Ultimately, this Review charts a path towards next-generation CLSs, emphasizing the integration of synthetic biology and engineered cells into implantable devices.

Identifiers

PMID42583055
PMCPMC13458989

What Socratic 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 Socratic graph.