Pain medicine

Morphine and hydromorphone pharmacodynamics in human volunteers: population-based modelling of interindividual response variability and utility

Br J AnaesthPublished Secondary analysis of a crossover study in volunteers

An erratum to this article was published (Br J Anaesth, Jul 2026 ↗)

Authors' conclusion

There was considerable interindividual variability in pharmacodynamic effect parameters for both morphine and hydromorphone, but no major variability differences between the opioids.

Study context

Population
Healthy volunteerscrossover
Participants
51 volunteers
Comparison
Morphine 0.05 mg kg-1 vs hydromorphone 0.2 mg kg-1, 2-h infusion
Primary endpoint
Pharmacodynamic variability: potency, t½ke0 and their interindividual variabilities (analgesia to thermal stimulus, pupil diameter, respiratory rate, end-expired CO2)
Methodological detailsbalanced crossover, population pharmacodynamic modelling
  • Balanced crossover
  • Population pharmacodynamic modelling

Primary result

As reported in the abstract

Limit temperature modelling: potency and t½ke0
GroupValuet½ke0
Morphine46.9 ng ml-10.71 h
Hydromorphone4.4 ng ml-10.75 h

Value

Morphine46.9 ng ml-1
Hydromorphone4.4 ng ml-1

t½ke0

Morphine0.71 h
Hydromorphone0.75 h

Original publication

Morphine and hydromorphone pharmacodynamics in human volunteers: population-based modelling of interindividual response variability and utility. Br J Anaesth. Published 7 February 2026. doi:10.1016/j.bja.2025.11.060

Composed by AI from the published abstract and checked against it. How Briefs are made →

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