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Table 2 Epinephrine Pharmacokinetic Parameters for Each Treatment Group Stratified by STMD and Sex

From: Epinephrine delivery via EpiPen® Auto-Injector or manual syringe across participants with a wide range of skin-to-muscle distances

Parameter, mean (SD)a

Low STMD (< 15 mm, n = 12)b

Moderate STMD (15–20 mm, n = 12)b

High STMD (> 20 mm; n = 11)b

Male (n = 6)

Female (n = 6)

All (n = 12)

Male (n = 6)

Female (n = 6)

All (n = 12)

Male (n = 5)

Female (n = 6)

All (n = 11)

 EpiPen at the mid-AL thigh (n = 35)

  Cpeak, ng/mL

0.40 (0.10)

0.64 (0.37)

0.52 (0.29)

0.48 (0.30)

0.52 (0.23)

0.50 (0.25)

0.42 (0.21)

0.63 (0.31)

0.53 (0.28)

  AUC0-t, ng min/mL

27.3 (10.4)

28.8 (8.9)

28.1 (9.3)

20.9 (7.4)

31.7 (15.9)

26.3 (13.1)

31.1 (13.3)

40.3 (13.1)

36.1 (13.4)

 Median tpeak (range), min

17 (9–30)

5 (3–60)

9 (3–60)

4.5 (2–30)

15 (3–39)

10.5 (2–39)

30 (24–120)

24.5 (9–60)

30 (9–120)

 IM syringe at the mid-AL thigh (n = 35)

  Cpeak, ng/mL

0.25 (0.09)

0.36 (0.10)

0.31 (0.10)

0.32 (0.15)

0.37 (0.07)

0.35 (0.11)

0.27 (0.10)

0.51 (0.24)

0.40 (0.22)

  AUC0-t, ng min/mL

20.1 (8.7)

28.8 (6.8)

24.4 (8.7)

25.7 (8.7)

28.1 (10.1)

26.9 (9.1)

22.6 (13.1)

30.6 (13.8)

27.0 (13.4)

  Median tpeak (range), min

50 (25–60)

40 (25–50)

40 (25–60)

49.5 (3–60)

45 (6–50)

45 (3–60)

50 (30–60)

50 (6–60)

50 (6–60)

 EpiPen at the distal-AL thigh (n = 23)

  Cpeak, ng/mL

0.36 (0.26)

0.49 (0.32)

0.42 (0.28)

0.30 (0.11)

0.46 (0.21)

0.39 (0.19)

  AUC0-t, ng min/mL

22.5 (6.9)

26.9 (15.5)

24.7 (11.7)

25.1 (10.4)

37.4 (11.9)

31.8 (12.4)

  Median tpeak (range), min

29.5 (3–60)

25 (9–40)

25 (3–60)

30 (25–60)

9 (6–40)

25 (6–60)

  1. AL anterolateral, AUC0-t area under the epinephrine plasma concentration–time curve to the last measurable concentration, Cpeak peak epinephrine plasma concentration, EpiPen EpiPen Auto-Injector, IM intramuscular, SD standard deviation, STMD skin-to-muscle distance, tpeak time to Cpeak
  2. aUnless otherwise noted
  3. bBased on maximum compression of STMD