Evidence map›Paper›PMID 21294595›Full record

ReviewClinical pharmacokinetics2011

Pharmacokinetic optimization of antiretroviral therapy in children and adolescents.

Michael N Neely, Natella Y Rakhmanina

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical pharmacokinetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Is Routine Therapeutic Drug Monitoring of Anti-Retroviral Agents Warranted in Children Living with HIV?The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Pharmacotherapy of pediatric HIV infection.Pediatric clinics of North America · 2012
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. 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

2 authors.

Michael N NeelyDivision of Pediatric Infectious Diseases and Laboratory of Applied Pharmacokinetics, University of Southern California, Los Angeles, California, USA. mneely@usc.edu
Natella Y Rakhmanina

Funding

ZAP-70 EXPRESSION, CD38 EXPRESSION AND PROGNOSIS IN CHRONIC LYMPHOCYTIC LEUKEMIAM01RR020359 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI MIRZA, NAZRAT · 2005 to 2010
$13.8M
Pediatric Clinical Research Scholar Program - WashingtonK12RR017613 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI LUBAN, NAOMI L · 2002 to 2007
$4.8M
Populaton Pharmacokinetic Modeling and Optimal ControlR01GM068968 · NIGMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI NEELY, MICHAEL N. · 2003 to 2015
$3.9M
Optimizing Coordinated Combination Drug TherapyR01EB005803 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JELLIFFE, ROGER W. · 2006 to 2009
$2.2M
Effect of Puberty on the Phamacokinetics of Efavirenz in HIV-infected ChildrenK23HD060452 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI RAKHMANINA, NATELLA YURIEVNA · 2009 to 2012
$498k
Plasma and Genital HIV Dynamics in WomenK23AI076106 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI NEELY, MICHAEL N. · 2007 to 2010
$466k
NCRR NIH HHS 1K12 RR017613NCRR NIH HHS MO1-RR-020359NIAID NIH HHS K23 AI076106NIBIB NIH HHS R01 EB005803NIBIB NIH HHS R01 EB005803-01A1NICHD NIH HHS K23 1K23HD060452NICHD NIH HHS K23 HD060452NIGMS NIH HHS R01 GM068968
6 · The paper itself

Abstract

There are over 2.1 million HIV-infected children worldwide, who are increasingly exposed to antiretroviral therapy. Given the enormous physiological changes associated with maturation, the role of individualized therapy and optimal dosing in children and adolescents is likely different than in adults. This review summarizes the pharmacodynamics, pharmacokinetics and pharmacogenomics of antiretroviral therapy in children and adolescents, and it discusses the roles of these in the optimization of therapy through the practice of therapeutic drug monitoring/management. Within the pharmacodynamics section are tables and discussion about what is known of the relationships between drug concentrations, inhibitory quotients and effects - both desired and toxic. The pharmacokinetics section summarizes all reported antiretroviral pharmacokinetic data in children, divided into data from population and non-population analytic approaches. Measures of interindividual pharmacokinetic variability are reported. Sampling strategies for the measurement and the interpretation of plasma antiretroviral drug concentrations are suggested, as well as dosing with degrees of renal or hepatic failure. Relevant pharmacogenomic polymorphisms are summarized, and the role for pharmacogenomics testing is discussed. Incorporation of dose adjustment on the basis of measured serum drug concentrations is reviewed, including all such paediatric experience reported in the literature. Discussion of the influences of malnutrition and herbal remedies is also included. Finally, consideration is given to future work in this field.

Indexed as

AdolescentAdultAnti-Retroviral AgentsChildDrug MonitoringHIV InfectionsHumansPharmacogeneticsPrecision MedicineAnti-Retroviral Agents

Identifiers

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.