Evidence map›Paper›PMID 25049247›Full record

ArticleAntimicrobial agents and chemotherapy2014

Phase 1b study of new posaconazole tablet for prevention of invasive fungal infections in high-risk patients with neutropenia.

Rafael F Duarte, Javier López-Jiménez, Oliver A Cornely, Michel Laverdiere, David Helfgott, Shariq Haider, Pranatharthi Chandrasekar, Amelia Langston, John Perfect, Lei Ma and 4 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01777763 (Pharmacokinetics and Safety of Solid Oral Posaconazole), which is not on this map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
9.0field-weighted citation impact, top 1% of its field
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.

NCT01777763 phase1completednot on this map

Pharmacokinetics and Safety of Solid Oral Posaconazole (SCH 56592) in Subjects at High Risk for Invasive Fungal Infections (Phase 1b; Protocol No. P05615)

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2009 to 2012Enrolled230ConditionsFungal InfectionsArmsPosaconazole 200 mg, Posaconazole 300 mg
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Guideline
  5. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Guideline
  6. Trial
  7. Trial
  8. Trial
  9. Observational
  10. Review
  11. What Is New in Pulmonary Mucormycosis?Journal of fungi (Basel, Switzerland) · 2023
    Review
  12. Review
  13. Mucormycosis.Infectious disease clinics of North America · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
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

14 authors at 11 institutions in 5 countries.

Rafael F DuarteCatalan Institute of Oncology, Barcelona, Spain rduarte@iconcologia.net.
Javier López-JiménezHospital Ramón y Cajal, Madrid, Spain.
Oliver A CornelyFirst Department of Internal Medicine, ZKS Köln, BMBF 01KN1106, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany.
Michel LaverdiereHôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada.
David HelfgottNew York-Presbyterian/Weill Cornell Medical Center, New York, New York, USA.
Shariq HaiderJuravinski Hospital, Hamilton, Ontario, Canada.
Pranatharthi ChandrasekarBarbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Amelia LangstonWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.
John PerfectDuke University Medical Center, Durham, North Carolina, USA.
Lei MaMerck & Co., Inc., Whitehouse Station, New Jersey, USA.
Marlou L P S van IerselMSD, Oss, Netherlands.
Nancy ConnellyMerck & Co., Inc., Whitehouse Station, New Jersey, USA.
Nicholas KartsonisMerck & Co., Inc., Whitehouse Station, New Jersey, USA.
Hetty WaskinMerck & Co., Inc., Whitehouse Station, New Jersey, USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USDuke Medical Center · USEmory University · USHôpital Maisonneuve-Rosemont · CAHospital Universitario Ramón y Cajal · ESInstitut Català d'Oncologia · ESJuravinski Hospital · CAMSD (Netherlands) · NLPresbyterian Hospital · USThe Barbara Ann Karmanos Cancer Institute · USUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Posaconazole tablets, a new oral formulation of posaconazole, can be effective when given as antifungal prophylaxis to neutropenic patients at high risk for invasive fungal infection (e.g., those with acute myelogenous leukemia or myelodysplastic syndrome). Such effectiveness might be specifically important to patients with poor oral intake because of nausea, vomiting, or chemotherapy-associated mucositis. This was a prospective, global study in high-risk patients to characterize the pharmacokinetics and safety profile of posaconazole tablets and to identify the dose of posaconazole tablets that would provide exposure within a predefined range of exposures (steady-state average concentration [area under the concentration-time curve/24 h] of ≥500 ng/ml and ≤2,500 ng/ml in >90% of patients). The study evaluated two sequential dosing cohorts: 200 mg posaconazole once daily (n = 20) and 300 mg posaconazole once daily (n = 34) (both cohorts had a twice-daily loading dose on day 1) taken without regard to food intake during the neutropenic period for ≤28 days. The exposure target was reached (day 8) in 15 of 19 (79%) pharmacokinetic-evaluable patients taking 200 mg posaconazole once daily and in 31 of 32 (97%) patients taking 300 mg posaconazole once daily; 300 mg posaconazole once daily achieved the desired exposure target. Posaconazole tablets were generally well tolerated in high-risk neutropenic patients. (This study has been registered at ClinicalTrials.gov under registration no. NCT01777763.).

Indexed as

Antifungal AgentsFemaleHumansMaleMiddle AgedMycosesNeutropeniaTabletsTriazolesAntifungal AgentsposaconazoleTabletsTriazoles

Identifiers

PMID25049247
PMCPMC4187965
OpenAlexW2161908501

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.