Evidence map›Paper›PMID 25220641›Full record

ArticleActa pharmacologica Sinica2014

Population pharmacokinetics modeling of oxcarbazepine to characterize drug interactions in Chinese children with epilepsy.

Yang Wang, Hua-nian Zhang, Chang-he Niu, Ping Gao, Yu-jun Chen, Jing Peng, Mao-chang Liu, Hua Xu

Open access · bronzeAbstract read
In one paragraph

Article in Acta pharmacologica Sinica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 14% 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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Synthesis of rod-like CeOAnalytical sciences : the international journal of the Japan Society for Analytical Chemistry · 2022
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  13. The influence ofBalkan journal of medical genetics : BJMG · 2016
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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

8 authors at 1 institution in 1 country.

Yang WangDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Hua-nian ZhangDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Chang-he NiuDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Ping GaoDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Yu-jun ChenDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Jing PengDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Mao-chang LiuDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Hua XuDepartment of Pharmacy, Wuhan Children's Hospital, 100th-Hong Kong Road, Wuhan 430016, China.
Wuhan Children's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo develop a population pharmacokinetics model of oxcarbazepine in Chinese pediatric patients with epilepsy, and to study the interactions between oxcarbazepine and other antiepileptic drugs (AEDs).

methodsA total of 688 patients with epilepsy aged 2 months to 18 years were divided into model (n=573) and valid (n=115) groups. Serum concentrations of the main active metabolite of oxcarbazepine, 10-hydroxycarbazepine (MHD), were determined 0.5-48 h after the last dosage. A population pharmacokinetics (PPK) model was constructed using NLME software. This model was internally evaluated using Bootstrapping and goodness-of-fit plots inspection. The data of the valid group were used to calculate the mean prediction error (MPE), mean absolute prediction error (MAE), mean squared prediction error (MSE) and the 95% confidence intervals (95% CI) to externally evaluate the model.

resultsThe population values of pharmacokinetic parameters estimated in the final model were as follows: Ka=0.83 h-1, Vd=0.67 L/kg, and CL=0.035 L·kg(-1)·h(-1). The enzyme-inducing AEDs (carbamazepine, phenytoin, phenobarbital) and newer generation AEDs (levetiracetam, lamotrigine, topiramate) increased the weight-normalized CL value of MHD by 17.4% and 10.5%, respectively, whereas the enzyme-inhibiting AED valproic acid decreased it by 3%. No significant association was found between the CL value of MHD and the other covariates. For the final model, the evaluation results (95% CI) were MPE=0.01 (-0.07-0.10) mg/L, MAE=0.46 (0.40-0.51) mg/L, MSE=0.39 (0.27-0.51) (mg/L)(2).

conclusionA PPK model of OXC in Chinese pediatric patients with epilepsy is established. The enzyme-inducing AEDs and some newer generation AEDs (lamotrigine, topiramate) could slightly increase the metabolism of MHD.

Indexed as

AdolescentAnticonvulsantsCarbamazepineChildChild, PreschoolDrug InteractionsEpilepsyFemaleHumansInfantMaleModels, BiologicalOxcarbazepineAnticonvulsantsCarbamazepineOxcarbazepine

Identifiers

PMID25220641
PMCPMC4186992
OpenAlexW2019991416

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Registered trials

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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.