Evidence map›Paper›PMID 25246398›Full record

ArticleAntimicrobial agents and chemotherapy2014

Pharmacokinetics and safety of intravitreal caspofungin.

Ying-Cheng Shen, Chiao-Ying Liang, Chun-Yuan Wang, Keng-Hung Lin, Min-Yen Hsu, Hon-Leung Yuen, Li-Chen Wei

Open access · bronzeAbstract read
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. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Brazilian guidelines for the diagnosis and treatment of candidemia and invasive candidiasis in adults and children.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Guideline
  2. Trial
  3. Review
  4. Medical mycology case reports · 2026
    Article
  5. Article
  6. Management of Filamentous Fungal Keratitis: A Pragmatic Approach.Journal of fungi (Basel, Switzerland) · 2022
    Review
  7. Journal of fungi (Basel, Switzerland) · 2022
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. A Review of Antimicrobial Therapy for Infectious Uveitis of the Posterior Segment.Medical hypothesis, discovery & innovation ophthalmology journal · 2018
    Review
  13. Management of a case ofIndian journal of ophthalmology · 2017
    Article
  14. 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

7 authors at 2 institutions in 1 country.

Ying-Cheng ShenDepartment of Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China, and The Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan, Republic of China.
Chiao-Ying LiangDepartment of Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China, and The Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan, Republic of China.
Chun-Yuan WangDepartment of Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China, and The Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan, Republic of China.
Keng-Hung LinDepartment of Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China, and The Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan, Republic of China.
Min-Yen HsuDepartment of Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China, and The Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan, Republic of China.
Hon-Leung YuenDepartment of Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China, and The Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan, Republic of China.
Li-Chen WeiDepartment of Ophthalmology, Taichung Veterans General Hospital, Taiwan, Republic of China, and The Institute of Nanoengineering and Microsystems, National Tsing Hua University, Hsinchu, Taiwan, Republic of China lichen5883@yahoo.com.tw.
Taichung Veterans General Hospital · TWNational Tsing Hua University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caspofungin exhibits potent antifungal activities against Candida and Aspergillus species. The elimination rate and retinal toxicity of caspofungin were determined in this study to assess its pharmacokinetics and safety in the treatment of fungal endophthalmitis. Intravitreal injections of 50 μg/0.1 ml of caspofungin were administered to rabbits. Levels of caspofungin in the vitreous and aqueous humors were determined using high-performance liquid chromatography (HPLC) at selected time intervals (10 min and 1, 2, 4, 8, 16, 24, and 48 h), and the half-lives were calculated. Eyes were intravitreally injected with caspofungin to obtain concentrations of 10 μg/ml, 50 μg/ml, 100 μg/ml, and 200 μg/ml. Electroretinograms were recorded 4 weeks after injections, and the injected eyes were examined histologically. The concentrations of intravitreal caspofungin at various time points exhibited an exponential decay with a half-life of 6.28 h. The mean vitreous concentration was 6.06 ± 1.76 μg/ml 1 h after intravitreal injection, and this declined to 0.47 ± 0.15 μg/ml at 24 h. The mean aqueous concentration showed undetectable levels at all time points. There were no statistical differences in scotopic a-wave and b-wave responses between control eyes and caspofungin-injected eyes. No focal necrosis or other abnormality in retinal histology was observed. Intravitreal caspofungin injection may be considered to be an alternative treatment for fungal endophthalmitis based on its antifungal activity, lower retinal toxicity, and lower elimination rate in the vitreous. More clinical data are needed to determine its potential role as primary therapy for fungal endophthalmitis.

Indexed as

AnimalsAntifungal AgentsAqueous HumorCaspofunginDark AdaptationEchinocandinsElectroretinographyEndophthalmitisEye Infections, FungalHalf-LifeIntravitreal InjectionsLipopeptidesRabbitsRetinaVitreous BodyAntifungal AgentsCaspofunginEchinocandinsLipopeptides

Identifiers

PMID25246398
PMCPMC4249538
OpenAlexW2113874249

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.