Evidence map›Paper›PMID 25312351›Full record

Trial reportClinical drug investigation2014

Levetiracetam pharmacokinetics in Japanese subjects with renal impairment.

Junichi Yamamoto, Nathalie Toublanc, Yuji Kumagai, Armel Stockis

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical drug investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04511676 (The Study of Pharmacokinetics of Levetiracetam in Patients Undergoing Intermittent Hemodialysis), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 18% 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.

NCT04511676 completednot on this mapstarted 2018, after this paper: background citation

The Study of Pharmacokinetics of Levetiracetam in Patients Undergoing Intermittent Hemodialysis

TypeobservationalSponsorPhramongkutklao College of Medicine and HospitalRan2018 to 2019Enrolled12ConditionsSeizures
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 20 citations in OpenAlex.

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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

4 authors at 2 institutions in 2 countries.

Junichi YamamotoUCB Pharma, Shinjuku Grand Tower, 8-17-1 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan, Junichi.Yamamoto@ucb.com.
Nathalie Toublanc
Yuji Kumagai
Armel Stockis
UCB Pharma (Belgium) · BEKitasato University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe anti-epileptic drug levetiracetam is excreted renally. The objective of this trial was to evaluate the pharmacokinetics of levetiracetam in Japanese patients with renal impairment including end-stage renal disease (ESRD) to confirm that existing dosing instructions-based on data from European patients-are appropriate in a Japanese population.

methodsThis was a nonrandomised, open-label trial. Six participants were allocated to each of five groups (normal renal function, mild, moderate and severe renal impairment and ESRD); 30 participants in total. Participants received a single dose of levetiracetam 500 mg (normal or mild), 250 mg (moderate or severe), or 500 mg followed by 250 mg post-haemodialysis (ESRD). Blood and urine samples were obtained serially for levetiracetam and metabolite determinations. Noncompartmental pharmacokinetic parameters were calculated and steady-state profiles were simulated using the superposition method.

resultsIn this trial, levetiracetam total clearance decreased proportionally with creatinine clearance: 52, 31, 25, 20 and 11 mL/min/1.73 m(2) in healthy controls and in patients with mild, moderate, severe renal impairment, and ESRD, respectively. Simulated levetiracetam plasma profiles using the recommended dose adjustments were within the range for normal renal function. Overall, results from this trial were consistent with historical European data.

conclusionThese findings confirm that the dosing instructions are appropriate for Japanese patients with renal impairment including ESRD.

Indexed as

AdultAgedAnimalsCase-Control StudiesDose-Response Relationship, DrugHumansJapanKidney Failure, ChronicLevetiracetamMaleMiddle AgedPiracetamRenal InsufficiencyYoung AdultLevetiracetamPiracetam

Identifiers

PMID25312351
OpenAlexW2014164137

What OpenQuestion holds

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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.