Evidence map›Paper›PMID 25522788›Full record

Trial reportPharmaceutical research2015

Physiology-based pharmacokinetics of caspofungin for adults and paediatrics.

Felix Stader, Gudrun Wuerthwein, Andreas H Groll, Joerg-Janne Vehreschild, Oliver A Cornely, Georg Hempel

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pharmaceutical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Extended Dosing Regimens for Fungal Prophylaxis.Clinical microbiology reviews · 2019
    Review
  4. 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

6 authors at 4 institutions in 2 countries.

Felix StaderInstitute of Pharmaceutical and Medical Chemistry - Department of Clinical Pharmacy, Westfaelische Wilhelms-University Muenster, Corrensstraße 48, 48149, Muenster, Germany, f_stad01@uni-muenster.de.
Gudrun Wuerthwein
Andreas H Groll
Joerg-Janne Vehreschild
Oliver A Cornely
Georg Hempel
University Hospital Münster · DEUniversity of Cologne · DESimcyp (United Kingdom) · GBUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCaspofungin (CAS) is an antifungal agent for intravenous application in adults and children. Our aim was the development and validation of a physiology-based pharmacokinetic (PBPK) model in order to predict the pharmacokinetics in different patient populations, particularly in paediatrics.

methodsA PBPK model for adults was built and validated with raw data of the two clinical trials CASLAMB and CASMTD. Afterwards, the model was scaled for paediatric patients under the consideration of known biochemical differences between adults and paediatrics.

resultsThe simulated results of the PBPK model were in good agreement with the observed values of the CASLAMB and CASMTD trial. Patients of the CASLAMB trial received CAS in combination with cyclosporine A (CsA), which leads to an increased AUC0-24h of CAS hypothetically due to an inhibition of the hepatic transport protein OATP1B1 by CsA. However, there was no difference in the transport rate of OATP1B1 between CASLAMB and CASMTD patients in the PBPK model, suggesting that CsA might not influence OATP1B1. Furthermore, the model was able to sufficiently predict the pharmacokinetics of paediatric patients compared to published data.

conclusionThe final PBPK model of CAS without individualized parameter is able to predict the pharmacokinetics in different patient populations correctly. Thus, the model provides a basis for investigators to choose doses and sampling times for special populations such as infants and small children.

Indexed as

Models, BiologicalAdolescentAdultAge FactorsAntifungal AgentsArea Under CurveCaspofunginChildChild, PreschoolComputer SimulationCyclosporineDrug Administration ScheduleDrug Dosage CalculationsDrug InteractionsEchinocandinsFemaleAntifungal AgentsCaspofunginCyclosporineEchinocandinsLipopeptidesLiver-Specific Organic Anion Transporter 1Organic Anion TransportersSLCO1B1 protein, human

Identifiers

PMID25522788
OpenAlexW2094582239

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.