Evidence map›Paper›PMID 26620047›Full record

ReviewClinical pharmacokinetics2016

Pharmacokinetics, Pharmacodynamics, and Pharmacogenomics of Immunosuppressants in Allogeneic Hematopoietic Cell Transplantation: Part II.

Jeannine S McCune, Meagan J Bemer, Janel Long-Boyle

Abstract readReview
In one paragraph

Review in Clinical pharmacokinetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

3 authors.

Jeannine S McCuneDepartment of Pharmacy, University of Washington, Box 357630, Seattle, WA, 98195, USA. jmccune@u.washington.edu.
Meagan J BemerDepartment of Pharmaceutics, University of Washington, Box 357610, Seattle, WA, 98195, USA.
Janel Long-BoyleDepartment of Clinical Pharmacy, University of California San Francisco, San Francisco, CA, 94131, USA.

Funding

Optimizing Busulfan: Efficacy, Toxicity, and PharmacometabolomicsR01CA182963 · NCI · UNIVERSITY OF WASHINGTON · PI MCCUNE, JEANNINE S · 2014 to 2018
$2.5M
Pharmacogenetics of Cyclophosphamide ADRs inR21CA162059 · NCI · UNIVERSITY OF WASHINGTON · PI MCCUNE, JEANNINE S · 2011 to 2012
$660k
Pharmacogenetics in children with high-risk neuroblastomaR03CA178104 · NCI · UNIVERSITY OF WASHINGTON · PI MCCUNE, JEANNINE S · 2013 to 2014
$174k
NCI NIH HHS CA162059NCI NIH HHS CA178104NCI NIH HHS CA182963NCI NIH HHS R01 CA182963NCI NIH HHS R03 CA178104NCI NIH HHS R21 CA162059
6 · The paper itself

Abstract

Part I of this article included a pertinent review of allogeneic hematopoietic cell transplantation (alloHCT), the role of postgraft immunosuppression in alloHCT, and the pharmacokinetics, pharmacodynamics, and pharmacogenomics of the calcineurin inhibitors and methotrexate. In this article (Part II), we review the pharmacokinetics, pharmacodynamics, and pharmacogenomics of mycophenolic acid (MPA), sirolimus, and the antithymocyte globulins (ATG). We then discuss target concentration intervention (TCI) of these postgraft immunosuppressants in alloHCT patients, with a focus on current evidence for TCI and on how TCI may improve clinical management in these patients. Currently, TCI using trough concentrations is conducted for sirolimus in alloHCT patients. Several studies demonstrate that MPA plasma exposure is associated with clinical outcomes, with an increasing number of alloHCT patients needing TCI of MPA. Compared with MPA, there are fewer pharmacokinetic/dynamic studies of rabbit ATG and horse ATG in alloHCT patients. Future pharmacokinetic/dynamic research of postgraft immunosuppressants should include '-omics'-based tools: pharmacogenomics may be used to gain an improved understanding of the covariates influencing pharmacokinetics as well as proteomics and metabolomics as novel methods to elucidate pharmacodynamic responses.

Indexed as

Hematopoietic Stem Cell TransplantationAnimalsAntilymphocyte SerumHumansImmunosuppressive AgentsMycophenolic AcidPharmacogeneticsSirolimusAntilymphocyte SerumImmunosuppressive AgentsMycophenolic AcidSirolimus

Identifiers

PMID26620047
PMCPMC4824644

What OpenQuestion holds

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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.