Evidence map›Paper›PMID 27639083›Full record

ArticleCPT: pharmacometrics & systems pharmacology2016

Population Pharmacokinetics and Pharmacodynamics of the Calcimimetic Etelcalcetide in Chronic Kidney Disease and Secondary Hyperparathyroidism Receiving Hemodialysis.

P Chen, P Olsson Gisleskog, J J Perez-Ruixo, J Xiao, J Wilkins, A Narayanan, J P Gibbs, M Melhem

Abstract read
In one paragraph

Article in CPT: pharmacometrics & systems pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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.

P ChenDepartment of Clinical Pharmacology, Modeling, and Simulation, Amgen Inc., Thousand Oaks, California, USA.
P Olsson GisleskogSGS Exprimo NV, Mechelen, Belgium.
J J Perez-RuixoDepartment of Clinical Pharmacology, Modeling, and Simulation, Amgen Inc., Thousand Oaks, California, USA.
J XiaoDepartment of Clinical Pharmacology, Modeling, and Simulation, Amgen Inc., Thousand Oaks, California, USA.
J WilkinsSGS Exprimo NV, Mechelen, Belgium.
A NarayananDepartment of Clinical Pharmacology, Modeling, and Simulation, Amgen Inc., Thousand Oaks, California, USA.
J P GibbsDepartment of Clinical Pharmacology, Modeling, and Simulation, Amgen Inc., Thousand Oaks, California, USA.
M MelhemDepartment of Clinical Pharmacology, Modeling, and Simulation, Amgen Inc., Thousand Oaks, California, USA. mmelhem@amgen.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Etelcalcetide is a novel calcimimetic in development for the treatment of secondary hyperparathyroidism (SHPT). A population pharmacokinetic/pharmacodynamic (PK/PD) model was developed relating etelcalcetide exposures to markers of efficacy (parathyroid hormone [PTH]) and safety (calcium) using data from three clinical studies. The semimechanistic model was developed that included allosteric activation pharmacology and understanding of calcium homeostasis. The temporal profiles for all biomarkers were well described by the model. The cooperativity constant was 4.94, confirming allosteric activation mechanism. Subjects with more severe disease (higher PTH baseline) were predicted to experience less pronounced reduction in PTH (percentage change from baseline), but more reduction in calcium (Ca; percentage change from baseline). There was no evidence that dose adjustment by any covariate was needed. Model-based simulations provided quantitative support to several elements of dosing, such as starting dose, monitoring, and titration timing for registration trials.

Indexed as

Models, BiologicalAdultAgedAged, 80 and overBiomimeticsCalciumClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicFemaleHumansHyperparathyroidism, SecondaryMaleMiddle AgedPeptidesRenal DialysisRenal Insufficiency, ChronicCalciumetelcalcetide hydrochloridePeptides

Identifiers

PMID27639083
PMCPMC5036423

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.