Evidence map›Paper›PMID 29038273›Full record

Observational studyAntimicrobial agents and chemotherapy2018

Pharmacokinetic Modeling of Voriconazole To Develop an Alternative Dosing Regimen in Children.

Silke Gastine, Thomas Lehrnbecher, Carsten Müller, Fedja Farowski, Peter Bader, Judith Ullmann-Moskovits, Oliver A Cornely, Andreas H Groll, Georg Hempel

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Antimicrobial agents and chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  18. Advances in the Treatment of Mycoses in Pediatric Patients.Journal of fungi (Basel, Switzerland) · 2018
    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

9 authors at 5 institutions in 1 country.

Silke GastineInstitute of Pharmaceutical and Medical Chemistry-Department of Clinical Pharmacy, Westfälische Wilhelms-Universität Münster, Münster, Germany.
Thomas LehrnbecherDivision of Pediatric Hematology and Oncology, Hospital for Children and Adolescents, Johann Wolfgang Goethe University, Frankfurt, Germany.
Carsten MüllerTherapeutic Drug Monitoring Section, Centre of Pharmacology, University Hospital of Cologne, Cologne, Germany.
Fedja FarowskiTherapeutic Drug Monitoring Section, Centre of Pharmacology, University Hospital of Cologne, Cologne, Germany.
Peter BaderDivision of Stem Cell Transplantation and Immunology, Hospital for Children and Adolescents, Johann Wolfgang Goethe University, Frankfurt, Germany.
Judith Ullmann-MoskovitsDivision of Pediatric Hematology and Oncology, Hospital for Children and Adolescents, Johann Wolfgang Goethe University, Frankfurt, Germany.
Oliver A CornelyCECAD Cluster of Excellence and Clinical Trial Center, University of Cologne, Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.
Andreas H Groll *Infectious Disease Research Program, Center for Bone Marrow Transplantation, and Department of Pediatric Hematology/Oncology, University Children's Hospital Münster, Münster, Germany.
Georg Hempel *Institute of Pharmaceutical and Medical Chemistry-Department of Clinical Pharmacy, Westfälische Wilhelms-Universität Münster, Münster, Germany georg.hempel@uni-muenster.de.
Goethe University Frankfurt · DEUniversity Hospital Cologne · DEUniversity of Münster · DECologne Excellence Cluster on Cellular Stress Responses in Aging Associated Diseases · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pharmacokinetic variability of voriconazole (VCZ) in immunocompromised children is high, and adequate exposure, particularly in the first days of therapy, is uncertain. A population pharmacokinetic model was developed to explore VCZ exposure in plasma after alternative dosing regimens. Concentration data were obtained from a pediatric phase II study. Nonlinear mixed effects modeling was used to develop the model. Monte Carlo simulations were performed to test an array of three-times-daily (TID) intravenous dosing regimens in children 2 to 12 years of age. A two-compartment model with first-order absorption, nonlinear Michaelis-Menten elimination, and allometric scaling best described the data (maximal kinetic velocity for nonlinear Michaelis-Menten clearance [

Indexed as

Administration, IntravenousAdministration, OralAdolescentArea Under CurveChildFemaleHumansMaleModels, TheoreticalMonte Carlo MethodVoriconazoleYoung AdultVoriconazolechildrendosingpharmacokinetic modelingpharmacokineticsvoriconazole

Identifiers

PMID29038273
PMCPMC5740334
OpenAlexW2766823603

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.