Evidence map›Paper›PMID 29392351›Full record

ArticleEuropean journal of clinical pharmacology2018

Determination of plasma concentration reference ranges for oral aripiprazole, olanzapine, and quetiapine.

Julia Korell, Bruce Green, Allan Rae, Bart Remmerie, An Vermeulen

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 32% 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

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

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

5 authors at 2 institutions in 2 countries.

Julia KorellModel Answers Pty Ltd, Level 5, 99 Creek Street, Brisbane, QLD, 4000, Australia.
Bruce GreenModel Answers Pty Ltd, Level 5, 99 Creek Street, Brisbane, QLD, 4000, Australia. modelanswers@gmail.com.
Allan RaeModel Answers Pty Ltd, Level 5, 99 Creek Street, Brisbane, QLD, 4000, Australia.
Bart RemmerieJanssen R&D, Janssen Pharmaceutica NV, Beerse, Belgium.
An VermeulenJanssen R&D, Janssen Pharmaceutica NV, Beerse, Belgium.
IP Australia · AUJanssen (Belgium) · BE

Funding

Janssen Research and Development na
6 · The paper itself

Abstract

backgroundSchizophrenia is a common disease which is commonly managed using antipsychotic medications (APS). Inadequate response and lack of adherence often prevent optimal therapeutic effectiveness. Monitoring APS concentrations can be useful to help improve outcomes for the patient.

aimsThe aim of this study was to develop "reference ranges" for oral aripiprazole, olanzapine, and quetiapine to allow clinicians to understand expected variability in patients treated with APS. The reference ranges were constructed to account for different oral doses, sampling times, and variability both between, and within, subjects.

methodsPopulation pharmacokinetic models were used to simulate plasma concentrations over time under different doses and population demographics. The references were validated against external data both numerically and graphically.

resultsReference ranges for oral aripiprazole, olanzapine, and quetiapine were derived and successfully validated against the external data. The 80% reference range for aripiprazole following a 2-mg oral dose was 14.7-41.6 ng/mL 0-4 h post dose and 10.6-37.1 ng/mL 20-24 h post dose. These ranges increased to 221-624 ng/mL 0-4 h post dose following administration of a 30-mg dose, and 159-557 ng/mL 20-24 h post dose. The 80% reference range 0-4 h post dose was 22.5-67.1 ng/mL following a 15-mg dose once daily of oral olanzapine, and 179-768 ng/mL following a 150-mg dose once daily of oral quetiapine.

conclusionsComparing individual patients' APS levels with reference ranges, along with a full clinical assessment, could provide important insights to help a clinician optimize APS therapy.

Indexed as

Models, BiologicalAdministration, OralAdolescentAdultAgedAged, 80 and overAntipsychotic AgentsAripiprazoleBenzodiazepinesChildChild, PreschoolFemaleHumansMaleMiddle AgedOlanzapineAntipsychotic AgentsAripiprazoleBenzodiazepinesOlanzapineQuetiapine FumarateAntipsychoticsNonlinear mixed effects modelsReference rangesRoutine clinical careSimulations

Identifiers

PMID29392351
OpenAlexW2787501225

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.