Evidence map›Paper›PMID 29574974›Full record

Trial reportBritish journal of clinical pharmacology2018

A pharmacological rationale for improved everolimus dosing in oncology and transplant patients.

R Ter Heine, N P van Erp, H J Guchelaar, J W de Fijter, M E J Reinders, C M van Herpen, D M Burger, D J A R Moes

Open access · bronzeAbstract readEquivalence TrialRandomized Controlled Trial
In one paragraph

Trial report in British 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
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  4. Review
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  8. Therapeutic drug monitoring of oral targeted antineoplastic drugs.European journal of clinical pharmacology · 2021
    Review
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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

8 authors at 2 institutions in 1 country.

R Ter HeineRadboudumc, Department of Pharmacy, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
N P van ErpRadboudumc, Department of Pharmacy, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
H J GuchelaarDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
J W de FijterDepartment of Medicine, Division of Nephrology, Leiden University Medical Center, Leiden, The Netherlands.
M E J ReindersDepartment of Medicine, Division of Nephrology, Leiden University Medical Center, Leiden, The Netherlands.
C M van HerpenRadboudumc, Department of Medical Oncology, Nijmegen, The Netherlands.
D M BurgerRadboudumc, Department of Pharmacy, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.ORCID 0000-0001-7279-2818
D J A R MoesDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsEverolimus is a drug from the class of mammalian target of rapamycin inhibitors used for both immunosuppressant and oncological indications. We postulate that there is room for improvement of dosing, as the optimal immunosuppressive dose in calcineurin-free regimens is unknown and since the once daily dosing regimen for oncological indications is often associated with treatment-limiting toxicity.

methodsWe developed a mechanistic population pharmacokinetic model for everolimus in cancer and transplant patients and explored alternative dosing regimens.

resultsWe found that formulation did not influence bioavailability and that use of >20 mg prednisolone daily increased everolimus clearance. In transplant patients, the approved dose of 0.75-1 mg twice daily (BID) results in subtherapeutic trough levels (<6 μg l

conclusionFor oncological indications, our results encourage the investigation of dosing everolimus 3.75 mg BID in terms of superiority in safety and noninferiority in efficacy.

Indexed as

Administration, OralAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiological AvailabilityDose-Response Relationship, DrugDrug Administration ScheduleDrug Therapy, CombinationEverolimusFemaleGraft RejectionHumansImmunosuppressive AgentsKidney TransplantationMaleMetabolic Clearance RateEverolimusImmunosuppressive AgentsMTOR protein, humanPrednisoloneTacrolimusTOR Serine-Threonine Kinasescancerdose individualizationeverolimusnonmempopulation pharmacokineticstransplant

Identifiers

PMID29574974
PMCPMC6005589
OpenAlexW2792790716

What OpenQuestion holds

Textmetadata
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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.