Evidence map›Paper›PMID 29713143›Full record

Trial reportDrug design, development and therapy2018

Population pharmacokinetics and dosing optimization of cefathiamidine in children with hematologic infection.

Li-Juan Zhi, Li Wang, Xing-Kai Chen, Xiao-Ying Zhai, Li Wen, Lei Dong, Evelyne Jacqz-Aigrain, Zhong-Ren Shi, Wei Zhao

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Drug design, development and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 2 countries.

Li-Juan Zhi *Department of Pharmacy, Children's Hospital of Hebei Province, Shijiazhuang, People's Republic of China.
Li Wang *Pediatric Research Institute, Children's Hospital of Hebei Province, Shijiazhuang, People's Republic of China.
Xing-Kai ChenDepartment of Clinical Pharmacy, School of Pharmaceutical Sciences, Shandong University, Jinan, People's Republic of China.
Xiao-Ying ZhaiDepartment of Pediatric Hematology-Oncology, Children's Hospital of Hebei Province, Shijiazhuang, People's Republic of China.
Li WenDepartment of Pediatric Hematology-Oncology, Children's Hospital of Hebei Province, Shijiazhuang, People's Republic of China.
Lei DongDepartment of Pharmacy, Children's Hospital of Hebei Province, Shijiazhuang, People's Republic of China.
Evelyne Jacqz-AigrainDepartment of Pediatric Pharmacology and Pharmacogenetics, Hôpital Robert Debré, APHP, Paris, France.
Zhong-Ren Shi *Pediatric Research Institute, Children's Hospital of Hebei Province, Shijiazhuang, People's Republic of China.
Wei Zhao *Department of Pharmacy, Children's Hospital of Hebei Province, Shijiazhuang, People's Republic of China.
Hospital of Hebei Province · CNShandong University · CNAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCefathiamidine, a first-generation cephalosporin, has approval from the China Food and Drug Administration for the treatment of infections caused by susceptible bacteria in both adults and children. As pharmacokinetic data are limited in the pediatric population, we aimed to evaluate the population pharmacokinetics of cefathiamidine in children and to define the appropriate dose in order to optimize cefathiamidine treatment.

methodsBlood samples were collected from children treated with cefathiamidine, and concentrations were quantified by high-performance liquid chromatography and tandem mass spectrometry. Population pharmacokinetic analysis was conducted using NONMEM software.

resultsFifty-four children (age range: 2.0-11.8 years) were included. Sparse pharmacokinetic samples (n=120) were available for analysis. A two-compartment model with first-order elimination showed the best fit with the data. A covariate analysis identified that bodyweight had a significant impact on cefathiamidine pharmacokinetics. Monte Carlo simulation demonstrated that the currently used dosing regimen of 100 mg/kg/day q12h was associated with a high risk of underdosing in pediatric patients. To reach the target 70% fT>MIC, a dose of 100 mg/kg/day cefathiamidine q6h is required for effective treatment against

conclusionA population pharmacokinetics model of cefathiamidine in children with hematologic disease was established. A dosing regimen of 100 mg/kg/day cefathiamidine q6h should be used in clinical practice against

Indexed as

Anti-Bacterial AgentsCephalosporinsChildChild, PreschoolChinaChromatography, High Pressure LiquidDose-Response Relationship, DrugFemaleHaemophilus InfectionsHaemophilus influenzaeHumansInfusions, IntravenousMaleMicrobial Sensitivity TestsMolecular Dynamics SimulationMonte Carlo MethodAnti-Bacterial AgentscefathiamidineCephalosporinscefathiamidinechildrendosingpharmacokinetics

Identifiers

PMID29713143
PMCPMC5909787
OpenAlexW2802212880

What OpenQuestion holds

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LicenceCC BY-NC
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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.