Evidence map›Paper›PMID 29914943›Full record

ArticleAntimicrobial agents and chemotherapy2018

Population Pharmacokinetics and Cerebrospinal Fluid Penetration of Fluconazole in Adults with Cryptococcal Meningitis.

Katharine E Stott, Justin Beardsley, Ruwanthi Kolamunnage-Dona, Anahi Santoyo Castelazo, Freddie Mukasa Kibengo, Nguyen Thi Hoang Mai, Nguyễn Lê Nhu’ Tùng, Ngo Thi Kim Cuc, Jeremy Day, William Hope

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Blastomycosis: A Review of Mycological and Clinical Aspects.Journal of fungi (Basel, Switzerland) · 2023
    Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Katharine E Stott *Antimicrobial Pharmacodynamics and Therapeutics Laboratory, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0001-7079-7957
Justin Beardsley *Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
Ruwanthi Kolamunnage-DonaDepartment of Biostatistics, Institute of Translational Medicine, University of Liverpool, United Kingdom.
Anahi Santoyo CastelazoAntimicrobial Pharmacodynamics and Therapeutics Laboratory, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.
Freddie Mukasa KibengoMRC/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda.
Nguyen Thi Hoang MaiHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Nguyễn Lê Nhu’ TùngHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Ngo Thi Kim CucHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Jeremy DayOxford University Clinical Research Unit, Ho Chi Minh City, Vietnam.
William HopeAntimicrobial Pharmacodynamics and Therapeutics Laboratory, Department of Molecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom hopew@liverpool.ac.uk.ORCID 0000-0001-6187-878X
University of Liverpool · GBHospital for Tropical Diseases · VNOxford University Clinical Research Unit · VNUganda Virus Research Institute · UGUniversity of Oxford · GB

Funding

Medical Research Council G1100684Medical Research Council MR/M013227/1Wellcome TrustWellcome Trust 203919/Z/16/ZWellcome Trust WT097147MA
6 · The paper itself

Abstract

Robust population pharmacokinetic (PK) data for fluconazole are scarce. The variability of fluconazole penetration into the central nervous system (CNS) is not known. A fluconazole PK study was conducted in 43 patients receiving oral fluconazole (usually 800 mg every 24 h [q24h]) in combination with amphotericin B deoxycholate (1 mg/kg q24h) for cryptococcal meningitis (CM). A four-compartment PK model was developed, and Monte Carlo simulations were performed for a range of fluconazole dosages. A meta-analysis of trials reporting outcomes of CM patients treated with fluconazole monotherapy was performed. Adjusted for bioavailability, the PK parameter means (standard deviation) were the following: clearance, 0.72 (0.24) liters/h; volume of the central compartment, 18.07 (6.31) liters; volume of the CNS compartment, 32.07 (17.60) liters; first-order rate constant from the central to peripheral compartment, 12.20 (11.17) h

Indexed as

AdultAgedAmphotericin BAntifungal AgentsCentral Nervous SystemCryptococcus neoformansDeoxycholic AcidDrug CombinationsDrug Therapy, CombinationFemaleFluconazoleHumansMaleMeningitis, CryptococcalMicrobial Sensitivity TestsMiddle AgedAmphotericin Bamphotericin B, deoxycholate drug combinationAntifungal AgentsDeoxycholic AcidDrug CombinationsFluconazolecentral nervous system infectionscentral nervous system pharmacokineticscryptococcal meningitisfluconazolemeta-analysispharmacodynamicspharmacokinetics

Identifiers

PMID29914943
PMCPMC6125572
OpenAlexW2807885034

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.