Evidence map›Paper›PMID 29992479›Full record

Trial reportJournal of pharmacokinetics and pharmacodynamics2018

Population pharmacokinetics-pharmacodynamics of oral everolimus in patients with seizures associated with tuberous sclerosis complex.

François Pierre Combes, Guillaume Baneyx, Neva Coello, Penny Zhu, William Sallas, Hequn Yin, Jerry Nedelman

Abstract readClinical Trial, Phase III
PubMed Publisher
In one paragraph

Trial report in Journal of pharmacokinetics and pharmacodynamics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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  7. Article
  8. Therapeutic drug monitoring of oral targeted antineoplastic drugs.European journal of clinical pharmacology · 2021
    Review
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  11. 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

7 authors.

François Pierre CombesOncology/Pharmacometrics, Novartis Pharmaceuticals Corporation, One Health Plaza, 337/A06/7E, East Hanover, NJ, 07936-1080, USA. francois_pierre.combes@novartis.com.ORCID 0000-0002-8637-7372
Guillaume BaneyxPharmacometrics, Novartis Pharma AG, Basel, Switzerland.
Neva CoelloOncology/Pharmacometrics, Novartis Pharmaceuticals Corporation, One Health Plaza, 337/A06/7E, East Hanover, NJ, 07936-1080, USA.
Penny ZhuNovartis Institute for Biomedical Research, East Hanover, USA.
William SallasOncology/Pharmacometrics, Novartis Pharmaceuticals Corporation, One Health Plaza, 337/A06/7E, East Hanover, NJ, 07936-1080, USA.
Hequn YinNovartis Institute for Biomedical Research, East Hanover, USA.
Jerry NedelmanOncology/Pharmacometrics, Novartis Pharmaceuticals Corporation, One Health Plaza, 337/A06/7E, East Hanover, NJ, 07936-1080, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Everolimus is approved in Europe and in the USA for the adjunctive treatment of patients aged 2 years and older whose refractory partial-onset seizures, with or without secondary generalization, are associated with tuberous sclerosis complex. The objective of this analysis was to establish a population pharmacokinetic (PK)/pharmacodynamic model describing the relationship between seizure frequency and everolimus exposure to confirm the recommended target concentration range of 5-15 ng/mL. The PK model was a two-compartment model with first order absorption and clearance. CYP3A and P-gp inducers and body-surface area were shown to impact everolimus exposure, justifying dose adjustments. A Poisson distribution was found to adequately describe the random nature of daily seizure counts during the screening phase. A placebo effect on the Poisson seizure mean was implemented as an asymptotic exponential function of time leading to a new steady-state seizure mean. The everolimus effect was implemented as an inhibitory E

Indexed as

Administration, OralAdolescentAnticonvulsantsChildChild, PreschoolDose-Response Relationship, DrugEverolimusFemaleHumansMaleSeizuresTreatment OutcomeTuberous SclerosisAnticonvulsantsEverolimusCount dataEverolimusNon-linear mixed effect modelsPopulation PK/PDSeizuresTuberous sclerosis complex

Identifiers

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.