Evidence map›Paper›PMID 30261554›Full record

ArticleBritish journal of clinical pharmacology2019

Population pharmacokinetics of carboplatin, etoposide and melphalan in children: a re-evaluation of paediatric dosing formulas for carboplatin in patients with normal or mild impairment of renal function.

J K Duong, G J Veal, C E Nath, P J Shaw, J Errington, R Ladenstein, A V Boddy

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 3 institutions in 3 countries.

J K DuongFaculty of Pharmacy, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-2347-7277
G J VealNorthern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-1897-8678
C E NathFaculty of Pharmacy, University of Sydney, Sydney, NSW, Australia.
P J ShawBMT Services, The Children's Hospital at Westmead, Westmead, NSW, Australia.
J ErringtonNorthern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK.
R LadensteinChildren's Cancer Research Institute, St Anna Children's Hospital, Vienna, Austria.
A V BoddyFaculty of Pharmacy, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-8920-9286
The University of Sydney · AUNewcastle University · GBSt Anna Children's Hospital · AT

Funding

Cancer Research UK
6 · The paper itself

Abstract

aimsCarboplatin dosage is calculated by using the estimated glomerular filtration rate (GFR) to achieve a target plasma area under the plasma concentration-time curve (AUC). The aims of the present study were to investigate factors that influence the pharmacokinetics of carboplatin in children with high-risk neuroblastoma, and whether target exposures for carboplatin were achieved using current treatment protocols.

methodsData on children receiving high-dose carboplatin, etoposide and melphalan for neuroblastoma were obtained from two study sites [European International Society for Paediatric Oncology (SIOP) Neuroblastoma study, Children's Hospital at Westmead; n = 51]. A population pharmacokinetic model was built for carboplatin to evaluate various dosing formulas. The pharmacokinetics of etoposide and melphalan was also investigated. The final model was used to simulate whether target carboplatin AUC (16.4 mg ml

resultsAllometric weight was the only significant, independent covariate for the pharmacokinetic parameters of carboplatin, etoposide and melphalan. The paediatric Newell formula and modified Calvert formula were suitable for achieving the target AUC of carboplatin for children with a GFR <100 ml min

conclusionsGFR did not appear to influence the pharmacokinetics of carboplatin after adjusting pharmacokinetic parameters for weight. This model-based approach validates the use of weight-based dosing as an appropriate alternative for carboplatin in children with either mild renal impairment or normal renal function.

Indexed as

Age FactorsAntineoplastic AgentsArea Under CurveBody WeightCarboplatinChildChild, PreschoolDose-Response Relationship, DrugDrug Dosage CalculationsEtoposideFemaleGlomerular Filtration RateHumansInfantKidneyMaleAntineoplastic AgentsCarboplatinEtoposideMelphalancarboplatindosing formulaspaediatric dosingpharmacokinetics

Identifiers

PMID30261554
PMCPMC6303207
OpenAlexW2892574159

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.