Evidence map›Paper›PMID 30672004›Full record

ArticleBritish journal of clinical pharmacology2019

Population pharmacokinetics of lenalidomide in patients with B-cell malignancies.

Jim H Hughes, Mitch A Phelps, Richard N Upton, Stephanie E Reuter, Yue Gao, John C Byrd, Michael R Grever, Craig C Hofmeister, Guido Marcucci, William Blum and 2 more

Open access · bronzeAbstract read
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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

14 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  10. Population Pharmacokinetic Model for Tramadol and O-desmethyltramadol in Older Patients.European journal of drug metabolism and pharmacokinetics · 2022
    Article
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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

12 authors at 2 institutions in 2 countries.

Jim H HughesAustralian Centre for Pharmacometrics, School of Pharmacy and Medical Sciences, Division of Health Sciences, University of South Australia, Australia.ORCID 0000-0002-1862-5805
Mitch A PhelpsComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.ORCID 0000-0002-1615-5280
Richard N UptonAustralian Centre for Pharmacometrics, School of Pharmacy and Medical Sciences, Division of Health Sciences, University of South Australia, Australia.ORCID 0000-0001-9996-4886
Stephanie E ReuterSchool of Pharmacy and Medical Sciences, Division of Health Sciences, University of South Australia, Australia.ORCID 0000-0003-3888-7287
Yue GaoDivision of Pharmaceutics, College of Pharmacy, The Ohio State University, Columbus, OH, USA.
John C ByrdComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
Michael R GreverComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
Craig C HofmeisterComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.ORCID 0000-0003-4816-1607
Guido MarcucciComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
William BlumComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
Kristie A BlumComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
David J R FosterAustralian Centre for Pharmacometrics, School of Pharmacy and Medical Sciences, Division of Health Sciences, University of South Australia, Australia.ORCID 0000-0002-7345-4084
The Ohio State University · USUniversity of South Australia · AU

Funding

UM1 Supplement for Early Therapeutic Trials with Phase 2 IntentUM1CA186712 · NCI · OHIO STATE UNIVERSITY · PI SUSANNE M ARNOLD, WILLIAM E. CARSON · 2014 to 2026
$19.3M
PHASE I TRIALS OF ANTICANCER AGENTSU01CA076576 · NCI · OHIO STATE UNIVERSITY · PI GREVER, MICHAEL R · 1998 to 2013
$9.1M
Targeted Therapy for LeukemiaR35CA197734 · NCI · UNIVERSITY OF CINCINNATI · PI BYRD, JOHN C. · 2015 to 2021
$6.6M
Overcoming IMiD resistance in MyelomaR01CA201382 · NCI · OHIO STATE UNIVERSITY · PI HOFMEISTER, CRAIG C., PHELPS, MITCH A · 2016 to 2020
$2.6M
NCI NIH HHS R01 CA201382NCI NIH HHS R35 CA197734NCI NIH HHS U01 CA076576NCI NIH HHS UM1 CA186712
6 · The paper itself

Abstract

aimsLenalidomide is an immunomodulatory imide drug used broadly in the treatment of multiple myeloma and lymphoma. It continues to be evaluated in chronic lymphocytic leukaemia (CLL) at lower doses due to dose-related toxicities including tumour flare and tumour lysis syndrome. This study aimed to develop a population pharmacokinetic model for lenalidomide in multiple cancers, including CLL, to identify any disease-related differences in disposition.

methodsLenalidomide concentrations from 4 clinical trials were collated (1999 samples, 125 subjects), covering 4 cancers (multiple myeloma, CLL, acute myeloid leukaemia and acute lymphoblastic leukaemia) and a large dose range (2.5-75 mg). A population pharmacokinetic model was developed with NONMEM and patient demographics were tested as covariates.

resultsThe data were best fitted by a 1-compartment kinetic model with absorption described by 7 transit compartments. Clearance and volume of distribution were allometrically scaled for fat-free mass. The population parameter estimates for apparent clearance, apparent volume of distribution and transit rate constant were 12 L/h (10.8-13.6), 68.8 L (61.8-76.3), and 13.5 h

conclusionsThis is the first report of a lenalidomide population pharmacokinetic model to evaluate lenalidomide pharmacokinetics in patients with CLL and compare its pharmacokinetics with other B-cell malignancies. As no differences in pharmacokinetics were found between the observed cancer-types, the unique toxicities observed in CLL may be due to disease-specific pharmacodynamics.

Indexed as

Renal EliminationAdministration, OralAdultAgedBiological AvailabilityB-LymphocytesClinical Trials, Phase I as TopicCreatinineDatasets as TopicDose-Response Relationship, DrugFemaleHumansImmunologic FactorsLenalidomideLeukemia, Lymphocytic, Chronic, B-CellLeukemia, Myeloid, AcuteCreatinineImmunologic FactorsLenalidomideabsorptionchemotherapyNONMEMP-glycoproteinpharmacometrics

Identifiers

PMID30672004
PMCPMC6475687
OpenAlexW2914654244

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.