Evidence map›Paper›PMID 31310051›Full record

ArticleCPT: pharmacometrics & systems pharmacology2019

Application of Physiologically-Based and Population Pharmacokinetic Modeling for Dose Finding and Confirmation During the Pediatric Development of Moxifloxacin.

Stefan Willmann, Matthias Frei, Gabriele Sutter, Katrin Coboeken, Thomas Wendl, Thomas Eissing, Jörg Lippert, Heino Stass

Open access · goldAbstract read
In one paragraph

Article in CPT: pharmacometrics & systems pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

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  12. A comparison of different methods for the first-in-pediatric dose selection.Journal of clinical and translational research · 2022
    Article
  13. Moxifloxacin Pharmacokinetics, Cardiac Safety, and Dosing for the Treatment of Rifampicin-Resistant Tuberculosis in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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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

8 authors at 1 institution in 1 country.

Stefan WillmannClinical Pharmacometrics, Research & Development, Pharmaceuticals Bayer AG, Wuppertal, Germany.
Matthias FreiClinical Pharmacometrics, Research & Development, Pharmaceuticals Bayer AG, Berlin, Germany.
Gabriele SutterClinical Pharmacometrics, Research & Development, Pharmaceuticals Bayer AG, Berlin, Germany.
Katrin CoboekenClinical Pharmacometrics, Research & Development, Pharmaceuticals Bayer AG, Leverkusen, Germany.
Thomas WendlClinical Pharmacometrics, Research & Development, Pharmaceuticals Bayer AG, Leverkusen, Germany.
Thomas EissingClinical Pharmacometrics, Research & Development, Pharmaceuticals Bayer AG, Leverkusen, Germany.
Jörg LippertClinical Pharmacometrics, Research & Development, Pharmaceuticals Bayer AG, Wuppertal, Germany.
Heino StassClinical Pharmacology, Research & Development, Pharmaceuticals Bayer AG, Wuppertal, Germany.
Bayer (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Moxifloxacin is a widely used fluoroquinolone for the treatment of complicated intra-abdominal infections. We applied physiologically-based pharmacokinetic (PBPK) and population pharmacokinetic (popPK) modeling to support dose selection in pediatric patients. We scaled an existing adult PBPK model to children based on prior physiological knowledge. The resulting model proposed an age-dependent dosing regimen that was tested in a phase I study. Refined doses were then tested in a phase III study. A popPK analysis of all clinical pediatric data confirmed the PBPK predictions, including the proposed dosing schedule in children, and supported pharmacokinetics-related safety/efficacy questions. The pediatric PBPK model adequately predicted the doses necessary to achieve antimicrobial efficacy while maintaining safety in the phase I and III pediatric studies. Altogether, this study retroactively demonstrated the robustness and utility of modeling to support dose finding and confirmation in pediatric drug development for moxifloxacin.

Indexed as

AdolescentAnti-Bacterial AgentsChildChild, PreschoolClinical Trials, Phase I as TopicClinical Trials, Phase III as TopicComputer SimulationDrug Dosage CalculationsFemaleHumansInfantInfant, NewbornMaleModels, BiologicalMoxifloxacinAnti-Bacterial AgentsMoxifloxacin

Identifiers

PMID31310051
PMCPMC6765696
OpenAlexW2961063228

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.