Evidence map›Paper›PMID 31527022›Full record

ArticleAntimicrobial agents and chemotherapy2019

Population pharmacokinetics of ganciclovir after valganciclovir in renal transplant children.

A Facchin, V Elie, N Benyoub, S Magreault, A Maisin, T Storme, W Zhao, G Deschenes, E Jacqz-Aigrain

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

A FacchinDépartement de Pharmacologie Pédiatrique et Pharmacogénétique, CHU Robert Debré APHP, Paris, France.
V ElieDépartement de Pharmacologie Pédiatrique et Pharmacogénétique, CHU Robert Debré APHP, Paris, France.
N BenyoubDépartement de Pharmacologie Pédiatrique et Pharmacogénétique, CHU Robert Debré APHP, Paris, France.
S MagreaultDépartement de Pharmacologie Pédiatrique et Pharmacogénétique, CHU Robert Debré APHP, Paris, France.
A MaisinService de Néphrologie pédiatrique, Hôpital Robert Debré, APHP, Paris, France.
T StormeService de Pharmacie, CHU Robert Debré APHP, Paris, France.
W ZhaoDepartment of Clinical Pharmacy, School of Pharmaceutical Sciences, Shandong University, Jinan, China.
G DeschenesService de Néphrologie pédiatrique, Hôpital Robert Debré, APHP, Paris, France.
E Jacqz-AigrainDépartement de Pharmacologie Pédiatrique et Pharmacogénétique, CHU Robert Debré APHP, Paris, France evelyne.jacqz-aigrain@aphp.fr evelyne.jacqzaigrain@gmail.com.
Assistance Publique – Hôpitaux de Paris · FRUniversité Paris Cité · FRShandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundValganciclovir, the ganciclovir prodrug, is an antiviral agent administered orally to prevent or treat cytomegalovirus infection in solid organ transplant recipients. Dosing regimen of valganciclovir is still controversial in children, as the number of patients reaching the Area Under the Curve at steady state (AUC

methodsRenal transplant children who received valganciclovir to prevent or treat cytomegalovirus infection at Robert Debré University Hospital were included. Plasma ganciclovir concentrations were determined by high performance liquid chromatography and ultraviolet detection. Population pharmacokinetic analysis was performed with NONMEM software.

results104 patients, aged 2 to 20 years, treated with valganciclovir administered at a mean dose of 17.3 ± 6.1 mg/kg to prevent and/or treat cytomegalovirus infection after renal transplantation were included. A total of 1212 samples were available. A two-compartment model with first-order elimination best fitted the data: ganciclovir clearance increased with body surface area, was 15% higher in boys and decreased with increasing creatinine concentration. Central volume of distribution increased with body surface area and was 14% higher in boys. According to the personalized dosing regimen, 65.7% and 65.4% of children were predicted to achieve the AUC

conclusionA new pharmacokinetic model was built allowing to propose individualised dose adapted to renal transplanted paediatric patients characteristics.

Identifiers

PMID31527022
PMCPMC6879262
OpenAlexW2989649849

What OpenQuestion holds

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Registered trials

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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.