Evidence map›Paper›PMID 31657864›Full record

ArticleBritish journal of clinical pharmacology2020

Pharmacokinetic basis for dosing high-dose methotrexate in infants and young children with malignant brain tumours.

John C Panetta, Jessica K Roberts, Jie Huang, Tong Lin, Vinay M Daryani, K Elaine Harstead, Yogesh T Patel, Arzu Onar-Thomas, Olivia Campagne, Deborah A Ward and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 15% 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, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A Systematic Review of Population Pharmacokinetic Models of Methotrexate.European journal of drug metabolism and pharmacokinetics · 2022
    Pooled it
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  12. Population pharmacokinetics of methotrexate and 7-hydroxymethotrexate and delayed excretion in infants and young children with brain tumors.European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2024
    Article
  13. Review
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  16. Observational
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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

14 authors at 1 institution in 1 country.

John C PanettaDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Jessica K RobertsDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Jie HuangDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
Tong LinDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
Vinay M DaryaniDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
K Elaine HarsteadDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Yogesh T PatelDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Arzu Onar-ThomasDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
Olivia CampagneDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Deborah A WardDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Alberto BroniscerDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Giles RobinsonDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Amar GajjarDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Clinton F StewartDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID 0000-0002-1546-9720
St. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
Anticancer Drug Pharmacology in Very Young ChildrenR01CA154619 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI STEWART, CLINTON F · 2012 to 2016
$2.1M
American Lebanese Syrian Associated Charities (ALSAC)NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA154619
6 · The paper itself

Abstract

aimsNo population pharmacokinetic studies of high-dose methotrexate (HDMTX) have been conducted in infants with brain tumours, which are a vulnerable population. The aim of this study was to evaluate HDMTX disposition in these children to provide a rational basis for MTX dosing.

methodsPatients received 4 monthly courses of HDMTX (5 g/m

resultsThe population pharmacokinetics of HDMTX were estimated in 178 patients (age range 0.02-4.7 years) in 648 courses. The population clearance and volume were 90 mL/min/m

conclusionsBy aggressively following institutional clinical guidelines, HDMTX-related toxicities were low, and using covariates from the population pharmacokinetic model enabled the calculation of a rational dosage for this patient population for future clinical trials.

Indexed as

Brain NeoplasmsDrug-Related Side Effects and Adverse ReactionsAgedAntimetabolites, AntineoplasticChildChild, PreschoolHumansInfantInfant, NewbornLeucovorinMethotrexateAntimetabolites, AntineoplasticLeucovorinMethotrexateanticancer drugs<oncologychildren<paediatricspharmacokinetics-pharmacodynamics<pharmacodynamicspopulation analysis<pharmacodynamics

Identifiers

PMID31657864
PMCPMC7015755
OpenAlexW2982482864

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.