Evidence map›Paper›PMID 32250464›Full record

ArticleBritish journal of clinical pharmacology2020

Enantiomer specific pharmacokinetics of ibuprofen in preterm neonates with patent ductus arteriosus.

Aline G J Engbers, Robert B Flint, Swantje Völler, Johan C A de Klerk, Irwin K M Reiss, Peter Andriessen, Kian D Liem, Pieter L J Degraeuwe, Siska Croubels, Joske Millecam and 3 more

Open access · hybridAbstract 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 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

13 authors at 6 institutions in 2 countries.

Aline G J EngbersDivision of Systems Biomedicine & Pharmacology, LACDR, Leiden University, Leiden, the Netherlands.ORCID 0000-0002-7230-0091
Robert B FlintDepartment of Paediatrics, Division of Neonatology, Erasmus UMC - Sophia Children's Hospital, Rotterdam, the Netherlands.ORCID 0000-0002-3658-594X
Swantje VöllerDivision of Systems Biomedicine & Pharmacology, LACDR, Leiden University, Leiden, the Netherlands.
Johan C A de KlerkDepartment of Paediatrics, Division of Neonatology, Erasmus UMC - Sophia Children's Hospital, Rotterdam, the Netherlands.
Irwin K M ReissDepartment of Paediatrics, Division of Neonatology, Erasmus UMC - Sophia Children's Hospital, Rotterdam, the Netherlands.
Peter AndriessenDepartment of Neonatology, Máxima Medical Centre, Veldhoven, the Netherlands.
Kian D LiemDepartment of Neonatology, Radboud University Medical Centre, Nijmegen, the Netherlands.
Pieter L J DegraeuweDepartment of Paediatrics, Division of Neonatology, Maastricht University Medical Centre, the Netherlands.
Siska CroubelsDepartment of Pharmacology, Toxicology and Biochemistry, Faculty of Veterinary Medicine, Ghent University, Belgium.
Joske MillecamDepartment of Pharmacology, Toxicology and Biochemistry, Faculty of Veterinary Medicine, Ghent University, Belgium.
Karel AllegaertDepartment of Paediatrics, Division of Neonatology, Erasmus UMC - Sophia Children's Hospital, Rotterdam, the Netherlands.
Sinno H P SimonsDepartment of Paediatrics, Division of Neonatology, Erasmus UMC - Sophia Children's Hospital, Rotterdam, the Netherlands.
Catherijne A J KnibbeDivision of Systems Biomedicine & Pharmacology, LACDR, Leiden University, Leiden, the Netherlands.
Erasmus MC - Sophia Children’s Hospital · NLLeiden University · NLRadboud University Nijmegen · NLGhent University · BEMaastricht University Medical Centre · NLRega Institute for Medical Research · BE

Funding

ZonMw 836011022
6 · The paper itself

Abstract

aimsRacemic ibuprofen is widely used for the treatment of preterm neonates with patent ductus arteriosus. Currently used bodyweight-based dosing guidelines are based on total ibuprofen, while only the S-enantiomer of ibuprofen is pharmacologically active. We aimed to optimize ibuprofen dosing for preterm neonates of different ages based on an enantiomer-specific population pharmacokinetic model.

methodsWe prospectively collected 210 plasma samples of 67 preterm neonates treated with ibuprofen for patent ductus arteriosus (median gestational age [GA] 26 [range 24-30] weeks, median body weight 0.83 [0.45-1.59] kg, median postnatal age [PNA] 3 [1-12] days), and developed a population pharmacokinetic model for S- and R-ibuprofen.

resultsWe found that S-ibuprofen clearance (CL

conclusionS-ibuprofen clearance shows important maturation, especially with PNA, resulting in an up to 3-fold increase in CL

Indexed as

Ductus Arteriosus, PatentIbuprofenGestational AgeHumansInfantInfant, NewbornInfant, PrematureStereoisomerismIbuprofenenantiomersibuprofenpatent ductus arteriosuspopulation pharmacokineticspreterm neonates

Identifiers

PMID32250464
PMCPMC7495289
OpenAlexW3015098480

What OpenQuestion holds

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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.