Evidence map›Paper›PMID 32340986›Full record

ArticleAntimicrobial agents and chemotherapy2020

Population Pharmacokinetic Analyses for Omadacycline Using Phase 1 and 3 Data.

Elizabeth A Lakota, Scott A Van Wart, Michael Trang, Evan Tzanis, Sujata M Bhavnani, M Courtney Safir, Lawrence Friedrich, Judith N Steenbergen, Paul G Ambrose, Christopher M Rubino

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Trial
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  5. Novel regimens for treatment ofbioRxiv : the preprint server for biology · 2026
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  20. Omadacycline: a novel aminomethylcycline.Infection and drug resistance · 2019
    Review
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

10 authors.

Elizabeth A LakotaInstitute for Clinical Pharmacodynamics, Inc., Schenectady, New York, USA.
Scott A Van WartInstitute for Clinical Pharmacodynamics, Inc., Schenectady, New York, USA.
Michael TrangInstitute for Clinical Pharmacodynamics, Inc., Schenectady, New York, USA.
Evan TzanisParatek Pharmaceuticals, King of Prussia, Pennsylvania, USA.
Sujata M BhavnaniInstitute for Clinical Pharmacodynamics, Inc., Schenectady, New York, USA.
M Courtney SafirInstitute for Clinical Pharmacodynamics, Inc., Schenectady, New York, USA.
Lawrence FriedrichParatek Pharmaceuticals, King of Prussia, Pennsylvania, USA.
Judith N SteenbergenParatek Pharmaceuticals, King of Prussia, Pennsylvania, USA.
Paul G AmbroseInstitute for Clinical Pharmacodynamics, Inc., Schenectady, New York, USA.
Christopher M RubinoInstitute for Clinical Pharmacodynamics, Inc., Schenectady, New York, USA crubino@icpd.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Omadacycline, a novel aminomethylcycline antibiotic with activity against Gram-positive and -negative organisms, including tetracycline-resistant pathogens, received FDA approval in October 2018 for the treatment of patients with acute bacterial skin and skin structure infections (ABSSSI) and community-acquired bacterial pneumonia (CABP). A previously developed population pharmacokinetic (PK) model based on phase 1 intravenous and oral PK data was refined using data from infected patients. Data from 10 phase 1 studies used to develop the previous model were pooled with data from three additional phase 1 studies, a phase 1b uncomplicated urinary tract infection study, one phase 3 CABP study, and two phase 3 ABSSSI studies. The final population PK model was a three-compartment model with first-order absorption using transit compartments to account for absorption delay following oral dosing and first-order elimination. Epithelial lining fluid (ELF) concentrations were modeled as a subcompartment of the first peripheral compartment. A food effect on oral bioavailability was included in the model. Sex was the only significant covariate identified, with 15.6% lower clearance for females than males. Goodness-of-fit diagnostics indicated a precise and unbiased fit to the data. The final model, which was robust in its ability to predict plasma and ELF exposures following omadacycline administration, was also able to predict the central tendency and variability in concentration-time profiles using an external phase 3 ABSSSI data set. A population PK model, which described omadacycline PK in healthy subjects and infected patients, was developed and subsequently used to support pharmacokinetic-pharmacodynamic (PK-PD) and PK-PD target attainment assessments.

Indexed as

Community-Acquired InfectionsTetracyclinesAdministration, IntravenousAnti-Bacterial AgentsClinical Trials, Phase I as TopicClinical Trials, Phase III as TopicFemaleHumansMaleAnti-Bacterial AgentsomadacyclineTetracyclinesomadacyclinepatientspopulation pharmacokinetics

Identifiers

PMID32340986
PMCPMC7318031

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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.