Evidence map›Paper›PMID 32856282›Full record

Observational studyClinical pharmacokinetics2020

Comparative Population Pharmacokinetics of Darunavir in SARS-CoV-2 Patients vs. HIV Patients: The Role of Interleukin-6.

Pier Giorgio Cojutti, Angela Londero, Paola Della Siega, Filippo Givone, Martina Fabris, Jessica Biasizzo, Carlo Tascini, Federico Pea

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Clinical pharmacokinetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Adjunctive treatment in COVID-19 and sepsis-What did we learn?Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023
    Review
  6. Article
  7. COVID-19 Vaccines and the Virus: Impact on Drug Metabolism and Pharmacokinetics.Drug metabolism and disposition: the biological fate of chemicals · 2023
    Review
  8. Review
  9. Review
  10. Article
  11. Observational
  12. Article
  13. Review
  14. Review
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  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Pier Giorgio CojuttiDepartment of Medicine, University of Udine, Udine, Italy.
Angela LonderoClinic of Infectious Diseases, Santa Maria della Misericordia University Hospital of Udine, ASUFC, Udine, Italy.
Paola Della SiegaClinic of Infectious Diseases, Santa Maria della Misericordia University Hospital of Udine, ASUFC, Udine, Italy.
Filippo GivoneClinic of Infectious Diseases, Santa Maria della Misericordia University Hospital of Udine, ASUFC, Udine, Italy.
Martina FabrisInstitute of Clinical Pathology, Santa Maria della Misericordia University Hospital of Udine, ASUFC, Udine, Italy.
Jessica BiasizzoInstitute of Clinical Pathology, Santa Maria della Misericordia University Hospital of Udine, ASUFC, Udine, Italy.
Carlo TasciniClinic of Infectious Diseases, Santa Maria della Misericordia University Hospital of Udine, ASUFC, Udine, Italy.
Federico PeaDepartment of Medicine, University of Udine, Udine, Italy. federico.pea@uniud.it.ORCID http://orcid.org/0000-0002-6966-7167
Ospedale Santa Maria della Misericordia di Udine · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDarunavir is an anti-HIV protease inhibitor repurposed for SARS-CoV-2 treatment.

objectiveThe aim of this study was to assess the population pharmacokinetics of darunavir in SARS-CoV-2 patients compared with HIV patients.

methodsTwo separate models were created by means of a nonlinear mixed-effect approach. The influence of clinical covariates on each basic model was tested and the association of significant covariates with darunavir parameters was assessed at multivariate regression and classification and regression tree (CART) analyses. Monte Carlo simulation assessed the influence of covariates on the darunavir concentration versus time profile.

resultsA one-compartment model well-described darunavir concentrations in both groups. In SARS-CoV-2 patients (n = 30), interleukin (IL)-6 and body surface area were covariates associated with darunavir oral clearance (CL/F) and volume of distribution (V

conclusionsThis is a proof-of-concept of SARS-CoV-2 disease-drug interactions, and may support the need for optimal dose selection of sensitive CYP3A4 substrates in severe SARS-CoV-2 patients.

Indexed as

AdultAgedAge FactorsBetacoronavirusBody Weights and MeasuresComorbidityCoronavirus InfectionsCOVID-19Cytochrome P-450 CYP3ADarunavirDose-Response Relationship, DrugFemaleHIV InfectionsHIV Protease InhibitorsHumansInterleukin-6Cytochrome P-450 CYP3ADarunavirHIV Protease InhibitorsInterleukin-6

Identifiers

PMID32856282
PMCPMC7453069
OpenAlexW3080260365

What OpenQuestion holds

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LicenceCC BY-NC
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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.