Evidence map›Paper›PMID 33257454›Full record

ArticleAntimicrobial agents and chemotherapy2021

Population Pharmacokinetic and Pharmacokinetic/Pharmacodynamic Analyses of Cefiderocol, a Parenteral Siderophore Cephalosporin, in Patients with Pneumonia, Bloodstream Infection/Sepsis, or Complicated Urinary Tract Infection.

Nao Kawaguchi, Takayuki Katsube, Roger Echols, Toshihiro Wajima

Open access · hybridAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Drug-resistantClinical microbiology reviews · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  18. Optimizing Antibiotic Therapy forAntibiotics (Basel, Switzerland) · 2024
    Article
  19. Antibiotic Treatment of Carbapenem-ResistantAntibiotics (Basel, Switzerland) · 2024
    Review
  20. Article
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

4 authors at 2 institutions in 2 countries.

Nao KawaguchiClinical Pharmacology & Pharmacokinetics, Shionogi & Co., Ltd., Osaka, Japan.ORCID 0000-0002-9382-2382
Takayuki KatsubeClinical Pharmacology & Pharmacokinetics, Shionogi & Co., Ltd., Osaka, Japan takayuki.katsube@shionogi.co.jp.ORCID 0000-0001-9569-716X
Roger EcholsInfectious Disease Drug Development Consulting, LLC, Easton, Connecticut, USA.
Toshihiro WajimaClinical Pharmacology & Pharmacokinetics, Shionogi & Co., Ltd., Osaka, Japan.
Shionogi (Japan) · JPInfectious Disease Consultants · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cefiderocol is a novel siderophore cephalosporin with antibacterial activity against Gram-negative bacteria, including carbapenem-resistant strains. The standard dosing regimen of cefiderocol is 2 g administered every 8 hours over 3 hours infusion in patients with creatinine clearance (CrCL) of 60 to 119 ml/min, and it is adjusted for patients with <60 ml/min or ≥120 ml/min CrCL. A population pharmacokinetic (PK) model was constructed using 3,427 plasma concentrations from 91 uninfected subjects and 425 infected patients with pneumonia, bloodstream infection/sepsis (BSI/sepsis), and complicated urinary tract infection (cUTI). Plasma cefiderocol concentrations were adequately described by the population PK model, and CrCL was the most significant covariate. No other factors, including infection sites and mechanical ventilation, were clinically relevant, although the effect of infection sites was identified as a statistically significant covariate in the population PK analysis. No clear pharmacokinetic/pharmacodynamic relationship was found for any of the microbiological outcome, clinical outcome, or vital status. This is because the estimated percentage of time for which free plasma concentrations exceed the minimum inhibitory concentration (MIC) over dosing interval (%

Indexed as

BacteremiaPneumoniaSepsisUrinary Tract InfectionsAnti-Bacterial AgentsCefiderocolCephalosporinsHumansMicrobial Sensitivity TestsSiderophoresAnti-Bacterial AgentsCefiderocolCephalosporinsSiderophoresaugmented renal functionbloodstream infectionscefiderocolcephalosporincomplicated urinary tract infectionpharmacodynamicspneumoniapopulation pharmacokineticsventilation

Identifiers

PMID33257454
PMCPMC8092503
OpenAlexW3108418601

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.