Evidence map›Paper›PMID 33595793›Full record

Trial reportEuropean journal of drug metabolism and pharmacokinetics2021

Population Pharmacokinetics of PEGylated Asparaginase in Children with Acute Lymphoblastic Leukemia: Treatment Phase Dependency and Predictivity in Case of Missing Data.

Gudrun Würthwein, Claudia Lanvers-Kaminsky, Christian Siebel, Joachim Gerß, Anja Möricke, Martin Zimmermann, Jan Stary, Petr Smisek, Martin Schrappe, Carmelo Rizzari and 5 more

Open access · hybridAbstract readClinical TrialMulticenter StudyValidation Study
In one paragraph

Trial report in European journal of drug metabolism and pharmacokinetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Activity and toxicity of intramuscular 1000 iu/mBritish journal of haematology · 2022
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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

15 authors at 5 institutions in 3 countries.

Gudrun WürthweinDepartment of Pediatric Hematology and Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany. wuerthg@ukmuenster.de.ORCID http://orcid.org/0000-0002-7617-183X
Claudia Lanvers-KaminskyDepartment of Pediatric Hematology and Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.ORCID http://orcid.org/0000-0002-9764-8035
Christian SiebelDepartment of Pediatric Hematology and Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.ORCID http://orcid.org/0000-0003-3518-9483
Joachim GerßInstitute of Biostatistics and Clinical Research, University Münster, Münster, Germany.ORCID http://orcid.org/0000-0003-3489-683X
Anja MörickeDepartment of Pediatrics, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Martin ZimmermannDepartment of Pediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany.
Jan StaryDepartment of Pediatric Hematology and Oncology, Charles University and University Hospital, Motol, Prague, Czech Republic.ORCID http://orcid.org/0000-0002-6818-7743
Petr SmisekDepartment of Pediatric Hematology and Oncology, Charles University and University Hospital, Motol, Prague, Czech Republic.ORCID http://orcid.org/0000-0003-3158-7484
Martin SchrappeDepartment of Pediatrics, Christian-Albrechts-University Kiel and University Medical Center Schleswig-Holstein, Kiel, Germany.
Carmelo RizzariPediatric Hematology-Oncology Unit, Department of Pediatrics, University of Milano-Bicocca, MBBM Foundation, ASST-Monza, Monza, Italy.ORCID http://orcid.org/0000-0002-4828-3893
Massimo ZucchettiDepartment of Oncology, Laboratory of Cancer Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.ORCID http://orcid.org/0000-0002-5427-052X
Georg HempelDepartment of Pharmaceutical and Medical Chemistry-Clinical Pharmacy, Münster, Germany.ORCID http://orcid.org/0000-0002-5790-6423
Sebastian G WichaDepartment of Clinical Pharmacy, Institute of Pharmacy, University of Hamburg, Hamburg, Germany.ORCID http://orcid.org/0000-0002-8773-4845
Joachim BoosDepartment of Pediatric Hematology and Oncology, University Hospital Münster, Albert-Schweitzer-Campus 1, Building A1, 48149, Münster, Germany.ORCID http://orcid.org/0000-0003-2954-2025
AIEOP-BFM ALL 2009 Asparaginase Working Party
University Hospital Münster · DECharles University · CZChristian-Albrechts-Universität zu Kiel · DEMario Negri Institute for Pharmacological Research · ITUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe pharmacokinetics of polyethylene glycol-conjugated asparaginase (PEG-ASNase) are characterized by an increase in elimination over time, a marked increase in ASNase activity levels from induction to reinduction, and high inter- and intraindividual variability. A population pharmacokinetic (PopPK) model is required to estimate individual dose intensity, despite gaps in monitoring compliance.

methodsIn the AIEOP-BFM ALL 2009 trial, two PEG-ASNase administrations (2500 U/m

resultsCompared to the first administration in induction (1374 patients, 6069 samples), the initial clearance and volume of distribution decreased by 11.0% and 15.9%, respectively, during the second administration during induction and by 41.2% and 28.4% during reinduction. Furthermore, the initial clearance linearly increased for children aged > 8 years and was 7.1% lower for females. The model was successfully externally validated (1253 patients, 5523 samples). In case of missing data, > 52% of the predictions for observations and > 82% for derived parameters were within ± 20% of the nominal value.

conclusionA PopPK model that describes the complex pharmacokinetics of PEG-ASNase was successfully externally validated. AUC

Indexed as

Models, BiologicalAdolescentAntineoplastic AgentsArea Under CurveAsparaginaseChildChild, PreschoolFemaleHumansInfantMalePolyethylene GlycolsPrecursor Cell Lymphoblastic Leukemia-LymphomaTissue DistributionAntineoplastic AgentsAsparaginasepegaspargasePolyethylene Glycols

Identifiers

PMID33595793
PMCPMC7935823
OpenAlexW3129965512

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.