Evidence map›Paper›PMID 34252297›Full record

Observational studyAntimicrobial agents and chemotherapy2021

Pharmacokinetics of Polymyxin B in Hospitalized Adults with Cystic Fibrosis.

Ryan L Crass, Tamara Al Naimi, Bo Wen, Ernane Souza, Susan Murray, Manjunath P Pai, Shijing Jia

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Antimicrobial agents and chemotherapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04335370 (Pharmacokinetics of Polymyxin B in Adult Patients With Cystic Fibrosis), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 19% 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.

NCT04335370 completednot on this map

Pharmacokinetics of Polymyxin B in Adult Patients With Cystic Fibrosis

TypeobservationalSponsorUniversity of MichiganRan2019 to 2021Enrolled9ConditionsCystic Fibrosis, Polymyxin BArmsBlood Draw
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  11. How can polymyxin B be dosed based on current pharmacokinetic knowledge?European journal of clinical pharmacology · 2024
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  13. Review
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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

7 authors at 1 institution in 1 country.

Ryan L CrassAnn Arbor Pharmacometrics Group, Ann Arbor, Michigan, USA.ORCID 0000-0001-5403-4730
Tamara Al NaimiCollege of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.
Bo WenCollege of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.
Ernane SouzaCollege of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.
Susan MurrayDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan, USA.
Manjunath P PaiCollege of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-7119-5034
Shijing JiaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
University of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal polymyxin B dosage needed to achieve an efficacy target of 50 to 100 mg · h/liter when treating multidrug-resistant bacterial infections in adult cystic fibrosis (CF) patients is unclear. The pharmacokinetics of intravenous polymyxin B were evaluated to better inform dosing. This was a prospective, observational pharmacokinetic (PK) study of nine CF adults receiving intravenous polymyxin B as part of usual clinical care. Doses preceding PK sampling ranged from 50 to 100 mg every 12 h. Five PK samples were collected following the fourth or fifth dose and concentrations of polymyxin subcomponents B1 and B2 were quantified using liquid chromatography mass spectrometry (LC-MS). Population PK (NONMEM software) analysis was performed using pooled polymyxin B1+B2 concentrations. Participants were Caucasian, predominantly male, with mean age and weight of 31 years (range 21 to 57 years) and 58.0 kg (range 38.3 to 70.4 kg), respectively. A 1-compartment zero-order infusion and linear elimination model adequately described the data with estimated clearance and volume of distribution being 2.09 liters/h and 12.7 liters, respectively, corresponding to a 4.1 h mean half-life (

Indexed as

Anti-Bacterial AgentsCystic FibrosisPolymyxin BAdultDrug Resistance, Multiple, BacterialFemaleHumansMaleMiddle AgedProspective StudiesYoung AdultAnti-Bacterial AgentsPolymyxin Bbody weightneurotoxocitypopulation pharmacokinetics

Identifiers

PMID34252297
PMCPMC8448113
OpenAlexW3178411331

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.