Evidence map›Paper›PMID 34452263›Full record

ReviewPharmaceutics2021

Modelling Tools to Characterize Acetaminophen Pharmacokinetics in the Pregnant Population.

Sofie A M Brookhuis, Karel Allegaert, Lidwien M Hanff, Marjolijn N Lub-de Hooge, André Dallmann, Paola Mian

Open access · goldAbstract readReview
In one paragraph

Review in Pharmaceutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Current approaches and advances in placental toxicology.Trends in endocrinology and metabolism: TEM · 2026
    Review
  5. Review
  6. Review
  7. Associations between cord blood acetaminophen biomarkers and childhood asthma with and without allergic comorbidities.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
  8. Review
  9. Perioperative Acetaminophen Dosing in Obese Children.Children (Basel, Switzerland) · 2023
    Review
  10. Review
  11. Pharmacotherapy during Pregnancy, Childbirth, and Lactation.International journal of environmental research and public health · 2022
    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

6 authors at 4 institutions in 3 countries.

Sofie A M BrookhuisPrincess Maxima Centre for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Karel AllegaertDepartment of Development and Regeneration, KU Leuven, 3000 Leuven, Belgium.ORCID 0000-0001-9921-5105
Lidwien M HanffPrincess Maxima Centre for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Marjolijn N Lub-de HoogeDepartment of Medical Oncology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
André DallmannPharmacometrics/Modeling and Simulation, Research and Development, Pharmaceuticals, Bayer AG, 51373 Leverkusen, Germany.ORCID 0000-0003-1108-5719
Paola MianPrincess Maxima Centre for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Princess Máxima Center · NLUniversity Medical Center Groningen · NLBayer (Germany) · DEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review describes acetaminophen pharmacokinetics (PK) throughout pregnancy, as analyzed by three methods (non-compartmental analyses (NCA), population PK, and physiologically based PK (PBPK) modelling). Eighteen studies using NCA were reported in the scientific literature. These studies reported an increase in the volume of distribution (3.5-60.7%) and an increase in the clearance (36.8-84.4%) of acetaminophen in pregnant women compared to non-pregnant women. Only two studies using population PK modelling as a technique were available in the literature. The largest difference in acetaminophen clearance (203%) was observed in women at delivery compared to non-pregnant women. One study using the PBPK technique was found in the literature. This study focused on the formation of metabolites, and the toxic metabolite N-acetyl-p-benzoquinone imine was the highest in the first trimester, followed by the second and third trimester, compared with non-pregnant women. In conclusion, this review gave an overview on acetaminophen PK changes in pregnancy. Also, knowledge gaps, such as fetal and placenta PK parameters, have been identified, which should be explored further before dosing adjustments can be suggested on an evidence-based basis.

Indexed as

acetaminophenpharmacokineticspregnancy

Identifiers

PMID34452263
PMCPMC8400310
OpenAlexW3195567228

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.