Evidence map›Paper›PMID 34800000›Full record

ArticleCPT: pharmacometrics & systems pharmacology2022

Physiologically based pharmacokinetic modeling of tadalafil to inform pediatric dose selection in children with pulmonary arterial hypertension.

Jessica Rehmel, Lisa Ferguson-Sells, Bridget L Morse, Baohui Li, Gemma L Dickinson

Open access · goldAbstract read
In one paragraph

Article in CPT: pharmacometrics & systems pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. 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

5 authors at 1 institution in 1 country.

Jessica RehmelEli Lilly and Company, Indianapolis, Indiana, USA.
Lisa Ferguson-SellsEli Lilly and Company, Indianapolis, Indiana, USA.ORCID 0000-0001-6507-7672
Bridget L MorseEli Lilly and Company, Indianapolis, Indiana, USA.
Baohui LiEli Lilly and Company, Indianapolis, Indiana, USA.ORCID 0000-0002-6451-1825
Gemma L DickinsonEli Lilly and Company, Indianapolis, Indiana, USA.
Eli Lilly (United States) · US

Funding

Eli Lilly and Company
6 · The paper itself

Abstract

Tadalafil, a phosphodiesterase 5 inhibitor, is being investigated as a treatment for pulmonary arterial hypertension (PAH) in children aged 6 months to less than 18 years. Tadalafil pharmacokinetic (PK) data in children less than 2 years old are unavailable, therefore a physiologically based pharmacokinetic (PBPK) model was developed to enable estimation of tadalafil doses in children less than 2 years old. The model was verified in adults and extended for use in children by modifying CYP3A-mediated intrinsic clearance to include CYP3A7. To account for co-dosing of the commonly prescribed moderate CYP3A4 inducer bosentan, predicted exposures were increased by a factor of 1.54 based on changes in exposure in adults with PAH. This factor was predictable using a bosentan PBPK model. The tadalafil model was verified in children aged greater than or equal to 2 years by comparing predicted and observed exposures. Tadalafil doses for children less than 2 years old were calculated as target area under the concentration curve from zero to 24 h (AUC

Indexed as

Pulmonary Arterial HypertensionAdultBosentanChildChild, PreschoolCytochrome P-450 CYP3A InducersHumansInfantPhosphodiesterase 5 InhibitorsTadalafilBosentanCytochrome P-450 CYP3A InducersPhosphodiesterase 5 InhibitorsTadalafil

Identifiers

PMID34800000
PMCPMC8846628
OpenAlexW3213700306

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.