Evidence map›Paper›PMID 34931283›Full record

ReviewClinical pharmacokinetics2022

Clinical Pharmacokinetics and Pharmacodynamics of Dalbavancin.

Kyle C Molina, Matthew A Miller, Scott W Mueller, Edward T Van Matre, Martin Krsak, Tyree H Kiser

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Clinical pharmacokinetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06266494 (Prevention and Treatment of Frostbite Infection With Antimicrobial Pharmacokinetic Analysis), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 12% 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.

NCT06266494 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Prevention and Treatment of Frostbite Infection With Antimicrobial Pharmacokinetic Analysis

TypeinterventionalSponsorUniversity of Colorado, DenverRan2024 to 2026Enrolled100ConditionsFrostbiteArmsLong-Acting silver dressings, Aloe Vera, Dalbavancin
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Dalbavancin for infective endocarditis: A systematic review of effectiveness, safety, and dosing.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Pooled it
  2. Updated antimicrobial dosing recommendations for obese patients.Antimicrobial agents and chemotherapy · 2024
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Mannose Derivatives as Anti-Infective Agents.International journal of molecular sciences · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Dalbavancin as suppressive therapy for implant-related infections: a case series with therapeutic drug monitoring and review of the literature.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Review
  18. [Outpatient parenteral anti-infective therapy (OPAT)].Innere Medizin (Heidelberg, Germany) · 2024
    Article
  19. Article
  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

6 authors at 3 institutions in 1 country.

Kyle C MolinaDepartment of Pharmacy Services, University of Colorado Hospital, Aurora, CO, USA.
Matthew A MillerDepartment of Pharmacy Services, University of Colorado Hospital, Aurora, CO, USA.
Scott W MuellerDepartment of Pharmacy Services, University of Colorado Hospital, Aurora, CO, USA.
Edward T Van MatreClinical Pharmacy and Translational Science, University of Tennessee Health Sciences Center College of Pharmacy, Memphis, TN, USA.
Martin KrsakDepartment of Medicine, Division of Infectious Diseases, University of Colorado School of Medicine, Aurora, CO, USA.
Tyree H KiserDepartment of Pharmacy Services, University of Colorado Hospital, Aurora, CO, USA. ty.kiser@cuanschutz.edu.ORCID http://orcid.org/0000-0001-7415-3999
University of Colorado Hospital · USUniversity of Colorado Denver · USUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dalbavancin is a synthetic lipoglycopeptide that exerts its antimicrobial activity through two distinct modes of action, inhibition of cell wall synthesis and an anchoring mechanism. Compared with previous glycopeptide antibiotics, dalbavancin demonstrates improved antibacterial potency against Gram-positive organisms and a long half-life of approximately 1 week, which is longer in tissues (e.g., skin, bone) than plasma. These factors facilitated the development of single-dose or once-weekly dosing regimens to treat acute bacterial skin and skin structure infections (ABSSSI). Dalbavancin exhibits dose-proportional pharmacokinetics and is highly protein bound (93%). Despite being highly protein bound, it has a steady-state volume of distribution >10 L and distributes widely into the skin, bone, peritoneal space, and epithelial lining fluid, but not cerebrospinal fluid. Dalbavancin elimination occurs via a combination of renal (approximately 45%) and non-renal clearance, with dose adjustments recommended only in patients with a creatinine clearance <30 mL/min not receiving any form of dialysis. The established pharmacokinetic/pharmacodynamic index associated with bacterial kill is free area under the concentration-time curve over the minimum inhibitory concentration (fAUC/MIC), with a goal 24-h fAUC/MIC of at least 27.1 for Staphylococcus aureus infections. Recent data suggest usefulness in the treatment of infections beyond ABSSSI, with convenient dosing and redosing strategies for complicated infections requiring extended treatment durations. Additional studies are needed to confirm these preliminary findings.

Indexed as

Anti-Bacterial AgentsTeicoplaninHumansLipoglycopeptidesMicrobial Sensitivity TestsAnti-Bacterial AgentsdalbavancinLipoglycopeptidesTeicoplanin

Identifiers

PMID34931283
OpenAlexW4200502491

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.