Evidence map›Paper›PMID 35284983›Full record

ArticlePaediatric drugs2022

Population Pharmacokinetics of Moxifloxacin in Children.

Rachel G Greenberg, Cornelia B Landersdorfer, Nazario Rivera-Chaparro, Melissa Harward, Thomas Conrad, Aya Nakamura, Carl M Kirkpatrick, Kenan Gu, Varduhi Ghazaryhan, Blaire Osborn and 1 more

Open access · greenAbstract read
In one paragraph

Article in Paediatric drugs, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Inclusion of Women, Children, the Elderly, and Individuals With Underlying Medical Conditions: Prioritizing Vulnerable Populations in Clinical Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  3. Review
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

11 authors at 5 institutions in 2 countries.

Rachel G GreenbergDuke Clinical Research Institute, Duke University School of Medicine, 300 W. Morgan St, Durham, NC, 27701, USA. rachel.greenberg@duke.edu.ORCID http://orcid.org/0000-0003-4156-8543
Cornelia B LandersdorferMonash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia.
Nazario Rivera-ChaparroDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Melissa HarwardDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Thomas ConradMonash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia.
Aya NakamuraThe Emmes Company, LLC, Rockville, MD, USA.
Carl M KirkpatrickMonash Institute of Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia.
Kenan GuDivision of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Varduhi GhazaryhanDivision of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Blaire OsbornOffice of Clinical Pharmacology, United States Food and Drug Administration, Silver Spring, MD, USA.
Emmanuel B WalterDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Duke University · USMonash University · AUNational Institutes of Health · USEmmes (United States) · USUnited States Food and Drug Administration · US

Funding

NIAID NIH HHS HHSN272201300017CNIAID NIH HHS HHSN272201300017INIAID NIH HHS HHSN272201500002Cthis project was supported by the division of microbiology and infectious diseases (dmid), national institute of allergy and infectious diseases (niaid) of nih through the vaccine and treatment evaluation units (vteu), and the us department of health and h Duke University HHSN272201300017Ithis project was supported by the division of microbiology and infectious diseases (dmid), national institute of allergy and infectious diseases (niaid) of nih through the vaccine and treatment evaluation units (vteu), and the us department of health and h Emmes HHSN272201500002Cthis project was supported by the division of microbiology and infectious diseases (dmid), national institute of allergy and infectious diseases (niaid) of nih through the vaccine and treatment evaluation units (vteu), and the us department of health and h FY2016A1B1C1D1.0026this project was supported by the division of microbiology and infectious diseases (dmid), national institute of allergy and infectious diseases (niaid) of nih through the vaccine and treatment evaluation units (vteu), and the us department of health and h HHSN27200009
6 · The paper itself

Abstract

BACKGROUND/

objectiveMoxifloxacin is a fluoroquinolone that is commonly used in adults, but not children. Certain clinical situations compel pediatric clinicians to use moxifloxacin, despite its potential for toxicity and limited pharmacokinetics (PK) data. Our objective was to further characterize the pharmacokinetics of moxifloxacin in children.

methodsWe performed an opportunistic, open-label population PK study of moxifloxacin in children < 18 years of age who received moxifloxacin as part of standard care. A set of structural PK models and residual error models were explored using nonlinear mixed-effects modeling. Covariates with known biological relationships were investigated for their influence on PK parameters.

resultsWe obtained 43 moxifloxacin concentrations from 14 participants who received moxifloxacin intravenously (n = 8) or orally (n = 6). The dose of moxifloxacin was 10 mg/kg daily in participants ≤ 40 kg and 400 mg daily in participants > 40 kg. The population mean clearance and mean volume of distribution were 18.2 L/h and 167 L, respectively. The oral absorption was described by a first-order process. The estimated extent of oral bioavailability was highly variable (range 20-91%). Total body weight was identified as a covariate on clearance and volume of distribution, and substantially reduced the random unexplained inter-individual variability for both parameters. No participants experienced suspected serious adverse reactions related to moxifloxacin.

conclusionThese data add to the existing literature to support use of moxifloxacin in children in certain situations; however, further prospective studies on the safety and efficacy of moxifloxacin are needed.

Indexed as

MoxifloxacinAdultChildHumansProspective StudiesMoxifloxacin

Identifiers

PMID35284983
PMCPMC9768852
OpenAlexW4220997610

What OpenQuestion holds

Textmetadata
LicenceTDM
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.