Evidence map›Paper›PMID 37378040›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2023

Therapeutic Drug Monitoring of Isavuconazole: Lessons Learnt from a Real-life Setting in a Tertiary Care Center in India.

Parikshit Shirish Prayag, Rajeev N Soman, Shweta P Panchakshari, Preeti S Ajapuje, Namita P Mahale, Surabhi Dhupad, Sampada A Patwardhan, Sadanand S Naik, Sharwari Narawade, Anand Athavale and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. ISCCM Position Statement on the Management of Invasive Fungal Infections in the Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  4. Therapeutic Drug Monitoring of Isavuconazole-But What about the Critically Ill?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  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

13 authors at 2 institutions in 2 countries.

Parikshit Shirish PrayagDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-2102-7627
Rajeev N SomanDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-1578-9932
Shweta P PanchakshariDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-5708-3287
Preeti S AjapujeDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-4095-3028
Namita P MahaleDepartment of Microbiology, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-0879-2423
Surabhi DhupadDepartment of Infectious Diseases, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-4251-6411
Sampada A PatwardhanDepartment of Microbiology, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-0998-5742
Sadanand S NaikDepartment of Biochemistry, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-3318-665X
Sharwari NarawadeDepartment of Biochemistry, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0001-8747-5049
Anand AthavalePresbyterian Hospital, Albuquerque, New Mexico, United States of America.ORCID https://orcid.org/0000-0002-6225-6568
Sanjith SaseedharanDepartment of Critical Care Medicine, SL Raheja Hospital, Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0003-4299-4317
Sameer MelinkeriDepartment of Hematology, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0003-4608-4281
Amrita P PrayagDepartment of In-house Research, Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra, India.ORCID https://orcid.org/0000-0002-2498-9576
Deenanath Mangeshkar Hospital and Research Center · INUniversity of New Mexico Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Isavuconazole is an emerging therapeutic option for invasive infections caused by molds, especially aspergillosis and mucormycosis. Isavuconazole has predictable pharmacokinetics and good bioavailability. These attributes have led to some doubts regarding the need for therapeutic drug monitoring (TDM). There are no data from India regarding TDM for isavuconazole. Methods: A retrospective analysis of 50 patients who received oral isavuconazole for therapeutic purposes. Plasma isavuconazole levels were measured using a reversed phase high-performance liquid chromatography (HPLC) and UV detector with acetonitrile (ACN) as protein precipitating solvent. Results: Of the 50 cases, 5 (10.0%) patients had subtherapeutic levels, while 45 (90.0%) had therapeutic levels. Higher body weight and solid organ transplantation (SOT) were significantly associated with subtherapeutic levels of isavuconazole ( Conclusion: Our study reemphasizes the need of TDM for isavuconazole and adds to the growing evidence for the need to obtain drug levels. Factors associated with subtherapeutic levels of isavuconazole need to be assessed in larger studies to help identify those patients who are at risk of having subtherapeutic drug levels. How to cite this article: Prayag PS, Soman RN, Panchakshari SP, Ajapuje PS, Mahale NP, Dhupad S,

Indexed as

AspergillosisDrug monitoringFungal infectionsFungusIsavuconazoleMold infectionsMucormycosisTherapeutic drug monitoring

Identifiers

PMID37378040
PMCPMC10291642
OpenAlexW4362470322

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.