Evidence map›Paper›PMID 37803937›Full record

ArticlePharmacology research & perspectives2023

Dose rationale for gabapentin and tramadol in pediatric patients with chronic pain.

Paul Healy, Luka Verrest, Mariagrazia Felisi, Adriana Ceci, Oscar Della Pasqua, GAPP Consortium

Open access · goldAbstract read
In one paragraph

Article in Pharmacology research & perspectives, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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 2 countries.

Paul HealyClinical Pharmacology & Therapeutics Group, School of Pharmacy, University College London, London, UK.
Luka VerrestClinical Pharmacology & Therapeutics Group, School of Pharmacy, University College London, London, UK.
Mariagrazia FelisiCVBF-Consorzio per le Valutazioni Biologiche e Farmacologiche, Pavia, Italy.
Adriana CeciFondazione per la Ricerca Farmacologica Gianni Benzi onlus, Valenzano, Italy.
Oscar Della PasquaClinical Pharmacology & Therapeutics Group, School of Pharmacy, University College London, London, UK.ORCID 0000-0002-6211-1430
GAPP Consortium
University College London · GBConsorzio per Valutazioni Biologiche e Farmacologiche · ITGianni Benzi Pharmacological Research Foundation · IT

Funding

European Union's Seventh Framework Programme 602962
6 · The paper itself

Abstract

Despite off-label use, the efficacy and safety of gabapentin and tramadol in pediatric patients (3 months to <18 years old) diagnosed with chronic pain has not been characterized. However, generating evidence based on randomized clinical trials in this population has been extremely challenging. The current investigation illustrates the use of clinical trial simulations (CTSs) as a tool for optimizing doses and protocol design for a prospective investigation in pediatric patients with chronic pain. Pharmacokinetic (PK) modeling and CTSs were used to describe the PKs of gabapentin and tramadol in the target population. In the absence of biomarkers of analgesia, systemic exposure (AUC, Css) was used to guide dose selection under the assumption of a comparable exposure-response (PKPD) relationship for either compound between adults and children. Two weight bands were identified for gabapentin, with doses titrated from 5 to 63 mg/kg. This yields gabapentin exposures (AUC

Indexed as

AnalgesiaChronic PainTramadolAdultChildGabapentinHumansInfantProspective StudiesGabapentinTramadoldose rationaleextrapolationgabapentinpediatric chronic painpharmacokineticstramadol

Identifiers

PMID37803937
PMCPMC10558965
OpenAlexW4387420644

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.