Evidence map›Paper›PMID 39435320›Full record

Trial reportOpen forum infectious diseases2024

Validation of Cefiderocol Package Insert Dosing Recommendation for Patients Receiving Continuous Renal Replacement Therapy: A Prospective Multicenter Pharmacokinetic Study.

Aliaa Fouad, Emir Kobic, Nelson P Nicolasora, Melissa L Thompson Bastin, Paul M Adams, Yuwei Shen, Andrew J Fratoni, Xiaoyi Ye, Joseph L Kuti, David P Nicolau and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

11 authors.

Aliaa FouadCenter for Anti-Infective Research and Development, Hartford Hospital, Hartford, Connecticut, USA.
Emir KobicDepartment of Pharmacy, Banner-University Medical Center, Phoenix, Arizona, USA.
Nelson P NicolasoraDivision of Infectious Diseases, Banner-University Medical Center, Phoenix, Arizona, USA.
Melissa L Thompson BastinDepartment of Pharmacy Services, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Paul M AdamsDivision of Nephrology, Bone and Mineral Metabolism, Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Yuwei ShenCenter for Anti-Infective Research and Development, Hartford Hospital, Hartford, Connecticut, USA.
Andrew J FratoniCenter for Anti-Infective Research and Development, Hartford Hospital, Hartford, Connecticut, USA.
Xiaoyi YeDivision of Nephrology, Hartford Hospital, Hartford, Connecticut, USA.
Joseph L KutiCenter for Anti-Infective Research and Development, Hartford Hospital, Hartford, Connecticut, USA.
David P NicolauCenter for Anti-Infective Research and Development, Hartford Hospital, Hartford, Connecticut, USA.
Tomefa E AsempaCenter for Anti-Infective Research and Development, Hartford Hospital, Hartford, Connecticut, USA.ORCID https://orcid.org/0000-0002-6268-0924

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cefiderocol is the first antibiotic with effluent flow rate-based dosing recommendations outlined in the product label for patients receiving continuous renal replacement therapy (CRRT). We aimed to investigate the population pharmacokinetics of cefiderocol among patients receiving CRRT and validate these dosing recommendations. Methods: A multicenter, prospective cefiderocol pharmacokinetic study among intensive care unit patients receiving CRRT was conducted (2022-2023). Blood sampling was performed at steady-state and cefiderocol concentrations were assayed by validated liquid chromatography-tandem mass spectrometry. Population pharmacokinetic analyses were conducted in Pmetrics using R software. The free time above the minimum inhibitory concentration ( Results: Fourteen patients with effluent flow rates ranging from 2.1 to 5.1 L/h were enrolled. Cefiderocol concentrations best fitted a 2-compartment model. Mean ± standard deviation (SD) parameter estimates for clearance, central compartment volume, and intercompartment transfer constants (k Conclusions: The current package insert dosing recommendations resulted in pharmacodynamically optimized cefiderocol exposures. Cefiderocol concentrations exceeded relevant MIC breakpoints in all patients at each effluent flow rate, and AUC

Indexed as

AKIcefiderocolCRRTeffluent flow ratetransmembrane clearance

Identifiers

PMID39435320
PMCPMC11492798

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Registered trials

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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.