Evidence map›Paper›PMID 40064832›Full record

SynthesisClinical pharmacokinetics2025

Pharmacokinetics and Target Attainment of Teicoplanin: A Systematic Review.

Jaap W A Mouton, Arnaud De Clercq, Peter De Paepe, Mirko Petrovic, Tania Desmet, Roger J Brüggemann, Jeroen A Schouten, Nynke G L Jager, Pieter A De Cock

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical pharmacokinetics, 2025. 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
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

9 authors.

Jaap W A Mouton *Department of Pharmacy, Pharmacology and Toxicology, Radboud University Medical Center, Research Institute for Medical Innovation, Nijmegen, The Netherlands.ORCID 0009-0005-3925-9161
Arnaud De Clercq *Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium.ORCID 0000-0002-1261-0872
Peter De PaepeDepartment of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium.ORCID 0000-0001-6596-4095
Mirko PetrovicSection of Geriatrics, Department of Internal Medicine and Paediatrics, Ghent University, Ghent, Belgium.ORCID 0000-0002-7506-8646
Tania DesmetDepartment of Emergency Medicine, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-2337-4411
Roger J BrüggemannDepartment of Pharmacy, Pharmacology and Toxicology, Radboud University Medical Center, Research Institute for Medical Innovation, Nijmegen, The Netherlands.ORCID 0000-0002-7618-725X
Jeroen A SchoutenDepartment of Intensive Care, Radboud University Medical Center, Research Institute for Medical Innovation, Nijmegen, The Netherlands.ORCID 0000-0001-9118-4420
Nynke G L Jager *Department of Pharmacy, Pharmacology and Toxicology, Radboud University Medical Center, Research Institute for Medical Innovation, Nijmegen, The Netherlands.ORCID 0000-0002-4524-9892
Pieter A De Cock *Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium. pieter.decock@uzgent.be.ORCID 0000-0001-7634-7471

Funding

Universitair Ziekenhuis Gent FIKO22/TYPE2/017ZonMw 848017003
6 · The paper itself

Abstract

BACKGROUND AND

objectiveTeicoplanin is a glycopeptide antibiotic used to treat severe Gram-positive infections. This systematic review provides a comprehensive overview of the current knowledge on the pharmacokinetics of teicoplanin across the entire population, with the aim to identify gaps in the existing literature, prioritise pharmacokinetic research, and support optimal dosing strategies.

methodsA systematic literature search of the MEDLINE, Embase, Web of Science, and Scopus databases was conducted. Articles published until 1 October 2024 were identified as eligible when they included a pharmacokinetic analysis of teicoplanin. Relevant pharmacokinetic data were extracted from all included articles. Allometric scaling was carried out for reported values of clearance (CL) and volume of distribution (Vd) to an individual of 70 kg. Articles were categorised into eight subgroups. A qualitative assessment of the included studies was conducted using the clinical pharmacokinetic statement checklist.

resultsIn total, 85 articles were included in this review. Pharmacokinetic data for 186 healthy volunteers, 130 neonates, 788 children, 1434 adult patients, 48 older adults (≥ 65 years), 674 critically ill patients, 33 patients with impaired renal function, and 159 patients with extracorporeal elimination techniques were extracted for a total of 3452 subjects. Unbound concentrations were assessed in 7.1% of the articles. The Vd

conclusionIndividual dosing strategies based on renal function need to be developed, particularly in patients with immature or impaired renal function, using state-of-the art pharmacokinetic/pharmacodynamic modelling approaches. Since teicoplanin is highly plasma protein bound and it is suggested that total concentrations cannot be easily translated to unbound concentrations, future research should also include the measurement of unbound concentrations for pharmacokinetic and target attainment evaluation.

trial registrationProspectively registered in PROSPERO. TRIAL REGISTRATION NUMBER: CRD42023483334. Registration date: 03/12/2023.

Indexed as

Anti-Bacterial AgentsTeicoplaninAdultAgedChildHumansInfant, NewbornAnti-Bacterial AgentsTeicoplanin

Identifiers

What OpenQuestion holds

Textmetadata
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.