Evidence map›Paper›PMID 40080239›Full record

ArticleAdvances in therapy2025

Pharmacokinetic, Pharmacokinetic/Pharmacodynamic, and Safety Investigations of Cefiderocol in Chinese Healthy Subjects.

Chuhan Zhang, Shuyan Yu, Size Li, Xiaojie Wu, Qiong Wei, Jinjie He, Guoying Cao, Haijing Yang, Jingjing Wang, Kohei Fujitani and 3 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Chuhan Zhang *Phase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Shuyan Yu *Phase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Size LiPhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Xiaojie WuPhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Qiong WeiPhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Jinjie HePhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Guoying CaoPhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Haijing YangPhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Jingjing WangPhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China.
Kohei FujitaniShionogi & Co., Ltd, Osaka, 541-0042, Japan.
Takayuki KatsubeShionogi & Co., Ltd, Osaka, 541-0042, Japan.
Jing ZhangPhase I Clinical Trial Center, Huashan Hospital, Fudan University, Shanghai, China. zhangj61@fudan.edu.cn.
Honghong DouPingAn-Shionogi Co., Ltd., Shanghai, China. douhonghong@pingan-shionogi.com.ORCID http://orcid.org/0009-0001-3521-5736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aim to evaluate the safety and pharmacokinetic (PK) properties of cefiderocol in Chinese participants, following single and subsequent multiple administrations of 2 g q8h with 3-h intravenous infusion, and to predict its efficacy for the treatment of Gram-negative bacilli (GNB) infection based on PK/pharmacodynamic (PD) analysis.

methodsThis was an open-label, single-center, single- and multiple-dose phase I study, conducted from September 2022 to October 2022, with 12 eligible healthy Chinese adults (6 men and 6 women). The PK profiles were described by noncompartmental analysis and a two-compartment model using WinNonlin (v.8.1). Monte Carlo simulations (MCS) were performed by R (v.4.3.1) to obtain the probability of target attainment (PTA) as well as the cumulative fraction of response (CFR), based on the previously published data of susceptibility studies for cefiderocol in China.

resultsBoth single and multiple doses of 2 g cefiderocol were well tolerated in healthy Chinese subjects, and no severe treatment-emergent adverse events occurred. The maximum plasma concentration of cefiderocol was observed approximately 3 h after administration and the half-life was about 2.6 h, with no accumulation after multiple dosing. It is worth noting that, the PK profiles, including CL, V1, C

conclusionsCefiderocol is well tolerated by Chinese healthy participants at the dosage regimen of 2 g cefiderocol q8h via 3-h infusion, which is expected to achieve satisfactory efficacy in treating GNB infections in China, although further data for model optimization might still be required. To our knowledge, this is the first study to describe the PK properties of cefiderocol in Chinese subjects, and to predict its microbiological efficacy for treating GNB infection in China.

trial registrationChiCTR2300076607.

Indexed as

Anti-Bacterial AgentsCefiderocolCephalosporinsAdultChinaEast Asian PeopleFemaleHealthy VolunteersHumansInfusions, IntravenousMaleMicrobial Sensitivity TestsMiddle AgedMonte Carlo MethodYoung AdultAnti-Bacterial AgentsCefiderocolCephalosporinsCefiderocolPharmacokinetic-pharmacodynamicPharmacokineticsTolerability

Identifiers

PMID40080239
PMCPMC12006280

What OpenQuestion holds

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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.