Evidence map›Paper›PMID 40132622›Full record

ArticleThe Journal of antimicrobial chemotherapy2025

Population pharmacokinetic model of oral minocycline in critically ill adult patients with ventilator-associated pneumonia.

Zoe Athanassa, Paraskevi Papakyriakopoulou, Silvia Marquez Megias, Elmina-Marina Saitani, Sofia Manioudaki, Katerina Dimoula, Irina Petsa, Georgia Valsami, Aikaterini Sakagianni, Vassiliki Koumaki and 2 more

Abstract read
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Article in The Journal of antimicrobial chemotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Zoe AthanassaIntensive Care Unit, Sismanogleio General Hospital, Athens, Greece.
Paraskevi PapakyriakopoulouDepartment of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.
Silvia Marquez MegiasSchool of Pharmacy, Miguel Hernández University, San Juan de Alicante, Spain.
Elmina-Marina SaitaniDepartment of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.
Sofia ManioudakiIntensive Care Unit, Sismanogleio General Hospital, Athens, Greece.
Katerina DimoulaIntensive Care Unit, Sismanogleio General Hospital, Athens, Greece.
Irina PetsaIntensive Care Unit, Sismanogleio General Hospital, Athens, Greece.
Georgia ValsamiDepartment of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.
Aikaterini SakagianniIntensive Care Unit, Sismanogleio General Hospital, Athens, Greece.
Vassiliki KoumakiDepartment of Microbiology, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Aristides DokoumetzidisDepartment of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0001-5087-4003
Athanassios TsakrisDepartment of Microbiology, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMultidrug-resistant Acinetobacter baumannii (MDR-A. baumannii) has become an emerging pathogen, causing ventilator-associated pneumonia (VAP), with limited treatment options available. MIN has re-emerged as a potential treatment option for MDR pathogens. However, evidence regarding MIN pharmacokinetic properties in critically ill patients is scarce and primarily limited to IV administration. To address the knowledge gap in regions where IV MIN is unavailable, a prospective, open-label study was conducted to describe the pharmacokinetic properties of orally administered MIN.

methodsThe study included 24 critically ill patients with MDR-A. baumannii VAP. A population PK (popPK) model was developed and the PTA for different MICs was assessed by Monte Carlo simulations. A one-compartment model with first-order absorption and linear elimination best described the data.

resultsThe values of the estimated population parameters were found equal to 183.3 L, 6.55 L/h and 1.66 h⁻¹, for the apparent volume of distribution (V/F), the apparent clearance (CL/F) and the absorption rate constant (ka), respectively (F representing oral bioavailability). PTA analysis showed that for a daily dose of 400 mg, adequate exposure [free AUC/MIC (fAUC/MIC > 25)] was achieved only for MICs ≤ 0.25 mg/L, while for the ratio of fAUC/MIC = 13.75, high PTA values are calculated up to MIC = 0.5 mg/L.

conclusionsThis study provides a popPK model for oral MIN in critically ill adults. The developed popPK model contributes to a better understanding of MIN's PK and can inform dosing strategies and future studies on MIN use in critical care settings.

Indexed as

Acinetobacter baumanniiAcinetobacter InfectionsAnti-Bacterial AgentsMinocyclinePneumonia, Ventilator-AssociatedAdministration, OralAdultAgedAged, 80 and overCritical IllnessFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedProspective StudiesAnti-Bacterial AgentsMinocycline

Identifiers

PMID40132622
PMCPMC12046389

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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.