Evidence map›Paper›PMID 40377652›Full record

ArticleJournal of clinical pharmacology2025

Population Pharmacokinetics of Alfentanil in Children.

Lorena Medina-Aymerich, Ngoc Betty Ngo, Daniel Gonzalez, Chi D Hornik, Amira Al-Uzri, Rachel G Greenberg, Sarah G Anderson, Elizabeth H Payne, Sitora Turdalieva, Stephen J Balevic and 1 more

Abstract read
In one paragraph

Article in Journal of clinical pharmacology, 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. Trial
  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

11 authors.

Lorena Medina-AymerichDuke Clinical Research Institute, Durham, North Carolina, USA.ORCID 0000-0002-4967-6744
Ngoc Betty NgoDuke Clinical Research Institute, Durham, North Carolina, USA.
Daniel GonzalezDuke Clinical Research Institute, Durham, North Carolina, USA.ORCID 0000-0001-6532-7117
Chi D HornikDuke Clinical Research Institute, Durham, North Carolina, USA.
Amira Al-UzriOregon Health and Science University, Portland, Oregon, USA.
Rachel G GreenbergDuke Clinical Research Institute, Durham, North Carolina, USA.ORCID 0000-0003-4156-8543
Sarah G AndersonThe Emmes Company, LLC, Rockville, Maryland, USA.
Elizabeth H PayneThe Emmes Company, LLC, Rockville, Maryland, USA.
Sitora TurdalievaThe Emmes Company, LLC, Rockville, Maryland, USA.
Stephen J BalevicDuke Clinical Research Institute, Durham, North Carolina, USA.ORCID 0000-0002-4016-1680
Best Pharmaceuticals for Children Act – Pediatric Trials Network Steering Committee

Funding

UNC-Duke Collaborative Clinical Pharmacology Postdoctoral Training Program-Evaluation SupplementT32GM086330 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KIM L.R. BROUWER, Daniel Gonzalez · 2011 to 2026
$8.5M
Application of Physiologically-Based Pharmacokinetic Modeling to Characterize Drug-Drug Interactions in InfantsR01HD102949 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Daniel Gonzalez · 2021 to 2026
$3.0M
PRISMR01HD113201 · NICHD · DUKE UNIVERSITY · PI Daniel Gonzalez, Jason E. Lang · 2023 to 2026
$2.7M
Physiologically-Based Pharmacokinetic Modeling to Guide Drug Dosing in Children with ObesityR01HD096435 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DUMOND, JULIE BRUMER · 2018 to 2022
$2.0M
National Career Development Program for Researchers in Pediatric Clinical PharmacologyK12HD113189 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DANIEL K. BENJAMIN, Daniel Gonzalez · 2023 to 2026
$1.2M
Duke-UNC Collaborative Pediatric Clinical Pharmacology Postdoctoral Training ProgramT32HD104576 · NICHD · DUKE UNIVERSITY · PI BROUWER, KIM L.R., GONZALEZ, DANIEL · 2021 to 2025
$962k
NICHD NIH HHS HHSN275201000003CNICHD NIH HHS HHSN275201000003INICHD NIH HHS HHSN275201700002CNICHD NIH HHS HHSN275201800003INICHD NIH HHS K12 HD113189NICHD NIH HHS R01 HD096435NICHD NIH HHS R01 HD102949NICHD NIH HHS R01 HD113201NICHD NIH HHS T32 HD104576NIGMS NIH HHS T32 GM086330
6 · The paper itself

Abstract

Alfentanil is an opioid analgesic and anesthetic agent used in surgical procedures. Despite its widespread use in children, the U.S. Food and Drug Administration label lacks specific dosing recommendations for those under 12 years. A population pharmacokinetic analysis was performed using NONMEM (v7.5) to characterize alfentanil's disposition in children. The study included 58 plasma concentrations from 42 patients who received intravenous alfentanil as part of usual care. Median age was 7.57 years (range: 0.33-17.80) and median dosing was 12.5 mcg/kg (range: 4-43). A one-compartment model with first-order elimination best described alfentanil's pharmacokinetics. Among body size measures, total body weight (WT) significantly influenced clearance (CL [L/h]) = 7.42 × (WT/70)

Indexed as

AlfentanilAnalgesics, OpioidModels, BiologicalAdolescentBody WeightChildChild, PreschoolFemaleHumansInfantMaleAlfentanilAnalgesics, Opioidalfentanilanalgesiaanesthesiapediatricspharmacokineticspopulation pharmacokinetic analysis

Identifiers

PMID40377652
PMCPMC12403885

What OpenQuestion holds

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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.