Evidence map›Paper›PMID 40681739›Full record

ArticleJournal of pharmacokinetics and pharmacodynamics2025

Physiologically-based pharmacokinetic model for predicting drug-drug interactions perpetrated by posaconazole in healthy subjects with normal weight and obesity: Concomitant use and washout.

Christopher D Bruno, Ahmed Elmokadem, David J Greenblatt, Christina R Chow

Abstract read
In one paragraph

Article in Journal of pharmacokinetics and pharmacodynamics, 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. 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

4 authors.

Christopher D BrunoEmerald Lake Safety, Newport Beach, CA, USA.
Ahmed ElmokademMetrum Research Group, Boston, MA, USA.
David J GreenblattProgram in Pharmacology and Drug Development, Tufts University School of Medicine; and the Clinical and Translational Science Institute, Tufts Medical Center, Boston, MA, USA.
Christina R ChowEmerald Lake Safety, Newport Beach, CA, USA. christina@elsafety.com.

Funding

Tufts Clinical and Translational Science Institute (Clinical Trial Design Labs Supplement)UM1TR004398 · NCATS · TUFTS UNIVERSITY BOSTON · PI Harry P. Selker · 2023 to 2026
$44.5M
NCATS NIH HHS UM1 TR004398NIH HHS UM1TR004398
6 · The paper itself

Abstract

Posaconazole is an effective broad-spectrum triazole antifungal used as prophylaxis or to treat invasive Aspergillus and Candida infections in adults and pediatric patients. Posaconazole is a known strong inhibitor of cytochrome P4503A4 (CYP3A4) and substrate of P-glycoprotein (P-gp), which may lead to drug-drug interactions (DDIs) when co-administered with CYP3A4-sensitive substrates and warrants modified dosing of sensitive drugs when administered concomitantly with posaconazole. Given the long elimination half-life of posaconazole (26-35 h), there is the potential for DDIs caused by posaconazole after discontinuing the antifungal. Our clinical studies revealed that the half-life of posaconazole is significantly prolonged in subjects with a body mass index (BMI) ≥ 35 kg/m

Indexed as

Antifungal AgentsModels, BiologicalObesityTriazolesAdultBody Mass IndexBody WeightCytochrome P-450 CYP3ACytochrome P-450 CYP3A InhibitorsDrug InteractionsFemaleHalf-LifeHealthy VolunteersHumansMaleMiddle AgedAntifungal AgentsCYP3A4 protein, humanCytochrome P-450 CYP3ACytochrome P-450 CYP3A InhibitorsposaconazoleTriazolesDrug-drug interactionsObesityPhysiologically-based pharmacokinetic modelingPosaconazole

Identifiers

PMID40681739
PMCPMC12274254

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.