Evidence map›Paper›PMID 40765380›Full record

SynthesisJournal of clinical pharmacology2025

Saliva as a TDM Matrix and Its Application in the Model-Informed Precision Dosing.

Baohua Xu, Yujie Wen, Jinxia Lu, Maobai Liu, Xin Luo, Wei Huang, Helin Xie, Yu Cheng, Hongqiang Qiu, Xuemei Wu

Abstract readSystematic Review
In one paragraph

Synthesis 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. Review
  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

10 authors.

Baohua XuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Yujie WenSchool of Pharmacy, Xiangya School of Medicine, Changsha, Hunan, China.
Jinxia LuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Maobai LiuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Xin LuoDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Wei HuangDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Helin XieDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Yu ChengDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Hongqiang QiuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Xuemei WuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.ORCID 0000-0003-1640-7385

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study reviews the main points of saliva as a therapeutic drug monitoring (TDM) matrix, its advantages and limitations, the methods of saliva sample collection and testing, the types of drugs in saliva TDM, and the methods of establishing saliva population pharmacokinetic (Pop PK) models, as well as summarizes the experiences and limitations, to provide references to carry out related studies. The PubMed database was systematically searched for studies on the topic of saliva as a matrix for drug TDM. The literature was screened according to the established inclusion and exclusion criteria, and relevant data were extracted and summarized. The systematic review ultimately screened 112 articles involving relevant studies on 73 drugs, of which studies on 53 drugs supported saliva as a matrix for TDM; studies on 13 drugs did not support it; and the results of studies on seven drugs were inconsistent, with conflicting results regarding whether they supported salivary TDM or not. The study steps for Pop PK modeling based on saliva concentrations are summarized, and representative drugs for which Pop PK models incorporating both plasma and saliva concentrations have been established are listed. Saliva TDM, as a new exploration and attempt, has been confirmed to be feasible for some drugs in the current study, and is expected to be applied to the clinic in the future; Pop PK modeling based on saliva TDM for precision drug delivery has only been initially attempted for some drugs, and its application has yet to be verified in clinical studies.

Indexed as

Drug MonitoringModels, BiologicalSalivaHumansPharmaceutical PreparationsPharmacokineticsPrecision MedicinePharmaceutical PreparationsPop PK modelprecision drug deliverysalivaTDM

Identifiers

PMID40765380
PMCPMC12649301

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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.