Evidence map›Paper›PMID 41369581›Full record

ArticleAntimicrobial agents and chemotherapy2026

Predicting prolonged dalbavancin exposure using machine learning: a validated strategy for individualized redosing.

Hamza Sayadi, Matthieu Gregoire, Yeleen Fromage, Mohamed Ksentini, Marc Labriffe, Caroline Monchaud, Cyrielle Codde, Jean-François Faucher, David Boutoille, Pierre Marquet and 1 more

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Hamza SayadiDepartment of Pharmacology, Toxicology and Pharmacovigilance, Dupuytren University Hospital (CHU Dupuytren), Limoges, France.
Matthieu GregoireClinical Pharmacology Department, Nantes University, Nantes University Hospital, Nantes, France.
Yeleen FromageDepartment of Pharmacology, Toxicology and Pharmacovigilance, Dupuytren University Hospital (CHU Dupuytren), Limoges, France.
Mohamed KsentiniDepartment of Pharmacology, Toxicology and Pharmacovigilance, Dupuytren University Hospital (CHU Dupuytren), Limoges, France.
Marc LabriffeDepartment of Pharmacology, Toxicology and Pharmacovigilance, Dupuytren University Hospital (CHU Dupuytren), Limoges, France.
Caroline MonchaudDepartment of Pharmacology, Toxicology and Pharmacovigilance, Dupuytren University Hospital (CHU Dupuytren), Limoges, France.
Cyrielle CoddePharmacology & Transplantation INSERM U1248, University of Limoges, Limoges, France.
Jean-François FaucherPharmacology & Transplantation INSERM U1248, University of Limoges, Limoges, France.
David BoutoilleInfectious and Tropical Diseases Department, Nantes University, Nantes University Hospital, INSERM, CIC 1413, Nantes, France.
Pierre MarquetDepartment of Pharmacology, Toxicology and Pharmacovigilance, Dupuytren University Hospital (CHU Dupuytren), Limoges, France.
Jean-Baptiste WoillardDepartment of Pharmacology, Toxicology and Pharmacovigilance, Dupuytren University Hospital (CHU Dupuytren), Limoges, France.ORCID 0000-0003-1695-0695

Funding

Agence Nationale de la Recherche ANR-22-PESN-0017
6 · The paper itself

Abstract

Dalbavancin is a long-acting lipoglycopeptide increasingly used off-label for complex Gram-positive infections requiring prolonged therapy. Its extended half-life enables simplified regimens, but interindividual pharmacokinetic variability and pathogen MIC heterogeneity complicate dosing. We developed and externally validated machine learning (ML) models to predict whether dalbavancin plasma concentrations remain above predefined pharmacokinetic/pharmacodynamic targets after two standard 1,500 mg doses (day 1/day 8 or day 1/day 15). Predictions were binary (adequate vs subtherapeutic concentration), directly reflecting the clinical decision to readminister a 1,500 mg dose. Models were trained on simulated PK profiles from a published population PK (popPK) model and evaluated in three independent settings: (i) simulated validation data sets from two alternative published popPK models, (ii) a real-world cohort from Limoges University Hospital (

Indexed as

Anti-Bacterial AgentsMachine LearningTeicoplaninAdultAgedBayes TheoremFemaleGram-Positive Bacterial InfectionsHumansMaleMicrobial Sensitivity TestsMiddle AgedSupport Vector MachineAnti-Bacterial AgentsdalbavancinTeicoplanindalbavancinemachine learningmodel-informed precision dosingMonte Carlo simulationspopulation pharmacokineticstherapeutic drug monitoring

Identifiers

PMID41369581
PMCPMC12777561

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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.