Evidence map›Paper›PMID 41820012›Full record

ArticleBritish journal of clinical pharmacology2026

Population pharmacokinetics and Monte Carlo simulation of Cefepime in paediatric and Young adult bone marrow transplant patients.

Ronaldo Morales Junior, H Rhodes Hambrick, Stefanie W Benoit, Graham Klink, Tomoyuki Mizuno, Sonya Tang Girdwood

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Ronaldo Morales JuniorDivision of Translational and Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0002-5856-3717
H Rhodes HambrickDivision of Translational and Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0003-1218-8293
Stefanie W BenoitDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Graham KlinkDepartment of Pharmacy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Tomoyuki MizunoDivision of Translational and Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0002-8471-9826
Sonya Tang GirdwoodDivision of Translational and Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0001-7737-8499

Funding

Cincinnati Children's Hospital Medical Center
6 · The paper itself

Abstract

aimsTo develop a population pharmacokinetic (PopPK) model of cefepime in paediatric and young adult BMT patients, identify clinical predictors of variability in cefepime clearance and simulate dosing strategies to optimize therapeutic target attainment.

methodsThis PopPK analysis pooled data from two prospective studies, including 97 BMT patients aged 1 month to 30 years with 252 cefepime plasma concentrations. The final model was validated with goodness-of-fit plots, bootstrap analysis and prediction-corrected visual predictive checks. Monte Carlo simulations assessed the probability of target attainment (PTA) for various dosing regimens, targeting 100% of the dosing interval during which free drug concentrations exceed the minimum inhibitory concentration (100% fT>MIC), across a range of estimated glomerular filtration rates (eGFR) and MICs.

resultsA two-compartment model with first-order elimination best described the data. The most predictive covariate for cefepime clearance was eGFR estimated using a combined creatinine-cystatin C equation (eGFR

conclusionsThis study presents the first cefepime PopPK model tailored to paediatric and young adult BMT recipients, identifying eGFR

Indexed as

Anti-Bacterial AgentsBone Marrow TransplantationCefepimeModels, BiologicalAdolescentAdultChildChild, PreschoolComputer SimulationDose-Response Relationship, DrugFemaleGlomerular Filtration RateHumansInfantMaleMicrobial Sensitivity TestsAnti-Bacterial AgentsCefepimeThird Generation Cephalosporinsbeta‐lactamsbone marrow transplantationpharmacokineticsprecision medicine

Identifiers

PMID41820012
PMCPMC13370054

What OpenQuestion holds

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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.