Evidence map›Paper›PMID 42159999›Full record

ArticleBritish journal of clinical pharmacology2026

Model-informed vancomycin precision dosing by population pharmacokinetics combined with machine learning algorithms.

Lei Shi, Nan Hu, Jing Ling, Xuping Yang, Rong Chen

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

5 authors.

Lei ShiDepartment of Pharmacy, The Third Affiliated Hospital of Soochow University/The First People's Hospital of Changzhou, Changzhou, China.ORCID https://orcid.org/0000-0001-6515-9686
Nan HuDepartment of Pharmacy, The Third Affiliated Hospital of Soochow University/The First People's Hospital of Changzhou, Changzhou, China.ORCID https://orcid.org/0000-0002-7505-5001
Jing LingDepartment of Pharmacy, The Third Affiliated Hospital of Soochow University/The First People's Hospital of Changzhou, Changzhou, China.
Xuping YangDepartment of Pharmacy, The Third Affiliated Hospital of Soochow University/The First People's Hospital of Changzhou, Changzhou, China.
Rong ChenDepartment of Pharmacy, The Third Affiliated Hospital of Soochow University/The First People's Hospital of Changzhou, Changzhou, China.ORCID https://orcid.org/0009-0001-2343-0105

Funding

Changzhou Science and Technology Program CJ20242017
6 · The paper itself

Abstract

aimsAchieving the target AUC/MIC remains a critical challenge in vancomycin therapeutic drug monitoring, with traditional empirical dosing regimens often leading to suboptimal outcomes. This study aimed to develop and validate a novel population pharmacokinetic (PopPK)-informed machine learning model to optimize TDM-guided dose adjustments. By accurately predicting the 24-h area under the curve (AUC), the model assists clinicians in rapidly individualizing regimens, thereby improving target attainment, reducing subsequent modifications and minimizing toxicity.

methodsA total of 1140 vancomycin TDM samples were analysed. Five machine learning models were developed and compared. Model performance assessed using R

resultsThe ANN (MLP) model demonstrated the best comprehensive performance. It achieved the highest R

conclusionsThe ANN model achieved exceptional accuracy, robustness and clinical safety in predicting individualized vancomycin clearance. This model is deployable as an instantaneous, point-of-care CDSS tool, offering a powerful new pathway to solve the long-standing challenges of accessibility and accuracy in routine TDM practice.

Indexed as

Anti-Bacterial AgentsDrug MonitoringMachine LearningModels, BiologicalVancomycinAdultAgedAlgorithmsArea Under CurveFemaleHumansMaleMicrobial Sensitivity TestsMiddle AgedPredictive Learning ModelsYoung AdultAnti-Bacterial AgentsVancomycinarea under curvemachine learningpopulation pharmacokineticstherapeutic drug monitoringvancomycin

Identifiers

PMID42159999
PMCPMC13519766

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.