A population pharmacokinetic model for individualised dosage regimens of vancomycin in Chinese neonates and young infants

Oncotarget
Lin SongYao Liu

Abstract

Population pharmacokinetic (PPK) modelling is an easy and impartment method for estimating drug concentration for use inindividualized therapy, especially for young patients and to help protect drug-induced diseases. The purpose of this study was to develop a PPK model for effective dosing of vancomycin in Chinese neonates and young infants. The PPK modelling tool Phoenix® NLME™ was use to assess demographic and routine clinical pharmacokinetic (PK) data retrospectively collected for patients admitted to Children's Hospital of Chongqing Medical University between 2011 and 2016. Data of patients admitted to the hospital between January and June of 2017 were used in validation study, and the final model was also preliminary validated in 2 cases in another hospital. A total of 421 serum samples from 316 patients were included in the initial PPK analysis. A two-compartment PPK model was developed, and exponential-error model was used to describe inter-individual variability of clearance. Residual variability was described by an additive model. The final PPK model was demonstrated as valid by internal and external model evaluation. Of note, the clearance and volume of vancomycin in Chinese neonates and young infants may be greater t...Continue Reading

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Citations

Mar 6, 2019·Antimicrobial Agents and Chemotherapy·Frank KloproggeJoseph F Standing
Apr 10, 2018·Frontiers in Psychology·Shanshan FanAo Chen
Jan 22, 2021·European Journal of Hospital Pharmacy. Science and Practice·Xiao-Hong WengLian Tang
May 19, 2021·Clinical Pharmacokinetics·Erin ChungWinnie Seto
Jul 27, 2021·Antimicrobial Agents and Chemotherapy·Veenu BalaDaryl J Murry

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Methods Mentioned

BETA
PMA

Software Mentioned

Phoenix
Phoenix NLME TM
® NLME TM
Phoenix® NLME
Phoenix® NLME TM
Phoenix NLME
WinNonlin

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