Defining a Therapeutic Target for Ganciclovir Therapy in Immunocompromised Children With Cytomegalovirus Infection: A Brief Report

被引:0
作者
Gao, Maggie [1 ]
Weerdenburg, Heather [1 ,2 ]
Yang, Wenyu [3 ,4 ]
Zhu, Xiao [3 ]
Gwee, Amanda [1 ,2 ,5 ]
机构
[1] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia
[2] Royal Childrens Hosp, Melbourne, Vic, Australia
[3] Fudan Univ, Sch Pharm, Dept Clin Pharm & Pharm Adm, Shanghai, Peoples R China
[4] Fudan Univ, Minhang Hosp, Dept Pharm, Shanghai, Peoples R China
[5] Murdoch Childrens Res Inst, Antimicrobial Grp, Melbourne, Vic, Australia
关键词
ganciclovir; valganciclovir; cytomegalovirus; children; STEM-CELL TRANSPLANTATION; ORAL GANCICLOVIR; VALGANCICLOVIR; PHARMACOKINETICS; PROPHYLAXIS; ERA;
D O I
10.1097/INF.0000000000004602
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Ganciclovir and valganciclovir are first-line treatments for cytomegalovirus in immunocompromised children; however, the optimal therapeutic target remains unclear. This review identified 6 studies that showed clearance of cytomegalovirus viremia occurs with a median area under the concentration-time curve (AUC24) between 23 and 70 mu g<middle dot>h/mL, with no clear correlation with efficacy or toxicity.
引用
收藏
页码:326 / 329
页数:4
相关论文
共 15 条
[1]   The impact of cytomegalovirus serostatus of donor and recipient before hematopoietic stem cell transplantation in the era of antiviral prophylaxis and preemptive therapy [J].
Boeckh, M ;
Nichols, WG .
BLOOD, 2004, 103 (06) :2003-2008
[2]   Population pharmacokinetics of ganciclovir and valganciclovir in paediatric solid organ and stem cell transplant recipients [J].
Franck, Benedicte ;
Woillard, Jean-Baptiste ;
Theoret, Yves ;
Bittencourt, Henrique ;
Demers, Emile ;
Briand, Annabelle ;
Marquet, Pierre ;
Lapeyraque, Anne-Laure ;
Ovetchkine, Philippe ;
Autmizguine, Julie .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2021, 87 (08) :3105-3114
[3]   Oral ganciclovir in children: Pharmacokinetics, safety, tolerance, and antiviral effects [J].
Frenkel, LM ;
Capparelli, EV ;
Dankner, WM ;
Xu, J ;
Smith, IL ;
Ballow, A ;
Culnane, M ;
Read, JS ;
Thompson, M ;
Mohan, KM ;
Shaver, A ;
Robinson, CA ;
Stempien, MJ ;
Burchett, SK ;
Melvin, AJ ;
Borkowsky, W ;
Petru, A ;
Kovacs, A ;
Yogev, R ;
Goldsmith, J ;
McFarland, EJ ;
Spector, SA .
JOURNAL OF INFECTIOUS DISEASES, 2000, 182 (06) :1616-1624
[4]   Valganciclovir-Ganciclovir Use and Systematic Therapeutic Drug Monitoring. An Invitation to Antiviral Stewardship [J].
Galar, Alicia ;
Valerio, Maricela ;
Catalan, Pilar ;
Garcia-Gonzalez, Xandra ;
Burillo, Almudena ;
Fernandez-Cruz, Ana ;
Zatarain, Eduardo ;
Sousa-Casasnovas, Iago ;
Anaya, Fernando ;
Rodriguez-Ferrero, Maria Luisa ;
Munoz, Patricia ;
Bouza, Emilio .
ANTIBIOTICS-BASEL, 2021, 10 (01) :1-18
[5]   Cytomegalovirus viral load and mortality after haemopoietic stem cell transplantation in the era of pre-emptive therapy: a retrospective cohort study [J].
Green, Margaret L. ;
Leisenring, Wendy ;
Xie, Hu ;
Mast, T. Christopher ;
Cui, Yadong ;
Sandmaier, Brenda M. ;
Sorror, Mohamed L. ;
Goyal, Sonia ;
Oezkoek, Sezen ;
Yi, Jessica ;
Sahoo, Farah ;
Kimball, Louise E. ;
Jerome, Keith R. ;
Marks, Morgan A. ;
Boeckh, Michael .
LANCET HAEMATOLOGY, 2016, 3 (03) :E119-E127
[6]   Pathogenesis of human cytomegalovirus in the immunocompromised host [J].
Griffiths, Paul ;
Reeves, Matthew .
NATURE REVIEWS MICROBIOLOGY, 2021, 19 (12) :759-773
[7]   Pediatric Dosing of Ganciclovir and Valganciclovir: How Model-Based Simulations Can Prevent Underexposure and Potential Treatment Failure [J].
Jorga, Karin ;
Reigner, Bruno ;
Chavanne, Clarisse ;
Alvaro, Giuseppe ;
Frey, Nicolas .
CPT-PHARMACOMETRICS & SYSTEMS PHARMACOLOGY, 2019, 8 (03) :167-176
[8]   PHARMACOKINETIC PROFILE OF VALGANCICLOVIR IN PEDIATRIC TRANSPLANT RECIPIENTS [J].
Launay, Elise ;
Theoret, Yves ;
Litalien, Catherine ;
Duval, Michel ;
Alvarez, Fernando ;
Lapeyraque, Anne-Laure ;
Phan, Veronique ;
Larocque, Diane ;
Poirier, Nancy ;
Lamarre, Valerie ;
Ovetchkine, Philippe .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2012, 31 (04) :405-407
[9]   Population Pharmacokinetics and Dose Optimization of Ganciclovir in Critically Ill Children [J].
Li, SiChan ;
Shu, Chang ;
Wu, SanLan ;
Xu, Hua ;
Wang, Yang .
FRONTIERS IN PHARMACOLOGY, 2021, 11
[10]   Lack of reactivation of cytomegalovirus (CMV) retinitis after stopping CMV maintenance therapy in AIDS patients with sustained elevations in CD4 T cells in response to highly active antiretroviral therapy [J].
Macdonald, JC ;
Torriani, FJ ;
Morse, LS ;
Karavellas, MP ;
Reed, JB ;
Freeman, WR .
JOURNAL OF INFECTIOUS DISEASES, 1998, 177 (05) :1182-1187