在患有癌症的儿童中对 isavuconazole 的现实世界评估
Janine Nijhuis1, Anouk M E Jansen2,3, Tom F W Wolfs1,4
1Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
The Journal of antimicrobial chemotherapy
|January 21, 2026
概括
伊萨夫可纳在治疗儿童的侵入性真菌感染方面是有效的,表现出良好的耐受性和与关键试验相似的暴露水平. 体重较低的儿童需要更高的剂量来达到同等的暴露,这凸显了治疗药物监测的必要性.
科学领域:
- 儿童传染病 儿童传染病
- 药理学和治疗学 药理学和治疗学
- 菌类学 菌类学是指菌类学.
背景情况:
- 伊萨夫可纳是一种广泛用于儿科患者的抗真菌药物.
- 它比其他醇具有优势,包括良好的安全性和较少的药物相互作用.
- 其可预测的药理动力学和广泛的活性使其成为一种有价值的治疗选择.
研究的目的:
- 评估在儿童中使用伊萨武可纳的现实世界.
- 评估儿科患者获得的药物暴露水平.
- 为了确定不同体重类别的最佳剂量策略.
主要方法:
- 一项回顾性队列研究对儿科患者进行了治疗. isavuconazole.
- 从患者记录中收集了临床和毒性数据.
- 使用非线性混合效应建模来估计药物暴露.
主要成果:
- 伊萨夫可纳在92次发作中给了77名儿科患者,主要用于血液恶性瘤或干细胞移植后患者的二线治疗.
- 平均最低度为3.3mg/L,其中81.8%达到目标暴露水平.
- 对于体重较低的儿童 (<18公斤),每公斤需要更高的维持剂量来达到可比暴露.
结论:
- 伊萨夫可纳是一种有价值的选择,用于治疗儿童的侵入性真菌感染.
- 药物一般耐受性良好,所达到的暴露量与关键试验数据一致.
- 暴露的显著患者间和患者内变异性需要治疗药物监测,特别是在体重较低的儿科患者中.
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