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Cited by 335

The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.

Pharmacokinetics and Safety of Intravenous Voriconazole in Children after Single- or Multiple-Dose Administration

Open access
Walsh, Thomas J., Karlsson, Mats O., Driscoll, Timothy, Arguedas, Adriano G., Adamson, Peter, Saez-Llorens, Xavier, Vora, Ajay J., Arrieta, Antonio C., Blumer, Jeffrey, Lutsar, Irja, Milligan, Peter, Wood, Nolan·2004·Antimicrobial Agents and Chemotherapy

Abstract

We conducted a multicenter study of the safety, tolerability, and plasma pharmacokinetics of the parenteral formulation of voriconazole in immunocompromised pediatric patients (2 to 11 years old). Single doses of 3 or 4 mg/kg of body weight were administered to six and five children, respectively. In the multiple-dose study, 28 patients received loading doses of 6 mg/kg every 12 h on day 1, followed by 3 mg/kg every 12 h on day 2 to day 4 and 4 mg/kg every 12 h on day 4 to day 8. Standard population pharmacokinetic approaches and generalized additive modeling were used to construct the structural pharmacokinetic and covariate models used in this analysis. In contrast to that in adult healthy volunteers, elimination of voriconazole was linear in children following doses of 3 and 4 mg/kg every 12 h. Body weight was more influential than age in accounting for the observed variability in voriconazole pharmacokinetics. Elimination capacity correlated with the CYP2C19 genotype. Exposures were similar at 4 mg/kg every 12 h in children (median area under the concentration-time curve (AUC), 14,227 ng · h/ml) and 3 mg/kg in adults (median AUC, 13,855 ng · h/ml). Visual disturbances occurred in 5 (12.8%) of the 39 patients and were the only drug-related adverse events that occurred more than once. No withdrawals from the study were related to voriconazole. We conclude that pediatric patients have a higher capacity for elimination of voriconazole per kilogram of body weight than do adult healthy volunteers and that dosages of 4 mg/kg may be required in children to achieve exposures consistent with those in adults following dosages of 3 mg/kg.

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Crossref · 10.1128/aac.48.6.2166-2172.2004

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Metadata

Authors
Walsh, T. J., Karlsson, M. O., Driscoll, T., Arguedas, A. G., Adamson, P., Saez-Llorens, X., Vora, A. J., Arrieta, A. C., Blumer, J., Lutsar, I., Milligan, P., & Wood, N.
Venue
Antimicrobial Agents and Chemotherapy
Published
2004-06
Volume
48
Issue
6
Pages
2166-2172
ISSN
  • 0066-4804 (ISSN-L)
  • 1098-6596
OpenAlex
W2102934589
Cited by
335
References
6
FWCI
15.90
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Pharmacokinetics and Safety of Intravenous Voriconazole in Children after Single- or Multiple-Dose Administration. https://app.cochat.ai/papers/10.1128/aac.48.6.2166-2172.2004
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Walsh, T. J., Karlsson, M. O., Driscoll, T., Arguedas, A. G., Adamson, P., Saez-Llorens, X., Vora, A. J., Arrieta, A. C., Blumer, J., Lutsar, I., Milligan, P., & Wood, N. (2004). Pharmacokinetics and Safety of Intravenous Voriconazole in Children after Single- or Multiple-Dose Administration. Antimicrobial Agents and Chemotherapy. https://doi.org/10.1128/aac.48.6.2166-2172.2004

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.