Evidence map›Paper›PMID 31222765›Full record

Trial reportBritish journal of clinical pharmacology2019

Pharmacokinetics and safety of tadalafil in a paediatric population with pulmonary arterial hypertension: A multiple ascending-dose study.

David Small, Lisa Ferguson-Sells, Nagib Dahdah, Damien Bonnet, John Landry, Baohui Li

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
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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

6 authors at 4 institutions in 3 countries.

David SmallEli Lilly and Company, Indianapolis, IN, USA.
Lisa Ferguson-SellsEli Lilly and Company, Indianapolis, IN, USA.
Nagib DahdahCHU Ste-Justine, University of Montréal, Quebec, Canada.
Damien BonnetUniversité Paris Descartes, Paris, France and M3C-Necker, AP-HP, Hôpital Necker-Enfants Malades, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
John LandryEli Lilly Canada Inc., Toronto, Ontario, Canada.
Baohui LiEli Lilly and Company, Indianapolis, IN, USA.ORCID 0000-0002-6451-1825
Eli Lilly (United States) · USCentre Hospitalier Universitaire Sainte-Justine · CAEli Lilly (Canada) · CAHôpital Necker-Enfants Malades · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the pharmacokinetics and safety of once-daily (QD) tadalafil in paediatric patients with pulmonary arterial hypertension (PAH) to establish an appropriate dose range for further research.

methodsThis was an open-label, multicentre, international, multiple-ascending-dose study. Patients aged ≥2 years were enrolled into 1 of 3 cohorts based on body weight: heavy-weight (≥40 kg), middle-weight (25 to <40 kg), and light-weight (<25 kg). Each patient received tadalafil QD for 10 weeks: 5 weeks at a low dose, then 5 weeks at a high dose. The doses for each cohort were intended to produce plasma tadalafil concentrations within the range produced by 5-10 mg (for the low dose) or 20-40 mg (for the high dose) of tadalafil in adults with PAH. Area under the plasma concentration-time curve during 1 dosing interval (AUC

resultsThe study enrolled 19 patients aged 2-17 years, weighing 9.9-76.0 kg. Tadalafil's median (range) steady-state AUC

conclusionsTadalafil 40 mg QD for patients ≥40 kg, and 20 mg QD for patients <40 kg and aged ≥2 years, are suitable for further research in paediatric patients with PAH.

Indexed as

AdolescentAntihypertensive AgentsArea Under CurveBosentanChildChild, PreschoolCohort StudiesDose-Response Relationship, DrugFemaleHumansMalePhosphodiesterase 5 InhibitorsPulmonary Arterial HypertensionTadalafilAntihypertensive AgentsBosentanPhosphodiesterase 5 InhibitorsTadalafilpaediatricpharmacokineticsphosphodiesterase type 5 inhibitorpulmonary arterial hypertensiontadalafil

Identifiers

PMID31222765
PMCPMC6783595
OpenAlexW2952292299

What Socratic 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 Socratic graph.