Evidence map›Paper›PMID 40558190›Full record

ArticleAntibiotics (Basel, Switzerland)2025

Pharmacokinetics of Isavuconazole During Extracorporeal Membrane Oxygenation Support in Critically Ill Patients: A Case Series.

Laura Doménech-Moral, Sonia García-García, Alba Pau-Parra, Manuel Sosa, Adrian Puertas Sanjuan, Camilo Bonilla, Elisabeth Gallart, Laura Castellote, Patricia Faixó, Jessica Guevara and 8 more

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Exploratory model-based optimizing isavuconazole dosing regimens forFrontiers in cellular and infection microbiology · 2026
    Article
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

18 authors.

Laura Doménech-MoralPharmacy Department, Vall d'Hebron University Hospital, Basic, Translational and Clinical Pharmacy Research Group, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0002-7408-314X
Sonia García-GarcíaPharmacy Department, Vall d'Hebron University Hospital, Basic, Translational and Clinical Pharmacy Research Group, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0002-7505-4770
Alba Pau-ParraPharmacy Department, Vall d'Hebron University Hospital, Basic, Translational and Clinical Pharmacy Research Group, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0001-9773-8690
Manuel SosaCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Adrian Puertas SanjuanPharmacy Department, Vall d'Hebron University Hospital, Basic, Translational and Clinical Pharmacy Research Group, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0001-8905-3501
Camilo BonillaCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Elisabeth GallartCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Laura CastelloteDepartment of Clinical Biochemistry, Vall d'Hebron University Hospital, 08035 Barcelona, Spain.
Patricia FaixóCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Jessica GuevaraCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0002-2025-8389
Albert VilanovaCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
María Martínez-PlaCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Aldair ContoCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Xavier NuvialsCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Pilar LaluezaPharmacy Department, Vall d'Hebron University Hospital, Basic, Translational and Clinical Pharmacy Research Group, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Ricard FerrerCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.
Maria Queralt GorgasPharmacy Department, Vall d'Hebron University Hospital, Basic, Translational and Clinical Pharmacy Research Group, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0001-5523-5171
Jordi RieraCritical Care Department, Vall d'Hebron University Hospital, SODIR, Vall d'Hebron Research Institute, 08035 Barcelona, Spain.ORCID 0000-0002-1738-4448

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesExtracorporeal membrane oxygenation (ECMO) is increasingly used in critically ill patients, but may significantly alter the pharmacokinetics (PK) of antifungals. Data on plasma concentrations of Isavuconazole (IsaPlasm) in ECMO patients are limited. Our objective is to evaluate Isavuconazole exposure and variability in critically ill COVID-19 patients receiving ECMO.

methodsWe conducted a pharmacokinetic analysis of Isavuconazole in critically ill patients receiving Veno-Venous ECMO for respiratory support. Plasma concentrations were measured using therapeutic drug monitoring (TDM) at multiple time points, including sampling before and after the membrane oxygenator. PK parameters-Area Under Curve (AUC

resultsFive patients were included. The median AUC

conclusionsIsavuconazole pharmacokinetics show marked variability in critically ill ECMO patients. Increased AUC and Vd, along with reduced clearance, highlight the need for individualized dosing.

Indexed as

antifungal therapycritical caredrug sequesteringIsavuconazolepharmacokineticstherapeutic drug monitoringV-V ECMO

Identifiers

PMID40558190
PMCPMC12189085

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.