Evidence map›Paper›PMID 40772492›Full record

ArticlePharmacotherapy2025

Precision Daptomycin Dosing: Comparison of 3-, 2-, 1-, and 0-Concentration Sample Strategies.

Simone Giuliano, Manjunath P Pai, Jacopo Angelini, Sarah Flammini, Luca Martini, Massimo Baraldo, Carlo Tascini

Abstract readComparative Study
In one paragraph

Article in Pharmacotherapy, 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. Review
  2. 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

7 authors.

Simone GiulianoInfectious Diseases Clinic, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.ORCID 0000-0003-2475-8732
Manjunath P PaiDepartment of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0001-7119-5034
Jacopo AngeliniClinical Pharmacology and Toxicology Institute, University Hospital Friuli Centrale ASUFC, Udine, Italy.ORCID 0000-0002-8433-0394
Sarah FlamminiInfectious Diseases Clinic, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.
Luca MartiniInfectious Diseases Clinic, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.ORCID 0009-0007-3160-0171
Massimo BaraldoClinical Pharmacology and Toxicology Institute, University Hospital Friuli Centrale ASUFC, Udine, Italy.
Carlo TasciniInfectious Diseases Clinic, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy.ORCID 0000-0001-9625-6024

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaptomycin is a once-daily lipopeptide antibiotic with a narrow therapeutic window. As higher doses (8-12 mg/kg) are increasingly used to treat resistant gram-positive infections, achieving therapeutic exposure while minimizing toxicity has become critical. Understanding daptomycin therapeutic drug monitoring (TDM) and what sampling strategy may be most precise and feasible are key to guiding appropriate dosing. The primary objective of this study was to ascertain the precision and bias of a mid-point sample area under the curve over 24-h (AUC

methodsAdult patients receiving daptomycin with at least three steady-state concentrations (peak, mid-point, trough) were included in this analysis. A previously published one-compartment population pharmacokinetic model was applied using Bayesian estimation (Monolix Suite 2024R1). AUC

resultsThe cohort included 210 patients (60% male) with a mean (range) age of 66 (18-91) years, body weight 78 (41-140) kg, and BMI 27 (14-51) kg/m

conclusionsA mid-interval sampling strategy offers a practical alternative to traditional TDM for daptomycin, enabling more consistent AUC estimation when full sampling is not feasible. A two-sample Bayesian approach remains the most accurate, supporting broader implementation of individualized daptomycin dosing.

Indexed as

Anti-Bacterial AgentsDaptomycinDrug MonitoringAdultAgedAged, 80 and overArea Under CurveBayes TheoremDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedAnti-Bacterial AgentsDaptomycinantibioticdaptomycindrug monitoringpharmacokineticsprecision medicine

Identifiers

PMID40772492
PMCPMC12424523

What Socratic holds

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LicenceCC BY-NC-ND
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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.