Evidence map›Paper›PMID 41536035›Full record

ArticleBritish journal of clinical pharmacology2026

Population pharmacokinetics and dose-response relationships of mitoxantrone in children with acute myeloid leukaemia.

Andrew M Brandon, Hinke Huisman-Siebinga, Shelby Barnett, Paul Wetherell, Pamela Kearns, Brenda Gibson, Nicholas Heaney, Owen Smith, André Baruchel, Arnaud Petit and 4 more

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Andrew M BrandonCentre For Cancer, Translational And Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Hinke Huisman-SiebingaDepartment of Pharmacy and Pharmacology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Shelby BarnettCentre For Cancer, Translational And Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Paul WetherellCancer Research UK Clinical Trials Unit, School of Medical Sciences, University of Birmingham, Birmingham, UK.
Pamela KearnsCancer Research UK Clinical Trials Unit, School of Medical Sciences, University of Birmingham, Birmingham, UK.
Brenda GibsonRoyal Hospital for Children, Glasgow, UK.
Nicholas HeaneyRoyal Hospital for Children, Glasgow, UK.
Owen SmithOur Lady's Hospital for Sick Children, Dublin, Ireland.
André BaruchelAssistance Publique - Hôpitaux de Paris, Hôpital Robert Debré, Paris, France.
Arnaud PetitAssistance Publique - Hôpitaux de Paris, Hôpital Trousseau, Paris, France.
Andrew MooreQueensland Children's Hospital, Brisbane, Queensland, Australia.
Kayode OgungbenroCentre for Applied Pharmacokinetic Research, Division of Pharmacy and Optometry, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0003-2446-6895
Alwin D R HuitemaDepartment of Pharmacy and Pharmacology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Gareth J VealCentre For Cancer, Translational And Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-1897-8678

Funding

Cancer Research UK C49739/A17456Cancer Research UK CTRQQR-2021/100003Experimental Cancer Medicine Centre Network ECMCQQR-2022/100002University of Birmingham
6 · The paper itself

Abstract

backgroundInformation on mitoxantrone pharmacokinetics in children is lacking and reduced dosing regimens applied to infants are supported by limited scientific rationale. The current study characterized mitoxantrone pharmacokinetics in a childhood acute myeloid leukaemia patient population and provides a data-informed assessment of dosing.

methodsA total of 282 plasma samples from 44 patients aged 0.9-17 years, receiving intravenous mitoxantrone at doses of 12 mg/m

resultsA two-compartment model with fixed allometric scaling best described the data, with a final population estimated CL of 39.1 L/h (residual standard error 9.6%) observed for a patient weighing 27.5 kg. Infants receiving mg/kg dosing exhibited lower AUC values (192 ± 75 μg·h/L) than the mg/m

conclusionThis study provides novel insights into the pharmacokinetics of mitoxantrone in children. Infant patients receiving body weight-based dosing regimens may be at risk of suboptimal drug exposure, and many of these patients may tolerate higher mitoxantrone doses in line with older children. This trial was registered with the EU Clinical Trials Register (EudraCT number 2014-005066-30).

Indexed as

Antineoplastic AgentsLeukemia, Myeloid, AcuteMitoxantroneModels, BiologicalAdolescentArea Under CurveChildChild, PreschoolComputer SimulationDose-Response Relationship, DrugFemaleHumansInfantMaleAntineoplastic AgentsMitoxantroneacute myeloid leukaemiamitoxantronepaediatricspharmacokinetics

Identifiers

PMID41536035
PMCPMC13206311

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.