Le Blanc et al. 2024

Toward Model-Based Informed Precision Dosing of Vancomycin in Hematologic Cancer Patients: A First Step

Clinical Pharmacokinetics · 10.1007/s40262-023-01329-0

Structure

A two-compartment model, driven by ideal body weight and creatinine clearance.

Study population

Hematologic malignancy and Transplant patients — Canada and North America. Fitted to 60 patients and 240 concentration observations.

Covariate As reported
Age 56 (20–78) yr
Weight 85.1 (43–154) kg
BMI 28.8 (17.7–42.2) kg/m²
CrCl 100 (63–142) mL/min
SCr 0.74 (0.35–1.24) mg/dL

Reported as the source publication gives them — mean ± SD, or median with range or interquartile range.

Equations

The model's structural parameters as Chorus implements them.

CL=5.63(IBW63.0)0.75(eGFR100.0)1.02CL = 5.63 \cdot \left(\frac{IBW}{63.0}\right)^{0.75} \cdot \left(\frac{eGFR}{100.0}\right)^{1.02}V1=46.8IBW63.0V_1 = 46.8 \cdot \frac{IBW}{63.0}V2=56.1IBW63.0V_2 = 56.1 \cdot \frac{IBW}{63.0}Q=6.55(IBW63.0)0.75Q = 6.55 \cdot \left(\frac{IBW}{63.0}\right)^{0.75}
LaTeX source
CL = 5.63 \cdot \left(\frac{IBW}{63.0}\right)^{0.75} \cdot \left(\frac{eGFR}{100.0}\right)^{1.02}
V_1 = 46.8 \cdot \frac{IBW}{63.0}
V_2 = 56.1 \cdot \frac{IBW}{63.0}
Q = 6.55 \cdot \left(\frac{IBW}{63.0}\right)^{0.75}

Implementation notes

Two-compartment model developed specifically for North American adults with hematologic cancer (with or without HSCT). Uses Ideal Body Weight (Devine) for all parameters and eGFR (CKD-EPI) for clearance. Additive error model.

Simulation settings

Models

selected

Dose candidates (mg)

Interval candidates (h)

Demographics

Physical characteristics.

kg
cm
yr