New dosing nomogram and population pharmacokinetic model for young and very young children receiving busulfan for hematopoietic stem cell transplantation conditioning.
Vianney PoinsignonLaura FaivreLaurent NguyenBenedicte NevenSophie BroutinDespina MoshousPhilippe BourgetChristelle DufourJean-Hugues DalleClaire GalambrunBenedicte DevictorVeronique KemmelEva De BerrangerVirginie GandemerJean Pierre VannierCharlotte JubertSabrina BonduOlivier MirAurelie PetainGilles VassalAngelo PaciPublished in: Pediatric blood & cancer (2020)
This new model made it possible to propose a novel dosing nomogram that better considered children below 16 kg of BW and allowed better initial exposure as compared to existing dosing schedules. This nomogram, which would be easy to use to determine an optimal dosing schedule in daily practice, will need to be validated in clinical routine. Therapeutic drug monitoring remains strongly advisable for small children and those with specific diseases.