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2026 · European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · paywalled

Systematic evaluation of propofol population pharmacokinetic models and development of a literature-supported new meta-model for critically ill preterm and term neonates

Rantanen et al.

The finding, in our words

This study employed volumetric absorptive microsampling to collect blood samples from neonates, revealing that existing propofol pharmacokinetic models poorly predicted drug levels in this population. A newly developed meta-model provided accurate predictions, validating the use of patient-centric microsampling for therapeutic drug monitoring in preterm and term infants.

A paraphrase to the Library’s standard, never the abstract. The source is one link away and is always the authority.

Labels

  1. 2026

    The study developed and validated a rapid LC-MS/MS method for quantifying cefazolin in capillary whole blood collected via VAMS, plasma, and plasma ultrafiltrate, showing robust performance across matrices and successful application in a pediatric pilot cohort for therapeutic drug monitoring.

    Rapid, robust LC-MS/MS quantification of cefazolin in whole blood microsamples, plasma, and plasma ultrafiltrate: Analytical method validation and preliminary clinical application in pediatric populationKocur et al., Clinica chimica acta; international journal of clinical chemistry (paywalled) · source ↗

    • vams
    • neoteryx-mitra
    • blood
    • tdm
    • haematocrit
    • dried
    • antimicrobials
    • capillary
    • pediatric
    • validation
  2. 2025

    Dried saliva collected with the Mitra device correlated strongly with wet saliva but poorly with plasma unbound and total concentrations, indicating it is not a reliable substitute for plasma in routine therapeutic drug monitoring of mycophenolic acid and its glucuronide metabolite. Capillary blood collected via VAMS remains a promising alternative for long term monitoring in paediatric patients.

    Volumetric Absorptive Microsampling of Saliva for Pharmacokinetic Evaluation of Mycophenolic Acid and Its Glucuronide Metabolite in Pediatric Renal Transplant Recipients: Bioanalytical Method Validation and Clinical Feasibility EvaluationKocur et al., Pharmaceuticals · source ↗

    • blood
    • saliva
    • dried
    • capillary
    • vams
    • neoteryx-mitra
    • validation
    • pediatric
    • tdm
    • immunosuppressants
  3. 2025

    This study validated a method for quantifying fluconazole using the Mitra device, demonstrating sufficient accuracy and precision for therapeutic drug monitoring in paediatric patients.

    Determination of Fluconazole in Children in Small Blood Volumes Using Volumetric Absorptive Microsampling (VAMS) and Isocratic High-Performance Liquid Chromatography-Ultraviolet (HPLC-UV) DetectionZimbelmann et al., Pharmaceutics · source ↗

    • blood
    • dried
    • vams
    • neoteryx-mitra
    • validation
    • pediatric
    • tdm
    • antimicrobials
  4. 2024

    The study validated a VAMS-based LC-MS/MS method for measuring sirolimus levels, showing it was clinically equivalent to the standard whole blood method and suitable for therapeutic drug monitoring in paediatric transplant patients, supporting the use of decentralised microsampling for this purpose.

    Personalization of pharmacotherapy with sirolimus based on volumetric absorptive microsampling (VAMS) in pediatric renal transplant recipients-from LC-MS/MS method validation to clinical applicationKocur et al., Pharmacological reports : PR · source ↗

    • vams
    • venous-agreement
    • neoteryx-mitra
    • blood
    • tdm
    • haematocrit
    • dried
    • capillary
    • pediatric
    • immunosuppressants
    • validation
  5. 2024

    The study developed and validated LC-MS/MS methods for ganciclovir in serum, dried serum spots, and VAMS-Mitra devices. In 80 pediatric renal transplant recipients, VAMS showed interchangeability with serum samples while extending stability to at least 49 days at room temperature, making decentralised therapeutic drug monitoring more feasible for transplant patients.

    Assessment of Dried Serum Spots (DSS) and Volumetric-Absorptive Microsampling (VAMS) Techniques in Therapeutic Drug Monitoring of (Val)Ganciclovir-Comparative Study in Analytical and Clinical PracticeKocur et al., International journal of molecular sciences · source ↗

    • blood
    • dried
    • vams
    • neoteryx-mitra
    • validation
    • pediatric
    • tdm
    • antimicrobials