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Table 1 Summary of studies on VRC maintenance doses to achieve the target range in Asian populations

From: Clinical application of voriconazole in pediatric patients: a systematic review

Study population

No. of

samples

Target Ctrough (mg/L)

Maintenance dose to achieve the target range

Year

Country

Reference

Age group (years)

Administration routes and VRC Dose

(median [range], mg/kg twice daily)

Pediatric cancer patients with IA

27

1.0–6.0

< 12

≥ 12

PO 6.3 a IV 5.6 a

PO 4.1 a IV 4.1 a

2013

Korea

Choi et al. [8]

Pediatric patients with tumor

20

1.0–5.0

≤ 5

6–12

≥ 13

PO 15.05 a IV 6.55 a

PO 4.75 a IV 4.75 a

PO 4.35 a IV 2.75 a

2016

Japan

Kato et al. [9]

Children with immunodeficiencies

107

1.0-5.5

0–12

IV 5- < 7

2017

China

Liu et al. [10]

Children with hematological diseases

42

1.0-5.5

< 6

6–12

> 12

PO 11.1 (6.7–13.8)

PO 7.2 (4.2–10.3) IV 5.8 (5.0-7.7)

PO 5.3 (4.0-8.5) IV 4.9 (3.6–6.3)

2018

China

Hu et al. [11]

Children with hematological diseases

108

0.5-5.0

CYP2C19 NMs and ≤ 12

CYP2C19 NMs and > 12

CYP2C19 IMs/PMs and ≤ 12

CYP2C19 IMs/PMs and > 12

6.53 ± 2.08 b

3.95 ± 0.85 b

5.75 ± 1.73 b

4.23 ± 0.76 b

2021

China

Tian et al. [12]

Immunocompromised children

91

1.0–5.0

CYP2C19 NMs

CYP2C19 IMs

CYP2C19 PMs

10.4 (8.1–13.4)

9.1 (6.65–10.9)

7.6 (5.35–9.55)

2022

China

Chen et al. [13]

Children with hematological diseases

131

1.0-5.5

2–14

PO 4.75 ± 2.05 b

IV 5.21 ± 1.81 b

2023

China

Hu et al. [14]

  1. VRC, voriconazole. Ctrough, trough concentration. PO, oral. IV, intravenous. NMs, normal metabolizers. IMs, intermediate metabolizers. PMs, poor metabolizers. IA, invasive aspergillosis. a median dose. b\(\bar x \pm s\)