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. 2023 Mar 4;62(3):375–398. doi: 10.1007/s40262-023-01220-y

Table 4.

List of studies reporting salivary sampling, serum/plasma-saliva comparative methods, and risk of bias

Drug Study Population type Sample size Sampling Saliva sampling times Analytical method Saliva-serum/plasma ratio Saliva-serum/plasma comparison methods Risk of bias (overall)
Rifampin Gurumurthy et al. [74] TB 30 ND 1, 2, 3, 6, and 8 h post-dose Plate diffusion assay/microbiological methods 0.07–0.13 Ratios Low
van den Elsen et al. [77] TB 11 > 2 weeks 0, 0.5, 1, 2, 3, 4, and 6 h post-dose LC-MS/MS Paired conc: 0.126 (0.109–0.154) AUC0–24: 0.154 (0.127–0.162) Ratios, Passing–Bablok regression, Bland–Altman plots Low
Isoniazid Anusiem et al. [50] HV 5 Day of visit 0, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 12, and 24 h post-dose Spectrophotometry AUC0–24: 0.14 Ratios Low
Gurumurthy et al. [74] TB 30 ND 1, 2, 3, 6, and 8 h post-dose Chemical reaction and ultraviolet detection Calculated Cmax ratio for slow acetylators: 0.95. Calculated Cmax ratio for rapid acetylators: 0.94 Calculated ratios Low
Ofoefule et al. [76] HV 6 Day of visit 1, 2, 3, 4, 5, 6, 7, 8, and 24 h post-dose ND N/A N/A Moderate
van den Elsen et al. [77] TB 8 > 2 weeks Pre-dose, 0.5, 1, 2, 3, 4, and 6 h post-dose LC-MS/MS Paired conc.: 0.763 (0.413–1.158) AUC0–24: 0.824 (0.492–1.2) Ratios, Passing–Bablok regression, Bland–Altman plots Low
Levofloxacin Alffenaar et al. [18] HV 6 ND ND Spectrophotometry (mobile nanophotometer) N/A N/A Low
Ghimire et al. [79] TB 23 First visit: 15–30 days. Second visit: 45–60 days 0, 1, 2, 4, and 8 h post-dose LC-MS/MS First visit, Cmax : 0.68 (0.53–0.97) AUC0–24: 0.69 (0.53–0.99). Second visit, Cmax : 0.73 (0.66–1.18) AUC0-24: 0.74 (0.59–0.93) Ratios, Passing–Bablok regression, Bland–Altman plots Low
Mohamed et al. [20] TB 45 > 2 weeks 1 and 4 h post-dose Spectrophotometry (mobile nanophotometer) Cmax : 0.76 AUC0–24: 0.7 Calculated ratios, Passing–Bablok regression Low
Moxifloxacin Kumar et al. [75] HV 24 Day of visit ND HPLC 0.54 Ratio Low
van den Elsen et al. [78] TB 15 > 2 weeks 0, 1, 2, 3, 4, and 8 h post-dose LC-MS/MS Paired con.c: 1 (0.68–1.35) AUC0–24: 0.89 (0.61–1.14) Ratios, Passing–Bablok regression, Bland–Altman plots Low
Linezolid Bolhuis et al. [80] TB 7 > 2 weeks 0, 1, 2, 3, 4, 8, and 12 h post-dose HPLC-MS/MS AUC0–12: 0.97 Ratios, Passing–Bablok regression, Bland–Altman plots Low
Kim et al. [19] HV 6 ND ND Spectrophotometer (mobile nanophotometer) N/A N/A Low
van den Elsen et al. [78] TB 7 > 2 weeks 0, 1, 2, 3, 4, and 8 h post-dose LC-MS/MS Paired conc.: 0.76 (0.64–0.85) AUC0–24: 0.81 (0.74–0.88) Ratios, Passing–Bablok regression, Bland–Altman plots Low
Amikacin van den Elsen et al. [81] TB 6 > 2 weeks 0, 1, 2, 3, 4, and 8 h post-dose Particle-enhanced turbidimetric inhibition immunoassay Up to 0.18 Ratios Low
Clarithromycin Bolhuis et al. [80] TB 7 > 2 weeks 0, 1, 2, 3, 4, 8, and 12 h post-dose HPLC-MS/MS Reported = 3.07 Ratios, Passing–Bablok regression, Bland–Altman plots Low

AUC area under the concentration–time curve, Cmax maximum concentration, conc. concentration, h hours, HPLC high-performance liquid chromatography, HPLC-MS/MS high-performance liquid chromatography-mass spectrometry/mass spectrometry, HV healthy volunteers, LC-MS/MS liquid chromatography-mass spectrometry/mass spectrometry, N/A not applicable, ND not described, TB tuberculosis