Evidence map›Paper›PMID 11120940›Full record

Trial reportAntimicrobial agents and chemotherapy2001

Pharmacokinetic and pharmacodynamic study of the human immunodeficiency virus protease inhibitor amprenavir after multiple oral dosing.

B M Sadler, C Gillotin, Y Lou, D S Stein

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00002183 (A Phase I Trial to Evaluate the Safety, Pharmacokinetics and Antiviral Activity of 141W94 After Multiple Dosing in Patients With HIV Infection), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
9.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00002183 phase1completednot on this map

A Phase I Trial to Evaluate the Safety, Pharmacokinetics and Antiviral Activity of 141W94 After Multiple Dosing in Patients With HIV Infection

TypeinterventionalSponsorGlaxo WellcomeEnrolled60ConditionsHIV InfectionsArmsAbacavir sulfate, Amprenavir, Lamivudine, Zidovudine
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 98 citations in OpenAlex.

  1. Fosamprenavir with Ritonavir Pharmacokinetics during Pregnancy.Antimicrobial agents and chemotherapy · 2020
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  17. Regional adipose tissue and lipid and lipoprotein levels in HIV-infected women.Journal of acquired immune deficiency syndromes (1999) · 2008
    Article
  18. A review of the pharmacokinetics of abacavir.Clinical pharmacokinetics · 2008
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

B M SadlerGlaxo Wellcome Inc., Research Triangle Park, North Carolina 27709, USA. BMS44974@GLAXOWELLCOME.COM
C Gillotin
Y Lou
D S Stein
Research Triangle Park Foundation · USWellcome Library · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a dose-ranging study of amprenavir (formerly 141W94), an inhibitor of the protease enzyme of human immunodeficiency virus (HIV) type 1, single-dose and steady-state pharmacokinetic parameters were estimated from plasma samples collected on day 1 and during week 3, respectively. Amprenavir was administered on either a twice-daily (b.i.d.) or three-times-daily dosage schedule to 62 HIV-infected adults, 59 of whom had pharmacokinetic data. Log-log regression analysis (the power model) revealed that the steady-state area under the curve (AUC(ss)) and the maximum, minimum, and average concentrations at steady state (C(max,ss), C(min,ss), and C(avg,ss), respectively) increased in a dose-proportional manner over the 300- to 1,200-mg dose range. Steady-state clearance was dose independent. AUC(ss)/AUC(0-->infinity) decreased linearly with dose and correlated significantly with treatment-associated decreases in alpha(1)-acid glycoprotein. After 3 weeks, the dose of 1,200 mg b.i. d. provided a median amprenavir C(min,ss) (0.280 microg/ml) that was higher than the median in vitro 50% inhibitory concentration for clinical HIV isolates (0.023 microg/ml), even after adjustment for protein binding. The median amprenavir C(min,ss) was also greater than the estimated in vivo trough concentration calculated to yield 90% of the maximum antiviral effect (0.228 microg/ml) over 4 weeks. A pharmacodynamic analysis of the relationship between steady-state pharmacokinetic parameters and safety revealed headache and oral numbness to be the only side effects significantly associated with C(max). The pharmacodynamic relationship defined in this study supports the use of 1,200 mg b.i.d. as the approved dose of amprenavir.

Indexed as

AbacavirAdolescentAdultAnti-HIV AgentsArea Under CurveCarbamatesDideoxynucleosidesFemaleFuransHIV Protease InhibitorsHIV SeropositivityHumansMaleRNA, ViralSulfonamidesAbacaviramprenavirAnti-HIV AgentsCarbamatesDideoxynucleosidesFuransHIV Protease InhibitorsRNA, ViralSulfonamides

Identifiers

PMID11120940
PMCPMC90235
OpenAlexW2121552662

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.