Evidence map›Paper›PMID 18625763›Full record

Trial reportAntimicrobial agents and chemotherapy2008

Lack of a significant drug interaction between raltegravir and tenofovir.

Larissa A Wenning, Evan J Friedman, James T Kost, Sheila A Breidinger, Jon E Stek, Kenneth C Lasseter, Keith M Gottesdiener, Joshua Chen, Hedy Teppler, John A Wagner and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00977756 (IMPAACT P1058A), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT00977756 completednot on this map

IMPAACT P1058A: Intensive Pharmacokinetic Studies of New Classes of Antiretroviral Drug Combinations in Children, Adolescents and Young Adults

TypeobservationalSponsorInternational Maternal Pediatric Adolescent AIDS Clinical Trials GroupRan2002 to 2014Enrolled168ConditionsHIV InfectionsArmsRaltegravir (RAL), Atazanavir (ATV), Ritonavir (RTV), Tenofovir (TDF), Etravirine (ETV)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
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  14. Pharmacology of HIV integrase inhibitors.Current opinion in HIV and AIDS · 2012
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Drug-drug interactions with raltegravir.European journal of medical research · 2009
    Review
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

12 authors at 1 institution in 1 country.

Larissa A WenningMerck & Co, Inc, Whitehouse Station, New Jersey, USA. Larissa_Wenning@merck.com
Evan J Friedman
James T Kost
Sheila A Breidinger
Jon E Stek
Kenneth C Lasseter
Keith M Gottesdiener
Joshua Chen
Hedy Teppler
John A Wagner
Julie A Stone
Marian Iwamoto
Merck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Raltegravir is a novel human immunodeficiency virus type 1 (HIV-1) integrase inhibitor with potent in vitro activity (95% inhibitory concentration of 31 nM in 50% human serum). This article reports the results of an open-label, sequential, three-period study of healthy subjects. Period 1 involved raltegravir at 400 mg twice daily for 4 days, period 2 involved tenofovir disoproxil fumarate (TDF) at 300 mg once daily for 7 days, and period 3 involved raltegravir at 400 mg twice daily plus TDF at 300 mg once daily for 4 days. Pharmacokinetic profiles were also determined in HIV-1-infected patients dosed with raltegravir monotherapy versus raltegravir in combination with TDF and lamivudine. There was no clinically significant effect of TDF on raltegravir. The raltegravir area under the concentration time curve from 0 to 12 h (AUC(0-12)) and peak plasma drug concentration (C(max)) were modestly increased in healthy subjects (geometric mean ratios [GMRs], 1.49 and 1.64, respectively). There was no substantial effect of TDF on raltegravir concentration at 12 h postdose (C(12)) in healthy subjects (GMR [TDF plus raltegravir-raltegravir alone], 1.03; 90% confidence interval [CI], 0.73 to 1.45), while a modest increase (GMR, 1.42; 90% CI, 0.89 to 2.28) was seen in HIV-1-infected patients. Raltegravir had no substantial effect on tenofovir pharmacokinetics: C(24), AUC, and C(max) GMRs were 0.87, 0.90, and 0.77, respectively. Coadministration of raltegravir and TDF does not change the pharmacokinetics of either drug to a clinically meaningful degree. Raltegravir and TDF may be coadministered without dose adjustments.

Indexed as

AdenineAdolescentAdultAgedAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesDose-Response Relationship, DrugDouble-Blind MethodDrug Administration ScheduleDrug InteractionsDrug Therapy, CombinationFemaleHIV-1HIV InfectionsAdenineAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesefavirenzHIV Integrase InhibitorsLamivudineOrganophosphonatesPyrrolidinonesRaltegravir PotassiumReverse Transcriptase InhibitorsTenofovir

Identifiers

PMID18625763
PMCPMC2533504
OpenAlexW1994404131

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.