Evidence map›Paper›PMID 18728241›Full record

Trial reportJournal of clinical pharmacology2008

Pharmacokinetics of efavirenz when co-administered with rifampin in TB/HIV co-infected patients: pharmacogenetic effect of CYP2B6 variation.

Awewura Kwara, Margaret Lartey, Kwamena W Sagoe, Fafa Xexemeku, Ernest Kenu, Joseph Oliver-Commey, Vincent Boima, Augustine Sagoe, Isaac Boamah, David J Greenblatt and 1 more

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

Trial report in Journal of clinical pharmacology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00802802 (Dose-Finding and Pharmacogenetic Study of Efavirenz in HIV-infected and HIV/TB Co-infected Infants and Children 3 Months to Less Than 36 Months of Age), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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.

NCT00802802 phase1completednot on this mapstarted 2010, after this paper: background citation

Dose-Finding and Pharmacogenetic Study of Efavirenz in HIV-infected and HIV/TB Co-infected Infants and Children 3 Months to Less Than 36 Months of Age

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2010 to 2018Enrolled67ConditionsHIV Infections, TuberculosisArmsEfavirenz (EFV), Rifampin-containing anti-TB therapy
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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  19. Sucralose, a synthetic organochlorine sweetener: overview of biological issues.Journal of toxicology and environmental health. Part B, Critical reviews · 2013
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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

11 authors at 6 institutions in 2 countries.

Awewura KwaraThe Miriam Hospital, 164 Summit Avenue, Providence, RI 02906, USA. akwara@lifespan.org
Margaret Lartey
Kwamena W Sagoe
Fafa Xexemeku
Ernest Kenu
Joseph Oliver-Commey
Vincent Boima
Augustine Sagoe
Isaac Boamah
David J Greenblatt
Michael H Court
Korle Bu Teaching Hospital · GHUniversity of Ghana · GHBrown University · USMiriam Hospital · USTufts Medical Center · USTufts University · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
MOLECULAR DETERMINANTS OF UGT FUNCTIONR01GM061834 · NIGMS · TUFTS UNIVERSITY BOSTON · PI COURT, MICHAEL H · 2000 to 2010
$2.4M
CYP3A Function in Aging AfricanAmericansR01AG017880 · NIA · TUFTS UNIVERSITY BOSTON · PI GREENBLATT, DAVID J · 2002 to 2006
$1.2M
Concurrent HAART and Tuberculosis Treatment: Drug to Drug InteractionsK23AI071760 · NIAID · MIRIAM HOSPITAL · PI KWARA, AWEWURA JACOB · 2006 to 2010
$635k
MDR1 and Related Proteins during HIV PI ExposureR21AI058784 · NIAID · TUFTS UNIVERSITY BOSTON · PI GREENBLATT, DAVID J · 2004 to 2005
$491k
Mechanisms of adverse host responses to antibioticsR21GM074369 · NIGMS · TUFTS UNIVERSITY BOSTON · PI COURT, MICHAEL H · 2005 to 2006
$363k
NIAID NIH HHS AI-58784NIAID NIH HHS K23 AI071760NIAID NIH HHS P30 AI042853NIAID NIH HHS P30AI042853NIAID NIH HHS R21 AI058784NIA NIH HHS AG-17880NIA NIH HHS R01 AG017880NIGMS NIH HHS GM-68134NIGMS NIH HHS GM-74369NIGMS NIH HHS R01 GM061834NIGMS NIH HHS R21 GM074369
6 · The paper itself

Abstract

The goal of this study was to determine the effect of CYP2B6 genetic variation on the steady-state pharmacokinetics of efavirenz (600 mg/d) in TB/HIV co-infected patients receiving concomitant rifampin, a potent CYP inducer. In the 26 patients studied, CYP2B6 c.516GG, GT, and TT genotype frequencies were 0.27, 0.50, and 0.23, respectively. Mean plasma efavirenz area under the curve was significantly higher in patients with CYP2B6 c.516TT than in those with GT (107 vs 27.6 microg x h/mL, P< .0001) or GG genotype (107 vs 23.0 microg x h/mL, P< .0001). Apparent oral clearance (CL/F) was significantly lower in patients with CYP2B6 c.516TT than in those with GT genotype (2.1 vs 8.4 mL/min/kg, P<0.0001) and GG genotype (2.1 vs 9.9 mL/min/kg, P< .0001). No differences in efavirenz exposure or CL/F existed between patients with CYP2B6 c.516GT and GG genotypes. Our results indicate that CYP2B6 c.516TT genotype can be used to identify efavirenz poor metabolizers in patients co-treated with rifampin.

Indexed as

AdultAlkynesAntibiotics, AntitubercularAnti-HIV AgentsAryl Hydrocarbon HydroxylasesBenzoxazinesCyclopropanesCytochrome P-450 CYP2B6Enzyme InductionFemaleGene FrequencyGenetic VariationHaplotypesHIV InfectionsHumansMaleAlkynesAntibiotics, AntitubercularAnti-HIV AgentsAryl Hydrocarbon HydroxylasesBenzoxazinesCyclopropanesCYP2B6 protein, humanCytochrome P-450 CYP2B6efavirenzOxidoreductases, N-DemethylatingReverse Transcriptase InhibitorsRifampin

Identifiers

PMID18728241
PMCPMC2679896
OpenAlexW1996515892

What OpenQuestion holds

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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.