Evidence map›Paper›PMID 21464249›Full record

Trial reportAntimicrobial agents and chemotherapy2011

Plasma and intracellular tenofovir pharmacokinetics in the neonate (ANRS 12109 trial, step 2).

Déborah Hirt, Didier K Ekouévi, Alain Pruvost, Saïk Urien, Elise Arrivé, Stéphane Blanche, Divine Avit, Clarisse Amani-Bosse, Mandisa Nyati, Shini Legote and 5 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.7field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  7. Article
  8. Article
  9. Development and application of a pediatric mechanistic kidney model.CPT: pharmacometrics & systems pharmacology · 2022
    Article
  10. Article
  11. Quantitation of tenofovir and emtricitabine in dried blood spots (DBS) with LC-MS/MS.Journal of pharmaceutical and biomedical analysis · 2014
    Article
  12. Article
  13. Article
  14. 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

15 authors at 8 institutions in 4 countries.

Déborah HirtUnité de Recherche Clinique, Hôpital Tarnier, 89 Rue d'Assas, 75006 Paris, France. deborah.hirt@univ-paris5.fr
Didier K Ekouévi
Alain Pruvost
Saïk Urien
Elise Arrivé
Stéphane Blanche
Divine Avit
Clarisse Amani-Bosse
Mandisa Nyati
Shini Legote
Meng L Ek
Leakhena Say
James McIntyre
François Dabis
Jean-Marc Tréluyer
Délégation Paris 5 · FRInserm · FRUniversity of the Witwatersrand · ZAProgramme PAC-CI · CICalmette Hospital · KHCommissariat à l'Énergie Atomique et aux Énergies Alternatives · FRHôpital Necker-Enfants Malades · FRInstitut Pasteur du Cambodge · KH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to investigate for the first time tenofovir (TFV) pharmacokinetics in plasma and peripheral blood mononuclear cells (PBMCs) of the neonate. HIV-1-infected pregnant women received two tablets of tenofovir disoproxil fumarate (TDF; 300 mg) and emtricitabine (FTC; 200 mg) at onset of labor and then one tablet daily for 7 days postpartum. A single dose of 13 mg/kg of body weight of TDF was administered to 36 neonates within 12 h of life after the HIV-1-infected mothers had been administered two tablets of TDF-emtricitabine at delivery. A total of 626 samples collected within the 2 days after the drug administration were measured by liquid chromatography-tandem mass spectrometry (LC-MS/MS) and analyzed by a population approach. In the neonate, the median TFV plasma area under the curve and minimal and maximal concentrations, respectively, were 3.73 mg/liter · h and 0.076 and 0.29 mg/liter. In PBMCs, TFV concentrations were detectable in all fetuses, whereas tenofovir diphosphate (TFV-DP) was quantifiable in only two fetuses, suggesting a lag in appearance of TFV-DP. The median TFV-DP neonatal concentration was 146 fmol/10⁶ cells (interquartile range [IQR], 53 to 430 fmol/10⁶ cells); two neonates had very high TFV-DP concentrations (1,530 and 2963 fmol/10⁶ cells). The 13-mg/kg TDF dose given to neonates produced plasma TFV and intracellular active TFV-DP concentrations similar to those in adults. This dose should be given immediately after birth to reduce the delay before the active compound TFV-DP appears in cells.

Indexed as

HIV-1Acquired Immunodeficiency SyndromeAdenineAnti-HIV AgentsFemaleHumansInfant, NewbornInfectious Disease Transmission, VerticalOrganophosphonatesPregnancyPregnancy Complications, InfectiousTenofovirAdenineAnti-HIV AgentsOrganophosphonatesTenofovir

Identifiers

PMID21464249
PMCPMC3101430
OpenAlexW2138673511

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.