Evidence map›Paper›PMID 21666540›Full record

ArticleThe Pediatric infectious disease journal2011

Nelfinavir and Lamivudine pharmacokinetics during the first two weeks of life.

Mark Mirochnick, Karin Nielsen-Saines, Jose Henrique Pilotto, Jorge Pinto, Valdilea Gonçalves Veloso, Steven Rossi, Jack Moye, Yvonne Bryson, Lynne Mofenson, Margaret Camarca and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Pediatric infectious disease journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00099359 (Phase III Randomized Trial of the Safety and Efficacy of Three Neonatal Antiretroviral Regimens for Prevention of Intrapartum HIV-1 Transmission), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 16% 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.

NCT00099359 phase3completednot on this map

Phase III Randomized Trial of the Safety and Efficacy of Three Neonatal Antiretroviral Regimens for Prevention of Intrapartum HIV-1 Transmission

TypeinterventionalSponsorEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)Ran2004 to 2011Enrolled1,735ConditionsDisease Transmission, Vertical, Vertical Human Immunodeficiency Virus Transmission, HIV InfectionsArmsZidovudine, Nevirapine (NVP), Epivir (3TC), Nelfinavir (NFV)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Getting to 90-90-90 in paediatric HIV: What is needed?Journal of the International AIDS Society · 2015
    Article
  8. Article
  9. Translation of biomedical prevention strategies for HIV: prospects and pitfalls.Journal of acquired immune deficiency syndromes (1999) · 2013
    Review
  10. Pharmacotherapy of pediatric HIV infection.Pediatric clinics of North America · 2012
    Review
  11. 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

12 authors at 7 institutions in 2 countries.

Mark MirochnickDepartment of Pediatrics, Boston University School of Medicine, Boston, MA, USA. markm@bu.edu
Karin Nielsen-Saines
Jose Henrique Pilotto
Jorge Pinto
Valdilea Gonçalves Veloso
Steven Rossi
Jack Moye
Yvonne Bryson
Lynne Mofenson
Margaret Camarca
D Heather Watts
NICHD HPTN 040/PACTG 1043 PROTOCOL Team
Eunice Kennedy Shriver National Institute of Child Health and Human Development · USUniversity of California, Los Angeles · USFundação Oswaldo Cruz · BRInstituto Evandro Chagas · BRUniversidade Federal de Minas Gerais · BRUniversidade Iguaçu · BRUniversity of California, San Diego · US

Funding

NICHD INTERNATIONAL PEDIATRIC AND PERINATAL HIV STUDIES NETWORK COORDI-275033345N01HD033345 · NICHD · WESTAT · PI NESEL, CAROL · 2004 to 2006
–
NICHD NIH HHS HHSN267200800001CNICHD NIH HHS N01 HD033345NICHD NIH HHS N01-HD33345NICHD NIH HHS N01-HD-8-0001NIDDK NIH HHS HHSN267200800001G
6 · The paper itself

Abstract

backgroundThere are no previous data describing nelfinavir and lamivudine pharmacokinetics in neonates treated with weight-band dosing regimens.

designPharmacokinetic study of nelfinavir and lamivudine pharmacokinetics in infants during the first 2 weeks of life treated with weight-band dosing regimens.

methodsIntensive 12-hour pharmacokinetic profiles were performed between either days 4-7 or days 10-14 of life in 26 Brazilian infants.

resultsPharmacokinetic data were obtained from 26 infants who received median (range) per kg doses of 58.8 (48.4-79.0) mg/kg for nelfinavir and 2.0 (1.5-3.2) mg/kg for lamivudine. Median nelfinavir 12-hour AUC (AUC0-12) was 25.5 (1.7-183.5) μg*h/mL and median 12-hour concentration (C12h) was 1.09 (<0.04-14.44) μg/mL. AUC0-12 was less than 15 μg*h/mL (the 10% for adults) in 12 infants (46%). Median lamivudine AUC0-12 was 7.8 (2.7-15.6) μg*h/mL and median C12h was 0.23 (<0.04-0.74) μg/mL.

conclusions: Lamivudine pharmacokinetic parameters observed in this study were consistent with those seen in other studies of neonates. While median nelfinavir AUC and C12h in these neonates were above the exposure targets, interindividual variability in nelfinavir exposure was large and nelfinavir exposure failed to meet the exposure targets in 46% of infants.

Indexed as

Anti-HIV AgentsArea Under CurveFemaleHIV-1HIV InfectionsHumansInfant, NewbornInfectious Disease Transmission, VerticalLamivudineMaleNelfinavirViral LoadAnti-HIV AgentsLamivudineNelfinavir

Identifiers

PMID21666540
PMCPMC3158246
OpenAlexW2054937433

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.