Evidence map›Paper›PMID 22096611›Full record

ArticlePloS one2011

Bridging the gap between preclinical and clinical microbicide trials: blind evaluation of candidate gels in murine models of efficacy and safety.

Theodore J Segarra, Esra Fakioglu, Natalia Cheshenko, Sarah S Wilson, Pedro M M Mesquita, Gustavo F Doncel, Betsy C Herold

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.1field-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

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Generation of IL-3-Secreting CD4ImmunoHorizons · 2019
    Article
  4. Article
  5. Impact of Sex on the Pharmacokinetics and Pharmacodynamics of 1% Tenofovir Gel.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Article
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  8. Review
  9. Article
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  15. Article
  16. Article
  17. Standard operating procedures for maintaining cleanliness in a novel compact facility for breeding SPF mice.Journal of the American Association for Laboratory Animal Science : JAALAS · 2013
    Article
  18. Article
  19. HSV activates Akt to trigger calcium release and promote viral entry: novel candidate target for treatment and suppression.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2013
    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

7 authors at 2 institutions in 1 country.

Theodore J SegarraDepartment of Pediatrics and Microbiology-Immunology, Albert Einstein College of Medicine, Bronx, New York, United States of America.
Esra Fakioglu
Natalia Cheshenko
Sarah S Wilson
Pedro M M Mesquita
Gustavo F Doncel
Betsy C Herold
Albert Einstein College of Medicine · USEastern Virginia Medical School · US

Funding

Immunology/Pathology CoreP30AI051519 · NIAID · YESHIVA UNIVERSITY · PI GOLDSTEIN, HARRIS · 2003 to 2013
$18.6M
Sustained Intravaginal Delivery Technologies Against HIV and HSVU19AI076980 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KISER, PATRICK FRANKLIN · 2009 to 2012
$10.1M
Novel Mucosal Models Predictive of Microbicide SafetyR33AI079763 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI HEROLD, BETSY C., KELLER, MARLA J · 2010 to 2012
$1.4M
Novel Mucosal Models Predictive of Microbicide SafetyR21AI079763 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI HEROLD, BETSY C., KELLER, MARLA J · 2008 to 2009
$457k
NIAID NIH HHS AI076980NIAID NIH HHS AI079763NIAID NIH HHS AI-51519NIAID NIH HHS P30 AI051519NIAID NIH HHS R21 AI079763NIAID NIH HHS R33 AI079763NIAID NIH HHS U19 AI076980
6 · The paper itself

Abstract

backgroundDespite significant protection in preclinical studies, cellulose sulfate (CS) failed to protect women against HIV-1/2 and was associated with a trend toward increased HIV-1 acquisition in one of the clinical trials. These results highlight the need for preclinical tests more predictive of clinical outcomes. The objective of this study was to test coded vaginal gels, including CS, in murine models of safety and efficacy to determine the models' utility for evaluating future products.

methodsFour coded formulations, including 6% CS, 2% PRO 2000 and two placebo gels, were administered intravaginally to medroxyprogesterone-treated mice and their ability to prevent genital herpes (efficacy) or to alter the susceptibility to low dose HSV challenge (safety) was determined. Nonoyxnol-9 served as a positive toxicity control.

resultsCS and PRO 2000 significantly protected mice from genital herpes following infection with a laboratory or clinical isolate of HSV-2 introduced in buffer (p<0.001). However, protection was reduced when virus was introduced in seminal plasma. Moreover, mice were significantly more susceptible to infection with low doses of HSV-2 when challenged 12 h after the 7th daily dose of CS or nonoxynol-9 (p<0.05). The increased susceptibility was associated with alterations in epithelial architecture.

conclusionsCS prevented genital herpes when present at the time of viral challenge, but increased the rate of infection when gel was applied daily for 7 days with a vaginal wash prior to viral inoculation. The findings presumably reflect altered epithelial architecture, which may have contributed to the trend towards increased HIV observed clinically.

Indexed as

Administration, IntravaginalAnimalsAnti-Infective AgentsCelluloseFemaleHerpes GenitalisHerpesvirus 2, HumanMiceNaphthalenesulfonatesPolymersVaginal Creams, Foams, and JelliesAnti-Infective AgentsCellulosecellulose sulfateNaphthalenesulfonatesPolymersPRO 2000Vaginal Creams, Foams, and Jellies

Identifiers

PMID22096611
PMCPMC3214080
OpenAlexW2092537891

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.