Evidence map›Paper›PMID 22123689›Full record

ArticleAntimicrobial agents and chemotherapy2012

Simultaneous delivery of tenofovir and acyclovir via an intravaginal ring.

John A Moss, Amanda M Malone, Thomas J Smith, Sean Kennedy, Etana Kopin, Cali Nguyen, Josh Gilman, Irina Butkyavichene, Kathleen L Vincent, Massoud Motamedi and 3 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
7.9field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 87 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Vaginally-delivered fast-dissolving antibody tablets (FDAT) for on-demand non-hormonal contraception and multi-purpose protection.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  5. Review
  6. Next-generation 3D printed multipurpose prevention intravaginal ring for prevention of HIV, HSV-2, and unintended pregnancy.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Accurate measurement of female genital tract fluid dilution in cervicovaginal lavage samples.Journal of chromatography. B, Analytical technologies in the biomedical and life sciences · 2016
    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

13 authors at 5 institutions in 1 country.

John A MossDepartment of Chemistry, Oak Crest Institute of Science, Pasadena, California, USA.
Amanda M Malone
Thomas J Smith
Sean Kennedy
Etana Kopin
Cali Nguyen
Josh Gilman
Irina Butkyavichene
Kathleen L Vincent
Massoud Motamedi
David R Friend
Meredith R Clark
Marc M Baum
Auritec Pharmaceuticals (United States) · USOak Crest Institute of Science · USEastern Virginia Medical School · USThe University of Texas Medical Branch at Galveston · USUniversity of Kentucky · US

Funding

Intravaginal ring microbicide formulations comprising multiple anti-HIV agentsR21AI079791 · NIAID · OAK CREST INSTITUTE OF SCIENCE · PI SMITH, THOMAS J. · 2008 to 2009
$419k
Vaginal ring formulation of tenofovir microbicideR21AI076136 · NIAID · OAK CREST INSTITUTE OF SCIENCE · PI SMITH, THOMAS J. · 2009 to 2010
$411k
NIAID NIH HHS 5R21AI076136NIAID NIH HHS 5R21AI079791NIAID NIH HHS R21 AI076136NIAID NIH HHS R21 AI079791
6 · The paper itself

Abstract

Vaginal microbicides may play an important role in protecting women from HIV infection. A strong synergy between HSV and HIV has been observed, and epidemiological studies demonstrate that HSV infection increases the risk of HIV acquisition. Incorporation of the antiretroviral tenofovir (TFV) along with the antiherpetic acyclovir (ACV) into combination intravaginal rings (IVRs) for sustained mucosal delivery of both compounds could lead to increased microbicide product adherence and efficacy compared with conventional vaginal formulations. A novel, dual-protection "pod IVR" platform developed in-house and delivering ACV and TFV was evaluated in rabbit and sheep models. The devices were safe and exhibited sustained release of both drugs independently and at controlled rates over the 28-day studies. Daily release rates were estimated based on residual drug content of the used devices: rabbits, 343 ± 335 μg day(-1) (ACV) and 321 ± 207 μg day(-1) (TFV); sheep, 174 ± 14 μg day(-1) (ACV) and 185 ± 34 μg day(-1) (TFV). Mean drug levels in sheep vaginal samples were as follows: secretions, 5.25 ± 7.31 μg ml(-1) (ACV) and 20.6 ± 16.2 μg ml(-1) (TFV); cervicovaginal lavage fluid, 118 ± 113 ng ml(-1) (ACV) and 191 ± 125 ng ml(-1) (TFV); tissue, 173 ng g(-1) (ACV) and 93 ng g(-1) (TFV). An in vitro-in vivo correlation was established for both drugs and will allow the development of future formulations delivering target levels for prophylaxis and therapy. These data suggest that the IVR based on the pod design has potential in the prevention of transmission of HIV-1 and other sexually transmitted pathogens.

Indexed as

AcyclovirAdenineAdministration, IntravaginalAnimalsAnti-HIV AgentsAntiviral AgentsDelayed-Action PreparationsDisease Models, AnimalDrug CombinationsDrug Delivery SystemsEquipment DesignFemaleHerpes GenitalisHerpesvirus 2, HumanHIV-1HIV InfectionsAcyclovirAdenineAnti-HIV AgentsAntiviral AgentsDelayed-Action PreparationsDrug CombinationsOrganophosphonatesTenofovir

Identifiers

PMID22123689
PMCPMC3264253
OpenAlexW1965862717

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.