Evidence map›Paper›PMID 22155820›Full record

ArticleAntimicrobial agents and chemotherapy2012

Safe and sustained vaginal delivery of pyrimidinedione HIV-1 inhibitors from polyurethane intravaginal rings.

Todd J Johnson, Priya Srinivasan, Theodore H Albright, Karen Watson-Buckheit, Lorna Rabe, Amy Martin, Chou-Pong Pau, R Michael Hendry, Ron Otten, Janet McNicholl and 3 more

Abstract 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. 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
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Controlling the hydration rate of a hydrophilic matrix in the core of an intravaginal ring determines antiretroviral release.Journal of controlled release : official journal of the Controlled Release Society · 2016
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

13 authors at 4 institutions in 1 country.

Todd J JohnsonDepartment of Bioengineering, University of Utah, Salt Lake City, Utah, USA.
Priya Srinivasan
Theodore H Albright
Karen Watson-Buckheit
Lorna Rabe
Amy Martin
Chou-Pong Pau
R Michael Hendry
Ron Otten
Janet McNicholl
Robert Buckheit
James Smith
Patrick F Kiser
Centers for Disease Control and Prevention · USUniversity of Utah · USImQuest BioSciences (United States) · USUniversity of Pittsburgh · US

Funding

Sustained Intravaginal Delivery Technologies Against HIV and HSVU19AI076980 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI BUCKHEIT, ROBERT WALTER · 2009 to 2012
$10.1M
Preclinical User Accptability Studies Long Acting Vaginal Gels, Intravaginal RingU19AI077289 · NIAID · IMQUEST BIOSCIENCES · PI DEZZUTTI, CHARLENE S. · 2008 to 2012
$6.7M
DETERMINATION OF GENETIC LOCI OF DENGUE TYPE 2 VIRUS NEUROVIRULENCE IN MICEZ01AI000681 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI LAI, C-J · 1994 to 1996
–
NIAID NIH HHS U19 AI076980NIAID NIH HHS U19AI076980NIAID NIH HHS U19 AI077289NIAID NIH HHS U19AI077289NIAID NIH HHS Y01 AI000681NIAID NIH HHS Y1-AI-0681-01
6 · The paper itself

Abstract

The potent antiretroviral pyrimidinediones IQP-0528 (PYD1) and IQP-0532 (PYD2) were formulated in polyurethane intravaginal rings (IVRs) as prophylactic drug delivery systems to prevent the sexual transmission of HIV-1. To aid in the selection of a pyrimidinedione candidate and the optimal loading of the drug in the IVR delivery system, four pyrimidinedione IVR formulations (PYD1 at 0.5 wt% [PYD1(0.5 wt%)], PYD1(1 wt%), PYD2(4 wt%), and PYD2(14 wt%)) were evaluated in pigtail macaques over 28 days for safety and pyrimidinedione vaginal biodistribution. Kinetic analysis of vaginal proinflammatory cytokines, native microflora, and drug levels suggested that all formulations were safe, but only the high-loaded PYD2(14 wt%) IVR demonstrated consistently high pyrimidinedione vaginal fluid and tissue levels over the 28-day study. This formulation delivered drug in excess of 10 μg/ml to vaginal fluid and 1 μg/g to vaginal tissue, a level over 1,000 times the in vitro 50% effective concentration. The in vitro release of PYD1 and PYD2 under nonsink conditions correlated well with in vivo release, both in amount and in kinetic profile, and therefore may serve as a more biologically relevant means of evaluating release in vitro than typically employed sink conditions. Lastly, the pyrimidinediones in the IVR formulation were chemically stable after 90 days of storage at elevated temperature, and the potent nanomolar-level antiviral activity of both molecules was retained after in vitro release. Altogether, these results point to the successful IVR formulation and vaginal biodistribution of the pyrimidinediones and demonstrate the usefulness of the pigtail macaque model in evaluating and screening antiretroviral IVR formulations prior to preclinical and clinical evaluation.

Indexed as

Administration, IntravaginalAnimalsAnti-HIV AgentsCell LineContraceptive Devices, FemaleCytokinesDrug StabilityFemaleHIV-1HIV InfectionsHumansInhibitory Concentration 50Macaca nemestrinaPolyurethanesPyrimidinonesTissue DistributionAnti-HIV AgentsCytokinesPolyurethanesPyrimidinones

Identifiers

PMID22155820
PMCPMC3294899
OpenAlexW2076043709

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.