Evidence map›Paper›PMID 22467632›Full record

ArticleThe Journal of antimicrobial chemotherapy2012

Intravaginal ring delivery of tenofovir disoproxil fumarate for prevention of HIV and herpes simplex virus infection.

Pedro M M Mesquita, Rachna Rastogi, Theodore J Segarra, Ryan S Teller, N Merna Torres, Ashley M Huber, Patrick F Kiser, Betsy C Herold

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02006264 (Phase 1 Safety and Pharmacokinetic Study of Polyurethane Tenofovir Disoproxil Fumarate Vaginal Ring), which is not on this map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
8.6field-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.

NCT02006264 phase1completednot on this mapstarted 2013, after this paper: background citation

Phase 1 Safety and Pharmacokinetic Study of Polyurethane Tenofovir Disoproxil Fumarate Vaginal Ring

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2013 to 2014Enrolled30ConditionsHIVArmsTDF Intravaginal Ring, Placebo Intravaginal Ring
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 87 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Pedro M M MesquitaDepartment of Pediatrics and Microbiology-Immunology, Albert Einstein College of Medicine, Bronx, NY, USA.
Rachna Rastogi
Theodore J Segarra
Ryan S Teller
N Merna Torres
Ashley M Huber
Patrick F Kiser
Betsy C Herold
Albert Einstein College of Medicine · USUniversity of Utah · 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 HEROLD, BETSY C. · 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
NIAID NIH HHS AI-51519NIAID NIH HHS R33AI079763NIAID NIH HHS U19AI076980
6 · The paper itself

Abstract

objectivesA safe and effective topical prevention strategy will likely require sustained delivery of potent antiviral drugs and a delivery system that simultaneously maximizes drug distribution and overcomes the behavioural challenges related to adherence. Activity against HIV and herpes simplex virus (HSV) would be advantageous, given the epidemiological link between the two pathogens. We hypothesize that tenofovir disoproxil fumarate (tenofovir DF), a prodrug of tenofovir, may be more potent than tenofovir and ideal for sustained intravaginal ring (IVR) delivery.

methodsThe anti-HIV and anti-HSV activity of tenofovir and tenofovir DF were assessed in cell and explant models. Cumulative tenofovir DF release and stability from polyether urethane (PEU), ethylene-co-vinyl acetate (EVA) and silicone IVRs were compared, and the activity and safety of drug released were evaluated in cervical explants and in a polarized dual-chamber model.

resultsTenofovir DF inhibited HIV and HSV at ≈ 100-fold lower concentrations than tenofovir and retained activity in the presence of semen. PEU rings delivered >1 mg/day of tenofovir DF for 30 days. Pre-treatment of cervical explants with 10 μg/mL tenofovir DF or eluants from PEU minirings resulted in >90% inhibition of HIV and reduced HSV-2 yields by 2.5 log. Tenofovir DF and eluants did not prevent cell growth or polarization, or have any deleterious effects on an epithelial barrier.

conclusionsThe findings support the development of a PEU tenofovir DF ring, which may provide potent and sustained protection against HIV and HSV.

Indexed as

Contraceptive Devices, FemaleAdenineAntiviral AgentsCell Culture TechniquesChemopreventionFemaleHerpes GenitalisHIVHIV InfectionsHumansOrgan Culture TechniquesOrganophosphonatesSimplexvirusTenofovirAdenineAntiviral AgentsOrganophosphonatesTenofovir

Identifiers

PMID22467632
PMCPMC3370818
OpenAlexW2106123030

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.