Evidence map›Paper›PMID 23001413›Full record

Trial reportAIDS and behavior2013

Oral adherence monitoring using a breath test to supplement highly active antiretroviral therapy.

Timothy E Morey, Matthew Booth, Scott Wasdo, Judith Wishin, Brian Quinn, Daniel Gonzalez, Hartmut Derendorf, Susan P McGorray, Jane Simoni, Richard J Melker and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. A study of 9 common breath VOCs in 504 healthy subjects using PTR-TOF-MS.Metabolomics : Official journal of the Metabolomic Society · 2024
    Article
  2. Breath BiopsyJournal of clinical and translational hepatology · 2023
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

11 authors at 3 institutions in 1 country.

Timothy E MoreyDepartment of Anesthesiology, University of Florida College of Medicine, P.O. Box 100254, Gainesville, FL 32610-0254, USA.
Matthew Booth
Scott Wasdo
Judith Wishin
Brian Quinn
Daniel Gonzalez
Hartmut Derendorf
Susan P McGorray
Jane Simoni
Richard J Melker
Donn M Dennis
University of Florida · USFlorida College · USUniversity of Washington · US

Funding

A Breath-based Medicaton Adherence Monitoring System for HIVAIDS TherapiesR44MH081767 · NIMH · XHALE, INC. · PI MELKER, RICHARD J · 2009 to 2010
$1.7M
A Breath-based Medication Adherence Monitoring System for HIV/AIDS TherapiesR43MH081767 · NIMH · XHALE, INC. · PI MELKER, RICHARD J · 2007 to 2007
$100k
NIMH NIH HHS R43 MH081767NIMH NIH HHS R44 MH081767NIMH NIH HHS R44MH081767
6 · The paper itself

Abstract

A breath-based adherence system to document ingestion of oral medications (e.g., HAART) was investigated. Specifically, the food additive 2-butanol, which can be easily packaged with a drug, is converted via alcohol dehydrogenase to the volatile metabolite 2-butanone that rapidly appears in breath, indicating adherence. In healthy adults using a portable sensor and GC-MS, the following experiments were performed: yield of 2-butanone in breath following ingestion of 2-butanol, adherence system accuracy, and potential interference of the adherence system by food or misplacement of 2-butanol on the tongue. During feasibility testing, every subject exhaled 2-butanone with 6.6 ± 1.5 min to peak concentrations of 548 ± 235 ppb following ingestion of 2-butanol (40 mg). ROC areas at 5 and 10 min were 0.95 (0.86-1.00) and 1.00 (1.00-1.00). Food did not interfere. Tongue application resulted in large concentrations of 2-butanol, but not 2-butanone. A breath test to provide definitive evidence of oral medication adherence appears technically feasible.

Indexed as

Medication AdherenceAdministration, OralAntiretroviral Therapy, Highly ActiveAntiviral AgentsBreath TestsButanolsChromatography, GasCross-Over StudiesDose-Response Relationship, DrugExhalationFeasibility StudiesHIV InfectionsHumans2-butanolAntiviral AgentsButanols

Identifiers

PMID23001413
PMCPMC3548996
OpenAlexW2047798141

What OpenQuestion holds

Textmetadata
LicenceTDM
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.