Evidence map›Paper›PMID 23109186›Full record

ArticleThe Journal of antimicrobial chemotherapy2013

Partial protection against multiple RT-SHIV162P3 vaginal challenge of rhesus macaques by a silicone elastomer vaginal ring releasing the NNRTI MC1220.

Susan M Fetherston, Leslie Geer, Ronald S Veazey, Laurie Goldman, Diarmaid J Murphy, Thomas J Ketas, Per Johan Klasse, Sylvain Blois, Paolo La Colla, John P Moore and 1 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Use of simulated vaginal and menstrual fluids to modelInternational journal of pharmaceutics: X · 2021
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Intravaginal ring eluting tenofovir disoproxil fumarate completely protects macaques from multiple vaginal simian-HIV challenges.Proceedings of the National Academy of Sciences of the United States of America · 2013
    Article
  18. Animal models for microbicide safety and efficacy testing.Current opinion in HIV and AIDS · 2013
    Review
  19. Vaginal rings for delivery of HIV microbicides.International journal of women's health · 2012
    Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

11 authors at 5 institutions in 3 countries.

Susan M FetherstonSchool of Pharmacy, Queen's University Belfast, Belfast BT9 7BL, UK.
Leslie Geer
Ronald S Veazey
Laurie Goldman
Diarmaid J Murphy
Thomas J Ketas
Per Johan Klasse
Sylvain Blois
Paolo La Colla
John P Moore
R Karl Malcolm
Cornell University · USQueen's University Belfast · GBLubrizol Life Science Health (United States) · USUniversity of Cagliari · ITTulane University · US

Funding

Tulane NPRC SPF Sheltered Outdoor Enclosure ExpansionP51OD011104 · OD · TULANE UNIVERSITY OF LOUISIANA · PI L Lee HAMM · 2012 to 2026
$142.4M
Testing practical microbicides in macaquesU19AI076982 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI VEAZEY, RONALD S. · 2008 to 2012
$7.9M
NIAID NIH HHS U19 AI76982NIH HHS P51 OD011104
6 · The paper itself

Abstract

objectivesThe non-nucleoside reverse transcriptase inhibitor MC1220 has potent in vitro activity against HIV type 1 (HIV-1). A liposome gel formulation of MC1220 has previously been reported to partially protect rhesus macaques against vaginal challenge with a simian HIV (SHIV). Here, we describe the pre-clinical development of an MC1220-releasing silicone elastomer vaginal ring (SEVR), including pharmacokinetic (PK) and efficacy studies in macaques.

methodsIn vitro release studies were conducted on SEVRs loaded with 400 mg of MC1220, using simulated vaginal fluid (SVF, n = 4) and 1 : 1 isopropanol/water (IPA/H(2)O, n = 4) as release media. For PK evaluation, SEVRs were inserted into adult female macaques (n = 6) for 30 days. Following a 1 week washout period, fresh rings were placed in the same animals, which were then challenged vaginally with RT-SHIV162P3 once weekly for 4 weeks.

resultsSEVRs released 1.66 and 101 mg of MC1220 into SVF and IPA/H(2)O, respectively, over 30 days, the differential reflecting the low aqueous solubility of the drug. In macaque PK studies, MC1220 was consistently detected in vaginal fluid (peak 845 ng/mL) and plasma (peak 0.91 ng/mL). Kaplan-Meier analysis over 9 weeks showed significantly lower infection rates for animals given MC1220-containing SEVRs than placebo rings (hazard ratio 0.20, P = 0.0037).

conclusionsAn MC1220-releasing SEVR partially protected macaques from vaginal challenge. Such ring devices are a practical method for providing sustained, coitally independent protection against vaginal exposure to HIV-1.

Indexed as

Contraceptive Devices, FemaleDrug CarriersAnimalsAntiviral AgentsBody FluidsFemaleFluorobenzenesHumansMacaca mulattaPlasmaPyrimidinonesSilicone ElastomersSimian Acquired Immunodeficiency SyndromeSimian Immunodeficiency VirusTreatment OutcomeVagina6-(1-(2,6-difluorophenyl)ethyl)-2-(dimethylamino)-5-methylpyrimidin-4(3H)-oneAntiviral AgentsDrug CarriersFluorobenzenesPyrimidinonesSilicone Elastomers

Identifiers

PMID23109186
PMCPMC3543122
OpenAlexW2149455224

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.