Evidence map›Paper›PMID 23111849›Full record

ArticleThe Journal of antimicrobial chemotherapy2013

Pharmacokinetics and efficacy of a vaginally administered maraviroc gel in rhesus macaques.

R Karl Malcolm, Claire J Forbes, Leslie Geer, Ronald S Veazey, Laurie Goldman, Per Johan Klasse, John P Moore

Abstract 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. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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

32 citing papers in PubMed.

  1. Review
  2. TheiScience · 2022
    Article
  3. Article
  4. Article
  5. Transcutaneously refillable nanofluidic implant achieves sustained level of tenofovir diphosphate for HIV pre-exposure prophylaxis.Journal of controlled release : official journal of the Controlled Release Society · 2018
    Article
  6. Vaginal drug delivery for the localised treatment of cervical cancer.Drug delivery and translational research · 2017
    Review
  7. Review
  8. Article
  9. Article
  10. Coaxially electrospun fiber-based microbicides facilitate broadly tunable release of maraviroc.Materials science & engineering. C, Materials for biological applications · 2016
    Article
  11. Article
  12. Article
  13. Article
  14. Current strategies for sustaining drug release from electrospun nanofibers.Journal of controlled release : official journal of the Controlled Release Society · 2015
    Review
  15. Article
  16. Article
  17. Article
  18. Maraviroc: a review of its use in HIV infection and beyond.Drug design, development and therapy · 2015
    Review
  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

7 authors.

R Karl MalcolmSchool of Pharmacy, Queen's University Belfast, Belfast BT9 7BL, UK. k.malcolm@qub.ac.uk
Claire J Forbes
Leslie Geer
Ronald S Veazey
Laurie Goldman
Per Johan Klasse
John P Moore

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 AI076982NIH HHS P51 OD011104
6 · The paper itself

Abstract

objectivesTo investigate the pharmacokinetics (PK) of maraviroc, a CCR5-targeted HIV-1 entry inhibitor, in rhesus macaques following vaginal administration of various maraviroc-loaded aqueous hydroxyethylcellulose (HEC) gels, and to correlate the PK data with efficacy in a single high-dose vaginal SHIV-162P3 challenge model.

methodsMaraviroc concentrations in vaginal fluid (Weck-Cel(®) sponge), vaginal tissue (punch biopsy) and plasma were assessed over 72 h following single-dose vaginal application of various maraviroc-loaded HEC gels. The range of maraviroc gel concentrations was sufficiently broad (0.003%-3.3% w/w) that test gels included both fully solubilized and predominantly dispersed formulations. The efficacy of the HEC gels against a single high-dose vaginal SHIV-162P3 challenge was also measured, and correlated with the PK concentrations.

resultsMaraviroc concentrations in vaginal fluid (range 10(4)-10(7) ng/mL), vaginal tissue (100-1200 ng/g) and plasma (<10(2) ng/mL) were highly dependent on maraviroc gel loading, irrespective of the form of the maraviroc component within the gel (solubilized versus dispersed). Fluid and plasma concentrations were generally highest 0.5 or 2 h after gel application, before declining steadily through to 72 h. Maraviroc concentrations in the various biological compartments correlated strongly with the extent of protection against vaginal SHIV-162P3 challenge. Complete protection was achieved with a 3.3% w/w maraviroc gel.

conclusionsA high degree of correlation between PK and efficacy was observed. Based on the data obtained with the 3.3% w/w maraviroc gel, maintenance of vaginal fluid and tissue levels in the order of 10(7) ng/mL and 10(3) ng/g, respectively, are required for complete protection with this compound.

Indexed as

Administration, IntravaginalAnimalsBody FluidsCyclohexanesFemaleHIV Fusion InhibitorsMacaca mulattaMaravirocPlasmaSimian Acquired Immunodeficiency SyndromeTime FactorsTriazolesVaginaVaginal Creams, Foams, and JelliesCyclohexanesHIV Fusion InhibitorsMaravirocTriazolesVaginal Creams, Foams, and Jellies

Identifiers

PMID23111849
PMCPMC3566668

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.