Evidence map›Paper›PMID 24323471›Full record

ArticleAntimicrobial agents and chemotherapy2014

Vaginally delivered tenofovir disoproxil fumarate provides greater protection than tenofovir against genital herpes in a murine model of efficacy and safety.

Briana Nixon, Thomas Jandl, Ryan S Teller, Ekaterina Taneva, Yanhua Wang, Umadevi Nagaraja, Patrick F Kiser, Betsy C Herold

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

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  13. A novel intravaginal ring to prevent HIV-1, HSV-2, HPV, and unintended pregnancy.Journal of controlled release : official journal of the Controlled Release Society · 2015
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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 3 institutions in 1 country.

Briana NixonDepartment of Pediatrics, Albert Einstein College of Medicine, Bronx, New York, USA.
Thomas Jandl
Ryan S Teller
Ekaterina Taneva
Yanhua Wang
Umadevi Nagaraja
Patrick F Kiser
Betsy C Herold
Albert Einstein College of Medicine · USUniversity of Utah · USYeshiva University · US

Funding

Pharmacokinetics and Biodistribution of Antiretrovirals and HIV-1 in MacaquesU19AI103461 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI HEROLD, BETSY C. · 2013 to 2017
$13.2M
Sustained Intravaginal Delivery Technologies Against HIV and HSVU19AI076980 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI HEROLD, BETSY C. · 2009 to 2012
$10.1M
Impact of HSV-2 on Female Genital Tract Mucosal Immunity & HIV InfectionR01AI065309 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI HEROLD, BETSY C. · 2005 to 2014
$5.1M
NIAID NIH HHS AI03461NIAID NIH HHS AI076980NIAID NIH HHS R01 AI065309NIAID NIH HHS U19 AI076980NIAID NIH HHS U19 AI103461PHS HHS A1065309
6 · The paper itself

Abstract

Increased susceptibility to genital herpes in medroxyprogesterone-treated mice may provide a surrogate of increased HIV risk and a preclinical biomarker of topical preexposure prophylaxis safety. We evaluated tenofovir disoproxil fumarate (TDF) in this murine model because an intravaginal ring eluting this drug is being advanced into clinical trials. To avoid the complications of surgically inserting a ring, hydroxyethylcellulose (HEC)-stable formulations of TDF were prepared. One week of twice-daily 0.3% TDF gel was well tolerated and did not result in any increase in HSV-2 susceptibility but protected mice from herpes simplex virus 2 (HSV-2) disease compared to mice treated with the HEC placebo gel. No significant increase in inflammatory cytokines or chemokines in vaginal washes or change in cytokine, chemokine, or mitochondrial gene expression in RNA extracted from genital tract tissue was detected. To further evaluate efficacy, mice were treated with gel once daily beginning 12 h prior to high-dose HSV-2 challenge or 2 h before and after viral challenge (BAT24 dosing). The 0.3% TDF gel provided significant protection compared to the HEC gel following either daily (in 9/10 versus 1/10 mice, P < 0.01) or BAT24 (in 14/20 versus 4/20 mice, P < 0.01) dosing. In contrast, 1% tenofovir (TFV) gel protected only 4/10 mice treated with either regimen. Significant protection was also observed with daily 0.03% TDF compared to HEC. Protection was associated with greater murine cellular permeability of radiolabeled TDF than of TFV. Together, these findings suggest that TDF is safe, may provide substantially greater protection against HSV than TFV, and support the further clinical development of a TDF ring.

Indexed as

AdenineAdministration, IntravaginalAnimalsAntiviral AgentsContraceptive Devices, FemaleDisease Models, AnimalDrug Administration ScheduleFemaleHerpes GenitalisHerpesvirus 2, HumanHumansMiceMice, Inbred BALB COrganophosphonatesSurvival AnalysisTenofovirAdenineAntiviral AgentsOrganophosphonatesTenofovirVaginal Creams, Foams, and Jellies

Identifiers

PMID24323471
PMCPMC3910864
OpenAlexW2026464754

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.