Evidence map›Paper›PMID 24446424›Full record

ArticleThe Journal of antimicrobial chemotherapy2014

Disposition of amodiaquine and desethylamodiaquine in HIV-infected Nigerian subjects on nevirapine-containing antiretroviral therapy.

Kimberly K Scarsi, Fatai A Fehintola, Qing Ma, Francesca T Aweeka, Kristin M Darin, Gene D Morse, Ibrahim Temitope Akinola, Waheed A Adedeji, Niklas Lindegardh, Joel Tarning and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of antimicrobial chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Apoptosis contributes to the cytotoxicity induced by amodiaquine and its major metabolite N-desethylamodiaquine in hepatic cells.Toxicology in vitro : an international journal published in association with BIBRA · 2020
    Article
  7. Article
  8. Article
  9. GlutathioneFrontiers in pharmacology · 2018
    Article
  10. 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

16 authors at 7 institutions in 5 countries.

Kimberly K ScarsiDivision of Infectious Diseases and Center for Global Health, Northwestern University, Chicago, IL, USA.
Fatai A Fehintola
Qing Ma
Francesca T Aweeka
Kristin M Darin
Gene D Morse
Ibrahim Temitope Akinola
Waheed A Adedeji
Niklas Lindegardh
Joel Tarning
Oladosu Ojengbede
Isaac F Adewole
Babafemi Taiwo
Robert L Murphy
Olusegun O Akinyinka
Sunil Parikh
University of Ibadan · NGNorthwestern University · USMahidol University · THUniversity at Buffalo, State University of New York · USUniversity College Hospital, Ibadan · NGUniversity of California, San Francisco · USYale University · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi · 1988 to 2026
$93.6M
Optimizing HIV-malaria treatment in a shifting treatment and resistance landscape in AfricaR01HD068174 · NICHD · YALE UNIVERSITY · PI FRANCESCA T. AWEEKA, SUNIL PARIKH · 2011 to 2026
$8.1M
Northwestern University AITRPD43TW007995 · FIC · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MURPHY, ROBERT LEO · 2008 to 2012
$1.6M
Antiretroviral Pharmacology Training in Resource Poor CountriesD43TW007991 · FIC · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MORSE, GENE D. · 2009 to 2015
$1.6M
FIC NIH HHS 1D43TW007991FIC NIH HHS 1D43TW007995FIC NIH HHS D43 TW007991NIAID NIH HHS P30 AI027763NICHD NIH HHS R01 HD068174
6 · The paper itself

Abstract

objectivesArtesunate plus amodiaquine is used for malaria treatment in regions with overlapping HIV endemicity. Co-administration of artesunate/amodiaquine with antiretroviral therapy (ART) may result in drug-drug interactions, but minimal data exist. This study evaluated the impact of nevirapine-based ART, containing a backbone of zidovudine and lamivudine, on the disposition of amodiaquine and its active metabolite, desethylamodiaquine (DEAQ).

methodsThis was an open-label, parallel-group pharmacokinetic comparison between HIV-infected, adult subjects receiving steady-state nevirapine-based ART (n = 10) and ART-naive subjects (control group, n = 11). All subjects received a loose formulation of artesunate/amodiaquine (200/600 mg) daily for 3 days, with serial pharmacokinetic sampling over 96 h following the final dose of artesunate/amodiaquine. Amodiaquine and DEAQ were quantified using a validated HPLC method with UV detection. Pharmacokinetic parameters were determined using standard non-compartmental methods.

resultsExposures to both amodiaquine and DEAQ were significantly lower in the nevirapine-based ART group compared with the control group (amodiaquine AUC₀₋₂₄ 145 versus 204 ng·h/mL, P = 0.02; DEAQ AUC₀₋₉₆ 14,571 versus 21,648 ng·h/mL, P < 0.01). The AUCDEAQ/AUC(amodiaquine) ratio was not different between groups (ART group 116 versus control group 102, P = 0.67).

conclusionsSubjects on nevirapine-based ART had lower exposure to both amodiaquine and DEAQ (28.9% and 32.7%, respectively). Consequently, this may negatively impact the effectiveness of artesunate/amodiaquine in HIV-infected individuals on this ART combination.

Indexed as

Drug InteractionsAdolescentAdultAmodiaquineAntimalarialsAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveArtemisininsArtesunateChromatography, High Pressure LiquidFemaleHIV InfectionsHumansLamivudineMalariaMaleAmodiaquineAntimalarialsAnti-Retroviral AgentsArtemisininsArtesunateLamivudineNevirapineZidovudineantimalarialdrug-drug interactionspharmacokinetics

Identifiers

PMID24446424
PMCPMC3977609
OpenAlexW2163795883

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.