Evidence map›Paper›PMID 25142999›Full record

ArticlePharmacotherapy2014

Influence of Panax ginseng on the steady state pharmacokinetic profile of lopinavir-ritonavir in healthy volunteers.

Mónica M Calderón, Cheryl L Chairez, Lori A Gordon, Raul M Alfaro, Joseph A Kovacs, Scott R Penzak

Abstract readControlled Clinical Trial
In one paragraph

Article in Pharmacotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Inhibitory Effects ofPharmaceutics · 2021
    Article
  4. Pharmacokinetic Drug Interactions with Panax ginseng.European journal of drug metabolism and pharmacokinetics · 2017
    Review
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

6 authors at 2 institutions in 1 country.

Mónica M CalderónClinical Research Center, Clinical Center Pharmacy Department, National Institutes of Health, Bethesda, Maryland.
Cheryl L Chairez
Lori A Gordon
Raul M Alfaro
Joseph A Kovacs
Scott R Penzak
National Institutes of Health Clinical Center · USNational Institutes of Health · US

Funding

Evaluation of HIV-related ComplicationsZIACL008075 · CLC · CLINICAL CENTER · PI KOVACS, JOSEPH A · 2009 to 2025
$0k
Intramural NIH HHS Z99 CL999999
6 · The paper itself

Abstract

STUDY

objectivePanax ginseng has been shown in preclinical studies to modulate cytochrome P450 enzymes involved in the metabolism of HIV protease inhibitors. Therefore, the purpose of this study was to determine the influence of P. ginseng on the pharmacokinetics of the HIV protease inhibitor combination lopinavir-ritonavir (LPV-r) in healthy volunteers.

designSingle-sequence, open-label, single-center pharmacokinetic investigation.

settingGovernment health care facility. SUBJECTS: Twelve healthy human volunteers. MEASUREMENTS AND MAIN

resultsTwelve healthy volunteers received LPV-r (400-100 mg) twice/day for 29.5 days. On day 15 of LPV-r administration, serial blood samples were collected over 12 hours for determination of lopinavir and ritonavir concentrations. On study day 16, subjects began taking P. ginseng 500 mg twice/day, which they continued for 2 weeks in combination with LPV-r. On day 30 of LPV-r administration, serial blood samples were again collected over 12 hours for determination of lopinavir and ritonavir concentrations. Lopinavir and ritonavir pharmacokinetic parameter values were determined using noncompartmental methods, and preadministration and postadministration ginseng values were compared using a Student t test, where p<0.05 was accepted as statistically significant.

conclusionNeither lopinavir nor ritonavir steady-state pharmacokinetics were altered by 2 weeks of P. ginseng administration to healthy human volunteers. Thus, a clinically significant interaction between P. ginseng and LPV-r is unlikely to occur in HIV-infected patients who choose to take these agents concurrently. It is also unlikely that P. ginseng will interact with other ritonavir-boosted protease inhibitor combinations, although confirmatory data are necessary.

Indexed as

Food-Drug InteractionsAdultCytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsDietary SupplementsDrug CombinationsFemaleHalf-LifeHIV Protease InhibitorsHumansImmunologic FactorsLopinavirMaleMarylandMetabolic Clearance RateNational Institute of Allergy and Infectious Diseases (U.S.)Cytochrome P-450 CYP3A InducersCytochrome P-450 CYP3A InhibitorsDrug CombinationsHIV Protease InhibitorsImmunologic FactorsLopinavirlopinavir-ritonavir drug combinationNootropic AgentsRitonavirantiretroviralscomplementary and alternative medicinecytochrome P450drug interactionHIVHIV protease inhibitorlopinavir-ritonavirPanax ginsengpharmacokinetics

Identifiers

PMID25142999
PMCPMC5466349
OpenAlexW2083103535

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.