Evidence map›Paper›PMID 25647729›Full record

Trial reporteLife2015

Mucosal effects of tenofovir 1% gel.

Florian Hladik, Adam Burgener, Lamar Ballweber, Raphael Gottardo, Lucia Vojtech, Slim Fourati, James Y Dai, Mark J Cameron, Johanna Strobl, Sean M Hughes and 10 more

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in eLife, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01232803 (A Phase 1 Randomized, Double-Blinded, Placebo-Controlled Rectal Safety and Acceptability Study of Tenofovir 1% Gel), which is not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.2field-weighted citation impact, top 4% 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.

NCT01232803 phase1completednot on this map

A Phase 1 Randomized, Double-Blinded, Placebo-Controlled Rectal Safety and Acceptability Study of Tenofovir 1% Gel

TypeinterventionalSponsorCONRADRan2010 to 2011Enrolled65ConditionsRectal MicrobicidesArmsTenofovir 1% gel, 2% N-9 gel, HEC Placebo gel
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
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  8. MTN-017: A Rectal Phase 2 Extended Safety and Acceptability Study of Tenofovir Reduced-Glycerin 1% Gel.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Trial
  9. Trial
  10. Tenofovir, Interferon Pathways, and Mucosal Immunity: Implications for People Living With HIV.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
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  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 10 institutions in 2 countries.

Florian HladikDepartment of Obstetrics and Gynecology, University of Washington, Seattle, United States.
Adam BurgenerDepartment of Medical Microbiology, University of Manitoba, Winnipeg, Canada.
Lamar BallweberVaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, United States.
Raphael GottardoVaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, United States.
Lucia VojtechDepartment of Obstetrics and Gynecology, University of Washington, Seattle, United States.
Slim FouratiVaccine and Gene Therapy Institute of Florida, Port Saint Lucie, United States.
James Y DaiDepartment of Biostatistics, University of Washington, Seattle, United States.
Mark J CameronVaccine and Gene Therapy Institute of Florida, Port Saint Lucie, United States.
Johanna StroblVaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, United States.
Sean M HughesDepartment of Obstetrics and Gynecology, University of Washington, Seattle, United States.
Craig HoesleyDepartment of Medicine, University of Alabama, Birmingham, United States.
Philip AndrewFHI 360, Durham, United States.
Sherri JohnsonFHI 360, Durham, United States.
Jeanna PiperDivision of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, United States.
David R FriendCONRAD, Eastern Virginia Medical School, Arlington, United States.
T Blake BallDepartment of Medical Microbiology, University of Manitoba, Winnipeg, Canada.
Ross D CranstonUniversity of Pittsburgh School of Medicine, Pittsburgh, United States.
Kenneth H MayerFenway Health, Beth Israel Deaconess Hospital, Harvard Medical School, Boston, United States.
M Juliana McElrathDepartment of Medicine, University of Washington, Seattle, United States.
Ian McGowanUniversity of Pittsburgh School of Medicine, Pittsburgh, United States.
University of Washington · USFamily Health International 360 · USFred Hutch Cancer Center · USPublic Health Agency of Canada · CAUniversity of Pittsburgh · USVaccine & Gene Therapy Institute of Florida · USBeth Israel Deaconess Hospital · USEastern Virginia Medical School · USNational Institutes of Health · USUniversity of Alabama at Birmingham · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
Microbicide Trials NetworkU01AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2006 to 2010
$77.0M
Statistical and Data Management Center (SDMC): Microbicide Trials NetworkUM1AI068615 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BROWN, ELIZABETH RENATA · 2011 to 2021
$66.5M
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
University of Pittsburgh Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUSAN L KOLETAR, John W Mellors · 2012 to 2026
$38.0M
Topical Antiretrovirals to Prevent Rectal HIV InfectionU19AI082637 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI ROHAN, LISA CENCIA · 2009 to 2013
$11.1M
Harvard Medical School Vaccine Clinical Trials UnitU01AI069412 · NIAID · HARVARD MEDICAL SCHOOL · PI DOLIN, RAPHAEL · 2007 to 2011
$5.4M
Systems and carcinogenic impact assessment of topical microbicides on human mucosaR01AI116292 · NIAID · UNIVERSITY OF WASHINGTON · PI HLADIK, FLORIAN · 2015 to 2019
$3.5M
Mechanisms of HIV-1 Transmission in the Genital Mucosa of WomenR01HD051455 · NICHD · UNIVERSITY OF WASHINGTON · PI HLADIK, FLORIAN · 2006 to 2008
$1.2M
NCATS NIH HHS UL1 TR000005NCI NIH HHS P30 CA015704NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI116292NIAID NIH HHS U01 AI068633NIAID NIH HHS U01AI068633NIAID NIH HHS U01 AI069412NIAID NIH HHS U19 AI082637NIAID NIH HHS U19AI082637NIAID NIH HHS UM1 AI068615NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069494NICHD NIH HHS R01 HD051455NICHD NIH HHS R01HD51455
6 · The paper itself

Abstract

Tenofovir gel is being evaluated for vaginal and rectal pre-exposure prophylaxis against HIV transmission. Because this is a new prevention strategy, we broadly assessed its effects on the mucosa. In MTN-007, a phase-1, randomized, double-blinded rectal microbicide trial, we used systems genomics/proteomics to determine the effect of tenofovir 1% gel, nonoxynol-9 2% gel, placebo gel or no treatment on rectal biopsies (15 subjects/arm). We also treated primary vaginal epithelial cells from four healthy women with tenofovir in vitro. After seven days of administration, tenofovir 1% gel had broad-ranging effects on the rectal mucosa, which were more pronounced than, but different from, those of the detergent nonoxynol-9. Tenofovir suppressed anti-inflammatory mediators, increased T cell densities, caused mitochondrial dysfunction, altered regulatory pathways of cell differentiation and survival, and stimulated epithelial cell proliferation. The breadth of mucosal changes induced by tenofovir indicates that its safety over longer-term topical use should be carefully monitored.

Indexed as

Double-Blind MethodFemaleGelsGene ExpressionHumansMaleMitochondriaMucous MembraneProteomicsRectumReverse Transcriptase InhibitorsTenofovirVaginaGelsReverse Transcriptase InhibitorsTenofovirHIV/AIDShumanhuman biologyinfectious diseasemedicinemicrobicidesmicrobiologymucosapreventionside effects

Identifiers

PMID25647729
PMCPMC4391502
OpenAlexW2138208714

What OpenQuestion holds

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Registered trials

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.