Evidence map›Paper›PMID 25896688›Full record

ArticleAntimicrobial agents and chemotherapy2015

Pharmacokinetics of long-acting tenofovir alafenamide (GS-7340) subdermal implant for HIV prophylaxis.

Manjula Gunawardana, Mariana Remedios-Chan, Christine S Miller, Rob Fanter, Flora Yang, Mark A Marzinke, Craig W Hendrix, Martin Beliveau, John A Moss, Thomas J Smith and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04530630 (The Efficacy, Safety, and Tolerability of Switching to a Bictegravir), which is not on this map. Cited by 104 papers.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed
10.0field-weighted citation impact, top 1% 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.

NCT04530630 phase4completednot on this mapstarted 2020, after this paper: background citation

The Efficacy, Safety, and Tolerability of Switching to a Bictegravir (BIC)/Emtricitabine(FTC)/Tenofovir Alafenamide (TAF) Regimen in Virally Suppressed Human Immunodeficiency Viruses (HIV)-Positive Patients Post-Renal Transplant

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2020 to 2024Enrolled20ConditionsHIV Infections, Renal Transplant RejectionArmsBIC/F/TAF 50Mg-200Mg-25Mg Tablet
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 162 citations in OpenAlex.

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  12. Rise of implantable drugs: A chronicle of breakthroughs in drug delivery systems.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
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44 more citing papers are in PubMed but not listed here.

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

11 authors at 3 institutions in 1 country.

Manjula GunawardanaDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, USA.
Mariana Remedios-ChanAuritec Pharmaceuticals, Inc., Pasadena, California, USA.
Christine S MillerDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, USA.
Rob FanterDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, USA.
Flora YangDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, USA.
Mark A MarzinkeDepartment of Medicine, Johns Hopkins University, Baltimore, Maryland, USA Department of Pathology, Johns Hopkins University, Baltimore, Maryland, USA.
Craig W HendrixDepartment of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Martin BeliveauPharsight Consulting Services, Montreal, Quebec, Canada.
John A MossDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, USA.
Thomas J SmithDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, USA Auritec Pharmaceuticals, Inc., Pasadena, California, USA.
Marc M BaumDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, USA m.baum@oak-crest.org.
Oak Crest Institute of Science · USJohns Hopkins Medicine · USAuritec Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral or topical daily administration of antiretroviral (ARV) drugs to HIV-1-negative individuals in vulnerable populations is a promising strategy for HIV-1 prevention. Adherence to the dosing regimen has emerged as a critical factor determining efficacy outcomes of clinical trials. Because adherence to therapy is inversely related to the dosing period, sustained release or long-acting ARV formulations hold significant promise for increasing the effectiveness of HIV-1 preexposure prophylaxis (PrEP) by reducing dosing frequency. A novel, subdermal implant delivering the potent prodrug tenofovir alafenamide (TAF) with controlled, sustained, zero-order (linear) release characteristics is described. A candidate device delivering TAF at 0.92 mg day(-1) in vitro was evaluated in beagle dogs over 40 days for pharmacokinetics and preliminary safety. No adverse events related to treatment with the test article were noted during the course of the study, and no significant, unusual abnormalities were observed. The implant maintained a low systemic exposure to TAF (median, 0.85 ng ml(-1); interquartile range [IQR], 0.60 to 1.50 ng ml(-1)) and tenofovir (TFV; median, 15.0 ng ml(-1); IQR, 8.8 to 23.3 ng ml(-1)), the product of in vivo TAF hydrolysis. High concentrations (median, 512 fmol/10(6) cells over the first 35 days) of the pharmacologically active metabolite, TFV diphosphate, were observed in peripheral blood mononuclear cells at levels over 30 times higher than those associated with HIV-1 PrEP efficacy in humans. Our report on the first sustained-release nucleoside reverse transcriptase inhibitor (NRTI) for systemic delivery demonstrates a successful proof of principle and holds significant promise as a candidate for HIV-1 prophylaxis in vulnerable populations.

Indexed as

AdenineAlanineAnimalsAnti-HIV AgentsDogsDrug ImplantsEquipment DesignHIV-1HIV InfectionsMaleMonocytesProdrugsReverse Transcriptase InhibitorsTenofovirAdenineAlanineAnti-HIV AgentsDrug ImplantsProdrugsReverse Transcriptase InhibitorsTenofovirtenofovir alafenamide

Identifiers

PMID25896688
PMCPMC4468692
OpenAlexW1968724247

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.