Evidence map›Paper›PMID 26071566›Full record

ArticleThe Journal of infectious diseases2015

Protection Against Rectal Chimeric Simian/Human Immunodeficiency Virus Transmission in Macaques by Rectal-Specific Gel Formulations of Maraviroc and Tenofovir.

Charles W Dobard, Andrew Taylor, Sunita Sharma, Peter L Anderson, Lane R Bushman, Dinh Chuong, Chou-Pong Pau, Debra Hanson, Lin Wang, J Gerardo Garcia-Lerma and 3 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
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  7. TheiScience · 2022
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  12. Article
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  15. Article
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  17. Maraviroc: a review of its use in HIV infection and beyond.Drug design, development and therapy · 2015
    Review
  18. 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

13 authors at 4 institutions in 1 country.

Charles W DobardLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Andrew TaylorTotal Solutions, Madison, Alabama.
Sunita SharmaLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Peter L AndersonDepartment of Pharmaceutical Sciences, University of Colorado School of Pharmacy, Aurora.
Lane R BushmanDepartment of Pharmaceutical Sciences, University of Colorado School of Pharmacy, Aurora.
Dinh ChuongLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Chou-Pong PauLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Debra HansonLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Lin WangMagee Women's Research Institute, University of Pittsburgh, Pennsylvania.
J Gerardo Garcia-LermaLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ian McGowanMagee Women's Research Institute, University of Pittsburgh, Pennsylvania.
Lisa RohanMagee Women's Research Institute, University of Pittsburgh, Pennsylvania.
Walid HeneineLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USUniversity of Pittsburgh · USUniversity of Colorado Denver · USTotal (United States) · US

Funding

DETERMINATION OF GENETIC LOCI OF DENGUE TYPE 2 VIRUS NEUROVIRULENCE IN MICEZ01AI000681 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI LAI, C-J · 1994 to 1996
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NIAID NIH HHS Y01 AI000681NIAID NIH HHS Y1-AI-0681-02
6 · The paper itself

Abstract

backgroundRectal human immunodeficiency virus (HIV) transmission is an important driver of the HIV epidemic. Optimally formulated gels of antiretroviral drugs are under development for preventing rectally acquired HIV. We investigated in a macaque model the pharmacokinetics and efficacy of 3 rectal gel formulations

methodsSingle-dose pharmacokinetics of low-osmolar 1% maraviroc (MVC), 1% tenofovir (TFV), or 1% MVC/1% TFV combination gel were evaluated in blood, rectal fluids, colorectal biopsy specimens, and rectal lymphocytes. Efficacy was evaluated over 10 twice-weekly rectal SHIV162p3 challenges in rhesus macaques that received either placebo (n = 7), MVC (n = 6), TFV (n = 6), or MVC/TFV (n = 6) gel 30 minutes before each challenge.

resultsMVC and TFV were detected in plasma 30 minutes after gel application and remained above 95% inhibitory concentrations in rectal fluids at 24 hours. MVC, TFV, and TFV diphosphate (TFV-DP) concentrations in colorectal tissues collected up to 30 cm from the anal margin were all high at 2 hours, demonstrating rapid and extended tissue dosing. TFV-DP concentrations in tissue homogenates and rectal lymphocytes were highly correlated (r(2) = 0.82). All 3 gel formulations were highly protective (82% efficacy; P ≤ .02 by the log-rank test).

conclusionsDesirable pharmacokinetic profiles and high efficacy in this macaque model support the clinical development of these gel formulations for preventing rectal HIV infection.

Indexed as

Administration, TopicalAnimalsAnti-HIV AgentsCross-Over StudiesCyclohexanesDisease Models, AnimalDisease Transmission, InfectiousGelsMacacaMaravirocPlacebosSimian Acquired Immunodeficiency SyndromeTenofovirTreatment OutcomeTriazolesAnti-HIV AgentsCyclohexanesGelsMaravirocPlacebosTenofovirTriazolesHIV preventionmacaque modelmaravirocrectal microbicidesrepeat-challengetenofovir

Identifiers

PMID26071566
PMCPMC4655858
OpenAlexW2261947884

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.