Evidence map›Paper›PMID 26078001›Full record

ArticlePharmaceutical research2015

Pharmacodynamic Activity of Dapivirine and Maraviroc Single Entity and Combination Topical Gels for HIV-1 Prevention.

Charlene S Dezzutti, Sarah Yandura, Lin Wang, Bernard Moncla, Elizabeth A Teeple, Brid Devlin, Jeremy Nuttall, Elizabeth R Brown, Lisa C Rohan

Abstract read
In one paragraph

Article in Pharmaceutical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Phase 2a Safety, Pharmacokinetics, and Acceptability of Dapivirine Vaginal Rings in US Postmenopausal Women.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Trial
  2. Article
  3. Article
  4. Review
  5. Human Organotypic Models for Anti-infective Research.Current topics in microbiology and immunology · 2021
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. 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

9 authors at 3 institutions in 1 country.

Charlene S DezzuttiUniversity of Pittsburgh, 204 Craft Avenue, Pittsburgh, Pennsylvania, 15213, USA. cdezzutti@mwri.magee.edu.
Sarah YanduraMagee-Womens Research Institute, Pittsburgh, Pennsylvania, USA.
Lin WangMagee-Womens Research Institute, Pittsburgh, Pennsylvania, USA.
Bernard MonclaUniversity of Pittsburgh, 204 Craft Avenue, Pittsburgh, Pennsylvania, 15213, USA.
Elizabeth A TeepleStatistical Center for HIV/AIDS Research and Prevention, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Brid DevlinInternational Partnership for Microbicides, Silver Springs, Maryland, USA.
Jeremy NuttallInternational Partnership for Microbicides, Silver Springs, Maryland, USA.
Elizabeth R BrownStatistical Center for HIV/AIDS Research and Prevention, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Lisa C RohanUniversity of Pittsburgh, 204 Craft Avenue, Pittsburgh, Pennsylvania, 15213, USA.
Magee-Womens Research Institute · USFred Hutch Cancer Center · USInternational Partnership for Microbicides · US

Funding

Microbicide Trials NetworkUM1AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2011 to 2021
$175.0M
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
Laboratory Center (LC): Microbicide Trials NetworkUM1AI106707 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI MELLORS, JOHN W, ROHAN, LISA CENCIA · 2014 to 2021
$27.1M
TISSUE DISTRIBUTION FOR RARE DISEASE RESEARCHU42RR006042 · NCRR · NATIONAL DISEASE RESEARCH INTERCHANGE · PI LONSDALE, JOHN T · 1991 to 2011
$16.5M
NCRR NIH HHS U42 RR006042NIAID NIH HHS U01 AI068633NIAID NIH HHS UM1 AI068615NIAID NIH HHS UM1 AI068633NIAID NIH HHS UM1 AI106707
6 · The paper itself

Abstract

purposeDapivirine (DPV), a non-nucleoside reverse transcriptase inhibitor, and maraviroc (MVC), a CCR5 antagonist, were formulated into aqueous gels designed to prevent mucosal HIV transmission.

methods0.05% DPV, 0.1% MVC, 0.05% DPV/0.1% MVC and placebo gels were evaluated for pH, viscosity, osmolality, and in vitro release. In vitro assays and mucosal tissues were used to evaluate anti-HIV activity. Viability (Lactobacilli only) and epithelial integrity in cell lines and mucosal tissues defined safety.

resultsThe gels were acidic and viscous. DPV gel had an osmolality of 893 mOsm/kg while the other gels had an osmolality of <100 mOsm/kg. MVC release was similar from the single and combination gels (~5 μg/cm(2)/min(1/2)), while DPV release was 10-fold less from the single as compared to the combination gel (0.4331 μg/cm(2)/min(1/2)). Titrations of the gels showed 10-fold more drug was needed to protect ectocervical than colonic tissue. The combination gel showed ~10- and 100-fold improved activity as compared to DPV and MVC gel, respectively. All gels were safe.

conclusionsThe DPV/MVC gel showed a benefit blocking HIV infection of mucosal tissue compared to the single entity gels. Combination products with drugs affecting unique steps in the viral replication cycle would be advantageous for HIV prevention.

Indexed as

Administration, TopicalAnti-HIV AgentsCell SurvivalCervix UteriColonCyclohexanesDrug CombinationsDrug LiberationFemaleGelsHIV-1HIV Fusion InhibitorsHIV InfectionsHIV Reverse TranscriptaseHumansIn Vitro TechniquesAnti-HIV AgentsCyclohexanesDapivirineDrug CombinationsGelsHIV Fusion InhibitorsHIV Reverse TranscriptaseMaravirocPyrimidinesTriazolesAntiretroviral drugsDrug combinationsHIV preventionPre-exposure prophylaxisRectal microbicides

Identifiers

PMID26078001
PMCPMC4600024
OpenAlexW590467584

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.