Evidence map›Paper›PMID 26091920›Full record

ArticleJournal of controlled release : official journal of the Controlled Release Society2015

A novel intravaginal ring to prevent HIV-1, HSV-2, HPV, and unintended pregnancy.

Shweta R Ugaonkar, Asa Wesenberg, Jolanta Wilk, Samantha Seidor, Olga Mizenina, Larisa Kizima, Aixa Rodriguez, Shimin Zhang, Keith Levendosky, Jessica Kenney and 10 more

Abstract read
In one paragraph

Article in Journal of controlled release : official journal of the Controlled Release Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Trial
  2. Review
  3. Next-generation 3D printed multipurpose prevention intravaginal ring for prevention of HIV, HSV-2, and unintended pregnancy.Journal of controlled release : official journal of the Controlled Release Society · 2024
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Vaginal rings with exposed cores for sustained delivery of the HIV CCR5 inhibitor 5P12-RANTES.Journal of controlled release : official journal of the Controlled Release Society · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Shweta R UgaonkarThe Population Council, NY 10065, USA. Electronic address: sugaonkar@popcouncil.org.
Asa WesenbergThe Population Council, NY 10065, USA.
Jolanta WilkThe Population Council, NY 10065, USA.
Samantha SeidorThe Population Council, NY 10065, USA.
Olga MizeninaThe Population Council, NY 10065, USA.
Larisa KizimaThe Population Council, NY 10065, USA.
Aixa RodriguezThe Population Council, NY 10065, USA.
Shimin ZhangThe Population Council, NY 10065, USA.
Keith LevendoskyThe Population Council, NY 10065, USA.
Jessica KenneyThe Population Council, NY 10065, USA.
Meropi AravantinouThe Population Council, NY 10065, USA.
Nina DerbyThe Population Council, NY 10065, USA.
Brooke GraspergeTulane National Primate Research Center, Tulane University, Covington, LA 70433, USA.
Agegnehu GettieAaron Diamond AIDS Research Center, Rockefeller University, NY 10065, USA.
James BlanchardTulane National Primate Research Center, Tulane University, Covington, LA 70433, USA.
Narender KumarThe Population Council, NY 10065, USA.
Kevin RobertsThe Population Council, NY 10065, USA.
Melissa RobbianiThe Population Council, NY 10065, USA.
José A Fernández-RomeroThe Population Council, NY 10065, USA.
Thomas M ZydowskyThe Population Council, NY 10065, USA.

Funding

Tulane NPRC SPF Sheltered Outdoor Enclosure ExpansionP51OD011104 · OD · TULANE UNIVERSITY OF LOUISIANA · PI L Lee HAMM · 2012 to 2026
$142.4M
A novel vaginal ring to prevent HIV and HSV-2 infection, as well as pregnancyR21AI098645 · NIAID · POPULATION COUNCIL · PI ROBBIANI, MELISSA J, ZYDOWSKY, THOMAS MICHAEL · 2012 to 2013
$425k
NIAID NIH HHS R21 AI098645NIAID NIH HHS R21AI098645NIH HHS P51 OD011104
6 · The paper itself

Abstract

Women urgently need a self-initiated, multipurpose prevention technology (MPT) that simultaneously reduces their risk of acquiring HIV-1, HSV-2, and HPV (latter two associated with increased risk of HIV-1 acquisition) and prevents unintended pregnancy. Here, we describe a novel core-matrix intravaginal ring (IVR), the MZCL IVR, which effectively delivered the MZC combination microbicide and a contraceptive. The MZCL IVR contains four active pharmaceutical ingredients (APIs): MIV-150 (targets HIV-1), zinc acetate (ZA; targets HIV-1 and HSV-2), carrageenan (CG; targets HPV and HSV-2), and levonorgestrel (LNG; targets unintended pregnancy). The elastomeric IVR body (matrix) was produced by hot melt extrusion of the non-water swellable elastomer, ethylene vinyl acetate (EVA-28), containing the hydrophobic small molecules, MIV-150 and LNG. The solid hydrophilic core, embedded within the IVR by compression, contained the small molecule ZA and the macromolecule CG. Hydrated ZA/CG from the core was released by diffusion via a pore on the IVR while the MIV-150/LNG diffused from the matrix continuously for 94 days (d) in vitro and up to 28 d (study period) in macaques. The APIs released in vitro and in vivo were active against HIV-1ADA-M, HSV-2, and HPV16 PsV in cell-based assays. Serum LNG was at levels associated with local contraceptive effects. The results demonstrate proof-of-concept of a novel core-matrix IVR for sustained and simultaneous delivery of diverse molecules for the prevention of HIV, HSV-2 and HPV acquisition, as well as unintended pregnancy.

Indexed as

Administration, IntravaginalAnimalsAntiviral AgentsCarrageenanCell LineContraceptive Agents, FemaleContraceptive Devices, FemaleDrug Delivery SystemsEquipment DesignFemaleHeLa CellsHerpes GenitalisHerpesvirus 2, HumanHIV-1HIV InfectionsHIV Reverse TranscriptaseAntiviral AgentsCarrageenanContraceptive Agents, FemaleHIV Reverse TranscriptaseLevonorgestrelMIV 150PyridinesUreaZinc AcetateContraceptionCore–matrix designEfficacyIntravaginal ringMicrobicidesMultipurpose prevention technology

Identifiers

PMID26091920
PMCPMC4683108

What OpenQuestion holds

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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.