Evidence map›Paper›PMID 27016673›Full record

ArticleJournal of pharmaceutical and biomedical analysis2016

Post-use assay of vaginal rings (VRs) as a potential measure of clinical trial adherence.

Patrick Spence, Annalene Nel, Neliëtte van Niekerk, Tiffany Derrick, Susan Wilder, Bríd Devlin

Open access · hybridAbstract read
In one paragraph

Article in Journal of pharmaceutical and biomedical analysis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 31 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Patrick SpenceInternational Partnership for Microbicides, 8401 Colesville Road, Suite 200, Silver Spring 20910, MD, USA. Electronic address: pspence@ipmglobal.org.
Annalene NelInternational Partnership for Microbicides, 63 Main Road, Paarl 7645, South Africa.
Neliëtte van NiekerkInternational Partnership for Microbicides, 63 Main Road, Paarl 7645, South Africa.
Tiffany DerrickInternational Partnership for Microbicides, 8401 Colesville Road, Suite 200, Silver Spring 20910, MD, USA.
Susan WilderGenentech USA, Inc., 1 DNA Way, South San Francisco 94080-4990, CA, USA.
Bríd DevlinInternational Partnership for Microbicides, 8401 Colesville Road, Suite 200, Silver Spring 20910, MD, USA.
International Partnership for Microbicides · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adherence measurement for microbicide use within the clinical trial setting remains a challenge for the HIV prevention field. This paper describes an assay method used for determining residual dapivirine levels in post-use vaginal rings from clinical trials conducted with the Dapivirine Vaginal Matrix Ring-004 developed by the International Partnership for Microbicides to prevent male to female HIV transmission. Post-use assay results from three Ring-004 clinical trials showed that of the 25mg drug load, approximately 4mg of dapivirine is released from the matrix ring over a 28-day use period. Data obtained by both in vitro and in vivo studies indicate that dapivirine is released according to a diffusion mechanism, as determined by conformance of both data sets to the Higuchi equation. This, coupled with the low variability associated with batch production over two manufacturing sites and 20 batches of material, provides evidence that post-use ring analysis can contribute to the assessment of adherence to ring use. Limitations of this method include the potential of intra-participant and inter-participant variability and uncertainty associated with measuring the low amount of dapivirine actually released relative to the drug load. Therefore, residual drug levels should not serve as the only direct measurement for microbicide adherence in vaginal ring clinical trials but should preferably be used as part of a multi-pronged approach towards understanding and assessing adherence to vaginal ring use.

Indexed as

Guideline AdherenceAnti-HIV AgentsDrug Administration RoutesFemaleHIV InfectionsHumansPyrimidinesVaginaAnti-HIV AgentsDapivirinePyrimidinesAdherence modelDapivirine vaginal ringHiguchi modelIn vitro drug releaseIn vivo drug releasePost-use assay

Identifiers

PMID27016673
PMCPMC4873601
OpenAlexW2299460182

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.