Evidence map›Paper›PMID 27275923›Full record

ArticlePloS one2016

Topical Delivery of Tenofovir Disoproxil Fumarate and Emtricitabine from Pod-Intravaginal Rings Protects Macaques from Multiple SHIV Exposures.

Priya Srinivasan, John A Moss, Manjula Gunawardana, Scott A Churchman, Flora Yang, Chuong T Dinh, James M Mitchell, Jining Zhang, Rob Fanter, Christine S Miller and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

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  10. 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
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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

15 authors at 3 institutions in 1 country.

Priya SrinivasanLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
John A MossDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, United States of America.
Manjula GunawardanaDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, United States of America.
Scott A ChurchmanAuritec Pharmaceuticals, Inc., Pasadena, California, United States of America.
Flora YangDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, United States of America.
Chuong T DinhTotal Solutions, Inc., Atlanta, Georgia, United States of America.
James M MitchellLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Jining ZhangTotal Solutions, Inc., Atlanta, Georgia, United States of America.
Rob FanterDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, United States of America.
Christine S MillerDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, United States of America.
Irina ButkyavicheneAuritec Pharmaceuticals, Inc., Pasadena, California, United States of America.
Janet M McNichollLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Thomas J SmithDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, United States of America.
Marc M BaumDepartment of Chemistry, Oak Crest Institute of Science, Monrovia, California, United States of America.
James M SmithLaboratory Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Oak Crest Institute of Science · USCenters for Disease Control and Prevention · USAuritec Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Topical preexposure prophylaxis (PrEP) against HIV has been marginally successful in recent clinical trials with low adherence rates being a primary factor for failure. Controlled, sustained release of antiretroviral (ARV) drugs may help overcome these low adherence rates if the product is protective for extended periods of time. The oral combination of tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) is currently the only FDA-approved ARV drug for HIV PrEP. A novel pod-intravaginal ring (IVR) delivering TDF and FTC at independently controlled rates was evaluated for efficacy at preventing SHIV162p3 infection in a rigorous, repeat low-dose vaginal exposure model using normally cycling female pigtailed macaques. Six macaques received pod-IVRs containing TDF (65 mg) and FTC (68 mg) every two weeks, and weekly vaginal exposures to 50 TCID50 of SHIV162p3 began one week after the first pod-IVR insertion. All pod-IVR-treated macaques were fully protected throughout the study (P = 0.0002, Log-rank test), whereas all control animals became infected with a median of 4 exposures to infection. The topical, sustained release of TDF and FTC from the pod-IVR maintained protective drug levels in macaques over four months of virus exposures. This novel and versatile delivery system has the capacity to deliver and maintain protective levels of multiple drugs and the protection observed here warrants clinical evaluation of this pod-IVR design.

Indexed as

Contraceptive Devices, FemaleRetroviruses, SimianAdministration, IntravaginalAdministration, TopicalAnimalsEmtricitabineFemaleMacaca nemestrinaSimian Acquired Immunodeficiency SyndromeTenofovirEmtricitabineTenofovir

Identifiers

PMID27275923
PMCPMC4898685
OpenAlexW2416499291

What OpenQuestion holds

Textmetadata
LicenceCC0
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.