Evidence map›Paper›PMID 27316778›Full record

Trial reportAIDS research and human retroviruses

Rectal 1% Tenofovir Gel Use Associates with Altered Epidermal Protein Expression.

Laura Romas, Kenzie Birse, Kenneth H Mayer, Max Abou, Garrett Westmacott, Rebecca Giguere, Irma Febo, Ross D Cranston, Alex Carballo-Diéguez, Ian McGowan and 1 more

Open access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in AIDS research and human retroviruses. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 11 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

11 authors at 6 institutions in 4 countries.

Laura Romas1 National HIV and Retrovirology Laboratory, JC Wilt Infectious Disease Research Centre, Public Health Agency of Canada , Winnipeg, Canada .
Kenzie Birse1 National HIV and Retrovirology Laboratory, JC Wilt Infectious Disease Research Centre, Public Health Agency of Canada , Winnipeg, Canada .
Kenneth H Mayer3 Fenway Health and Harvard Medical School , Boston, Massachusetts.
Max Abou1 National HIV and Retrovirology Laboratory, JC Wilt Infectious Disease Research Centre, Public Health Agency of Canada , Winnipeg, Canada .
Garrett Westmacott4 Mass Spectrometry and Proteomics Core Facility, National Microbiology Laboratory, Public Health Agency of Canada , Winnipeg, Canada .
Rebecca Giguere5 HIV Center for Clinical and Behavioral Studies, Columbia University , New York, New York.
Irma Febo6 University of Puerto Rico , San Juan, Puerto Rico .
Ross D Cranston7 Department of Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania.
Alex Carballo-Diéguez5 HIV Center for Clinical and Behavioral Studies, Columbia University , New York, New York.
Ian McGowan7 Department of Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania.
Adam Burgener1 National HIV and Retrovirology Laboratory, JC Wilt Infectious Disease Research Centre, Public Health Agency of Canada , Winnipeg, Canada .
University of Manitoba · CANew York Psychoanalytic Society and Institute · USUniversity of Pittsburgh · USFenway Health · USPublic Health Agency of Canada · CAUniversity of Puerto Rico System · PR

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
University of Puerto Rico Clinical Trials UnitUM1AI069415 · NIAID · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FEBO, IRMA LUZ, SANTANA-BAGUR, JORGE L. · 2012 to 2021
$15.2M
Microbicide Safety and Acceptability in Young MenR01HD059533 · NICHD · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI MCGOWAN, IAN MICHAEL · 2009 to 2012
$6.6M
CIHR OCB134115NIAID NIH HHS UM1 AI069415NICHD NIH HHS R01 HD059533NIMH NIH HHS P30 MH043520
6 · The paper itself

Abstract

Rectal use of a 1% tenofovir (TFV) gel is currently being evaluated for HIV prevention. While careful assessment of mucosal safety of candidate microbicides is a primary concern, tools to assess mucosal toxicity are limited. Mass spectrometry-based proteomics is a sensitive and high-throughput technique that can provide in-depth information on inflammation processes in biological systems. In this study, we utilized a proteomics approach to characterize mucosal responses in study participants involved in a phase 1 clinical trial of a rectal TFV-based gel. Project Gel was a phase 1 randomized (1:1), double-blind, multisite, placebo-controlled trial in which 24 participants received rectal TFV or a universal placebo [hydroxyethyl cellulose (HEC)] over a course of 8 daily doses. Rectal mucosal swabs were collected after 0, 1, and 8 doses and were analyzed by label-free tandem mass spectrometry. Differential protein expression was evaluated using a combination of paired (time-effects) and unpaired (across study arm) t-tests, and multivariate [least absolute shrinkage and selection operator (LASSO)] modeling. Within the TFV arm, 7% (17/249, p < .05) and 10% (25/249, p < .05) of total proteins changed after 1 and 8 daily applications of TFV gel, respectively, compared to 3% (7/249, p < .05) and 6% (16/249, p < .05) in the HEC arm. Biofunctional analysis associated TFV use with a decrease in epidermal barrier proteins (adj. p = 1.21 × 10

Indexed as

Administration, RectalAdultAnti-HIV AgentsDouble-Blind MethodFemaleGelsHumansIntestinal MucosaMalePlacebosProteinsProteomicsTandem Mass SpectrometryTenofovirAnti-HIV AgentsGelsPlacebosProteinsTenofovirinnate immunitymicrobicidesmucosal immunologyproteomicsrectalsystems biology

Identifiers

PMID27316778
PMCPMC5067863
OpenAlexW2423873916

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.