Evidence map›Paper›PMID 27429188›Full record

ReviewJournal of acquired immune deficiency syndromes (1999)2016

Pharmacologic Considerations for Preexposure Prophylaxis in Transgender Women.

Peter L Anderson, Daniel Reirden, Jose Castillo-Mancilla

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of acquired immune deficiency syndromes (1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Health considerations for transgender women and remaining unknowns: a narrative review.Therapeutic advances in endocrinology and metabolism · 2019
    Review
  5. Article
  6. Facilitators and Barriers to Participation in PrEP HIV Prevention Trials Involving Transgender Male and Female Adolescents and Emerging Adults.AIDS education and prevention : official publication of the International Society for AIDS Education · 2017
    Article
  7. Young Transgender Women's Attitudes Toward HIV Pre-exposure Prophylaxis.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
    Article
  8. Article
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

3 authors at 2 institutions in 1 country.

Peter L Anderson*Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado-AMC, Aurora, CO; †Children's Hospital Colorado, University of Colorado-AMC, Aurora, CO; ‡University of Colorado School of Medicine, University of Colorado-AMC, Aurora, CO; and §Division of Infectious Diseases, School of Medicine, University of Colorado-AMC, Aurora, CO.
Daniel Reirden
Jose Castillo-Mancilla
University of Colorado Denver · USUniversity of Montana · US

Funding

PrEP and ART adherence monitoring using dried blood spotsU01AI106499 · NIAID · UNIVERSITY OF COLORADO DENVER · PI ANDERSON, PETER L. · 2013 to 2016
$2.9M
Quantifying Drug Adherence and Drug Exposure to Antiretroviral TherapyK23AI104315 · NIAID · UNIVERSITY OF COLORADO DENVER · PI CASTILLO-MANCILLA, JOSE RAMON · 2013 to 2017
$910k
NIAID NIH HHS K23 AI104315NIAID NIH HHS U01 AI106499
6 · The paper itself

Abstract

Studies of tenofovir disoproxil fumarate (TDF)-emtricitabine (FTC)-based preexposure prophylaxis (PrEP) have not focused on transgendered women who are at disproportionate risk of HIV acquisition. Concerns exist for drug interactions between cross-sex therapy (estradiol, progestins, and spironolactone) with tenofovir disoproxil fumarate-emtricitabine. This review assessed the experimental and theoretical risk for such drug interactions. It was found that none of these medications are implicated as major perpetrators of drug interactions, and the classes use different metabolic pathways for clearance, suggesting a low likelihood for interactions in either direction. Subanalyses of transgender women in Preexposure Prophylaxis Initiative suggested PrEP efficacy if adherence was high. Nevertheless, several research gaps were identified, particularly the need for controlled interaction studies in transgendered women, including effects on renal clearance, intracellular tenofovir diphosphate and emtricitabine triphosphate in target cells, as well as hormone effects on HIV susceptibility and immunity. PrEP should continue to be offered to transgender women while additional research is planned or pending.

Indexed as

Pre-Exposure ProphylaxisTransgender PersonsAnti-HIV AgentsDelivery of Health Care, IntegratedDirective CounselingDrug MonitoringEmtricitabineFemaleHealth Status DisparitiesHIV InfectionsHumansMaleTenofovirAnti-HIV AgentsEmtricitabineTenofovir

Identifiers

PMID27429188
PMCPMC4955879
OpenAlexW2471407793

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.