Evidence map›Paper›PMID 27986684›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

MTN-017: A Rectal Phase 2 Extended Safety and Acceptability Study of Tenofovir Reduced-Glycerin 1% Gel.

Ross D Cranston, Javier R Lama, Barbra A Richardson, Alex Carballo-Diéguez, Ratiya Pamela Kunjara Na Ayudhya, Karen Liu, Karen B Patterson, Cheng-Shiun Leu, Beth Galaska, Cindy E Jacobson and 21 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01687218 (A Phase 2 Randomized Sequence Open Label Expanded Safety and Acceptability Study of Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet and Rectally-Applied Tenofovir Reduced-Glycerin 1% Gel), which is not on this map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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.

NCT01687218 phase2completednot on this map

A Phase 2 Randomized Sequence Open Label Expanded Safety and Acceptability Study of Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet and Rectally-Applied Tenofovir Reduced-Glycerin 1% Gel

TypeinterventionalSponsorCONRADRan2013 to 2015Enrolled195ConditionsHIVArmsOral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet), Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel), Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021
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  13. Tenofovir, Interferon Pathways, and Mucosal Immunity: Implications for People Living With HIV.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
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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

31 authors at 19 institutions in 6 countries.

Ross D CranstonUniversity of Pittsburgh, Pennsylvania, USA.
Javier R LamaAsociación Civil Impacta Salud y Educación, Lima, Peru.
Barbra A RichardsonDepartment of Biostatistics, University of Washington, Box 359909, Seattle, WA, USA.
Alex Carballo-DiéguezNew York State Psychiatry Institute and Columbia University, New York, USA.
Ratiya Pamela Kunjara Na AyudhyaMagee-Womens Research Institute, Pittsburgh, Pennsylvania, USA.
Karen LiuFred Hutchinson Cancer Research Center-Statistical Center for HIV/AIDS Research and Prevention, Seattle, Washington, USA.
Karen B PattersonFred Hutchinson Cancer Research Center-Statistical Center for HIV/AIDS Research and Prevention, Seattle, Washington, USA.
Cheng-Shiun LeuNew York State Psychiatry Institute and Columbia University, New York, USA.
Beth GalaskaMagee-Womens Research Institute, Pittsburgh, Pennsylvania, USA.
Cindy E JacobsonMagee-Womens Research Institute, Pittsburgh, Pennsylvania, USA.
Urvi M ParikhUniversity of Pittsburgh, Pennsylvania, USA.
Mark A MarzinkeDepartment of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Craig W HendrixDepartment of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Sherri JohnsonFHI 360, Durham, North Carolina, USA.
Jeanna M PiperNational Institute of Allergy and Infectious Disease/DAIDS, Rockville, MD, USA..
Cynthia GrossmanNational Institute of Mental Health, Bethesda, Maryland, USA.
Ken S HoUniversity of Pittsburgh, Pennsylvania, USA.
Jonathan LucasFHI 360, Durham, North Carolina, USA.
Jim PickettAIDS Foundation of Chicago, Illinois, USA.
Linda-Gail BekkerDesmond Tutu HIV Centre, University of Cape Town, South Africa.
Suwat ChariyalertsakResearch Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.
Anupong ChitwarakornThailand Ministry of Public Health-US Centers for Disease Control and Prevention Collaboration, Bangkok, Thailand.
Pedro GonzalesAsociación Civil Impacta Salud y Educación, Lima, Peru.
Timothy H HoltzThailand Ministry of Public Health-US Centers for Disease Control and Prevention Collaboration, Bangkok, Thailand.
Albert Y LiuBridge HIV, San Francisco Department of Public Health, California, USA.
Kenneth H MayerFenway Institute, Boston, Massachusetts, USA.
Carmen ZorrillaDepartment of Obstetrics and Gynecology, University of Puerto Rico School of Medicine, San Juan, USA.
Jill L SchwartzCONRAD/Eastern Virginia Medical School, Arlington, Virginia, USA.
James RooneyGilead Sciences, Foster City, California, USA.
Ian McGowanUniversity of Pittsburgh, Pennsylvania, USA.
MTN-017 Protocol Team
University of Pittsburgh · USMagee-Womens Research Institute · USAsociación Civil Impacta Salud y Educación · PECancer Research Center · USFamily Health International 360 · USJohns Hopkins Medicine · USMinistry of Public Health · THChiang Mai University · THColumbia University · USDesmond Tutu HIV Foundation · ZAEastern Virginia Medical School · USFenway Health · USFred Hutch Cancer Center · USGilead Sciences (United States) · USNational Institute of Allergy and Infectious Diseases · USNational Institute of Mental Health · CZNew York Psychoanalytic Society and Institute · USSan Francisco Department of Public Health · USUniversity of Puerto Rico System · PR

Funding

Microbicide Trials NetworkUM1AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2011 to 2021
$175.0M
Statistical and Data Management Center (SDMC): Microbicide Trials NetworkUM1AI068615 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BROWN, ELIZABETH RENATA · 2011 to 2021
$66.5M
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
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 Pittsburgh Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUSAN L KOLETAR, John W Mellors · 2012 to 2026
$38.0M
San Francisco Vaccine and Prevention UnitUM1AI069496 · NIAID · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI Susan Buchbinder, Diane V Havlir · 2012 to 2026
$30.5M
Laboratory Center (LC): Microbicide Trials NetworkUM1AI106707 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI MELLORS, JOHN W, ROHAN, LISA CENCIA · 2014 to 2021
$27.1M
Thailand HIV/AIDS and Infectious Disease Clinical Trials Unit (THAI CTU)UM1AI069399 · NIAID · CHIANG MAI UNIVERSITY · PI Kiat Ruxrungtham, Khuanchai Supparatpinyo · 2012 to 2026
$25.0M
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
NIAID NIH HHS UM1 AI068615NIAID NIH HHS UM1 AI068633NIAID NIH HHS UM1 AI069399NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069415NIAID NIH HHS UM1 AI069494NIAID NIH HHS UM1 AI069496NIAID NIH HHS UM1 AI106707NIMH NIH HHS P30 MH043520
6 · The paper itself

Abstract

Background: Human immunodeficiency virus (HIV) disproportionately affects men who have sex with men (MSM) and transgender women (TGW). Safe and acceptable topical HIV prevention methods that target the rectum are needed. Methods: MTN-017 was a phase 2, 3-period, randomized sequence, open-label, expanded safety and acceptability crossover study comparing rectally applied reduced-glycerin (RG) 1% tenofovir (TFV) and oral emtricitabine/TFV disoproxil fumarate (FTC/TDF). In each 8-week study period participants were randomized to RG-TFV rectal gel daily, or RG-TFV rectal gel before and after receptive anal intercourse (RAI; or at least twice weekly in the event of no RAI), or daily oral FTC/TDF. Results: MSM and TGW (n = 195) were enrolled from 8 sites in the United States, Thailand, Peru, and South Africa with mean age of 31.1 years (range 18-64). There were no differences in ≥grade 2 adverse event rates between daily gel (incidence rate ratio [IRR], 1.09; P = .59) or RAI gel (IRR, 0.90; P = .51) compared to FTC/TDF. High adherence (≥80% of prescribed doses assessed by unused product return and Short Message System reports) was less likely in the daily gel regimen (odds ratio [OR], 0.35; P < .001), and participants reported less likelihood of future daily gel use for HIV protection compared to FTC/TDF (OR, 0.38; P < .001). Conclusions: Rectal application of RG TFV gel was safe in MSM and TGW. Adherence and product use likelihood were similar for the intermittent gel and daily oral FTC/TDF regimens, but lower for the daily gel regimen. Clinical Trials Registration: NCT01687218.

Indexed as

AdolescentAdultAntiretroviral Therapy, Highly ActiveFemaleGelsGlycerolHIV-1HIV InfectionsHomosexuality, MaleHumansMaleMedication AdherenceMiddle AgedRectumReverse Transcriptase InhibitorsTenofovirGelsGlycerolReverse Transcriptase InhibitorsTenofovirHIVmicrobicidepreventionrectaltenofovir

Identifiers

PMID27986684
PMCPMC5850518
OpenAlexW2563609692

What OpenQuestion holds

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Registered trials

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.