Evidence map›Paper›PMID 28187506›Full record

ArticleClinical pharmacology and therapeutics2017

The Effect of Gene Variants on Levonorgestrel Pharmacokinetics When Combined With Antiretroviral Therapy Containing Efavirenz or Nevirapine.

M Neary, M Lamorde, A Olagunju, K M Darin, C Merry, P Byakika-Kibwika, D J Back, M Siccardi, A Owen, K K Scarsi

Open access · greenAbstract readComparative StudyControlled Clinical Trial
In one paragraph

Article in Clinical pharmacology and therapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. The Journal of pharmacology and experimental therapeutics · 2022
    Article
  10. Review
  11. PharmVar GeneFocus: CYP2B6.Clinical pharmacology and therapeutics · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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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

10 authors at 6 institutions in 5 countries.

M NearyMolecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
M LamordeInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
A OlagunjuFaculty of Pharmacy, Obafemi Awolowo University, Ile-Ife, Nigeria.
K M DarinCenter for Global Health, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
C MerryDepartment of Medicine, Trinity College Dublin, Dublin, Ireland.
P Byakika-KibwikaInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
D J BackMolecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
M SiccardiMolecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
A OwenMolecular and Clinical Pharmacology, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
K K ScarsiDepartment of Pharmacy Practice, College of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska, USA.
University of Liverpool · GBInfectious Diseases Institute · UGCenter for Global Health · USNebraska Medical Center · USObafemi Awolowo University · NGTrinity College Dublin · IE

Funding

Pharmacological Strategies to use the Levonorgestrel Implant in HIV-infected WomenR01HD085887 · NICHD · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SCARSI, KIMBERLY K. · 2015 to 2020
$1.4M
A pharmacokinetic evaluation of levonorgestrel implant and antiretroviral therapyR21HD074462 · NICHD · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SCARSI, KIMBERLY K. · 2012 to 2013
$332k
Medical Research Council G0800247NICHD NIH HHS R01 HD085887NICHD NIH HHS R21 HD074462
6 · The paper itself

Abstract

Reduced levonorgestrel concentrations from the levonorgestrel contraceptive implant was previously seen when given concomitantly with efavirenz. We sought to assess whether single nucleotide polymorphisms (SNPs) in genes involved in efavirenz and nevirapine metabolism were linked to these changes in levonorgestrel concentration. SNPs in CYP2B6, CYP2A6, NR1I2, and NR1I3 were analyzed. Associations of participant demographics and genotype with levonorgestrel pharmacokinetics were evaluated in HIV-positive women using the levonorgestrel implant plus efavirenz- or nevirapine-based antiretroviral therapy (ART), in comparison to ART-naïve women using multivariate linear regression. Efavirenz group: CYP2B6 516G>T was associated with lower levonorgestrel log

Indexed as

AdultAlkynesArea Under CurveBenzoxazinesConstitutive Androstane ReceptorContraceptive Agents, FemaleCyclopropanesCytochrome P-450 CYP2A6Cytochrome P-450 CYP2B6FemaleGenetic VariationHIV InfectionsHumansLevonorgestrelLinear ModelsMultivariate AnalysisAlkynesBenzoxazinesConstitutive Androstane ReceptorContraceptive Agents, FemaleCyclopropanesCYP2A6 protein, humanCytochrome P-450 CYP2A6Cytochrome P-450 CYP2B6efavirenzLevonorgestrelNevirapineNR1I3 protein, humanReverse Transcriptase Inhibitors

Identifiers

PMID28187506
PMCPMC5546927
OpenAlexW2586316143

What OpenQuestion holds

Textmetadata
LicenceTDM
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.