Evidence map›Paper›PMID 28444867›Full record

ArticleHIV medicine2017

Urine assay for tenofovir to monitor adherence in real time to tenofovir disoproxil fumarate/emtricitabine as pre-exposure prophylaxis.

H C Koenig, K Mounzer, G W Daughtridge, C E Sloan, L Lalley-Chareczko, G S Moorthy, S C Conyngham, A F Zuppa, L J Montaner, P Tebas

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in HIV medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05333679 (Urine Tenofovir Point-of-care Test to Identify Patients in Need of ART Adherence Support), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
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.

NCT05333679 nacompletednot on this mapstarted 2022, after this paper: background citation

Urine Tenofovir Point-of-care Test to Identify Patients in Need of ART Adherence Support (UTRA Study)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2022 to 2025Enrolled200ConditionsRisk ReductionArmsUTRA, UTRA feedback
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 64 citations in OpenAlex.

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  16. Urine Tenofovir Levels Measured Using a Novel Immunoassay Predict Human Immunodeficiency Virus Protection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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  17. 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

10 authors at 4 institutions in 1 country.

H C KoenigPhiladelphia FIGHT, Philadelphia, PA, USA.ORCID 0000-0002-4622-4638
K MounzerPhiladelphia FIGHT, Philadelphia, PA, USA.
G W DaughtridgePerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
C E SloanPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
L Lalley-ChareczkoPhiladelphia FIGHT, Philadelphia, PA, USA.
G S MoorthyCenter for Clinical Pharmacology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
S C ConynghamPhiladelphia FIGHT, Philadelphia, PA, USA.
A F ZuppaCenter for Clinical Pharmacology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
L J MontanerWistar Institute, Philadelphia, PA, USA.
P TebasDivision of Infectious Diseases, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USPhiladelphia Fight · USThe Wistar Institute · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
University of Pennsylvania HIV Clinical Trials UnitUM1AI069534 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Ian Frank, PABLO TEBAS · 2012 to 2026
$33.0M
NIAID NIH HHS P30 AI045008NIAID NIH HHS UM1 AI069534
6 · The paper itself

Abstract

objectivesTenofovir disoproxil fumarate/emtricitabine (TDF/FTC) is approved for pre-exposure prophylaxis (PrEP) against HIV infection. Adherence is critical for the success of PrEP, but current adherence measurements are inadequate for real-time adherence monitoring. We developed and validated a urine assay to measure tenofovir (TFV) to objectively monitor adherence to PrEP.

methodsWe developed a urine assay using high-performance liquid chromatography coupled to tandem mass spectrometry with high sensitivity/specificity for TFV that allowed us to determine TFV concentrations in log

resultsThe urine assay detected TFV with greater sensitivity than plasma-based measures and with a window of measurements within 7 days of the last TDF/FTC dose. Based on the urine log-linear clearance after the last dose and its concordance with all detectable plasma levels, a urine TFV concentration > 1000 ng/mL was identified as highly predictive of the presence of TFV in plasma at > 10 ng/mL. The urine assay was able to distinguish high and low adherence patterns within the last 48 h (> 1000 ng/mL versus 10-1000 ng/mL), as well as nonadherence (< 10 ng/mL) extended over at least 1 week prior to measurement.

conclusionsWe provide proof of concept that a semiquantitative urine assay measuring levels of TFV could be further developed into a point-of-care test and be a useful tool to monitor adherence to PrEP.

Indexed as

AdultAntiviral AgentsChromatography, LiquidDrug Administration ScheduleEmtricitabineFemaleHIV InfectionsHumansMaleMedication AdherenceMiddle AgedPilot ProjectsPre-Exposure ProphylaxisTandem Mass SpectrometryTenofovirYoung AdultAntiviral AgentsEmtricitabineTenofoviradherenceHIV preventionpre-exposure prophylaxisTruvadaurine tenofovir assay

Identifiers

PMID28444867
PMCPMC5459623
OpenAlexW2608814213

What OpenQuestion holds

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Read underepoch 390

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.