Evidence map›Paper›PMID 29624706›Full record

SynthesisBritish journal of clinical pharmacology2018

Pharmacokinetics of efavirenz in patients on antituberculosis treatment in high human immunodeficiency virus and tuberculosis burden countries: A systematic review.

Daniel Atwine, Maryline Bonnet, Anne-Marie Taburet

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. The challenge of HIV treatment in an era of polypharmacy.Journal of the International AIDS Society · 2020
    Review
  11. Frontiers in pharmacology · 2020
    Article
  12. Article
  13. Article
  14. Review
  15. 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 3 institutions in 2 countries.

Daniel AtwineEpicentre Mbarara Research Centre, Mbarara, Uganda.ORCID 0000-0002-3373-1999
Maryline BonnetEpicentre Mbarara Research Centre, Mbarara, Uganda.
Anne-Marie TaburetBicetre hospital, Paris, France.
Inserm · FRMbarara University of Science and Technology · UGUniversité Paris-Sud · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsEfavirenz (EFV) and rifampicin-isoniazid (RH) are cornerstone drugs in human immunodeficiency virus (HIV)-tuberculosis (TB) coinfection treatment but with complex drug interactions, efficacy and safety challenges. We reviewed recent data on EFV and RH interaction in TB/HIV high-burden countries.

methodsWe conducted a systematic review of studies conducted in the high TB/HIV-burden countries between 1990 and 2016 on EFV pharmacokinetics during RH coadministration in coinfected patients. Two reviewers conducted article screening and data collection.

resultsOf 119 records retrieved, 22 were included (two conducted in children), reporting either EFV mid-dose or pre-dose concentrations. In 19 studies, median or mean concentrations of RH range between 1000 and 4000 ng ml

conclusionsAnti-TB drug coadministration minimally affect the EFV exposure, efficacy and safety among TB-HIV coinfected African and Asian patients. This supports the current 600 mg EFV dosing when coadministered with anti-TB drugs.

Indexed as

AfricaAnti-HIV AgentsAntitubercular AgentsAsiaBody WeightCentral Nervous System DiseasesChemical and Drug Induced Liver InjuryCoinfectionCost of IllnessCytochrome P-450 CYP2B6Drug InteractionsFemaleHIV InfectionsHumansIsoniazidLatin AmericaAnti-HIV AgentsAntitubercular AgentsCYP2B6 protein, humanCytochrome P-450 CYP2B6IsoniazidRifampinadverse drug reactionsantiretrovirals < infectious diseasesgenetics and pharmacogeneticsHIV/AIDS < infectious diseasespharmacokinetics

Identifiers

PMID29624706
PMCPMC6046471
OpenAlexW2883096303

What OpenQuestion holds

Textmetadata
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.