Evidence map›Paper›PMID 30137238›Full record

Observational studyClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Tenofovir Diphosphate in Dried Blood Spots Is Strongly Associated With Viral Suppression in Individuals With Human Immunodeficiency Virus Infections.

Jose R Castillo-Mancilla, Mary Morrow, Ryan P Coyle, Stacey S Coleman, Edward M Gardner, Jia-Hua Zheng, Lucas Ellison, Lane R Bushman, Jennifer J Kiser, Samantha Mawhinney and 1 more

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02012621 (Quantifying Drug Adherence and Drug Exposure to Antiretroviral Therapy.), which is not on this map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
6.2field-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.

NCT02012621 completednot on this map

Quantifying Drug Adherence and Drug Exposure to Antiretroviral Therapy.

TypeobservationalSponsorUniversity of Colorado, DenverRan2013 to 2017Enrolled807ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 87 citations in OpenAlex.

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3 more citing papers are in PubMed but not listed here.

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

11 authors at 3 institutions in 1 country.

Jose R Castillo-MancillaDivision of Infectious Diseases, School of Medicine, University of Colorado-Anschutz Medical Campus.
Mary MorrowDepartment of Biostatistics and Bioinformatics, Colorado School of Public Health, Aurora.
Ryan P CoyleDivision of Infectious Diseases, School of Medicine, University of Colorado-Anschutz Medical Campus.
Stacey S ColemanDuke University Hospital, Durham, North Carolina.
Edward M GardnerDivision of Infectious Diseases, School of Medicine, University of Colorado-Anschutz Medical Campus.
Jia-Hua ZhengColorado Antiviral Pharmacology Laboratory and Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado-Anschutz Medical Campus, Aurora.
Lucas EllisonColorado Antiviral Pharmacology Laboratory and Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado-Anschutz Medical Campus, Aurora.
Lane R BushmanColorado Antiviral Pharmacology Laboratory and Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado-Anschutz Medical Campus, Aurora.
Jennifer J KiserColorado Antiviral Pharmacology Laboratory and Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado-Anschutz Medical Campus, Aurora.
Samantha MawhinneyDepartment of Biostatistics and Bioinformatics, Colorado School of Public Health, Aurora.
Peter L AndersonColorado Antiviral Pharmacology Laboratory and Department of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado-Anschutz Medical Campus, Aurora.
University of Colorado Anschutz Medical Campus · USColorado School of Public Health · USDuke University Hospital · US

Funding

Novel approaches for quantitative assessment of adherenceR01AI122298 · NIAID · UNIVERSITY OF COLORADO DENVER · PI ANDERSON, PETER L. · 2016 to 2020
$3.4M
Quantifying Drug Adherence and Drug Exposure to Antiretroviral TherapyK23AI104315 · NIAID · UNIVERSITY OF COLORADO DENVER · PI CASTILLO-MANCILLA, JOSE RAMON · 2013 to 2017
$910k
Impact of ART Adherence on HIV Persistence and InflammationR21AI124859 · NIAID · UNIVERSITY OF COLORADO DENVER · PI CASTILLO-MANCILLA, JOSE RAMON, LI, JONATHAN · 2016 to 2017
$464k
NIAID NIH HHS K23 AI104315NIAID NIH HHS R01 AI122298NIAID NIH HHS R21 AI124859
6 · The paper itself

Abstract

backgroundAlthough tenofovir diphosphate (TFV-DP) in dried blood spots (DBS) is a predictor of adherence and pre-exposure prophylaxis efficacy, its utility in human immunodeficiency virus (HIV) treatment remains unknown.

methodsDBS for TFV-DP were collected up to 3 times over 48 weeks in persons living with HIV (PLWH) who were receiving TFV disoproxil fumarate (TDF)-based therapy. Log-transformed baseline TFV-DP was compared using t-tests or analyses of variance; generalized estimating equations were used to estimate the adjusted odds ratio (aOR) of viral suppression (<20 copies/mL) based on the TFV-DP concentration at the study visit.

resultsWe analyzed 1199 DBS from 532 participants (76 female; 101 Black, 101 Hispanic). Among the virologically-suppressed participants at baseline (n = 347), TFV-DP was lower in Blacks (geometric mean 1453, 95% confidence interval [CI] 1291-1635) vs Whites (1793, 95% CI 1678-1916; P = .002) and Hispanics (1760, 95% CI 1563-1982; P = .025); in non-boosted (1610, 95% CI 1505-1723) vs. boosted (1888, 95% CI 1749-2037; P = .002) regimens; and in non-nucleoside reverse transcription inhibitor-based (1563, 95% CI 1432-1707) vs. boosted protease inhibitor-based (1890, 95% CI 1704-2095; P = .006) and multiclass-based (1927, 95% CI 1650-2252; P = .022) regimens. The aOR of virologic suppression, after adjusting for age, gender, race, body mass index, estimated glomerular filtration rate, CD4+ T-cell count, antiretroviral drug class and duration of therapy, was 73.5 (95% CI 25.7-210.5; P < .0001) for a TFV-DP concentration ≥1850 fmol/punch compared to <350 fmol/punch.

conclusionsTFV-DP in DBS is strongly associated with virologic suppression in PLWH on TDF-based therapy and is associated with certain participant characteristics. Further research is required to evaluate this drug adherence and exposure measure in clinical practice. CLINICAL TRIALS REGISTRATION: NCT02012621.

Indexed as

AdenineAdultAntiviral AgentsDried Blood Spot TestingFemaleHIV InfectionsHumansMaleMiddle AgedOrganophosphatesProspective StudiesViral LoadAdenineAntiviral AgentsOrganophosphatestenofovir diphosphateadherenceantiretroviral therapydried blood spotspharmacokineticstenofovir diphosphate

Identifiers

PMID30137238
PMCPMC6451996
OpenAlexW2888559120

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.