Evidence map›Paper›PMID 30530925›Full record

ArticleAntiviral therapy2019

Efavirenz pharmacokinetics during pregnancy and infant washout.

Regis Kreitchmann, Stein Schalkwijk, Brookie Best, Jiajia Wang, Angela Colbers, Alice Stek, David Shapiro, Tim Cressey, Mark Mirochnick, David Burger

Registry-linked trialAbstract read
In one paragraph

Article in Antiviral therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00042289 (Pharmacokinetic Properties of Antiretroviral and Related Drugs During Pregnancy and Postpartum), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT00042289 completednot on this map

Pharmacokinetic Properties of Antiretroviral and Related Drugs During Pregnancy and Postpartum

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2003 to 2020Enrolled1,578ConditionsHIV InfectionsArmsatazanavir/cobicistat, darunavir/ritonavir dosage #1, darunavir/ritonavir dosage #2, darunavir/ritonavir dosage #3, elvitegravir/cobicistat
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

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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 7 institutions in 5 countries.

Regis KreitchmannHIV Research Department, Irmandade da Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil.
Stein SchalkwijkDepartments of Pharmacy and Pharmacology and Toxicology, Radboud University Medical Center, Nijmegen, the Netherlands.
Brookie BestUniversity of California, San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences & Department of Pediatrics, University of California San Diego/Rady Children's Hospital-San Diego, San Diego, CA, USA.
Jiajia WangCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Angela ColbersDepartments of Pharmacy and Pharmacology and Toxicology, Radboud University Medical Center, Nijmegen, the Netherlands.
Alice StekDepartment of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, CA, USA.
David ShapiroCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Tim CresseyDepartment of Medical Technology, Faculty of Associated Medical Sciences, PHPT/IRD 174, Chiang Mai University, Chiang Mai, Thailand.
Mark MirochnickBoston University School of Medicine, Boston, MA, USA.
David BurgerDepartments of Pharmacy and Pharmacology and Toxicology, Radboud University Medical Center, Nijmegen, the Netherlands.
Cancer Research And Biostatistics · USRadboud University Nijmegen · NLHarvard University · USIrmandade da Santa Casa de Misericórdia de São Paulo · BRRadboud University Medical Center · NLUniversity of California, San Diego · USUniversity of Southern California · US

Funding

LOC-IMPAACT Leadership GroupPharmacokinetics and Safety of Remdesivir for Treatment of COVID-19 in Pregnant Women in the USUM1AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI Jennifer Jao, Sharon A Nachman · 2011 to 2026
$278.1M
Statistical and Data Management Center-Pediatric,Adolescent, and Maternal CTGUM1AI068616 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Sean Scott Brummel, Marlene Ann Cooper · 2011 to 2026
$155.6M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
The Johns Hopkins University - Uganda Clinical Trials UnitUM1AI069530 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MARY Glenn Fowler, Philippa Musoke · 2012 to 2026
$34.8M
NIAID NIH HHS UM1 AI068616NIAID NIH HHS UM1 AI068632NIAID NIH HHS UM1 AI069530NIAID NIH HHS UM1 AI106716
6 · The paper itself

Abstract

backgroundLimited data exist on efavirenz pharmacokinetics in HIV-positive pregnant women and neonatal washout.

methodsHIV-infected pregnant women receiving 600 mg efavirenz once daily had intensive steady-state 24-h pharmacokinetics profiles during the second trimester (2T), third trimester (3T) and 6-12 weeks postpartum (PP). Maternal and umbilical cord blood samples were drawn at delivery and neonatal washout pharmacokinetics were determined. Therapeutic targets were the estimated 10th percentile efavirenz area under the concentration-time curve (AUC) in non-pregnant historical controls (40.0 μg•h/ml) and a trough concentration (C

resultsAmong 42 women studied, 15, 42 and 40 had efavirenz pharmacokinetic data available in 2T, 3T and PP, respectively. Median (range) 3T age 33 (20.7-43.5) years, weight 74 (50-132) kg and gestational age 33.4 (28.4-37.9 weeks). Efavirenz AUC during the 3T (60 μg•h/ml) was similar to that reported in non-pregnant adults (58 μg•h/ml). Exposure in the 2T was lower, but within the 0.80-1.25 range. C

conclusionsEfavirenz exposure was similar during pregnancy compared with PP, C

Indexed as

AdolescentAdultAlkynesAntiretroviral Therapy, Highly ActiveBenzoxazinesChildChild, PreschoolCyclopropanesDrug MonitoringFemaleHIV InfectionsHumansInfantInfant, NewbornPregnancyPregnancy Complications, InfectiousAlkynesBenzoxazinesCyclopropanesefavirenzReverse Transcriptase Inhibitors

Identifiers

PMID30530925
PMCPMC6642905
OpenAlexW2904966271

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.