Evidence map›Paper›PMID 30566691›Full record

ArticleThe Journal of infectious diseases2019

Predicting Drug-Drug Interactions Between Rifampicin and Long-Acting Cabotegravir and Rilpivirine Using Physiologically Based Pharmacokinetic Modeling.

Rajith K R Rajoli, Paul Curley, Justin Chiong, David Back, Charles Flexner, Andrew Owen, Marco Siccardi

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Management of Drug-Drug Interactions Between Long-Acting Cabotegravir and Rilpivirine and Comedications With Inducing Properties: A Modeling Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  13. Review
  14. The LEAP Process: Streamlining the Development of Long-Acting Products and Formulations for Infectious Diseases.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  15. Considerations for the Use of Long-Acting and Extended-Release Agents During Pregnancy and Lactation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Virus-Mimicking Polymer Nanoparticles Targeting CD169ACS applied materials & interfaces · 2022
    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

7 authors at 2 institutions in 2 countries.

Rajith K R RajoliDepartment of Molecular and Clinical Pharmacology, University of Liverpool, United Kingdom.
Paul CurleyDepartment of Molecular and Clinical Pharmacology, University of Liverpool, United Kingdom.
Justin ChiongDepartment of Molecular and Clinical Pharmacology, University of Liverpool, United Kingdom.
David BackDepartment of Molecular and Clinical Pharmacology, University of Liverpool, United Kingdom.
Charles FlexnerJohns Hopkins University School of Medicine and Bloomberg School of Public Health, Baltimore, Maryland.
Andrew OwenDepartment of Molecular and Clinical Pharmacology, University of Liverpool, United Kingdom.
Marco SiccardiDepartment of Molecular and Clinical Pharmacology, University of Liverpool, United Kingdom.
University of Liverpool · GBJohns Hopkins University · US

Funding

The Long-Acting/Extended Release Antiretroviral Resource Program (LEAP)R24AI118397 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Charles W. Flexner · 2015 to 2026
$9.4M
Medical Research Council MR/L006758/1NIAID NIH HHS R24 AI118397
6 · The paper itself

Abstract

backgroundCabotegravir and rilpivirine are 2 long-acting (LA) antiretrovirals that can be administered intramuscularly; their interaction with rifampicin, a first-line antituberculosis agent, has not been investigated. The aim of this study was to simulate and predict drug-drug interactions (DDIs) between these LA antiretroviral agents and rifampicin using physiologically based pharmacokinetic (PBPK) modeling.

methodsThe designed PBPK models were qualified (according to European Medicines Agency guidelines) against observed data for oral formulations of cabotegravir, rilpivirine, and rifampicin. Induction potential of rifampicin was also qualified by comparing the DDI between oral cabotegravir and oral rilpivirine with rifampicin. Qualified PBPK models were utilized for pharmacokinetic prediction of DDIs.

resultsPBPK models predicted a reduction in both area under the curve (AUC0-28 days) and trough concentration (Ctrough, 28th day) of LA cabotegravir of 41%-46% for the first maintenance dose coadministered with 600 mg once-daily oral rifampicin. Rilpivirine concentrations were predicted to decrease by 82% for both AUC0-28 days and Ctrough, 28th day following the first maintenance dose when coadministered with rifampicin.

conclusionsThe developed PBPK models predicted the theoretical effect of rifampicin on cabotegravir and rilpivirine LA intramuscular formulations. According to these simulations, it is likely that coadministration of rifampicin with these LA formulations will result in subtherapeutic concentrations of both drugs.

Indexed as

AdolescentAdultAnti-Retroviral AgentsComputer SimulationDelayed-Action PreparationsDiketopiperazinesDrug CompoundingDrug InteractionsFemaleHIV InfectionsHumansInjections, IntramuscularMaleMiddle AgedModels, TheoreticalPyridonesAnti-Retroviral AgentscabotegravirDelayed-Action PreparationsDiketopiperazinesPyridonesRifampinRilpivirinecabotegravirdrug–drug interactionlong-actingPBPK modelingrifampicin

Identifiers

PMID30566691
PMCPMC6500558
OpenAlexW2904034213

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.