Evidence map›Paper›PMID 30623371›Full record

ArticleClinical drug investigation2019

HIV Integrase Inhibitor Pharmacogenetics: An Exploratory Study.

Derek E Murrell, David B Cluck, Jonathan P Moorman, Stacy D Brown, Ke-Sheng Wang, Michelle M Duffourc, Sam Harirforoosh

Abstract read
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In one paragraph

Article in Clinical drug investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. [Sleep disorders related to HIV treatment.]Revista espanola de salud publica · 2023
    Observational
  4. Article
  5. Update on Adverse Effects of HIV Integrase Inhibitors.Current treatment options in infectious diseases · 2019
    Review
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.

Derek E MurrellDepartment of Pharmaceutical Sciences, Gatton College of Pharmacy, East Tennessee State University, Box 70594, Johnson City, TN, 37614-1708, USA.
David B CluckCenter of Excellence in Inflammation, Infectious Diseases, and Immunity, East Tennessee State University, Johnson City, TN, USA.
Jonathan P MoormanCenter of Excellence in Inflammation, Infectious Diseases, and Immunity, East Tennessee State University, Johnson City, TN, USA.
Stacy D BrownDepartment of Pharmaceutical Sciences, Gatton College of Pharmacy, East Tennessee State University, Box 70594, Johnson City, TN, 37614-1708, USA.
Ke-Sheng WangCenter of Excellence in Inflammation, Infectious Diseases, and Immunity, East Tennessee State University, Johnson City, TN, USA.
Michelle M DuffourcCenter of Excellence in Inflammation, Infectious Diseases, and Immunity, East Tennessee State University, Johnson City, TN, USA.
Sam HarirforooshDepartment of Pharmaceutical Sciences, Gatton College of Pharmacy, East Tennessee State University, Box 70594, Johnson City, TN, 37614-1708, USA. harirfor@etsu.edu.ORCID http://orcid.org/0000-0002-2631-3756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIntegrase strand transfer inhibitors (INSTIs), dolutegravir, elvitegravir, and raltegravir, have become integral in the treatment of HIV, with close monitoring of continued efficacy and tolerability. As side effect occurrence varies among subjects receiving these drugs, we sought to perform an exploratory analysis examining the role of several single-nucleotide polymorphisms (SNPs) on drug concentration changes, selected clinical outcomes, and the occurrence of subject-reported adverse events.

methodsAdults (aged ≥ 18 years) receiving INSTI-based regimens for treatment of HIV were recruited and genotyped with an iPLEX ADME PGx Pro v1.0 Panel. Multiple linear or logistic regression with covariates [age, sex, BMI, regimen (in the across-regimen group), regimen duration, and baseline variables (for continuous parameters)] was used to detect significant (p < 0.05) association of selected clinical data with genetic variants within the study population.

resultsIn a sample (n = 88) with a median age of 52.5 years (IQR 45.7-57.2) being predominately Caucasian (88.6%) and male (86.4%), this exploratory study discovered several associations between variables and SNPs, when using INSTIs. Abnormal dream occurrence was statistically different (p = 0.028) between regimens. Additionally, several SNPs were found to be associated with adverse event profiles primarily when all regimens were grouped together.

conclusionThe associations found in this study point to a need for further assessment, within the population living with HIV, of factors contributing to unfavorable subject outcomes. These exploratory findings require confirmation in larger studies, which then may investigate pharmacogenetic mechanisms.

Indexed as

PharmacogeneticsAdultDolutegravirFemaleGenotypeHeterocyclic Compounds, 3-RingHIV InfectionsHIV Integrase InhibitorsHumansMaleMiddle AgedOxazinesPiperazinesPyridonesQuinolonesRaltegravir PotassiumDolutegravirelvitegravirHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsOxazinesPiperazinesPyridonesQuinolonesRaltegravir Potassium

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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.