Evidence map›Paper›PMID 31298497›Full record

ArticleJournal of the International AIDS Society2019

Drug-drug interactions between feminizing hormone therapy and pre-exposure prophylaxis among transgender women: the iFACT study.

Akarin Hiransuthikul, Rena Janamnuaysook, Kanittha Himmad, Stephen J Kerr, Narukjaporn Thammajaruk, Tippawan Pankam, Kannapat Phanjaroen, Stephen Mills, Ravipa Vannakit, Praphan Phanuphak and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03620734 (The Thai Red Cross AIDS Research Centre), which is not on this map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
15.9field-weighted citation impact, top 1% 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.

NCT03620734 completednot on this map

The Thai Red Cross AIDS Research Centre

TypeobservationalSponsorThai Red Cross AIDS Research CentreRan2017 to 2019Enrolled40ConditionsPrEP and ART
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 96 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

12 authors at 4 institutions in 2 countries.

Akarin HiransuthikulPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.ORCID 0000-0003-1906-8171
Rena JanamnuaysookPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Kanittha HimmadPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Stephen J KerrHIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Narukjaporn ThammajarukPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Tippawan PankamPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Kannapat PhanjaroenPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Stephen MillsLINKAGES Thailand FHI 360, Bangkok, Thailand.ORCID 0000-0001-7326-6342
Ravipa VannakitOffice of Public Health, United States Agency for International Development, Bangkok, Thailand.
Praphan PhanuphakPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.ORCID 0000-0002-0036-3165
Nittaya PhanuphakPREVENTION, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
iFACT Study Team
Thai Red Cross Society · THBangkok University · THChulalongkorn University · THUnited States Agency for International Development · US

Funding

PEPFAR
6 · The paper itself

Abstract

introductionConcerns over potential drug-drug interactions (DDI) between feminizing hormone therapy (FHT) and pre-exposure prophylaxis (PrEP) have hampered uptake and adherence of PrEP among transgender women (TGW). To determine DDI between FHT and PrEP, we measured the pharmacokinetic (PK) parameters of blood plasma estradiol (E2) and tenofovir (TFV) in Thai TGW.

methodsTwenty TGW who never underwent orchiectomy and had not received injectable FHT within six months were enrolled between January and March 2018. FHT (E2 valerate and cyproterone acetate) were prescribed to participants at baseline until week 5, and then from week 8 until the end of study. Daily PrEP (tenofovir disoproxil fumarate/emtricitabine) was initiated at week 3 and continued without interruption. Intensive E2 PK parameters and testosterone concentration at 24 hours (C

resultsMedian (interquartile range) age, body mass index, and creatinine clearance were 21.5 (21-26) years, 20.6 (19.0-22.4) kg/m

conclusionsOur study demonstrated lower blood plasma TFV exposure in the presence of FHT, suggesting that FHT may potentially affect PrEP efficacy among TGW; but E2 exposure was not affected by PrEP. Further studies are warranted to determine whether these reductions in TFV are clinically significant. Clinical Trial Number: NCT03620734.

Indexed as

Pre-Exposure ProphylaxisTransgender PersonsAdultAnti-HIV AgentsDrug InteractionsEstradiolFemaleHIV-1HIV InfectionsHumansMaleTenofovirThailandAnti-HIV AgentsEstradiolTenofovirdrug-drug interactionsfeminizing hormonepre-exposure prophylaxispreventiontransgender women

Identifiers

PMID31298497
PMCPMC6625338
OpenAlexW2958483693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.