Evidence map›Paper›PMID 32811669›Full record

ArticleClinical therapeutics2020

Pharmacokinetics of Efavirenz 600 mg Once Daily During Pregnancy and Post Partum in Ghanaian Women Living With HIV.

Margaret Lartey, Ernest Kenu, Anyetei Lassey, Michael Ntumy, Vincent Ganu, Miriam Sam, Isaac Boamah, Fizza S Gilani, Hongmei Yang, Gena M Burch and 3 more

Open access · greenAbstract read
In one paragraph

Article in Clinical therapeutics, 2020. 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
0.1field-weighted citation impact, top 45% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. 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

13 authors at 6 institutions in 3 countries.

Margaret LarteyDepartment of Medicine and Therapeutics, University of Ghana Medical School, Accra, Ghana; Fevers Unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.
Ernest KenuFevers Unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana; Department of Epidemiology, University of Ghana School of Public Health, Accra, Ghana.
Anyetei LasseyDepartment of Obstetrics and Gynecology, University of Ghana Medical School, Accra, Ghana.
Michael NtumyDepartment of Obstetrics and Gynecology, University of Ghana Medical School, Accra, Ghana.
Vincent GanuFevers Unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.
Miriam SamFevers Unit, Department of Medicine, Korle Bu Teaching Hospital, Accra, Ghana.
Isaac BoamahDepartment of Medical Microbiology, University of Ghana Medical School, Accra, Ghana.
Fizza S GilaniThe Miriam Hospital, Providence, RI, USA.
Hongmei YangDepartment of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Gena M BurchDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Jennifer NormanDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Charles A PeloquinDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Awewura KwaraDepartment of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA. Electronic address: awewura.kwara@medicine.ufl.edu.
University of Ghana · GHUniversity of Florida · USKorle Bu Teaching Hospital · GHProvidence College · USUniversity of Cape Town · ZAUniversity of Rochester · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
International Maternal Pediatric Adolescent AIDS Clinical Trials (IMPAACT) GroupU01AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI JACKSON, J BROOKS · 2006 to 2010
$109.7M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Virology/Immunology CoreP30AI078498 · NIAID · UNIVERSITY OF ROCHESTER · PI DEWHURST, STEPHEN · 2008 to 2018
$14.6M
Pharmacokinetics of Anti-tuberculosis and Antiretroviral Drugs in ChildrenR01HD071779 · NICHD · UNIVERSITY OF FLORIDA · PI KWARA, AWEWURA JACOB · 2012 to 2022
$6.0M
NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI078498NIAID NIH HHS U01 AI068632NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI106701NICHD NIH HHS R01 HD071779
6 · The paper itself

Abstract

purposeThe updated World Health Organization guidelines recommend efavirenz (EFV) 400 mg as the preferred alternate first-line antiretroviral therapy to dolutegravir, with EFV 600 mg recommended only in special situations. We examined the pharmacokinetic (PK) properties of EFV 600 mg/d during pregnancy and post partum to inform EFV dosing decisions in pregnant women.

methodsGhanaian pregnant women with HIV infection initiating tenofovir disoproxil fumarate 300 mg/lamivudine 300 mg/EFV 600 mg fixed-dose combination tablet once daily were enrolled. Efavirenz concentrations were measured at 4 weeks of antiretroviral therapy initiation during pregnancy and 6 weeks post partum using validated LC-MS/MS assays. Efavirenz PK parameters were calculated using noncompartmental analysis, and within-group parameters between the 2 periods were compared.

findingsOf 25 enrolled women, 19 completed PK sampling during pregnancy and post partum. The C IMPLICATIONS: We found that the PK parameters of EFV 600 mg once daily during pregnancy were similar to those in the postpartum period. Our findings suggest that EFV dose adjustment during pregnancy is not necessary in our study population.

Indexed as

AdultAlkynesAnti-HIV AgentsBenzoxazinesChromatography, LiquidCyclopropanesFemaleGhanaHIV InfectionsHumansInfant, NewbornInfectious Disease Transmission, VerticalLamivudinePostpartum PeriodPregnancyTandem Mass SpectrometryAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesefavirenzLamivudineTenofovirmaternal-to-child transmissionpharmacokineticspost partumpregnancystandard-dose efavirenz

Identifiers

PMID32811669
PMCPMC7578077
OpenAlexW3049123886

What OpenQuestion holds

Textmetadata
LicenceTDM
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.