Evidence map›Paper›PMID 34814933›Full record

Trial reportTrials2021

An open-label, randomized, single intravenous dosing study to investigate the effect of fixed-dose combinations of tenofovir/lamivudine or atazanavir/ritonavir on the pharmacokinetics of remdesivir in Ugandan healthy volunteers (RemTLAR).

Stephen I Walimbwa, Julian P Kaboggoza, Catriona Waitt, Pauline Byakika-Kibwika, Antonio D'Avolio, Mohammed Lamorde

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04385719 (An Open-label, Randomized, Single Intravenous Dosing Study to Investigate the Effect of Fixed-dose Combinations of Tenofovir/Lamivudine or Atazanavir/Ritonavir on the Pharmacokinetics of Remdesivir in Ugandan Healthy Volunteers), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 52% 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.

NCT04385719 phase2completednot on this map

An Open-label, Randomized, Single Intravenous Dosing Study to Investigate the Effect of Fixed-dose Combinations of Tenofovir/Lamivudine or Atazanavir/Ritonavir on the Pharmacokinetics of Remdesivir in Ugandan Healthy Volunteers

TypeinterventionalSponsorMakerere UniversityRan2021 to 2021Enrolled24ConditionsEbola, HIV/AIDSArmsRemdesivir
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 3 countries.

Stephen I WalimbwaInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda. swalimbwa@idi.co.ug.ORCID http://orcid.org/0000-0002-3825-3260
Julian P KaboggozaInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Catriona WaittInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Pauline Byakika-KibwikaInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Antonio D'AvolioLaboratory of Clinical Pharmacology and Pharmacogenetics, Amedeo di Savoia Hospital, Department of Medical Sciences, University of Turin, Turin, Italy.
Mohammed LamordeInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.
Infectious Diseases Institute · UGOspedale Amedeo di Savoia · ITUniversity of Liverpool · GB

Funding

European and Developing Countries Clinical Trials Partnership RIA2018EF-2083
6 · The paper itself

Abstract

backgroundRemdesivir is a novel broad-spectrum antiviral therapeutic with activity against several viruses that cause emerging infectious diseases. The purpose of this study is to explore how commonly utilized antiretroviral therapy (tenofovir disoproxil fumarate/lamivudine [TDF/3TC] and atazanavir/ritonavir [ATV/r]) influence plasma and intracellular concentrations of remdesivir.

methodsThis is an open-label, randomized, fixed sequence single intravenous dosing study to assess pharmacokinetic interactions between remdesivir and TDF/3TC (Study A, crossover design) or TDF/3TC plus ATV/r (Study B). Healthy volunteers satisfying study entry criteria will be enrolled in the study and randomized to either Study A; N=16 (Sequence 1 or Sequence 2) or Study B; N=8. Participants will receive standard adult doses of antiretroviral therapy for 7 days and a single 200mg remdesivir infusion administered over 60 min. Pharmacokinetic blood sampling will be performed relative to the start of remdesivir infusion; predose (before the start of remdesivir infusion) and 30 min after the start of remdesivir infusion. Additional blood samples will be taken at 2, 4, 6, 12, and 24 h after the end of remdesivir infusion. DISCUSSION: This study will characterize the pharmacokinetics of remdesivir from a typical African population in whom clinical use is anticipated. Furthermore, this study will deliver pharmacokinetic datasets for remdesivir drug concentrations and demographic characteristics which could support pharmacometric approaches for simulation of remdesivir treatment regimens in patients concurrently using tenofovir/lamivudine and/or atazanavir/ritonavir.

trial registrationClinicalTrials.gov NCT04385719 . Registered 13 May 2020.

Indexed as

Anti-HIV AgentsLamivudineAdenosine MonophosphateAdultAlanineAtazanavir SulfateHealthy VolunteersHumansOligopeptidesPyridinesRitonavirTenofovirUgandaAdenosine MonophosphateAlanineAnti-HIV AgentsAtazanavir SulfateLamivudineOligopeptidesPyridinesremdesivirRitonavirTenofovirAtazanavirCOVID-19Drug-drug interactionsEbolaHIVLamivudineRemdesivirRitonavirTenofovir

Identifiers

PMID34814933
PMCPMC8609173
OpenAlexW3161724938

What OpenQuestion holds

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LicenceCC BY
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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.