Evidence map›Paper›PMID 37383290›Full record

ArticleFrontiers in reproductive health2023

Randomized controlled phase IIa clinical trial of safety, pharmacokinetics and pharmacodynamics of tenofovir and tenofovir plus levonorgestrel releasing intravaginal rings used by women in Kenya.

Nelly R Mugo, Victor Mudhune, Renee Heffron, Katherine K Thomas, Eleanor McLellan-Lemal, Betty Njoroge, Sue Peacock, Siobhán M O'Connor, Beatrice Nyagol, Eunice Ouma and 15 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03762382 (Phase IIa, 90-Day Safety, Adherence, and Acceptability Study of Intravaginal Rings Releasing Tenofovir With and Without Levonorgestrel Among Women in Western Kenya), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 25% 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.

NCT03762382 phase2unknown statusnot on this map

Phase IIa, 90-Day Safety, Adherence, and Acceptability Study of Intravaginal Rings Releasing Tenofovir With and Without Levonorgestrel Among Women in Western Kenya

TypeinterventionalSponsorCONRADRan2018 to 2020Enrolled50ConditionsHIV, Contraception, Prevention, Anti-Retroviral AgentArmsTFV/LNG IVR, TFV IVR, Placebo IVR
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

25 authors at 9 institutions in 2 countries.

Nelly R MugoInternational Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA, United States.
Victor MudhuneHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Renee HeffronInternational Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA, United States.
Katherine K ThomasInternational Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA, United States.
Eleanor McLellan-LemalDivision of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Betty NjorogeCenter for Clinical Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Sue PeacockInternational Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA, United States.
Siobhán M O'ConnorDivision of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Beatrice NyagolHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Eunice OumaHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu, Kenya.
Renee RidzonDivision of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Jeffrey WienerDivision of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Nina IsoherranenDepartment of Pharmaceutics, University of Washington, Seattle, WA, United States.
David W EriksonEndocrine Technologies Core, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, United States.
Louise A OuattaraCONRAD, Eastern Virginia Medical School, Norfolk, VA, United States.
Nazita YousefiehCONRAD, Eastern Virginia Medical School, Norfolk, VA, United States.
Terry A JacotCONRAD, Eastern Virginia Medical School, Norfolk, VA, United States.
Richard E HaalandDivision of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Susan A MorrisonInternational Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA, United States.
Harald S HaugenInternational Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA, United States.
Andrea R ThurmanCONRAD, Eastern Virginia Medical School, Norfolk, VA, United States.
Shannon A AllenOffice of HIV and AIDS, Bureau for Global Health, United States Agency for International Development, Washington, DC, United States.
Jared M BaetenInternational Clinical Research Center, Department of Global Health, University of Washington, Seattle, WA, United States.
Taraz SamandariDivision of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Gustavo F DoncelCONRAD, Eastern Virginia Medical School, Norfolk, VA, United States.
Eastern Virginia Medical School · USNational Clinical Research · USKenya Medical Research Institute · KENational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USUniversity of Washington · USCenters for Disease Control and Prevention · USCenters for Disease Control and Prevention · KEOregon Health & Science University · USUnited States Agency for International Development · US

Funding

Upgrade of confocal microscopy at the Oregon National Primate Research CenterP51OD011092 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Bonnie J. Nagel · 2012 to 2026
$203.9M
NIH HHS P51 OD011092
6 · The paper itself

Abstract

Introduction: Globally, many young women face the overlapping burden of HIV infection and unintended pregnancy. Protection against both may benefit from safe and effective multipurpose prevention technologies. Methods: Healthy women ages 18-34 years, not pregnant, seronegative for HIV and hepatitis B surface antigen, not using hormonal contraception, and at low risk for HIV were randomized 2:2:1 to continuous use of a tenofovir/levonorgestrel (TFV/LNG), TFV, or placebo intravaginal ring (IVR). In addition to assessing genital and systemic safety, we determined TFV concentrations in plasma and cervicovaginal fluid (CVF) and LNG levels in serum using tandem liquid chromatography-mass spectrometry. We further evaluated TFV pharmacodynamics (PD) through Results: Among 312 women screened, 27 were randomized to use one of the following IVRs: TFV/LNG ( Conclusion: TFV/LNG and TFV-only IVRs were safe and well tolerated among Kenyan women. Pharmacokinetics and markers of protection against HIV-1, HSV-2, and unintended pregnancy suggest the potential for clinical efficacy of the multipurpose TFV/LNG IVR. Clinical Trial Registration: NCT03762382 [https://clinicaltrials.gov/ct2/show/NCT03762382].

Indexed as

AfricaHIVHSV-2intravaginal ringlevonorgestrelmultipurpose technologytenofovir

Identifiers

PMID37383290
PMCPMC10293630
OpenAlexW4380629914

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.