Evidence map›Paper›PMID 38340019›Full record

ArticleBritish journal of clinical pharmacology2025

Physiologically-based pharmacokinetic modelling of long-acting injectable cabotegravir and rilpivirine in pregnancy.

Shakir Atoyebi, Fazila Bunglawala, Nicolas Cottura, Sandra Grañana-Castillo, Maiara Camotti Montanha, Adeniyi Olagunju, Marco Siccardi, Catriona Waitt

Open access · hybridAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
13.8field-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.

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

13 citing papers in PubMed, 20 citations in OpenAlex.

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  13. Long-Acting Injectable Cabotegravir and Rilpivirine in a Pregnant Woman With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    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

8 authors at 1 institution in 1 country.

Shakir AtoyebiUniversity of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-1393-3753
Fazila BunglawalaUniversity of Liverpool, Liverpool, UK.
Nicolas CotturaUniversity of Liverpool, Liverpool, UK.
Sandra Grañana-CastilloUniversity of Liverpool, Liverpool, UK.
Maiara Camotti MontanhaUniversity of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-2078-360X
Adeniyi OlagunjuUniversity of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-8902-4150
Marco SiccardiUniversity of Liverpool, Liverpool, UK.
Catriona WaittUniversity of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0003-0134-5855
University of Liverpool · GB

Funding

Wellcome TrustWellcome Trust 222075_Z_20_Z
6 · The paper itself

Abstract

aimsLong-acting cabotegravir and rilpivirine have been approved to manage HIV in adults, but data regarding safe use in pregnancy are limited. Physiologically-based pharmacokinetic (PBPK) modelling was used to simulate the approved dosing regimens in pregnancy and explore if C

methodsAn adult PBPK model was validated using clinical data of cabotegravir and rilpivirine in nonpregnant adults. This was modified by incorporating pregnancy-induced metabolic and physiological changes. The pregnancy PBPK model was validated with data on oral rilpivirine and raltegravir (UGT1A1 probe substrate) in pregnancy. Twelve weeks' disposition of monthly and bimonthly dosing of long-acting cabotegravir and rilpivirine was simulated at different trimesters and foetal exposure was also estimated.

resultsPredicted C

conclusionsModel predictions suggest that monthly long-acting cabotegravir could maintain antiviral efficacy throughout pregnancy, but that bimonthly administration may require careful clinical evaluation. Both monthly and bimonthly long-acting rilpivirine may not adequately maintain antiviral efficacy in pregnancy.

Indexed as

Anti-HIV AgentsHIV InfectionsModels, BiologicalPregnancy Complications, InfectiousPyridonesRilpivirineAdultDelayed-Action PreparationsDiketopiperazinesFemaleHumansMaternal-Fetal ExchangePregnancyYoung AdultAnti-HIV AgentscabotegravirDelayed-Action PreparationsDiketopiperazinesPyridonesRilpivirineantiretroviralsPBPKpregnancy

Identifiers

PMID38340019
PMCPMC11992663
OpenAlexW4391717786

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.