Evidence map›Paper›PMID 38488418›Full record

Trial reportClinical and translational science2024

Bioavailability of three novel oral, sustained-release pellets, relative to an immediate-release tablet containing 500 mg flucytosine: A randomized, open-label, crossover study in healthy volunteers.

Vishal Goyal, Edrich Krantz, Francois Simon, Anouk Neven, Johanna Eriksson, Amaria Saayman, Nabila Ibnou Zekri Lassout, Mathieu Louis, Stephen Robinson, Abhijit Deshmukh and 8 more

Open access · goldAbstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in Clinical and translational science, 2024. 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
1.5field-weighted citation impact, top 18% 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, 4 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Diversity in Translation: Equal Is Greater Than.Clinical and translational science · 2026
    Article
  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

18 authors at 4 institutions in 3 countries.

Vishal GoyalDrugs for Neglected Diseases Initiative, New York, New York, USA.ORCID 0000-0003-3564-129X
Edrich KrantzFARMOVS, Bloemfontein, South Africa.
Francois SimonDrugs for Neglected Diseases Initiative, Geneva, Switzerland.ORCID 0009-0003-6068-9874
Anouk NevenLuxembourg Institute of Health, Strassen, Luxembourg.ORCID 0000-0003-2253-0427
Johanna ErikssonPharmetheus, Uppsala, Sweden.ORCID 0000-0002-9921-0969
Amaria SaaymanFARMOVS, Bloemfontein, South Africa.
Nabila Ibnou Zekri LassoutDrugs for Neglected Diseases Initiative, Geneva, Switzerland.
Mathieu LouisDrugs for Neglected Diseases Initiative, Geneva, Switzerland.
Stephen RobinsonDrugs for Neglected Diseases Initiative, Geneva, Switzerland.ORCID 0009-0002-4150-4099
Abhijit DeshmukhViatris, Hyderabad, India.
Amit AntarkarViatris, Hyderabad, India.
Carol RuffellDNDi GARDP Southern Africa, Cape Town, South Africa.ORCID 0000-0002-3180-7574
Sarika VictorFARMOVS, Bloemfontein, South Africa.
Marylore ChenelPharmetheus, Uppsala, Sweden.
Aljosa CelebicLuxembourg Institute of Health, Strassen, Luxembourg.ORCID 0009-0001-0614-6874
Henri CaplainDrugs for Neglected Diseases Initiative, Geneva, Switzerland.ORCID 0009-0008-6977-326X
Jean-Yves GillonDrugs for Neglected Diseases Initiative, Geneva, Switzerland.ORCID 0000-0003-1467-0403
Isabela RibeiroDrugs for Neglected Diseases Initiative, Geneva, Switzerland.ORCID 0000-0001-7402-4628
Drugs for Neglected Diseases Initiative · CHClinvet · ZALuxembourg Institute of Health · LUGauteng Department of Agriculture and Rural Development · ZA

Funding

European and Developing Countries Clinical Trials Partnership Association (EDCTP2) programme supported by the European Union RIA2018CO-2516Médecins Sans Frontières InternationalSwiss Agency for Development and Cooperation (SDC), Switzerland
6 · The paper itself

Abstract

The opportunistic fungal infection cryptococcal meningoencephalitis is a major cause of death among people living with HIV in sub-Saharan Africa. We report pharmacokinetic (PK) and safety data from a randomized, four-period crossover phase I trial of three sustained-release (SR) oral pellet formulations of 5-flucytosine conducted in South Africa. These formulations were developed to require less frequent administration, to provide a convenient alternative to the current immediate release (IR) formulation, A. Formulations B, C, and D were designed to release 5-flucytosine as a percentage of the nominal dose in vitro. We assessed their safety and PK profiles in a single dose (1 × 3000 mg at 0 h), relative to commercial IR tablets (Ancotil 500 mg tablets; 3 × 500 mg at 0 h and 3 × 500 mg at 6 h) in healthy, fasted participants. Forty-two healthy participants were included. All treatments were well-tolerated. The primary PK parameters, maximum observed plasma concentration (C

Indexed as

FlucytosineAdministration, OralBiological AvailabilityCross-Over StudiesDelayed-Action PreparationsDrug ImplantsHealthy VolunteersHumansTabletsDelayed-Action PreparationsDrug ImplantsFlucytosineTablets

Identifiers

PMID38488418
PMCPMC10941517
OpenAlexW4392888416

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.