Evidence map›Paper›PMID 39037240›Full record

ArticleAntimicrobial agents and chemotherapy2024

Population pharmacokinetics of rifabutin among HIV/TB co-infected children on lopinavir/ritonavir-based antiretroviral therapy.

Manna Semere Gebreyesus, Roeland E Wasmann, Helen McIlleron, Regina Oladokun, Prosper Okonkwo, Lubbe Wiesner, Paolo Denti, Holly E Rawizza

Abstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Development and hepatotoxicity of rifamycin derivatives.Expert opinion on drug metabolism & toxicology · 2025
    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

8 authors.

Manna Semere GebreyesusDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-5483-093X
Roeland E WasmannDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Helen McIlleronDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-0982-6226
Regina OladokunDepartment of Pediatrics, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Prosper OkonkwoAPIN Public Health Initiatives (APIN), Abuja, Nigeria.ORCID 0000-0001-6822-9344
Lubbe WiesnerDivision of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0002-9070-8699
Paolo Denti *Division of Clinical Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-7494-079X
Holly E Rawizza *Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-3599-1468

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Impact of malnutrition on TB-IRIS and pharmacokinetics of TB and ARV co-treatmentR01HD058972 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VAN RIE, ANNELIES T.A. · 2008 to 2012
$2.6M
Pharmacokinetic and Programmatic Evaluations to Optimize HIV/TB Co-Treatment Regimens in ChildrenK23AI125122 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI RAWIZZA, HOLLY ELIZABETH · 2016 to 2021
$1.0M
Rifabutin pharmacokinetics and safety among HIV/TB coinfected infants receiving lopinavirR21AI150347 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI RAWIZZA, HOLLY ELIZABETH · 2020 to 2021
$313k
Harvard University Center for AIDS Research (HU CFAR) P30 AI060354 to H.E.R.HHS | National Institutes of Health (NIH) R01 HD058972-01HHS | NIH | National Institute of Allergy and Infectious Diseases (NIAID) K23AI125122 R21AI150347 to H.E.R.NIAID NIH HHS K23 AI125122NIAID NIH HHS P30 AI060354NIAID NIH HHS R21 AI150347NICHD NIH HHS R01 HD058972U.S. President's Emergency Plan for AIDS Relief (PEPFAR) U51HA02522 U2GGH002098
6 · The paper itself

Abstract

In adults requiring protease inhibitor (PI)-based antiretroviral therapy (ART), replacing rifampicin with rifabutin is a preferred option, but there is lack of evidence to guide rifabutin dosing in children, especially with PIs. We aimed to characterize the population pharmacokinetics of rifabutin and 25-O-desacetyl rifabutin (des-rifabutin) in children and optimize its dose. We included children from three age cohorts: (i) <1-year-old cohort and (ii) 1- to 3-year-old cohort, who were ART naïve and received 15- to 20-mg/kg/day rifabutin for 2 weeks followed by lopinavir/ritonavir (LPV/r)-based ART with 5.0- or 2.5 mg/kg/day rifabutin, respectively, while the (iii) >3-year-old cohort was ART-experienced and received 2.5-mg/kg/day rifabutin with LPV/r-based ART. Non-linear mixed-effects modeling was used to interpret the data. Monte Carlo simulations were performed to evaluate the study doses and optimize dosing using harmonized weight bands. Twenty-eight children were included, with a median age of 10 (range 0.67-15.0) years, a median weight of 11 (range 4.5-45) kg, and a median weight-for-age

Indexed as

HIV InfectionsLopinavirRifabutinRitonavirAnti-HIV AgentsChildChild, PreschoolCoinfectionFemaleHIV Protease InhibitorsHumansInfantMaleTuberculosisAnti-HIV AgentsHIV Protease InhibitorsLopinavirRifabutinRitonavirantiretroviral therapydrug interactionsinfectious diseasespediatricrifabutin

Identifiers

PMID39037240
PMCPMC11304744

What OpenQuestion holds

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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.