Evidence map›Paper›PMID 39517110›Full record

Observational studyCPT: pharmacometrics & systems pharmacology2024

Physiologically based pharmacokinetic modeling of drug-drug interactions between ritonavir-boosted atazanavir and rifampicin in pregnancy.

Shakir Atoyebi, Maiara Camotti Montanha, Ritah Nakijoba, Catherine Orrell, Henry Mugerwa, Marco Siccardi, Paolo Denti, Catriona Waitt

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in CPT: pharmacometrics & systems pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03923231 (Investigation of the Pharmacokinetics of Atazanavir in Pregnant Women, Individuals at Extremes of BMI, Children, and Adolescents), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT03923231 completednot on this map

Investigation of the Pharmacokinetics of Atazanavir in Pregnant Women, Individuals at Extremes of BMI, Children, and Adolescents: An Observational Study Nested Within the VirTUAL Consortium

TypeobservationalSponsorUniversity of LiverpoolRan2019 to 2022Enrolled32ConditionsHIV/AIDS, TuberculosisArmsAtazanavir 300mg/ Ritonavir 100 mg once daily, Atazanavir 250 mg / ritonavir 80 mg
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Observational
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.

Shakir AtoyebiDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.ORCID 0000-0002-1393-3753
Maiara Camotti MontanhaDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.
Ritah NakijobaInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda.ORCID 0000-0002-6626-0329
Catherine OrrellDesmond Tutu Health Foundation, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0003-1134-7475
Henry MugerwaJoint Clinical Research Centre, Kampala, Uganda.
Marco SiccardiDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.
Paolo DentiDivision of Pharmacology, Department of Medicine, University of Cape Town, Cape Town, South Africa.ORCID 0000-0001-7494-079X
Catriona WaittDepartment of Pharmacology and Therapeutics, University of Liverpool, Liverpool, UK.

Funding

Duncan Norman Charitable TrustEuropean Union RIA2016MC-1606-VirTUALWellcome TrustWellcome Trust 222075_Z_20_Z
6 · The paper itself

Abstract

Ritonavir-boosted atazanavir (ATV/r) and rifampicin are mainstays of second-line antiretroviral and multiple anti-TB regimens, respectively. Rifampicin induces CYP3A4, a major enzyme involved in atazanavir metabolism, causing a drug-drug interaction (DDI) which might be exaggerated in pregnancy. Having demonstrated that increasing the dose of ATV/r from once daily (OD) to twice daily (BD) in non-pregnant adults can safely overcome this DDI, we developed a pregnancy physiologically based pharmacokinetic (PBPK) model to explore the impact of pregnancy. Predicted pharmacokinetic parameters were validated with separate clinical datasets of ATV/r alone (NCT03923231) and rifampicin alone in pregnant women. The pregnancy model was considered validated when the absolute average fold error (AAFE) for C

Indexed as

Atazanavir SulfateDrug InteractionsHIV InfectionsModels, BiologicalRifampinRitonavirAdultCytochrome P-450 CYP3AFemaleHIV Protease InhibitorsHumansPregnancyYoung AdultAtazanavir SulfateCytochrome P-450 CYP3AHIV Protease InhibitorsRifampinRitonavir

Identifiers

PMID39517110
PMCPMC11578135

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.