Evidence map›Paper›PMID 40152440›Full record

ArticlePharmacotherapy2025

Pharmacokinetic approaches to standardize antiviral exposure in cerebrospinal fluid.

Sean N Avedissian, Ying Mu, Caitlyn McCarthy, Ronald J Bosch, Serena Spudich, Rajesh T Gandhi, Deborah K McMahon, Joseph J Eron, John W Mellors, Jiajun Liu and 2 more

Abstract read
In one paragraph

Article in Pharmacotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

12 authors.

Sean N AvedissianAntiviral Pharmacology Laboratory, UNMC Center for Drug Discovery, Omaha, Nebraska, USA.ORCID 0000-0002-0935-6455
Ying MuAntiviral Pharmacology Laboratory, UNMC Center for Drug Discovery, Omaha, Nebraska, USA.
Caitlyn McCarthyHarvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Ronald J BoschHarvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Serena SpudichYale University, New Haven, Connecticut, USA.
Rajesh T GandhiMassachusetts General Hospital, Boston, Massachusetts, USA.
Deborah K McMahonUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Joseph J EronUniversity of North Carolina, Chapel Hill, North Carolina, USA.
John W MellorsUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jiajun LiuDivision of Pharmacometrics, Office of Clinical Pharmacology, Office of Translational Sciences, United States Food and Drug Administration, Silver Spring, Maryland, USA.
Anthony T PodanyAntiviral Pharmacology Laboratory, UNMC Center for Drug Discovery, Omaha, Nebraska, USA.
Courtney V FletcherAntiviral Pharmacology Laboratory, UNMC Center for Drug Discovery, Omaha, Nebraska, USA.ORCID 0000-0002-3703-7849

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
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
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
Weill Cornell Medicine - Rutgers New Jersey Medical School Clinical Trials UnitUM1AI069419 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROY M. GULICK · 2012 to 2026
$44.6M
University of Pittsburgh Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUSAN L KOLETAR, John W Mellors · 2012 to 2026
$38.0M
Therapeutics Core (Page 286)P30MH062261 · NIMH · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BUCH, SHILPA J., FOX, HOWARD S · 2000 to 2021
$37.7M
The Lymphoid Tissue Pharmacology of Antiretroviral DrugsR01AI124965 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI FLETCHER, COURTNEY V · 2016 to 2020
$3.7M
Investigations of antiretroviral therapy penetration in cerebrospinal fluidK23MH125734 · NIMH · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI AVEDISSIAN, SEAN · 2021 to 2025
$862k
AIDS Clinical Trials Group NIH/UMAI069412Harvard University Center for AIDS Research NIH P30 AI060354National Institute of Allergy and Infectious Diseases 1R01 AI-124965NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI124965NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069419NIAID NIH HHS UM1 AI069494NIAID NIH HHS UM1 AI106701NIMH NIH HHS 5P30MH062261-20NIMH NIH HHS K23 MH125734NIMH NIH HHS K23MH125734NIMH NIH HHS P30 MH062261
6 · The paper itself

Abstract

objectivesHIV has been shown to persist in the central nervous system (CNS) in persons on antiretroviral therapy (ART). Our objective was to use pharmacokinetic (PK) modeling to estimate cerebrospinal fluid (CSF) exposure from time-variant concentrations of various antiretrovirals of ART regimens and to standardize CSF metrics, including maximum concentration [C

methodsAdvancing Clinical Therapeutics Globally (ACTG) A5321 is a prospective cohort study of HIV-1 reservoirs in persons with HIV. Plasma and CSF antiretroviral (ARV) concentrations were measured in 74 participants who were receiving ART. PK modeling (Pmetrics) was performed for nine ARVs. Relative CSF penetration for each ARV was estimated by comparing CSF C

resultsEmtricitabine exhibited the highest median relative CSF penetration (C

conclusionsPK modeling successfully standardized ARV CSF concentrations to a given time point (i.e., C

Indexed as

Anti-HIV AgentsHIV InfectionsAdultArea Under CurveCohort StudiesFemaleHIV-1HumansMaleMiddle AgedModels, BiologicalProspective StudiesPyridonesAnti-HIV AgentsPyridonesantiviralcentral nervous systemcerebrospinal fluidpharmacokinetics

Identifiers

PMID40152440
PMCPMC12088894

What OpenQuestion holds

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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.