Evidence map›Paper›PMID 40203246›Full record

ArticlePloS one2025

Phase I study on the pharmacokinetics of intravaginal, self-administered artesunate vaginal pessaries among women in Kenya.

Chemtai Mungo, Katherine Sorgi, Brenda Misiko, Cynthia Cheserem, Lisa Rahangdale, George Githongo, Cirilus Ogollah, Jackton Omoto, Mihaela Plesa, William Zamboni

Abstract readClinical Trial, Phase I
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Chemtai MungoDepartment of Obstetrics and Gynecology, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID 0000-0002-3655-4721
Katherine SorgiDepartment of Obstetrics and Gynecology, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, United States of America.
Brenda MisikoKenya Medical Research Institute, Kisumu, Kenya.
Cynthia CheseremKenya Medical Research Institute, Kisumu, Kenya.
Lisa RahangdaleDepartment of Obstetrics and Gynecology, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID 0000-0002-4444-7969
George GithongoKenya Medical Research Institute, Kisumu, Kenya.
Cirilus OgollahKenya Medical Research Institute, Kisumu, Kenya.
Jackton OmotoDepartment of Obstetrics and Gynecology, Maseno University School of Medicine, Kisumu, Kenya.
Mihaela PlesaFrantz Medical Development Ltd, Mentor, Ohio, United States of America.
William ZamboniDivision of Pharmacotherapy and Experimental Therapeutics, UNC Eshelman School of Pharmacy, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, United States of America.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Advancing womens reproductive health through research: the UNC WRHR Career Development ProgramK12HD103085 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Benjamin H. Chi, Genevieve S. Neal-Perry · 2020 to 2026
$2.1M
NIAID NIH HHS P30 AI050410NICHD NIH HHS K12 HD103085
6 · The paper itself

Abstract

objectivesThe primary objective of this study is to investigate the pharmacokinetics of Artesunate (AS) and its active metabolite, dihydroartemisinin (DHA) following intravaginal use at the dosing and frequency intended for cervical precancer treatment. A secondary objective is to assess safety among study participants.

methodsWe are conducting a single-arm, phase I trial with a sample size of 12 female volunteers. Participants will self-administer artesunate vaginal pessaries in the study clinic daily for 5 consecutive days. Participants will have their blood drawn prior to receiving the first dose of artesunate on day one of the study and then will receive 8 blood draws on study day five, prior to artesunate administration and at 15 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, and 8 hours after pessary administration. Pharmacokinetic parameters of artesunate and DHA will be calculated by way of quantitative analysis of with determination of maximum concentration (Cmax), time to Cmax (Tmax), area under the serum concentration versus time curve (AUC), apparent clearance, and elimination half-life (t1/2).

Indexed as

ArtemisininsAdministration, IntravaginalAdolescentAdultArtesunateFemaleHumansKenyaMiddle AgedSelf AdministrationYoung AdultArtemisininsartenimolArtesunate

Identifiers

PMID40203246
PMCPMC11981651

What OpenQuestion holds

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LicenceCC BY
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.