Evidence map›Paper›PMID 40536250›Full record

ReviewJournal of acquired immune deficiency syndromes (1999)2025

Recommendations for Interpreting Intraerythrocytic Tenofovir Diphosphate and Emtricitabine Triphosphate for HIV-1 Preexposure Prophylaxis Adherence Assessment.

Peter L Anderson, Corwin Coppinger, Mackenzie L Cottrell, Mark A Marzinke

Abstract readReview
In one paragraph

Review in Journal of acquired immune deficiency syndromes (1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Article
  6. 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

4 authors.

Peter L AndersonDepartment of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, CO.ORCID 0000-0002-1200-8494
Corwin CoppingerDepartment of Pharmaceutical Sciences, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, CO.
Mackenzie L CottrellDivision of Pharmacotherapy and Experimental Therapeutics, University of North Carolina UNC Eshelman School of Pharmacy, Chapel Hill, NC; and.
Mark A MarzinkeDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.

Funding

LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Anna Palmer Durbin · 2012 to 2026
$67.0M
SDMC; Statistical Data Mgmt CoreUM2HD111102 · NICHD · FLORIDA STATE UNIVERSITY · PI Lisa B Hightow-Weidman, Sybil Hosek · 2023 to 2026
$49.7M
A platform for monitoring the efficacy and optimal dosing of long-acting ARTR01AI170298 · NIAID · UNIVERSITY OF COLORADO DENVER · PI ANDERSON, PETER L. · 2022 to 2025
$2.6M
NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI094189NIAID NIH HHS R01 AI170298NIAID NIH HHS UM1 AI068613NICHD NIH HHS UM2 HD111102NIH HHS UM2 HD111102
6 · The paper itself

Abstract

backgroundIntraerythrocytic tenofovir diphosphate (TFV-DP) and emtricitabine triphosphate (FTC-TP) in dried blood spots (DBS) have emerged as a gold-standard approach to assess adherence for oral preexposure prophylaxis (PrEP), but several considerations are important for proper interpretation.

methodsKey articles were reviewed related to use of intraerythrocytic TFV-DP and FTC-TP for adherence assessment including studies of pharmacokinetics, analytical methodologies, and application to a variety of PrEP settings. Important considerations were identified that influence TFV-DP and FTC-TP adherence interpretations by ≥15% and guidance was provided to assist when these considerations arise.

resultsFactors identified included pregnancy status, specific drug interactions, hematocrit outside of 35%-50%, laboratory methodology, use of tenofovir alafenamide vs tenofovir disoproxil, whether DBS was collected before TFV-DP reaching steady state, and daily versus event-driven PrEP. Recommendations were provided in the form of adherence interpretation tables or mathematical adjustments to account for these considerations.

conclusionsProper interpretation of TFV-DP and FTC-TP in DBS requires accounting for the factors identified above to maximize the value of these measurements.

Indexed as

Anti-HIV AgentsEmtricitabineErythrocytesHIV InfectionsMedication AdherencePre-Exposure ProphylaxisTenofovirAdenineDried Blood Spot TestingFemaleHIV-1HumansOrganophosphatesAdenineAnti-HIV AgentsEmtricitabineOrganophosphatesTenofovirtenofovir diphosphateadherencedried blood spotsemtricitabine triphosphatepreexposure prophylaxistenofovir diphosphate

Identifiers

PMID40536250
PMCPMC12279368

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.