Evidence map›Paper›PMID 40577227›Full record

ArticleThe Journal of infectious diseases2025

Long-acting Injectable Containing Lopinavir Eliminates Reliance on Ritonavir Pharmacokinetic Enhancement.

Simone Perazzolo, Charles W Flexner, Zachary R Stephen, Edward P Acosta, Rachel A Bender Ignacio, Rodney J Y Ho

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 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. Article
  2. Article
  3. 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

6 authors.

Simone PerazzoloDepartment of Pharmaceutics, University of Washington, Seattle, Washington, USA.ORCID 0000-0003-4498-7823
Charles W FlexnerDivisions of Clinical Pharmacology and Infectious Diseases, Departments of Medicine, Pharmacology and Molecular Sciences, and International Health, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0002-4495-5349
Zachary R StephenDepartment of Pharmaceutics, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-2014-3100
Edward P AcostaDivision of Pediatric Infectious Diseases, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Rachel A Bender IgnacioDivision of Allergy and Infectious Diseases, School of Medicine, University of Washington, Seattle, Washington, USA.ORCID 0000-0001-6167-1447
Rodney J Y HoDepartment of Pharmaceutics, University of Washington, Seattle, Washington, USA.ORCID 0000-0001-5960-4288

Funding

Targeted Long-acting Combination Antiretroviral Therapy (TLC-ART)UM1AI120176 · NIAID · UNIVERSITY OF WASHINGTON · PI COLLIER, ANN CORNWALL, HO, RODNEY J.Y. · 2015 to 2019
$15.0M
Anti-HIV Drug Targeting to Lymphoid TissuesR01AI052663 · NIAID · UNIVERSITY OF WASHINGTON · PI HO, RODNEY J.Y. · 2003 to 2005
$1.7M
"NextGen Long-acting Platform: Targeted Combination Antiretrovirals"U01AI148055 · NIAID · UNIVERSITY OF WASHINGTON · PI BENDER IGNACIO, RACHEL ANN, HO, RODNEY J.Y. · 2019 to 2022
$1.6M
National Institute of Allergy and Infectious DiseasesNIAID NIH HHS R01 AI052663NIAID NIH HHS U01 AI148055NIAID NIH HHS UM1 AI120176NIH HHS AI149665NIH HHS R24 AI118397)NIH HHS U01 AI148055NIH HHS UM1 AI120176World Health Organization/ 2020-39-GLAD)
6 · The paper itself

Abstract

High-extraction protease inhibitors (eg, for human immunodeficiency virus and severe acute respiratory syndrome coronavirus 2) typically require ritonavir to enhance bioavailability by overcoming first-pass metabolism. However, in the long-acting subcutaneous injectable dosage form TLC-ART 101, lopinavir persisted in plasma for 57 days, while ritonavir was detectable for only 3-7 days. The remarkable duration of lopinavir suggests that ritonavir may be unnecessary in long-acting injectable products, potentially reducing side effects and drug-drug interactions.

Indexed as

HIV Protease InhibitorsLopinavirRitonavirCOVID-19 Drug TreatmentDelayed-Action PreparationsDrug InteractionsFemaleHIV InfectionsHumansInjections, SubcutaneousMaleSARS-CoV-2Delayed-Action PreparationsHIV Protease InhibitorsLopinavirRitonavirboostinginjectableslong actingprotease inhibitorsritonavir

Identifiers

PMID40577227
PMCPMC12455297

What OpenQuestion holds

Textmetadata
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.