Evidence map›Paper›PMID 32385902›Full record

ArticleClinical pharmacology and therapeutics2020

The Lymphoid Tissue Pharmacokinetics of Tenofovir Disoproxil Fumarate and Tenofovir Alafenamide in HIV-Infected Persons.

Courtney V Fletcher, Anthony T Podany, Ann Thorkelson, Lee C Winchester, Timothy Mykris, Jodi Anderson, Siri Jorstad, Jason V Baker, Timothy W Schacker

Open access · greenAbstract readComparative Study
In one paragraph

Article in Clinical pharmacology and therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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

21 citing papers in PubMed, 34 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Courtney V FletcherAntiviral Pharmacology Laboratory, University of Nebraska Medical Center, Omaha, Nebraska, USA.ORCID 0000-0002-3703-7849
Anthony T PodanyAntiviral Pharmacology Laboratory, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Ann ThorkelsonDivision of Infectious Diseases, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Lee C WinchesterAntiviral Pharmacology Laboratory, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Timothy MykrisAntiviral Pharmacology Laboratory, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Jodi AndersonDivision of Infectious Diseases, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Siri JorstadDivision of Infectious Diseases, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Jason V BakerDivision of Infectious Diseases, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Timothy W SchackerDivision of Infectious Diseases, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
University of Minnesota · USNebraska Medical Center · US

Funding

Reversing Tissue Fibrosis to Improve Immune Reconstitution in HIVU01AI105872 · NIAID · UNIVERSITY OF MINNESOTA · PI SCHACKER, TIMOTHY W · 2013 to 2017
$5.3M
The Lymphoid Tissue Pharmacology of Antiretroviral DrugsR01AI124965 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI FLETCHER, COURTNEY V · 2016 to 2020
$3.7M
Clinical Pharmacology of Efavirenz Combined with High Dose RifapentineK23AI134307 · NIAID · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI PODANY, ANTHONY T · 2018 to 2022
$819k
NIAID NIH HHS K23 AI134307NIAID NIH HHS R01 AI124965NIAID NIH HHS U01 AI105872
6 · The paper itself

Abstract

The secondary lymphoid tissues (LT), lymph nodes (LN) and gut-associated lymphoid tissue are the primary sites of HIV replication and where the latent pool of virus is maintained. We compared the pharmacokinetics of tenofovir disoproxil fumarate (TDF) and tenofovir alafenamide (TAF) in LT of 13 HIV-infected persons receiving a TDF-containing antiretroviral regimen who subsequently switched to a TAF-containing regimen. Study participants were on stable antiretroviral therapy for ≥12 months with plasma HIV-RNA < 48 copies/mL for 6 months before enrollment and entry CD4 cell counts > 300 cells/µL. Intracellular concentrations of tenofovir-diphosphate (TFV-DP) and emtricitabine-triphosphate (FTC-TP) were quantified in PBMCs and in mononuclear cells obtained from LN, ileum and rectal tissues. With TAF, the TFV-DP concentrations in PBMCs and LN were 7.3-fold and 6.4-fold higher (ratios of geometric means of TAF to TDF), respectively, compared with TDF; ileal and rectal concentrations, however, were lower with geometric mean ratios of 0.14 and 0.18, respectively. A statistically significant relationship was observed between PBMC and LN concentrations of TFV-DP. During TDF-containing therapy, the expected effect of cobicistat to increase TFV plasma concentrations was observed, as were higher TFV-DP concentrations in PBMCs and mononuclear cells from LN, ileum and rectal tissues. The higher TFV-DP concentrations achieved with TAF in the LN provides the first human correlate of the observation in animals that TAF produced higher tenofovir LN concentrations. The ability to increase LN concentrations allows investigations of whether antiretroviral regimens with improved LN pharmacokinetics elicit a more complete virologic response in that compartment.

Indexed as

AdenineAlanineAnti-HIV AgentsCD4 Lymphocyte CountDrug MonitoringDrug SubstitutionDrug Therapy, CombinationFemaleHIV InfectionsHumansLymphoid TissueMaleTenofovirTissue DistributionTreatment OutcomeViral LoadAdenineAlanineAnti-HIV AgentsTenofovirtenofovir alafenamide

Identifiers

PMID32385902
PMCPMC7935460
OpenAlexW3022734382

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.