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Interactive Demo

Cardiovascular DDI Governance Framework

Interactive Demo - Cardiovascular DDI Governance Framework
PUBLIC REVIEW DRAFT  ·  v1.0  ·  SNAPSHOT 2026-06-27  ·  NOT FOR CLINICAL USE

SGMA Population Standards · Companion Tool

Cardiovascular DDI Interaction Adjudicator

SGMA-GOV-HIV-CV-001 · Volume 1 · Cardiovascular Drug-Drug Interaction Governance Framework

A companion to the standard, not a replacement for it. Where an interaction database tells you whether two drugs interact, this tool answers the next question: does that interaction justify excluding people with HIV from a trial, and if not, what eligibility and monitoring include them defensibly. Underlying interaction data is referenced from the University of Liverpool HIV Drug Interactions resource.

Eligibility & interaction adjudicator

Select an HIV regimen and an investigational or comparator drug. The tool returns the interaction concern, the risk tier, the monitoring, and a protocol-ready objection handler: the language that turns a manageable interaction into an inclusion pathway.

Select both drugs to run the check.

Mechanistic predictor plus the framework's stated calls. Not a validated interaction database. Every result shows its provenance; predictions require expert sign-off and a citation before protocol use.

Interaction matrix

Pick a cardiovascular sub-indication, then read the cell where the ART class meets the drug class. Gray cells are combinations the framework discusses but has not yet assigned a tier to: those are the open items, not safe defaults.

Tier 1 standard monitoring Tier 2 enhanced monitoring Tier 3 regimen-specific exclusion Not specified in framework
Tap a cell to see the interaction concern and the governance action.

Antiretroviral metabolic profiles

The reference layer SGMA owns and maintains. Select a drug to see the enzymes and transporters it touches and how, with the clinical flags that drive interactions.

Select an antiretroviral to see its metabolic profile.
Strong inhibitor Inhibitor Inducer Substrate

Protocol decision pathway

The governance logic of the standard as a decision tree. Each step either drops to the next question or branches to a tier outcome.

Step 1 · Characterize pathwayCYP3A4, P-gp, UGT1A1, BCRP Step 2 · Consult resourcesLiverpool DB, labeling, DHHS Step 3 · Clinical significance20% AUC/Cmax change or signal? Step 4 · Manageable?Dose, monitoring, scheduling Tier 2 · precautionaryEnroll, enhanced monitoring Tier 2 · precautionaryEnroll, enhanced monitoring Tier 1Eligible, standard monitoring Tier 2Eligible, enhanced monitoring Tier 3 · regimen-specificExclude named regimen only characterized data found threshold met not manageable pathway unknown no data no manageable

Legal notice and provenance

This tool is informational and does not constitute medical advice or a clinical determination. Every output must be independently verified by qualified medical and pharmacology experts before any protocol decision. SGMA accepts no liability for decisions made in reliance on this tool. Drug profiles and tier logic are draft, pending expert validation, and are presented for public review.

Underlying drug-drug interaction data is referenced from the University of Liverpool HIV Drug Interactions resource (hiv-druginteractions.org). SGMA does not reproduce that database; this tool sits above interaction data to provide trial-eligibility governance.

This is a frozen public-review snapshot. Comments should reference the version and date in the banner above so that each comment and its resolution map to the same content. The normative standard of record is SGMA-GOV-HIV-CV-001.

SGM Alliance Inc. DBA SGMA · SGMA-GOV-HIV-CV-001 · Public review draft v1.0 · Snapshot 2026-06-27 · sgmastandards.org