Evidence map›Paper›PMID 14742190›Full record

Trial reportAntimicrobial agents and chemotherapy2004

Treatment of advanced human immunodeficiency virus type 1 disease with the viral entry inhibitor PRO 542.

Jeffrey M Jacobson, Robert J Israel, Israel Lowy, Nancy A Ostrow, Linda S Vassilatos, Melanie Barish, Diep N H Tran, Brian M Sullivan, Thomas J Ketas, Tobias J O'Neill and 6 more

Abstract readClinical Trial
In one paragraph

Trial report in Antimicrobial agents and chemotherapy, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
9.1field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 123 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Innate Immune Response Against HIV-1.Advances in experimental medicine and biology · 2021
    Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Genetic Strategies for HIV Treatment and Prevention.Molecular therapy. Nucleic acids · 2018
    Review
  12. Article
  13. Review
  14. Review
  15. Current progress in antiviral strategies.Trends in pharmacological sciences · 2014
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
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

16 authors at 4 institutions in 1 country.

Jeffrey M JacobsonMount Sinai Medical Center, New York, New York 10029. Progenics Pharmaceuticals, Inc., Tarrytown, New York 10591, USA. jjacobson@chpnet.org
Robert J Israel
Israel Lowy
Nancy A Ostrow
Linda S Vassilatos
Melanie Barish
Diep N H Tran
Brian M Sullivan
Thomas J Ketas
Tobias J O'Neill
Kirsten A Nagashima
Wei Huang
Christos J Petropoulos
John P Moore
Paul J Maddon
William C Olson
Progenics Pharmaceuticals (United States) · USMount Sinai Medical Center · USCornell University · USVIR Biotechnology (United States) · US

Funding

NOVEL ASSAYS FOR MEASURING THE INHIBITION OF VIRUS ENTRYR44AI048990 · NIAID · MONOGRAM BIOSCIENCES, INC. · PI PETROPOULOS, CHRISTOS J · 2003 to 2005
$2.6M
CLINICAL TRIALS OF CD4 IGG2 AND HUMAB COMBINATIONSR01AI043084 · NIAID · PROGENICS PHARMACEUTICALS, INC. · PI MADDON, PAUL J · 1998 to 2002
$1.6M
NOVEL ASSAY FOR MEASURING THE INHIBITION OF HIV-1 ENTRYR43AI048990 · NIAID · MONOGRAM BIOSCIENCES, INC. · PI PETROPOULOS, CHRISTOS J · 2001 to 2002
$600k
NIAID NIH HHS AI048990NIAID NIH HHS AI43084NIAID NIH HHS R43 AI048990NIAID NIH HHS R44 AI048990
6 · The paper itself

Abstract

Viral entry inhibitors represent an emerging mode of therapy for human immunodeficiency virus type 1 (HIV-1) infection. PRO 542 (CD4-immunoglobulin G2) is a tetravalent CD4-immunoglobulin fusion protein that broadly neutralizes primary HIV-1 isolates. PRO 542 binds to the viral surface glycoprotein gp120 and blocks attachment and entry of virus into CD4(+) cells. Previously, PRO 542 demonstrated antiviral activity without significant toxicity when tested at single doses ranging to 10 mg/kg. In this study, 12 HIV-infected individuals were treated with 25-mg/kg single-dose PRO 542 and then monitored for safety, antiviral effects, and PRO 542 pharmacokinetics for 6 weeks. The study examined two treatment cohorts that differed in the extent of HIV-1 disease progression. PRO 542 at 25 mg/kg was well tolerated and demonstrated a serum half-life of 3 days. Statistically significant acute reductions in HIV-1 RNA levels were observed across all study patients, and greater antiviral effects were observed in the cohort of patients with more advanced HIV-1 disease. In advanced disease (HIV-1 RNA > 100,000 copies/ml; CD4 lymphocytes < 200 cells/mm(3)), PRO 542 mediated an 80% response rate and statistically significant approximately 0.5 log(10) mean reductions in viral load for 4 to 6 weeks posttreatment. Similar findings were obtained in an analysis of all (n = 11) advanced disease patients treated to date with single doses of PRO 542 ranging from 1 to 25 mg/kg. In addition, a significant correlation was observed between antiviral effects observed in vivo and viral susceptibility to PRO 542 in vitro. The findings support continued development of PRO 542 for salvage therapy of advanced HIV-1 disease.

Indexed as

AdultAnti-HIV AgentsArea Under CurveCD4 ImmunoadhesinsCohort StudiesDisease ProgressionFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedRNA, ViralViral LoadVirionAnti-HIV AgentsCD4-IgG(2)CD4 ImmunoadhesinsRNA, Viral

Identifiers

PMID14742190
PMCPMC321533
OpenAlexW2115906128

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.