Evidence map›Paper›PMID 16641095›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2006

Persistence of nevirapine-resistant HIV-1 in women after single-dose nevirapine therapy for prevention of maternal-to-fetal HIV-1 transmission.

S Palmer, V Boltz, N Martinson, F Maldarelli, G Gray, J McIntyre, J Mellors, L Morris, J Coffin

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
11.0field-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

71 citing papers in PubMed, 148 citations in OpenAlex.

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  4. A comparison of 3 regimens to prevent nevirapine resistance mutations in HIV-infected pregnant women receiving a single intrapartum dose of nevirapine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2012
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  13. Detection of nonnucleoside reverse-transcriptase inhibitor-resistant HIV-1 after discontinuation of virologically suppressive antiretroviral therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2008
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  14. Plasma drug concentrations and virologic evaluations after stopping treatment with nonnucleoside reverse-transcriptase inhibitors in HIV type 1-infected children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2008
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11 more citing papers are in PubMed but not listed here.

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 6 institutions in 2 countries.

S PalmerHIV Drug Resistance Program, National Cancer Institute, National Institutes of Health, Frederick, MD 21702-1201, USA. spalmer@ncifcrf.gov
V Boltz
N Martinson
F Maldarelli
G Gray
J McIntyre
J Mellors
L Morris
J Coffin
National Cancer Institute · USNational Institutes of Health · USUniversity of the Witwatersrand · ZAJohns Hopkins University · USNational Institute for Communicable DiseasesUniversity of Pittsburgh · US

Funding

WOMEN'S HEALTH AGENDAU01AI038858 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI BENSON, CONSTANCE ANN · 1996 to 2008
$157.5M
Investigation of the Nature of Persistent Viremia (50 coZ01BC010526 · BC · BASIC SCIENCES · PI COFFIN, JOHN M · 2005 to 2006
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Characterization of the Genetic Diversity of HIV-1 in InZ01BC010527 · BC · BASIC SCIENCES · PI COFFIN, JOHN M · 2003 to 2006
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In Vivo Assessment of Residual Drug Activity in PatientsZ01BC010528 · BC · BASIC SCIENCES · PI COFFIN, JOHN M · 2003 to 2006
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HIV Genetic Variation in HIV-Infected IndividualsZ01BC010730 · BC · BASIC SCIENCES · PI COFFIN, JOHN M · 2006 to 2006
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NIAID NIH HHS U01 AI038858NIAID NIH HHS U01AI38858
6 · The paper itself

Abstract

Single-dose nevirapine (sdNVP) for prevention of mother-to-child transmission of HIV-1 can select nevirapine (NVP)-resistant variants, but the frequency, duration, and clinical significance of this resistance is not well defined. We used a sensitive allele-specific PCR assay to assess the emergence and persistence of NVP-resistant variants in plasma samples from 22 women with HIV-1 subtype C infection who participated in a study of sdNVP for prevention of mother-to-child transmission of HIV-1. The women were categorized into three groups on the basis of detection of NVP resistance by standard genotype analysis. Group 1 (n = 6) had NVP resistance detected at 2 and 6 mo after sdNVP, but not at 12 mo. Group 2 (n = 9) had NVP resistance detected at 2 mo, but not 6 mo. Group 3 (n = 7) had no NVP resistance detected at any time point. Allele-specific PCR analysis for the two most common NVP resistance mutations (K103N and Y181C) detected NVP-resistant variants in most (16 of 21) samples that were negative for NVP resistance by standard genotype, at levels ranging from 0.1% to 20% 1 yr after treatment. The frequency of NVP-resistant mutations decreased over time, but persisted above predose levels for more than 1 yr in > or = 23% of the women. These findings highlight the urgent need for studies assessing the impact of sdNVP on the efficacy of subsequent antiretroviral therapy containing NVP or other nonnucleoside reverse transcriptase inhibitors.

Indexed as

Drug Resistance, MicrobialInfectious Disease Transmission, VerticalAdultAllelesAnti-HIV AgentsChildFemaleGenotypeHIV-1HIV InfectionsHumansNevirapinePregnancyPregnancy Complications, InfectiousViral LoadAnti-HIV AgentsNevirapine

Identifiers

PMID16641095
PMCPMC1459023
OpenAlexW2083071974

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.