Evidence map›Paper›PMID 18753862›Full record

Trial reportAIDS (London, England)2008

Efficacy, safety and tolerability of tipranavir coadministered with ritonavir in HIV-1-infected children and adolescents.

Juan C Salazar, Pedro Cahn, Ram Yogev, Marinella Della Negra, Guido Castelli-Gattinara, Claudia Fortuny, Patrica M Flynn, Carlo Giaquinto, Ping K Ruan, M Elizabeth Smith and 3 more

Open access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in AIDS (London, England), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Pharmacokinetics, safety, and 48-week efficacy of oral raltegravir in HIV-1-infected children aged 2 through 18 years.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014
    Trial
  4. Article
  5. Review
  6. Hypersensitivity reactions to HIV therapy.British journal of clinical pharmacology · 2011
    Review
  7. Review
  8. Role of tipranavir in treatment of patients with multidrug-resistant HIV.Therapeutics and clinical risk management · 2010
    Article
  9. Article
  10. Management of paediatric HIV-1 resistance.Current opinion in infectious diseases · 2009
    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

13 authors at 11 institutions in 5 countries.

Juan C SalazarConnecticut Children's Medical Center, University of Connecticut School of Medicine, Hartford, Connecticut 06106, USA. jsalaza@ccmckids.org
Pedro Cahn
Ram Yogev
Marinella Della Negra
Guido Castelli-Gattinara
Claudia Fortuny
Patrica M Flynn
Carlo Giaquinto
Ping K Ruan
M Elizabeth Smith
Jaromir Mikl
Ante Jelaska
PACTG 1051/BI Study Team
Boehringer Ingelheim (United States) · USAzienda Ospedaliera di Padova · ITBambino Gesù Children's Hospital · ITConnecticut Children's Medical Center · USFundación Huésped · ARHarvard University · USHospital Sant Joan de Déu Barcelona · ESInstituto de Infectologia Emílio Ribas · BRNorthwestern Memorial Hospital · USSt. Jude Children's Research Hospital · USUnited States Department of Health and Human Services · US

Funding

International Maternal Pediatric Adolescent AIDS Clinical Trials (IMPAACT) GroupU01AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI JACKSON, J BROOKS · 2006 to 2010
$109.7M
Statistical and Data Management Center-Pediatric,Adolescent, and Maternal CTGU01AI068616 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI SHAPIRO, DAVID ERIC · 2006 to 2010
$38.6M
ZONISAMIDE VERSUS PLACEBOM01RR006192 · NCRR · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI DRAZINIC, CAROLYN M · 1994 to 2008
$22.1M
Units for HIV/AIDS Clinical Trials NetworksU01AI069512 · NIAID · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI YOGEV, RAM · 2007 to 2011
$7.6M
NCRR NIH HHS M01 RR006192NCRR NIH HHS M01RR06192NIAID NIH HHS 1U01AI068616NIAID NIH HHS 2# 5U01AI069512NIAID NIH HHS U01 AI068616NIAID NIH HHS U01 AI068632NIAID NIH HHS U01AI068632NIAID NIH HHS U01 AI069512
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy, safety and tolerability of ritonavir-boosted tipranavir (TPV/r) in HIV-1-infected pediatric patients.

designOpen-label randomized pediatric trial (1182.14/PACTG1051) comparing TPV/r at two doses including an optimized background regimen.

methodsHIV-1-infected patients (2-18 years) with plasma viral load 1500 copies/ml or more were randomized to TPV/r 290/115 or 375/150 mg/m twice-daily oral solution and optimized background regimen. Week 48 efficacy, safety and tolerability results were evaluated.

resultsChildren (n = 115; 97% treatment experienced) were randomized to low or high dose therapy. Eighty-eight remained on-treatment through 48 weeks. Baseline characteristics were similar between dose groups. At study entry, half of the HIV-1 isolates were resistant to all protease inhibitors. At 48 weeks, 39.7% low-dose and 45.6% high-dose TPV/r recipients had viral load less than 400 copies/ml and 34.5 and 35.1%, respectively, achieved viral load less than 50 copies/ml. Vomiting, cough and diarrhea were the most frequent adverse events. Grade 3 alanine aminotransferase elevations were observed in 6.3% of patients. No grade 4 alanine aminotransferase or grade 3/4 aspartate aminotransferase elevations were reported.

conclusionsTPV/r achieved a sustained virologic response, showed a good safety profile and was well tolerated at either dose. In pediatric patients with high baseline resistance profiles, high-dose TPV/r tended to demonstrate a better sustained response.

Indexed as

HIV-1AdolescentAlanine TransaminaseAnti-HIV AgentsBiomarkersBlood Coagulation DisordersChildChild, PreschoolDiarrheaDrug Administration ScheduleDrug Therapy, CombinationFemaleHIV InfectionsHIV Protease InhibitorsHumansLogistic ModelsAlanine TransaminaseAnti-HIV AgentsBiomarkersHIV Protease InhibitorsPyridinesPyronesRitonavirSulfonamidestipranavir

Identifiers

PMID18753862
PMCPMC2758664
OpenAlexW1984894668

What OpenQuestion 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 OpenQuestion graph.