Evidence map›Paper›PMID 19090775›Full record

Trial reportThe Journal of infectious diseases2009

Risk factors for early and late transmission of HIV via breast-feeding among infants born to HIV-infected women in a randomized clinical trial in Botswana.

Roger L Shapiro, Laura Smeaton, Shahin Lockman, Ibou Thior, Raabya Rossenkhan, Carolyn Wester, Lisa Stevens, Claire Moffat, Peter Arimi, Patrick Ndase and 5 more

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% 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.

NCT00197652 completednot on this map

Botswana Diarrheal Diseases Study

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2001 to 2008Enrolled1,350ConditionsHIV Infections
NCT00197691 completednot on this map

Botswana Pediatric Respiratory Disease and Bloodstream Infection

TypeobservationalSponsorHarvard School of Public Health (HSPH)Ran2001 to 2005ConditionsHIV Infections, Respiratory Tract Diseases, SepsisArmsblood draws, etc.
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Maternal risk factors for HIV infection in infants in northeastern Brazil.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2013
    Article
  8. Dynamics of breast milk HIV-1 RNA with unilateral mastitis or abscess.Journal of acquired immune deficiency syndromes (1999) · 2013
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Secondary immunodeficiencies, including HIV infection.The Journal of allergy and clinical immunology · 2010
    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

15 authors at 4 institutions in 3 countries.

Roger L ShapiroBeth Israel Deaconess Medical Center, Division of Infectious Diseases, Boston, Massachusetts 02215, USA. rshapiro@hsph.harvard.edu
Laura Smeaton
Shahin Lockman
Ibou Thior
Raabya Rossenkhan
Carolyn Wester
Lisa Stevens
Claire Moffat
Peter Arimi
Patrick Ndase
Aida Asmelash
Jean Leidner
Vladimir Novitsky
Joseph Makhema
Max Essex
Botswana Harvard AIDS Institute Partnership · BWCancer Research And Biostatistics · USBrigham and Women's Hospital · USHadassah Medical Center · IL

Funding

PREVENTION OF MILK-BORNE TRANSMISSION OF HIV IN BOTSWANAR01HD037793 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ESSEX, MYRON E · 2000 to 2004
$6.9M
DIARRHEAL DISEASE STUDYK23HD001330 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SHAPIRO, ROGER L · 2000 to 2004
$631k
RESPIRATORY DISEASES/BSI STUDYK23HD040451 · NICHD · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI LOCKMAN, SHAHIN · 2000 to 2004
$625k
NICHD NIH HHS K23 HD001330NICHD NIH HHS K23-HD01330NICHD NIH HHS K23 HD040451NICHD NIH HHS K23-HD40451NICHD NIH HHS R01 HD037793NICHD NIH HHS R01-HD37793
6 · The paper itself

Abstract

Risk factors for mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) via breast-feeding were evaluated in a randomized trial. HIV-infected women and their infants received zidovudine as well as single-dose nevirapine or placebo. Infants were randomized to formula-feed (FF) or breast-feed (BF) in combination with zidovudine prophylaxis. Of 1116 at-risk infants, 6 (1.1%) in the FF group and 7 (1.3%) in the BF group were infected between birth and 1 month (P=.99). Maternal receipt of nevirapine did not predict early MTCT in the BF group (P=.45). Of 547 infants in the BF group at risk for late MTCT, 24 (4.4%) were infected. Maternal HIV-1 RNA levels in plasma (P<.001) and breast milk (P<.001) predicted late MTCT. These findings support the safety of 1 month of breast-feeding in combination with maternal and infant antiretroviral prophylaxis. Trial registration. ClinicalTrials.gov identifiers: NCT00197691 and NCT00197652.

Indexed as

HIV-1Infectious Disease Transmission, VerticalAdultAnti-HIV AgentsBotswanaBreast FeedingFemaleHIV InfectionsHumansInfantInfant FormulaInfant, NewbornMilk, HumanNevirapineRisk FactorsRNA, ViralAnti-HIV AgentsNevirapineRNA, ViralZidovudine

Identifiers

PMID19090775
PMCPMC2696335
OpenAlexW2108379727

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.