Evidence map›Paper›PMID 19220493›Full record

Trial reportHIV medicine2009

Improvement in lipid profiles over 6 years of follow-up in adults with AIDS and immune reconstitution.

Pl Williams, Jw Wu, Se Cohn, Sl Koletar, Ja McCutchan, Rl Murphy, Js Currier, AIDS Clinical Trials Group 362 Study Team

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in HIV medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Dyslipidemia and cardiovascular risk in human immunodeficiency virus infection.Endocrinology and metabolism clinics of North America · 2014
    Review
  7. 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

8 authors at 7 institutions in 1 country.

Pl WilliamsCenter for Biostatistics in AIDS Research, Harvard School of Public Health, Boston, MA 02115, USA. paige@sdac.harvard.edu
Jw Wu
Se Cohn
Sl Koletar
Ja McCutchan
Rl Murphy
Js Currier
AIDS Clinical Trials Group 362 Study Team
Cancer Research And Biostatistics · USHarvard University Press · USNorthwestern University · USThe Ohio State University · USUniversity of California, Los Angeles · USUniversity of California, San Diego · USUniversity of Rochester Medical Center · US

Funding

WOMEN'S HEALTH AGENDAU01AI038858 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI BENSON, CONSTANCE ANN · 1996 to 2008
$157.5M
STATISTICAL AND DATA MANAGEMENT CENTERU01AI038855 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HUGHES, MICHAEL DAVID · 1996 to 2006
$78.1M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JOY, MELANIE S · 1985 to 2008
$38.5M
VEGF VECTOR TO ISCHEMIC MYOCARDIUM W/DIFFUSE CORONARY DISEASEM01RR000047 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI MCQUIGGAN, MARGARET M · 1985 to 2007
$36.4M
ZOPOLRESTAT IN SUBJECTS W/ PERIPHERAL SYMMETRICAL DIABETIC POLYNEUROPATHYM01RR000096 · NCRR · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI NOVIK, YELENA · 1985 to 2008
$34.8M
WOMEN'S HEALTH AGENDAU01AI025915 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MURPHY, ROBERT L. · 1987 to 2006
$15.3M
WOMEN'S HEALTH AGENDAU01AI025868 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ERON, JOSEPH J. · 1987 to 2006
$14.9M
WOMEN'S HEALTH AGENDAU01AI025859 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI GOLDMAN, MITCHELL · 1987 to 2008
$14.5M
WOMEN'S HEALTH AGENDAU01AI025879 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI LEDERMAN, MICHAEL MARCEL · 1987 to 2006
$14.0M
YOHIMBINE CHALLENGE IN PARKINSONIAN PATIENTS WITH PANIC DISORDERM01RR000044 · NCRR · UNIVERSITY OF ROCHESTER · PI GUZICK, DAVID S · 1985 to 2006
$13.8M
WOMEN'S HEALTH AGENDAU01AI027670 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BENSON, CONSTANCE ANN · 1988 to 2006
$13.7M
NCRR NIH HHS 5M01 RR00044NCRR NIH HHS M01 RR000044NCRR NIH HHS RR00044NCRR NIH HHS RR00046NCRR NIH HHS RR00047NCRR NIH HHS RR00051NCRR NIH HHS RR00052NCRR NIH HHS RR00096NIAID NIH HHS 1U01 AI69474NIAID NIH HHS 2 U01 AI25915NIAID NIH HHS AI25859NIAID NIH HHS AI25868NIAID NIH HHS AI25879NIAID NIH HHS AI25924NIAID NIH HHS AI276017NIAID NIH HHS AI27658NIAID NIH HHS AI27660NIAID NIH HHS AI27661NIAID NIH HHS AI27664NIAID NIH HHS AI27665NIAID NIH HHS AI27668NIAID NIH HHS AI27670NIAID NIH HHS AI27673NIAID NIH HHS AI32770NIAID NIH HHS AI32782NIAID NIH HHS AI34835NIAID NIH HHS AI38858NIAID NIH HHS AI39156NIAID NIH HHS AI46370NIAID NIH HHS AI50410NIAID NIH HHS K24 AI056933NIAID NIH HHS K24 AI56933NIAID NIH HHS U01 AI025915NIAID NIH HHS U01 AI027658NIAID NIH HHS U01 AI027660NIAID NIH HHS U01 AI038855NIAID NIH HHS U01 AI038858NIAID NIH HHS U01 AI069474NIAID NIH HHS U01 AI38855NIAID NIH HHS UO1 AI27658
6 · The paper itself

Abstract

objectivesThe aim of the study was to evaluate long-term changes in lipids and to assess other coronary heart disease (CHD) risk factors in highly experienced AIDS patients with immune reconstitution, and to examine their association with antiretroviral therapy (ART).

methodsWe evaluated 433 AIDS patients with prior severe immunosuppression and ART-based immune reconstitution, followed in a multicentre prospective observational study between 2000 and 2006. We estimated the prevalence at entry of hypercholesterolaemia and metabolic syndrome, and 10-year CHD risks. Trends in total cholesterol (TC), triglycerides (TG) and high-density lipoprotein (HDL) cholesterol were evaluated over time, and use of specific ART drugs at each study visit was assessed using mixed effect models, adjusting for CHD risk factors and use of lipid-lowering agents.

resultsAt entry to observational follow-up, 28% of the 433 subjects had hypercholesterolaemia and 15% had a predicted 10-year CHD risk above 20%. Average TC and fasting TG levels declined over the follow-up period (median=5.8 years), and these declines were associated with increased use of physician-prescribed lipid-lowering agents and changes in ART regimens. After adjustment for CHD risk factors, TC and TG levels were significantly higher for those on ritonavir-boosted protease inhibitors and those on nonnucleoside reverse transcriptase inhibitors (NNRTIs), particularly efavirenz, than for other patients.

conclusionsAbnormalities in serum lipids were common at baseline but became less so over time, and this improvement was associated with increased use of lipid-lowering agents and selection of ART agents with less deleterious effects on lipids.

Indexed as

Acquired Immunodeficiency SyndromeAdultAlkynesAnti-Retroviral AgentsBenzoxazinesBody Fat DistributionCardiovascular DiseasesCoronary DiseaseCyclopropanesDrug Therapy, CombinationEpidemiologic MethodsFemaleHumansHyperlipidemiasHypolipidemic AgentsImmune Reconstitution Inflammatory SyndromeAlkynesAnti-Retroviral AgentsBenzoxazinesCyclopropanesefavirenzHypolipidemic Agents

Identifiers

PMID19220493
PMCPMC2778216
OpenAlexW1984361921

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.