Evidence map›Paper›PMID 19636051›Full record

Trial reportNeurology2009

Effects of active HCV replication on neurologic status in HIV RNA virally suppressed patients.

D B Clifford, M Smurzynski, L S Park, T-M Yeh, Y Zhao, L Blair, M Arens, S R Evans

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Liver Fibrosis Linked to Cognitive Performance in HIV and Hepatitis C.Journal of acquired immune deficiency syndromes (1999) · 2016
    Article
  9. Article
  10. Review
  11. Article
  12. Neurological Complications in Controlled HIV Infection.Current infectious disease reports · 2013
    Article
  13. Article
  14. Neurological complications of hepatitis C infection.Current neurology and neuroscience reports · 2012
    Review
  15. HIV-associated sensory neuropathy: risk factors and genetics.Current pain and headache reports · 2012
    Review
  16. Article
  17. Neurocognitive effects of HIV, hepatitis C, and substance use history.Journal of the International Neuropsychological Society : JINS · 2012
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

D B CliffordWashington University, St. Louis, MO 63110, USA. cliffordd@neuro.wustl.edu.
M Smurzynski
L S Park
T-M Yeh
Y Zhao
L Blair
M Arens
S R Evans

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
AIDS Clinical Trials Group NetworkU01AI068636 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI KURITZKES, DANIEL R. · 2006 to 2010
$147.1M
NEUROLOGIC AIDS RESEARCH CONSORTIUMU01NS032228 · NINDS · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 2003 to 2008
$11.4M
SOURCES AND NEUROCOGNITIVE CORRELATES ON CSF HIV RNAR01MH058076 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELLIS, RONALD J. · 1997 to 2010
$9.5M
WASHINGTON UNIVERSITY AIDS CLINICAL TRIALS UNITU01AI069495 · NIAID · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 2007 to 2011
$7.7M
Functional Neuroimaging of Cognitive Dysfunction in HIV-HCV Co-InfectionR03DA022137 · NIDA · UNIVERSITY OF MISSOURI-ST. LOUIS · PI PAUL, ROBERT H · 2006 to 2006
$227k
NIAID NIH HHS AI068636NIAID NIH HHS UO1 AI69495NIDA NIH HHS R03 DA022137NIMH NIH HHS MH058076NINDS NIH HHS NS32228NINDS NIH HHS UO1 NS32228PHS HHS R21 3857-53187
6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) is a frequent copathogen with HIV. Both viruses appear to replicate in the brain and both are implicated in neurocognitive and peripheral neuropathy syndromes. Interaction of the viruses is likely to be complicated and better understanding of the contributions of each virus will be necessary to make evidence-based therapeutic decisions.

methodsThis study was designed to determine if active HCV infection, identified by quantitative HCV RNA determination, is associated with increased neurocognitive deficits or excess development of distal sensory peripheral neuropathy in HIV coinfected patients with stable HIV viral suppression. The AIDS Clinical Trials Group Longitudinal Linked Randomized Trials (ALLRT) study was the source of subjects with known HIV treatment status, neurocognitive and neuropathy evaluations, and HCV status. Subjects were selected based on HCV antibody status (249 positive; 310 negative).

resultsHCV RNA viral loads were detectable in 172 participants with controlled HIV infection and available neurologic evaluations in the ALLRT. These participants were compared with 345 participants with undetectable HCV viral load and the same inclusion criteria from the same cohort. Neurocognitive performance measured by Trail-Making A or B and digit symbol testing was not dissimilar between the 2 groups. In addition, there was no significant association between active HCV replication and distal sensory neuropathy.

conclusionClinically significant neurocognitive dysfunction and peripheral neuropathy were not exacerbated by active hepatitis C virus infection in the setting of optimally treated HIV infection.

Indexed as

Acquired Immunodeficiency SyndromeAdultCausalityCognition DisordersCohort StudiesFemaleHepacivirusHepatitis CHIV InfectionsHumansImmunocompetenceMaleMiddle AgedNeuropsychological TestsPeripheral Nervous System DiseasesProspective StudiesRNA, Viral

Identifiers

PMID19636051
PMCPMC2715213

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.