Evidence map›Paper›PMID 19901096›Full record

ArticleAntimicrobial agents and chemotherapy2010

Factors associated with virological response to etravirine in nonnucleoside reverse transcriptase inhibitor-experienced HIV-1-infected patients.

Anne-Genevieve Marcelin, Philippe Flandre, Diane Descamps, Laurence Morand-Joubert, Charlotte Charpentier, Jacques Izopet, Mary-Anne Trabaud, Henia Saoudin, Constance Delaugerre, Catherine Tamalet and 14 more

Open access · greenAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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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

24 authors at 15 institutions in 1 country.

Anne-Genevieve MarcelinDepartment of Virology, Pitié-Salpêtrière Hospital, 83 Boulevard de l'Hôpital, 75013 Paris, France. anne-genevieve.marcelin@psl.aphp.fr
Philippe Flandre
Diane Descamps
Laurence Morand-Joubert
Charlotte Charpentier
Jacques Izopet
Mary-Anne Trabaud
Henia Saoudin
Constance Delaugerre
Catherine Tamalet
Jacqueline Cottalorda
Magali Bouvier-Alias
Dominique Bettinger
Georges Dos Santos
Annick Ruffault
Chakib Alloui
Cecile Henquell
Sylvie Rogez
Francis Barin
Anne Signori-Schmuck
Sophie Vallet
Bernard Masquelier
Vincent Calvez
ANRS AC11 Resistance Study Group
Assistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Limoges · FRCentre Hospitalier Universitaire de Nice · FRCentre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Saint-Étienne · FRCentre Hospitalier Universitaire de Tours · FRCentre Hospitalier Universitaire Henri-Mondor · FRDélégation Paris 7 · FRHospices Civils de Lyon · FRInserm · FRInstitut de Virologie · FRLaboratoire de Virologie Moléculaire et Structurale · FRSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To identify factors associated with virological response (VR) to an etravirine (ETR)-based regimen, 243 patients previously treated with nonnucleoside reverse transcriptase inhibitors (NNRTIs) were studied. The impact of baseline HIV-1 RNA, CD4 cell count, past NNRTIs used, 57 NNRTI resistance mutations, genotypic sensitivity score (GSS) for nucleoside reverse transcriptase inhibitors (NRTIs) and protease inhibitors (PIs), and the number of new drugs used with ETR for the first time on the VR to an ETR regimen were investigated. Among the 243 patients, the median baseline HIV-1 RNA level was 4.4 log(10) copies/ml (interquartile range [IQR], 3.7 to 4.9) and the median CD4 count was 175 cells/mm(3) (IQR, 69 to 312). Patients had been previously exposed to a median of 6 NRTIs, 1, NNRTI, and 5 PIs. Overall, 82% of patients achieved a VR at month 2, as defined by a decrease of at least 1.5 log(10) copies/ml and/or HIV-1 RNA level of <50 copies/ml. No difference in VR was observed between patients receiving or not a boosted PI in combination with ETR. Factors independently associated with a better VR to ETR were the number of drugs (among enfuvirtide, darunavir, or raltegravir) used for the first time in combination with ETR and the presence of the K103N mutation at baseline. Mutations Y181V and E138A were independently associated with poor VR, whereas no effect of the Y181C on VR was observed. In conclusion, ETR was associated with high response rates in NNRTI-experienced patients in combination with other active drugs regardless of the therapeutic class used.

Indexed as

HIV-1Anti-HIV AgentsDrug Resistance, ViralFemaleGenotypeHIV InfectionsHIV Reverse TranscriptaseHumansMaleMutationNitrilesPhylogenyPyridazinesPyrimidinesReverse Transcriptase InhibitorsReverse Transcriptase Polymerase Chain ReactionAnti-HIV AgentsetravirineHIV Reverse TranscriptaseNitrilesPyridazinesPyrimidinesReverse Transcriptase InhibitorsRNA, Viral

Identifiers

PMID19901096
PMCPMC2798499
OpenAlexW2168054393

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.