Evidence map›Paper›PMID 2145579›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America1990

Polymerase chain reaction evidence for human immunodeficiency virus 1 neutralization by passive immunization in patients with AIDS and AIDS-related complex.

A Karpas, I K Hewlett, F Hill, J Gray, N Byron, D Gilgen, V Bally, J K Oates, B Gazzard, J E Epstein

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 1990. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 75 citations in OpenAlex.

  1. Can repeated plasma donation by asymptomatic HIV-infected individuals delay the onset of AIDS?Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 1997
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  5. Therapeutic potential of HIV-1 entry inhibitor peptidomimetics.Experimental biology and medicine (Maywood, N.J.) · 2021
    Review
  6. Review
  7. Review
  8. Review
  9. Immunity to retroviral infection: the Friend virus model.Proceedings of the National Academy of Sciences of the United States of America · 1997
    Review
  10. Passive immunotherapy for retroviral disease: influence of major histocompatibility complex type and T-cell responsiveness.Proceedings of the National Academy of Sciences of the United States of America · 1995
    Article
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  12. Review
  13. Review
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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

10 authors at 1 institution in 1 country.

A KarpasDepartment of Haematology, Cambridge University Clinical School, United Kingdom.
I K Hewlett
F Hill
J Gray
N Byron
D Gilgen
V Bally
J K Oates
B Gazzard
J E Epstein
Cambridge School · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We tried to assess the long-term safety and potential efficacy of passive immunization in AIDS-related-complex (ARC) and AIDS patients. We also wanted to establish whether hyperimmune plasma from healthy human immunodeficiency virus 1 (HIV-1)-infected individuals clears the cell-free virus from circulation. Using the polymerase chain reaction (PCR), we were able to provide conclusive evidence that hyperimmune plasma is effective and maintains long-term neutralization of viremia. Using the cell test, we found that in most patients the total antibody level was maintained; in one of the ARC patients, it actually increased 8-fold and has remained at that level for nearly 2 years. The CD4+ cell count decreased in the AIDS patients but was stable in the ARC patient. Clinically, there was an initial improvement in all patients, but five of six of the advanced/terminal AIDS patients had died by month 17. Our studies suggest that passive immunization may be safe in ARC and AIDS patients. It reduces HIV-1 viremia to levels undetectable even by PCR. To advanced/terminal patients, the benefit is of limited duration, while to ARC patients it may be long-term. Therefore, passive immunization should start early in the disease.

Indexed as

Immunization, PassiveAcquired Immunodeficiency SyndromeAIDS-Related ComplexCD4 AntigensDNA, ViralHIV-1HIV AntibodiesHIV AntigensHumansPolymerase Chain ReactionRNA, ViralT-Lymphocytes, Helper-InducerCD4 AntigensDNA, ViralHIV AntibodiesHIV AntigensRNA, Viral

Identifiers

PMID2145579
PMCPMC54798
OpenAlexW1978827291

What OpenQuestion holds

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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.