Evidence map›Paper›PMID 21694608›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2011

Genotypic resistance at viral rebound among patients who received lopinavir/ritonavir-based or efavirenz-based first antiretroviral therapy in South Africa.

J Nomthandazo Dlamini, Zonghui Hu, Johanna Ledwaba, Lynn Morris, Frank M Maldarelli, Robin L Dewar, Helene C Highbarger, Harsha Somaroo, Phumelele Sangweni, Dean A Follmann and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
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

12 authors.

J Nomthandazo DlaminiOffice of Clinical Operation, Project Phidisa, South African Military Health Service (SAMHS), Pretoria, South Africa.
Zonghui Hu
Johanna Ledwaba
Lynn Morris
Frank M Maldarelli
Robin L Dewar
Helene C Highbarger
Harsha Somaroo
Phumelele Sangweni
Dean A Follmann
Alice K Pau
Phidisa II Study Team

Funding

Appearance and Disappearance of Drug Resistance MutationsZIABC010820 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MALDARELLI, FRANK · 2009 to 2011
$1.3M
Role of Specific Drugs and Mutations in Partial Suppression of ViremiaZIABC010821 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MALDARELLI, FRANK · 2009 to 2011
$768k
CCR NIH HHS HHSN261200800001CIntramural NIH HHS Z99 AI999999NCI NIH HHS HHSN261200800001ENIAID NIH HHS Y99 AI999999
6 · The paper itself

Abstract

Nonnucleoside reverse transcriptase inhibitor-drug resistance mutations (DRM) are increasingly reported in Africans failing their first antiretroviral regimen. The Phidisa II trial randomized treatment-naive participants to lopinavir/ritonavir or efavirenz with stavudine + lamivudine or zidovudine + didanosine. We report the prevalence of DRM in subjects who achieved HIV RNA <400 copies per milliliter at 6 months, but subsequently had 2 consecutive HIV RNA >1000 copies per milliliter. Sixty-eight participants fulfilled the inclusion criteria. nonnucleoside reverse transcriptase inhibitor-DRM were found in 17 of 36 (47.2%) efavirenz recipients, and M184V/I mutation in 14 of 40 (35.0%) lamivudine recipients. No protease inhibitor mutation was identified in 38 lopinavir/ritonavir recipients. This is one of the first studies in Africa confirming the paucity of protease inhibitor-associated DRM despite virologic failure.

Indexed as

Drug Resistance, ViralAdultAlkynesAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveBenzoxazinesCyclopropanesFemaleHIV InfectionsHumansLopinavirMaleMutationRitonavirRNA, ViralSouth AfricaAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesefavirenzLopinavirRitonavirRNA, Viral

Identifiers

PMID21694608
PMCPMC3197956

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.