Evidence map›Paper›PMID 21799772›Full record

Trial reportPloS one2011

Polyantigenic interferon-γ responses are associated with protection from TB among HIV-infected adults with childhood BCG immunization.

Timothy Lahey, Brian K Mitchell, Robert D Arbeit, Siddharth Sheth, Mecky Matee, C Robert Horsburgh, Todd MacKenzie, Lillian Mtei, Muhammad Bakari, Jenni M Vuola and 2 more

Open access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2011. 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 28% 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, 14 citations in OpenAlex.

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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

12 authors at 6 institutions in 3 countries.

Timothy LaheyDartmouth Medical School, Lebanon, New Hampshire, United States of America. Timothy.Lahey@Dartmouth.edu
Brian K Mitchell
Robert D Arbeit
Siddharth Sheth
Mecky Matee
C Robert Horsburgh
Todd MacKenzie
Lillian Mtei
Muhammad Bakari
Jenni M Vuola
Kisali Pallangyo
C Fordham von Reyn
Dartmouth Institute for Health Policy and Clinical Practice · USTufts University · USBoston University · USDartmouth Psychiatric Research Center · USInstitute for Molecular Medicine Finland · FIMuhimbili University of Health and Allied Sciences · TZ

Funding

VASCULAR LEUKOCYTES: BASIC IMMUNOBIOLOGY AND FUNCTIONAL PLASTICITYP20RR016437 · NCRR · DARTMOUTH COLLEGE · PI GREEN, WILLIAM R · 2001 to 2010
$24.3M
Dartmouth/Boston University AITRPD43TW006807 · FIC · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2003 to 2013
$4.6M
DISSEMINATED TUBERCULOSIS IN HIV INFECTIONR01AI045407 · NIAID · DARTMOUTH COLLEGE · PI VON REYN, C. FORDHAM · 2000 to 2004
$4.6M
Disseminated Tuberculosis in HIV InfectionU01AI045407 · NIAID · DARTMOUTH COLLEGE · PI VON REYN, CHARLES FORDHAM · 2005 to 2008
$4.3M
FIC NIH HHS D43 TW006807FIC NIH HHS D43-TW006807NCRR NIH HHS 5P20RR016437-08NCRR NIH HHS P20 RR016437NIAID NIH HHS AI 45407NIAID NIH HHS R01 AI045407NIAID NIH HHS U01 AI045407
6 · The paper itself

Abstract

backgroundSurrogate immunologic markers for natural and vaccine-mediated protection against tuberculosis (TB) have not been identified.

methodsHIV-infected adults with childhood BCG immunization entering the placebo arm of the DarDar TB vaccine trial in Dar es Salaam, Tanzania, were assessed for interferon gamma (IFN-γ) responses to three mycobacterial antigen preparations--secreted Mycobacterium tuberculosis antigens 85 (Ag85), early secretory antigenic target 6 (ESAT-6) and polyantigenic whole cell lysate (WCL). We investigated the association between the number of detectable IFN-γ responses at baseline and the subsequent risk of HIV-associated TB.

resultsDuring a median follow-up of 3.3 years, 92 (9.4%) of 979 placebo recipients developed TB. The incidence of TB was 14% in subjects with no detectable baseline IFN-γ responses vs. 8% in subjects with response to polyantigenic WCL (P = 0.028). Concomitant responses to secreted antigens were associated with further reduction in the incidence of HIV-associated TB. Overall the percentage of subjects with 0, 1, 2 and 3 baseline IFN-γ responses to mycobacterial preparations who developed HIV-associated TB was 14%, 8%, 7% and 4%, respectively (P = 0.004). In a multivariate Cox regression model, the hazard of developing HIV-associated TB was 46% lower with each increment in the number of detectable baseline IFN-γ responses (P<0.001).

conclusionsAmong HIV-infected adults who received BCG in childhood and live in a TB-endemic country, polyantigenic IFN-γ responses are associated with decreased risk of subsequent HIV-associated TB.

trial registrationClinicalTrials.gov NCT0052195.

Indexed as

ImmunizationAdultAntigens, BacterialChildDatabases, FactualFemaleHIV InfectionsHumansInterferon-gammaMaleMultivariate AnalysisMycobacterium bovisRisk AssessmentTuberculosis, PulmonaryAntigens, BacterialInterferon-gamma

Identifiers

PMID21799772
PMCPMC3140474
OpenAlexW1993361808

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.