Evidence map›Paper›PMID 21837785›Full record

Trial reportJournal of medical virology2011

Treatment with valacyclovir, famciclovir, or antiretrovirals reduces human herpesvirus-8 replication in HIV-1 seropositive men.

Ashok Cattamanchi, Misty Saracino, Stacy Selke, Meei-Li Huang, Amalia Magaret, Connie Celum, Lawrence Corey, Anna Wald, Corey Casper

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical virology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Interventions for men and women with their first episode of genital herpes.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Viral Oncology: Molecular Biology and Pathogenesis.Journal of clinical medicine · 2017
    Review
  10. New strategies against drug resistance to herpes simplex virus.International journal of oral science · 2016
    Review
  11. Article
  12. Article
  13. Review
  14. 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

9 authors at 2 institutions in 1 country.

Ashok CattamanchiDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Misty Saracino
Stacy Selke
Meei-Li Huang
Amalia Magaret
Connie Celum
Lawrence Corey
Anna Wald
Corey Casper
University of Washington · USFred Hutch Cancer Center · US

Funding

WOMEN'S HEALTH AGENDAU01AI038858 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI BENSON, CONSTANCE ANN · 1996 to 2008
$157.5M
University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Judith Tsui · 1988 to 2026
$104.9M
INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
THE PERINATAL COMPLICATIONS OF ASYMPTOMATIC GENITAL HERPES SIMPLEX VIRUSP01AI030731 · NIAID · UNIVERSITY OF WASHINGTON · PI WALD, ANNA · 1991 to 2017
$34.3M
HIV SHEDDING AND EVOLUTIONP01HD040540 · NICHD · UNIVERSITY OF WASHINGTON · PI COOMBS, ROBERT W. · 2001 to 2006
$7.5M
Cytotoxic T-Cell Responses to HSV: HIV-Infected PersonsR37AI042528 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE · 2002 to 2011
$3.5M
CYTOTOXIC T CELL RESPONSES TO HSV IN HIV INFECTIONR01AI042528 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI COREY, LAWRENCE, ZHU, JIA · 1998 to 2016
$2.7M
Clinical Research in HSV InfectionsK24AI071113 · NIAID · UNIVERSITY OF WASHINGTON · PI WALD, ANNA · 2006 to 2015
$1.7M
HHV-8 Transmission Among Men Who Have Sex with MenK23AI054162 · NIAID · UNIVERSITY OF WASHINGTON · PI CASPER, COREY · 2003 to 2008
$737k
NCRR NIH HHS UL1 RR025014NIAID NIH HHS AI-27757NIAID NIH HHS AI-38858NIAID NIH HHS K23 AI054162NIAID NIH HHS K24 AI-071113NIAID NIH HHS K24 AI071113NIAID NIH HHS P01 AI030731NIAID NIH HHS P01 AI-30731NIAID NIH HHS P30 AI 027757NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI042528NIAID NIH HHS R37 AI042528NIAID NIH HHS R37 AI-42528NIAID NIH HHS U01 AI038858NICHD NIH HHS HD-40540NICHD NIH HHS P01 HD040540
6 · The paper itself

Abstract

Human herpesvirus-8 (HHV-8) replication is a key factor in Kaposi sarcoma, primary effusion lymphoma, and Castleman disease pathogenesis. In vitro data suggest that antivirals inhibit HHV-8 replication, but little data exist in humans. Daily oropharyngeal swabs were analyzed from HIV/HHV-8 dually infected men enrolled in three previous clinical trials of valacyclovir and famciclovir for HIV-1 and/or HSV-2 suppression. Fifty-eight participants contributed 6,036 swabs. HHV-8 was detected in 1,128 (19%) of 6,036 swabs, including 618 (21%) of 2,992 on placebo, 323 (15%) of 2,221 on valacyclovir, and 187 (23%) of 823 on famciclovir. After adjusting for baseline HIV viral load and highly active antiretroviral therapy (HAART) use, an 18% reduction in HHV-8 shedding frequency (IRR 0.822; P = 0.011) was found in participants on valacyclovir and a 30% reduction (IRR 0.700; P < 0.001) on famciclovir. HAART was associated with an 89% (IRR 0.129; P = 0.048) reduction in HHV-8-shedding. Neither antiviral nor antiretroviral therapy was associated with decreased HHV-8 quantity. Valacyclovir and famciclovir were associated with modest but significant reductions in HHV-8 oropharyngeal shedding frequency. In contrast, HAART was a potent inhibitor of HHV-8 replication. Studies of whether antiviral therapy in combination with ART will prevent HHV-8-associated disease appear warranted.

Indexed as

Antiretroviral Therapy, Highly Active2-AminopurineAcyclovirAdultAIDS-Related Opportunistic InfectionsAntiviral AgentsFamciclovirHerpesviridae InfectionsHerpesvirus 8, HumanHIV-1HumansMaleMiddle AgedOropharynxValacyclovirValine2-AminopurineAcyclovirAntiviral AgentsFamciclovirValacyclovirValine

Identifiers

PMID21837785
PMCPMC3465571
OpenAlexW2083654801

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.