Evidence map›Paper›PMID 22237471›Full record

ArticleInfection2012

Genotypic resistance profiles associated with virological failure to darunavir-containing regimens: a cross-sectional analysis.

G Sterrantino, M Zaccarelli, G Colao, F Baldanti, S Di Giambenedetto, T Carli, F Maggiolo, M Zazzi, ARCA Database Study Group

Abstract read
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In one paragraph

Article in Infection, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. HIV drug resistance among naïve HIV-infected patients in Iran.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2019
    Article
  7. Article
  8. Article
  9. Article
  10. DOCK 6: Impact of new features and current docking performance.Journal of computational chemistry · 2015
    Article
  11. Observational
  12. Article
  13. 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.

G SterrantinoSOD Malattie Infettive, Azienda Ospedaliera Universitaria Careggi, Largo Brambilla 3, 50134, Firenze, Italy. sterrantinok@gmail.com
M Zaccarelli
G Colao
F Baldanti
S Di Giambenedetto
T Carli
F Maggiolo
M Zazzi
ARCA Database Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed at defining protease (PR) resistance mutations associated with darunavir (DRV) failure and PR resistance evolution at DRV failure in a large database of treatment-experienced human immunodeficiency virus (HIV) patients.

resultsOverall, 1,104 patients were included: 118 (10.7%) failed at a median observation time of 16 months. The mean number of PR mutations at baseline was 2.7, but it was higher in patients who subsequently failed DRV. In addition, the number of PR mutations increased at failure. The increase in the mean number of mutations was completely related to mutations considered to be associated with DRV resistance following the indications of the main DRV clinical trials. DISCUSSION: The higher statistical difference at baseline between failing versus non-failing patients was observed for the V32I and I84V mutations. At DRV failure, the major increase was still observed for V32I; I54L, V11I, T74P and I50V also increased. Despite the increment in the mean number of mutations per patient between baseline and failure, in 21 patients (17.8%) at baseline and 36 (30.5%) at failure, no PR mutation was detected.

conclusionThe HIV-DB interpretation algorithm identified few patients with full DRV resistance at baseline and few patients developed full resistance at DRV failure, indicating that complete resistance to DRV is uncommon.

Indexed as

Drug Resistance, ViralAdultAntiretroviral Therapy, Highly ActiveCohort StudiesCross-Sectional StudiesDarunavirFemaleGenotypeHIV-1HIV InfectionsHIV Protease InhibitorsHumansLogistic ModelsMaleMiddle AgedMutationDarunavirHIV Protease InhibitorsSulfonamides

Identifiers

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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.