Evidence map›Paper›PMID 22505800›Full record

Trial reportInfectious diseases in obstetrics and gynecology2012

Effect of HSV-2 suppressive therapy on genital tract HIV-1 RNA shedding among women on HAART: a pilot randomized controlled trial.

A E Nijhawan, A K Delong, S Chapman, A Rana, J Kurpewski, J Ingersoll, A M Caliendo, S Cu-Uvin

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Infectious diseases in obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 88% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Does suppressive antiviral therapy for herpes simplex virus prevent transmission in an HIV-positive population? A systematic review.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2016
    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

8 authors at 4 institutions in 1 country.

A E NijhawanDivision of General Internal Medicine and Primary Care, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
A K Delong
S Chapman
A Rana
J Kurpewski
J Ingersoll
A M Caliendo
S Cu-Uvin
Brown University · USEmory University · USBeth Israel Deaconess Medical Center · USMiriam Hospital · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
HIV and Other Infectious Consequences of Substance UseT32DA013911 · NIDA · MIRIAM HOSPITAL · PI TRACI C GREEN, JOSIAH D RICH · 2001 to 2026
$9.6M
ANTIVIRAL THERAPY AND HIV IN THE GENITAL TRACT OF WOMENR01AI040350 · NIAID · MIRIAM HOSPITAL · PI CU-UVIN, SUSAN · 1997 to 2007
$3.8M
Antiviral Therapy and HIV in the Genital Tract of WomenK24AI066884 · NIAID · MIRIAM HOSPITAL · PI CU-UVIN, SUSAN · 2005 to 2009
$738k
NIAID NIH HHS K24 AI066884NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI050409NIAID NIH HHS P30AI42853P30AI42853NIAID NIH HHS R01 AI040350NIAID NIH HHS R01 AI40350NIDA NIH HHS T32 DA013911NIDA NIH HHS T32DA013911
6 · The paper itself

Abstract

backgroundThe role of suppressive HSV therapy in women coinfected with HSV-2 and HIV-1 taking highly active antiretroviral therapy (HAART) is unclear.

methods60 women with HIV-1/HSV-2 coinfection on HAART with plasma HIV-1 viral load (PVL) ≤75 copies/mL were randomized to receive acyclovir (N = 30) or no acyclovir (N = 30). PVL, genital tract (GT) HIV-1, and GT HSV were measured every 4 weeks for one year.

resultsDetection of GT HIV-1 was not significantly different in the two arms (OR 1.23, P = 0.67), although this pilot study was underpowered to detect this difference. When PVL was undetectable, the odds of detecting GT HIV were 0.4 times smaller in the acyclovir arm than in the control arm, though this was not statistically significant (P = 0.07). The odds of detecting GT HSV DNA in women receiving acyclovir were significantly lower than in women in the control group, OR 0.38, P < 0.05.

conclusionsChronic suppressive therapy with acyclovir in HIV-1/HSV-2-positive women on HAART significantly reduces asymptomatic GT HSV shedding, though not GT HIV shedding or PVL. PVL was strongly associated with GT HIV shedding, reinforcing the importance of HAART in decreasing HIV sexual transmission.

Indexed as

Herpesvirus 2, HumanAcyclovirAdultAntiretroviral Therapy, Highly ActiveAntiviral AgentsCoinfectionDNA, ViralFemaleGenitalia, FemaleHerpes GenitalisHIV-1HIV InfectionsHumansMiddle AgedPilot ProjectsRegression AnalysisAcyclovirAntiviral AgentsDNA, ViralRNA, Viral

Identifiers

PMID22505800
PMCPMC3299258
OpenAlexW2054036472

What OpenQuestion holds

Textmetadata
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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.