Evidence map›Paper›PMID 23542639›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2013

No clinically significant drug-resistance mutations in HIV-1 subtype C-infected women after discontinuation of NRTI-based or PI-based HAART for PMTCT in Botswana.

Sajini Souda, Simani Gaseitsiwe, Nathan Georgette, Kathleen Powis, Daisy Moremedi, Thato Iketleng, Jean Leidner, Claire Moffat, Anthony Ogwu, Shahin Lockman and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Antiretroviral interventions for preventing breast milk transmission of HIV.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Review
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

16 authors at 4 institutions in 2 countries.

Sajini Souda*Botswana-Harvard AIDS Institute Partnership for HIV Research and Education, Gaborone, Botswana; †Department of Pathology, School of Medicine, University of Botswana, Gaborone, Botswana; ‡Harvard University, Cambridge, MA; §Department of Medicine and Pediatrics, Massachusetts General Hospital, Boston, MA; ‖Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, MA; ¶Department of Medicine, Division of Infectious Diseases, Brigham and Women's Hospital, Boston, MA; and #Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, MA.
Simani Gaseitsiwe
Nathan Georgette
Kathleen Powis
Daisy Moremedi
Thato Iketleng
Jean Leidner
Claire Moffat
Anthony Ogwu
Shahin Lockman
Sikhulile Moyo
Mompati Mmalane
Rosemary Musonda
Joseph Makhema
Max Essex
Roger Shapiro
Brigham and Women's Hospital · USHarvard University · USMassachusetts General Hospital · USUniversity of Botswana · BW

Funding

HAART to Prevent HIV Transmission to Infants In BotswanaU01AI066454 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SHAPIRO, ROGER L · 2005 to 2010
$5.3M
Growth Trends and Mortality Risks Among HIV-exposed Infants in BotswanaK23HD070774 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI POWIS, KATHLEEN · 2012 to 2016
$686k
NIAID NIH HHS U01 AI066454NIAID NIH HHS U01AI066454NICHD NIH HHS K23 HD070774
6 · The paper itself

Abstract

Risk of developing drug resistance after stopping antiretroviral regimens to prevent mother-to-child HIV-1 transmission is unknown. The Mma Bana Study randomized treatment-naive pregnant women with CD4 ≥200 cells per cubic millimeter to receive either abacavir/zidovudine/lamivudine [triple nucleoside reverse transcriptase inhibitor (NRTI) arm] or lopinavir/ritonavir/zidovudine/lamivudine [protease inhibitor (PI) arm]. Drugs were discontinued after 6 months of breastfeeding. One month after discontinuation, 29 NRTI arm samples and 25 PI arm samples were successfully genotyped. No clinically significant antiretroviral resistance mutations were detected. Eight minor resistance mutations were found among 11 (20%) women (3 from NRTI arm and 8 from PI arm), occurring at similar frequencies to those reported in HIV-1 subtype C treatment-naive cohorts.

Indexed as

Drug Resistance, ViralMutation, MissenseAdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveBotswanaFemaleGenotypeHIV-1HIV InfectionsHumansInfectious Disease Transmission, VerticalMolecular Sequence DataPregnancySequence Analysis, DNAWithholding TreatmentAnti-HIV Agents

Identifiers

PMID23542639
PMCPMC3762949
OpenAlexW2051087686

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.