Evidence map›Paper›PMID 23795312›Full record

Trial reportHawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health2013

The effects of extended release niacin on lipoprotein sub-particle concentrations in HIV-infected patients.

Chunrong Lin, Andrew Grandinetti, Cecilia Shikuma, Scott Souza, Nisha Parikh, Beau Nakamoto, Kalpana J Kallianpur, Dominic Chow

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 39% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Micronutrient supplementation in adults with HIV infection.The Cochrane database of systematic reviews · 2017
    Pooled it
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 1 institution in 1 country.

Chunrong LinJohn A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
Andrew Grandinetti
Cecilia Shikuma
Scott Souza
Nisha Parikh
Beau Nakamoto
Kalpana J Kallianpur
Dominic Chow
University of Hawaiʻi at Mānoa · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI HEDGES, JERRIS ROBERT, MOKUAU, NOREEN · 2012 to 2018
$21.1M
WILLINGNESS OF PRIMARY CARE PHYSICIANS TO ADOPT HANDHELD COMPUTINGP20RR011091 · NCRR · UNIVERSITY OF HAWAII AT MANOA · PI MELISH, MARIAN ELIZABETH · 1995 to 2009
$16.5M
RESEARCH ETHICSU54RR026136 · NCRR · UNIVERSITY OF HAWAII AT MANOA · PI INAZU, JUDITH · 2010 to 2011
$8.5M
Master in Clinical ResearchR25RR019321 · NCRR · UNIVERSITY OF HAWAII AT MANOA · PI HARRIGAN, ROSANNE CAROL · 2003 to 2009
$2.9M
Cardiovascular autonomic function in HIV virologic failureK23HL088981 · NHLBI · UNIVERSITY OF HAWAII AT MANOA · PI CHOW, DOMINIC C · 2008 to 2011
$580k
NCRR NIH HHS 1 R25 RR019321NCRR NIH HHS 1 UL1 RR024150NCRR NIH HHS P20 RR011091NCRR NIH HHS P20RR011091NCRR NIH HHS R25 RR019321NCRR NIH HHS U54 RR026136NCRR NIH HHS U54RR026136NCRR NIH HHS UL1 RR024150NHLBI NIH HHS K23 HL088981NIMHD NIH HHS U54 MD007584NIMHD NIH HHS U54MD007584
6 · The paper itself

Abstract

With the advent of highly active antiretroviral therapy (HAART), Cardiovascular Disease (CVD) has emerged as the leading cause of death in Human Immunodeficiency Virus (HIV) infected patients. An atherogenic lipoprotein phenotype has been described in HIV- infected patients with a predominance of small, low density lipoprotein (SLDL) particles with accompanying elevated triglycerides and reduced high density lipoprotein cholesterol. This randomized controlled pilot study was conducted to evaluate the efficacy of Extended Release Niacin (ERN) in improving the lipid profile in HIV patients. A total of 17 HIV positive subjects on HAART therapy with High Density Lipoprotein Cholesterol (HDL) levels below 40mg/dl and Low Density Lipoprotein Cholesterol (LDL) below 130mg/dl were enrolled. Nine were randomized to be treated with ERN titrated from a starting level of 500mg/night and titrated to a level of 1500mg/night. Eight patients were assigned to the control arm. No placebo was used. Lipoprotein profiles of the subjects were analyzed at baseline and at the end of 12 weeks using Nuclear Magnetic Resonance (NMR) spectroscopy. At the end of 12 weeks, NMR spectroscopic analysis revealed a significant increase in overall LDL size (1.2% in ERN treated subjects vs 2.0% decrease in control patients, P=.04) and a decrease in small LDL particle concentration (17.0% in ERN treated subjects vs 21.4% increase in control patients, P=.03) in subjects receiving ERN as compared to those in the control group. Only 1 subject receiving ERN developed serious flushing which was attributed to an accidental overdose of the drug. This pilot study demonstrates that ERN therapy in HIV-infected patients with low HDL is safe and effective in improving the lipoprotein profile in these patients.

Indexed as

AdultDelayed-Action PreparationsFemaleHIV InfectionsHumansHypolipidemic AgentsLipoproteinsMaleMiddle AgedNiacinPilot ProjectsTreatment OutcomeDelayed-Action PreparationsHypolipidemic AgentsLipoproteinsNiacin

Identifiers

PMID23795312
PMCPMC3689507
OpenAlexW1578608802

What OpenQuestion holds

Textmetadata
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.