Evidence map›Paper›PMID 23936260›Full record

ArticlePloS one2013

Virologic and immunologic response to cART by HIV-1 subtype in the CASCADE collaboration.

Giota Touloumi, Nikos Pantazis, Marie-Laure Chaix, Heiner C Bucher, Robert Zangerle, Anne-Marte Bakken Kran, Rodolphe Thiebaut, Bernard Masquelier, Claudia Kucherer, Antonella d'Arminio Monforte and 3 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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  5. Review
  6. 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

13 authors.

Giota TouloumiAthens University Medical School, Athens, Greece. gtouloum@med.uoa.gr
Nikos Pantazis
Marie-Laure Chaix
Heiner C Bucher
Robert Zangerle
Anne-Marte Bakken Kran
Rodolphe Thiebaut
Bernard Masquelier
Claudia Kucherer
Antonella d'Arminio Monforte
Laurence Meyer
Kholoud Porter
for CASCADE Collaboration in EuroCoord

Funding

Medical Research Council MC_U122886351
6 · The paper itself

Abstract

backgroundWe aimed to compare rates of virologic response and CD4 changes after combination antiretroviral (cART) initiation in individuals infected with B and specific non-B HIV subtypes.

methodsUsing CASCADE data we analyzed HIV-RNA and CD4 counts for persons infected ≥1996, ≥15 years of age. We used survival and longitudinal modeling to estimate probabilities of virologic response (confirmed HIV-RNA <500 c/ml), and failure (HIV-RNA>500 c/ml at 6 months or ≥1000 c/ml following response) and CD4 increase after cART initiation.

results2003 (1706 B, 142 CRF02_AG, 55 A, 53 C, 47 CRF01_AE) seroconverters were included in analysis. There was no evidence of subtype effect overall for response or failure (p = 0.075 and 0.317, respectively) although there was a suggestion that those infected with subtypes CRF01_AE and A responded sooner than those with subtype B infection [HR (95% CI):1.37 (1.01-1.86) and 1.29 (0.96-1.72), respectively]. Rates of CD4 increase were similar in all subtypes except subtype A, which tended to have lower initial, but faster long-term, increases.

conclusionsVirologic and immunologic response to cART was similar across all studied subtypes but statistical power was limited by the rarity of some non-B subtypes. Current antiretroviral agents seem to have similar efficacy in subtype B and most widely encountered non-B infections in high-income countries.

Indexed as

CD4 Lymphocyte CountGenotypeViral LoadAdultAntiretroviral Therapy, Highly ActiveHIV-1HIV InfectionsHumansMiddle AgedTreatment FailureTreatment OutcomeYoung Adult

Identifiers

PMID23936260
PMCPMC3728088

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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.