Evidence map›Paper›PMID 24130489›Full record

Trial reportPLoS pathogens2013

Prospective antiretroviral treatment of asymptomatic, HIV-1 infected controllers.

Hiroyu Hatano, Steven A Yukl, April L Ferre, Erin H Graf, Ma Somsouk, Elizabeth Sinclair, Mohamed Abdel-Mohsen, Teri Liegler, Kara Harvill, Rebecca Hoh and 11 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in PLoS pathogens, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01025427 (Treating HIV-infected Elite Controllers as a Model of HIV Remission), which is not on this map. Cited by 74 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 1 pooled it
–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.

NCT01025427 phase4completednot on this map

Treating HIV-infected Elite Controllers as a Model of HIV Remission

TypeinterventionalSponsorUniversity of California, San FranciscoRan2009 to 2013Enrolled16ConditionsHIV, HIV InfectionsArmsRaltegravir, tenofovir/emtricitabine
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Antiretroviral Therapy Reduces T-cell Activation and Immune Exhaustion Markers in Human Immunodeficiency Virus Controllers.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Trial
  3. ART in HIV-Positive Persons With Low Pretreatment Viremia: Results From the START Trial.Journal of acquired immune deficiency syndromes (1999) · 2019
    Trial
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Hiroyu HatanoDepartment of Medicine, University of California San Francisco, San Francisco, California, United States of America.
Steven A Yukl
April L Ferre
Erin H Graf
Ma Somsouk
Elizabeth Sinclair
Mohamed Abdel-Mohsen
Teri Liegler
Kara Harvill
Rebecca Hoh
Sarah Palmer
Peter Bacchetti
Peter W Hunt
Jeffrey N Martin
Joseph M McCune
Russell P Tracy
Michael P Busch
Una O'Doherty
Barbara L Shacklett
Joseph K Wong
Steven G Deeks

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Unsolicited R24 for the CFAR-Network of Integrated Clinical Sciences, CNICSR24AI067039 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Michael S. Saag · 2006 to 2026
$99.4M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
Viral reservoirs and sanctuaries in HAART - treated patients: role and mechanismsU19AI096109 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SCHACKER, TIMOTHY W · 2011 to 2015
$29.5M
HIV-Specific T Cell Responses in Rectal MucosaR01AI057020 · NIAID · UNIVERSITY OF CALIFORNIA DAVIS · PI SHACKLETT, BARBARA L. · 2003 to 2016
$6.2M
HIV-1 Adaptation in the Central Nervous SystemR01NS051132 · NINDS · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI WONG, JOSEPH K · 2005 to 2009
$1.8M
The impact of early antiretroviral therapy on HIV persistence and inflammationR01AI087145 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DEEKS, STEVEN GRANT · 2009 to 2010
$1.6M
Preventing the Establishment of Enfuvirtide-resistance in the Latent ReservoirK24AI069994 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DEEKS, STEVEN GRANT · 2007 to 2016
$1.5M
HIV, Gut Mucosal Turnover and Inflammation, and the Risk of Colorectal NeoplasiaK23CA157929 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SOMSOUK, MA · 2011 to 2014
$687k
Role of Gut Associated Lymphoid Tissue in HIV PersistenceR56AI091573 · NIAID · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI WONG, JOSEPH K · 2011 to 2011
$643k
Virologic and host factors contributing to HIV control in elite controllersK23AI075985 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HATANO, HIROYU · 2007 to 2011
$626k
BLRD VA I01 BX001048CSRD VA IK2 CX000520NCI NIH HHS K23 CA157929NCRR NIH HHS UL1 RR024131NIAID NIH HHS K23 AI075985NIAID NIH HHS K24 AI069994NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI057020NIAID NIH HHS R01 AI087145NIAID NIH HHS R24 AI067039NIAID NIH HHS R56 AI091573NIAID NIH HHS U19 AI096109NIAID NIH HHS U19 AI0961090NIMH NIH HHS P30 MH062246NIMH NIH HHS P30 MH62246NINDS NIH HHS R01 NS051132
6 · The paper itself

Abstract

The study of HIV-infected "controllers" who are able to maintain low levels of plasma HIV RNA in the absence of antiretroviral therapy (ART) may provide insights for HIV cure and vaccine strategies. Despite maintaining very low levels of plasma viremia, controllers have elevated immune activation and accelerated atherosclerosis. However, the degree to which low-level replication contributes to these phenomena is not known. Sixteen asymptomatic controllers were prospectively treated with ART for 24 weeks. Controllers had a statistically significant decrease in ultrasensitive plasma and rectal HIV RNA levels with ART. Markers of T cell activation/dysfunction in blood and gut mucosa also decreased substantially with ART. Similar reductions were observed in the subset of "elite" controllers with pre-ART plasma HIV RNA levels below conventional assays (<40 copies/mL). These data confirm that HIV replication persists in controllers and contributes to a chronic inflammatory state. ART should be considered for these individuals (ClinicalTrials.gov NCT01025427).

Indexed as

AtherosclerosisHIV InfectionsAdultAnti-Retroviral AgentsBiomarkersFemaleHIV-1HumansLymphocyte ActivationMaleMiddle AgedProspective StudiesRNA, ViralTime FactorsT-LymphocytesVirus ReplicationAnti-Retroviral AgentsBiomarkersRNA, Viral

Identifiers

PMID24130489
PMCPMC3795031

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Registered trials

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.