Evidence map›Paper›PMID 24205183›Full record

Observational studyPloS one2013

Duration of HIV-1 viral suppression on cessation of antiretroviral therapy in primary infection correlates with time on therapy.

Wolfgang Stöhr, Sarah Fidler, Myra McClure, Jonathan Weber, David Cooper, Gita Ramjee, Pontiano Kaleebu, Giuseppe Tambussi, Mauro Schechter, Abdel Babiker and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

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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 at 8 institutions in 5 countries.

Wolfgang StöhrMedical Research Council Clinical Trials Unit, London, United Kingdom.
Sarah Fidler
Myra McClure
Jonathan Weber
David Cooper
Gita Ramjee
Pontiano Kaleebu
Giuseppe Tambussi
Mauro Schechter
Abdel Babiker
Rodney E Phillips
Kholoud Porter
John Frater
Imperial College London · GBMedical Research Council · GBMedawar Building for Pathogen Research · GBNational Institute for Health Research · GBSouth African Medical Research Council · ZAUganda Virus Research Institute · UGUniversidade Federal do Rio de Janeiro · BRUNSW Sydney · AU

Funding

Medical Research Council G108/626Medical Research Council MC_U122886352Medical Research Council MC_U950080938Medical Research Council MC_UU_12023/15Medical Research Council MC_UU_12023/16Wellcome TrustWellcome Trust 069598/Z/02/Z
6 · The paper itself

Abstract

objectiveA minority of HIV-1 positive individuals treated with antiretroviral therapy (ART) in primary HIV-1 infection (PHI) maintain viral suppression on stopping. Whether this is related to ART duration has not been explored.

designAnd Methods: Using SPARTAC trial data from individuals recruited within 6 months of seroconversion, we present an observational analysis investigating whether duration of ART was associated with post-treatment viraemic control. Kaplan-Meier estimates, logistic regression and Cox models were used.

results165 participants reached plasma viral loads (VL) <400 copies/ml at the time of stopping therapy (ART stop). After ART stop, 159 experienced confirmed VL ≥400 copies/ml during median (IQR) follow-up of 167 (108,199) weeks. Most participants experienced VL rebound within 12 weeks from ART stop, however, there was a suggestion of a higher probability of remaining <400 copies/ml for those on ART >12 weeks compared to ≤12 weeks (p=0.061). Cumulative probabilities of remaining <400 copies/ml at 12, 52 and 104 weeks after ART stop were 21% (95%CI=13,30), 4% (1,9), and 4% (1,9) for ≤12 weeks ART, and 32% (22,42), 14% (7,22), and 5% (2,11) for >12 weeks. In multivariable regression, ART for >12 weeks was independently associated with a lower probability of being ≥400 copies/ml within 12 weeks of ART stop (OR=0.11 (95%CI=0.03,0.34), p<0.001)). In Cox models of time to VL ≥400 after 12 weeks, we only found an association with female sex (OR=0.2, p=0.001).

conclusionLonger ART duration in PHI was associated with a higher probability of viral control after ART stop.

trial registrationControlled-Trials.com 76742797 http://www.controlled-trials.com/ISRCTN76742797.

Indexed as

AdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveDrug Administration ScheduleFemaleHIV-1HIV InfectionsHumansKaplan-Meier EstimateMaleProportional Hazards ModelsRNA, ViralViral LoadYoung AdultAnti-HIV AgentsRNA, Viral

Identifiers

PMID24205183
PMCPMC3808338
OpenAlexW2007573365

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.