Evidence map›Paper›PMID 24667938›Full record

Trial reportPloS one2014

Risk behaviors and risk factors for HIV infection among participants in the Bangkok tenofovir study, an HIV pre-exposure prophylaxis trial among people who inject drugs.

Michael Martin, Suphak Vanichseni, Pravan Suntharasamai, Udomsak Sangkum, Philip A Mock, Manoj Leethochawalit, Sithisat Chiamwongpaet, Roman J Gvetadze, Somyot Kittimunkong, Marcel E Curlin and 5 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00119106 (Study of the Safety and Efficacy of Daily Tenofovir to Prevent HIV Infection Among Injection Drug Users in Bangkok, Thailand), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
2.6field-weighted citation impact, top 11% 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.

NCT00119106 phase2 / phase3completednot on this map

Study of the Safety and Efficacy of Daily Tenofovir to Prevent HIV Infection Among Injection Drug Users in Bangkok, Thailand

TypeinterventionalSponsorCenters for Disease Control and PreventionRan2005 to 2014Enrolled2,413ConditionsHIV InfectionsArmsTenofovir disoproxil, Placebo
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Interventions for female drug-using offenders.The Cochrane database of systematic reviews · 2019
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  11. Observational
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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

15 authors at 3 institutions in 2 countries.

Michael MartinThailand MOPH - U.S. CDC Collaboration, Nonthaburi, Thailand; Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Suphak VanichseniBangkok Tenofovir Study Group, Bangkok, Thailand.
Pravan SuntharasamaiBangkok Tenofovir Study Group, Bangkok, Thailand.
Udomsak SangkumBangkok Tenofovir Study Group, Bangkok, Thailand.
Philip A MockThailand MOPH - U.S. CDC Collaboration, Nonthaburi, Thailand.
Manoj LeethochawalitBangkok Metropolitan Administration, Bangkok, Thailand.
Sithisat ChiamwongpaetBangkok Metropolitan Administration, Bangkok, Thailand.
Roman J GvetadzeCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Somyot KittimunkongThailand Ministry of Public Health, Nonthaburi, Thailand.
Marcel E CurlinThailand MOPH - U.S. CDC Collaboration, Nonthaburi, Thailand; Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Dararat WorrajittanonThailand MOPH - U.S. CDC Collaboration, Nonthaburi, Thailand.
Janet M McNichollCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Lynn A PaxtonCenters for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Kachit ChoopanyaBangkok Tenofovir Study Group, Bangkok, Thailand.
Bangkok Tenofovir Study Group
Centers for Disease Control and Prevention · USMinistry of Public Health · THBangkok Metropolitan Administration · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHIV spread rapidly among people who inject drugs in Bangkok in the late 1980s. In recent years, changes in drug use and HIV-associated risk behaviors have been reported. We examined data from the Bangkok Tenofovir Study, an HIV pre-exposure prophylaxis trial conducted among people who inject drugs, to assess participant risk behavior and drug use, and to identify risk factors for HIV infection.

methodsThe Bangkok Tenofovir Study was a randomized, double-blind, placebo-controlled trial. HIV status was assessed monthly and risk behavior every 3 months. We used generalized estimating equations logistic regression to model trends of injecting, needle sharing, drugs injected, incarceration, and sexual activity reported at follow-up visits; and proportional hazards models to evaluate demographic characteristics, sexual activities, incarceration, drug injection practices, and drugs injected during follow-up as predictors of HIV infection.

resultsThe proportion of participants injecting drugs, sharing needles, and reporting sex with more than one partner declined during follow-up (p<0.001). Among participants who reported injecting at enrollment, 801 (53.2%) injected methamphetamine, 559 (37.1%) midazolam, and 527 (35.0%) heroin. In multivariable analysis, young age (i.e., 20-29 years) (p = 0.02), sharing needles (p<0.001), and incarceration in prison (p = 0.002) were associated with incident HIV infection. Participants reporting sex with an opposite sex partner, live-in partner, casual partner, or men reporting sex with male partners were not at a significantly higher risk of HIV infection compared to those who did not report these behaviors.

conclusionReports of HIV-associated risk behavior declined significantly during the trial. Young age, needle sharing, and incarceration were independently associated with HIV infection. Sexual activity was not associated with HIV infection, suggesting that the reduction in HIV incidence among participants taking daily oral tenofovir compared to those taking placebo was due to a decrease in parenteral HIV transmission.

Indexed as

Risk-TakingAdenineAdultAnti-HIV AgentsDouble-Blind MethodFemaleHIV InfectionsHumansMaleMiddle AgedOrganophosphonatesSubstance-Related DisordersTenofovirThailandAdenineAnti-HIV AgentsOrganophosphonatesTenofovir

Identifiers

PMID24667938
PMCPMC3965466
OpenAlexW2142748692

What OpenQuestion holds

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LicenceCC0
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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.