Evidence map›Paper›PMID 24906850›Full record

ArticleThe Lancet. Infectious diseases2014

Research into a functional cure for HIV in neonates: the need for ethical foresight.

Seema K Shah, Deborah Persaud, David S Wendler, Holly A Taylor, Hannah Gay, Mariana Kruger, Christine Grady

Open access · greenAbstract read
In one paragraph

Article in The Lancet. Infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Ethics of HIV research in children.The Lancet. Infectious diseases · 2015
    Article
  9. Research gaps in neonatal HIV-related care.Southern African journal of HIV medicine · 2015
    Article
  10. Article
  11. Review
  12. 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

7 authors at 4 institutions in 2 countries.

Seema K ShahClinical Center Department of Bioethics, National Institutes of Health, Bethesda, MD, USA. Electronic address: shahse@mail.nih.gov.
Deborah PersaudJohns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, MD, USA.
David S WendlerClinical Center Department of Bioethics, National Institutes of Health, Bethesda, MD, USA.
Holly A TaylorDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Berman Institute of Bioethics, Baltimore, MD, USA.
Hannah GayDepartment of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA.
Mariana KrugerDepartment of Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
Christine GradyClinical Center Department of Bioethics, National Institutes of Health, Bethesda, MD, USA.
National Institutes of Health Clinical Center · USJackson Memorial Hospital · USJohns Hopkins University · USStellenbosch University · ZA

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Intramural NIH HHS Z99 CL999999NIAID NIH HHS 1P30AI094189NIAID NIH HHS P30 AI094189
6 · The paper itself

Abstract

In 2013, researchers announced that a newborn child from Mississippi, USA might have been functionally cured of HIV by being given combination antiretroviral therapy within hours of birth. Public and media attention has since been captured by the possibility of finding a cure for HIV transmitted from mother to child. Research into the strategy used for the Mississippi patient is crucially important to establish whether it can be replicated and shown to work in diverse populations. At the same time, any ethical issues likely to arise in such studies should be addressed and not ignored in the pursuit of a functional cure. In this Personal View we identify ethical issues that could arise in research towards achievment of a functional cure for HIV in neonates, including difficult trade-offs associated with choosing the study population and questions about the broader social implications of the research, and propose ways to resolve them.

Indexed as

Biomedical ResearchInfectious Disease Transmission, VerticalHIV InfectionsHumansInfant, Newborn

Identifiers

PMID24906850
PMCPMC4219548
OpenAlexW2136472522

What OpenQuestion holds

Textmetadata
LicenceTDM
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.