Evidence map›Paper›PMID 25217531›Full record

ArticleeLife2014

HIV-1 DNA predicts disease progression and post-treatment virological control.

James P Williams, Jacob Hurst, Wolfgang Stöhr, Nicola Robinson, Helen Brown, Martin Fisher, Sabine Kinloch, David Cooper, Mauro Schechter, Giuseppe Tambussi and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in eLife, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03198325 (Monitored Antiretroviral Pause in Chronic HIV-Infected Subjects With Long-Lasting Suppressed Viremia), which is not on this map. Cited by 195 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
195citing papers in PubMed, 5 pooled it
16.5field-weighted citation impact, top 1% 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.

NCT03198325 nacompletednot on this mapstarted 2016, after this paper: background citation

Monitored Antiretroviral Pause in Chronic HIV-Infected Subjects With Long-Lasting Suppressed Viremia (APACHE Study)

TypeinterventionalSponsorIRCCS San RaffaeleRan2016 to 2018Enrolled18ConditionsHIV SeropositivityArmsStop of ART
3 · Its place in the literature

Who cites it

195 citing papers in PubMed, 5 syntheses or guidelines pooled it, 305 citations in OpenAlex.

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  6. Time to Viral Rebound After Interruption of Modern Antiretroviral Therapies.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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135 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 5 countries.

James P WilliamsNuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom.
Jacob HurstNuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom.
Wolfgang StöhrMedical Research Council Clinical Trials Unit, Institute of Clinical Trials and Methodology, University College London, London, United Kingdom.
Nicola RobinsonNuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom.
Helen BrownNuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom.
Martin FisherDepartment of Sexual Health and HIV, Brighton and Sussex University Hospitals, Brighton, United Kingdom.
Sabine KinlochDivision of Infection and Immunity, School for Life Sciences, University College London, London, United Kingdom.
David CooperThe Kirby Institute of New South Wales, Sydney, Australia.
Mauro SchechterHospital Escola São Francisco de Assis, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Giuseppe TambussiDepartment of Infectious Diseases, Ospedale San Raffaele, Milan, Italy.
Sarah FidlerDivision of Medicine, Wright Fleming Institute, Imperial College, London, United Kingdom.
Mary CarringtonCancer and Inflammation Program, Laboratory of Experimental Immunology, Leidos Biomedical Research Inc., Frederick National Laboratory for Cancer Research, Frederick, United States.
Abdel BabikerMedical Research Council Clinical Trials Unit, Institute of Clinical Trials and Methodology, University College London, London, United Kingdom.
Jonathan WeberDivision of Medicine, Wright Fleming Institute, Imperial College, London, United Kingdom.
Kersten K KoelschThe Kirby Institute of New South Wales, Sydney, Australia.
Anthony D KelleherThe Kirby Institute of New South Wales, Sydney, Australia.
Rodney E PhillipsNuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom.
John FraterNuffield Department of Clinical Medicine, John Radcliffe Hospital, Oxford, United Kingdom.
SPARTACTrial Investigators
John Radcliffe Hospital · GBImperial College London · GBMRC Clinical Trials Unit at UCL · GBSt Vincents Institute of Medical Research · AUFrederick National Laboratory for Cancer Research · USIRCCS Ospedale San Raffaele · ITNIHR Biomedical Research Centre at The Royal Marsden and the ICRUniversidade Federal do Rio de Janeiro · BRUniversity College London · GB

Funding

Effects of genetic polymorphism in MHC, KIR, and related loci on human diseaseZIABC010791 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI CARRINGTON, MARY N. · 2009 to 2025
$18.2M
CCR NIH HHS HHSN261200800001CIntramural NIH HHSMedical Research Council G108/626Medical Research Council MC_UU_12023/16Medical Research Council MR/L006588/1NCI NIH HHS HHSN261200800001EWellcome Trust 069598/Z/02/Z
6 · The paper itself

Abstract

In HIV-1 infection, a population of latently infected cells facilitates viral persistence despite antiretroviral therapy (ART). With the aim of identifying individuals in whom ART might induce a period of viraemic control on stopping therapy, we hypothesised that quantification of the pool of latently infected cells in primary HIV-1 infection (PHI) would predict clinical progression and viral replication following ART. We measured HIV-1 DNA in a highly characterised randomised population of individuals with PHI. We explored associations between HIV-1 DNA and immunological and virological markers of clinical progression, including viral rebound in those interrupting therapy. In multivariable analyses, HIV-1 DNA was more predictive of disease progression than plasma viral load and, at treatment interruption, predicted time to plasma virus rebound. HIV-1 DNA may help identify individuals who could safely interrupt ART in future HIV-1 eradication trials.

Indexed as

Antiretroviral Therapy, Highly ActiveDisease ProgressionBiomarkersCD4 Lymphocyte CountDemographyFemaleHIV-1HIV InfectionsHumansMaleProportional Hazards ModelsRNA, ViralTime FactorsViral LoadWithholding TreatmentBiomarkersRNA, Viralantiretroviral therapycureHIV-1humanhuman biologyinfectious diseasemedicinemicrobiologyprimary infectionreservoir

Identifiers

PMID25217531
PMCPMC4199415
OpenAlexW2101282227

What OpenQuestion holds

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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.