Evidence map›Paper›PMID 25377444›Full record

Trial reportJournal of neurovirology2014

Impact of minocycline on cerebrospinal fluid markers of oxidative stress, neuronal injury, and inflammation in HIV-seropositive individuals with cognitive impairment.

Ned Sacktor, Sachiko Miyahara, Scott Evans, Giovanni Schifitto, Bruce Cohen, Norman Haughey, Julia L Drewes, David Graham, M Christine Zink, Caroline Anderson and 6 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Journal of neurovirology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00361257 (Phase II, Randomized, Placebo-Controlled, Double-Blind Study of Minocycline in the Treatment of HIV-Associated Cognitive Impairment), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.0field-weighted citation impact, top 10% 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.

NCT00361257 phase2terminatednot on this map

Phase II, Randomized, Placebo-Controlled, Double-Blind Study of Minocycline in the Treatment of HIV-Associated Cognitive Impairment

TypeinterventionalSponsorAdvancing Clinical Therapeutics Globally for HIV/AIDS and Other InfectionsRan2007 to 2010Enrolled107ConditionsHIV InfectionsArmsMinocycline, Placebo (Tetracycline)
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Metalloproteinases and their inhibitors in neurological disease.Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. HIV/neuroAIDS biomarkers.Progress in neurobiology · 2017
    Review
  11. Article
  12. Article
  13. Interventions for Neurocognitive Dysfunction.Current HIV/AIDS reports · 2017
    Review
  14. Article
  15. Review
  16. Review
  17. Review
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

16 authors at 5 institutions in 1 country.

Ned SacktorJohns Hopkins University School of Medicine, Baltimore, MD, USA, sacktor@jhmi.edu.
Sachiko Miyahara
Scott Evans
Giovanni Schifitto
Bruce Cohen
Norman Haughey
Julia L Drewes
David Graham
M Christine Zink
Caroline Anderson
Avindra Nath
Carlos A Pardo
Sean McCarthy
Lara Hosey
David Clifford
ACTG A5235 team
Johns Hopkins University · USHarvard University · USNorthwestern University · USWashington University in St. Louis · USAIDS Clinical Trials Group · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
WOMEN'S HEALTH AGENDAU01AI038858 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI BENSON, CONSTANCE ANN · 1996 to 2008
$157.5M
AIDS Clinical Trials Group NetworkU01AI068636 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI KURITZKES, DANIEL R. · 2006 to 2010
$147.1M
STATISTICAL AND DATA MANAGEMENT CENTERU01AI038855 · NIAID · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HUGHES, MICHAEL DAVID · 1996 to 2006
$78.1M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
Neuropathogenesis of Retroviral InfectionsZIANS003130 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI NATH, AVINDRA · 2011 to 2025
$73.7M
Statistical and Data Management Center for the AIDS Clinical Trials GroupU01AI068634 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI HUGHES, MICHAEL DAVID · 2006 to 2010
$71.9M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith S. Currier, RAPHAEL J LANDOVITZ · 2012 to 2026
$51.8M
UCSD Department of Medicine HIV/AIDS Clinical Trials UnitUM1AI069432 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TIMOTHY J. WILKIN · 2012 to 2026
$50.4M
NCRR NIH HHS M01 RR000044NCRR NIH HHS M01 RR000046NCRR NIH HHS M01 RR000052NCRR NIH HHS RR00044NCRR NIH HHS RR00046NCRR NIH HHS RR00052NCRR NIH HHS UL1 RR025005NIAID NIH HHS AI046376NIAID NIH HHS AI 068634NIAID NIH HHS AI068636NIAID NIH HHS AI069423NIAID NIH HHS AI069424NIAID NIH HHS AI069432NIAID NIH HHS AI069434NIAID NIH HHS AI069450NIAID NIH HHS AI069452NIAID NIH HHS AI069465NIAID NIH HHS AI069467-04NIAID NIH HHS AI069471NIAID NIH HHS AI069472NIAID NIH HHS AI069495NIAID NIH HHS AI069503NIAID NIH HHS AI069511NIAID NIH HHS AI069532NIAID NIH HHS AI127660NIAID NIH HHS AI 127757NIAID NIH HHS AI25868NIAID NIH HHS AI25903NIAID NIH HHS AI25915NIAID NIH HHS AI27658NIAID NIH HHS AI27659NIAID NIH HHS AI27664NIAID NIH HHS AI27668NIAID NIH HHS AI27670NIAID NIH HHS AI34853NIAID NIH HHS AI38855NIAID NIH HHS AI38858NIAID NIH HHS AI46370NIAID NIH HHS AI46381NIAID NIH HHS AI46386NIAID NIH HHS AI50410NIAID NIH HHS P30 AI050410NIAID NIH HHS U01 AI025868NIAID NIH HHS U01 AI025903NIAID NIH HHS U01 AI025915NIAID NIH HHS U01 AI027658NIAID NIH HHS U01 AI027659NIAID NIH HHS U01 AI027664NIAID NIH HHS U01 AI027668NIAID NIH HHS U01 AI027670NIAID NIH HHS U01 AI034853NIAID NIH HHS U01 AI038855NIAID NIH HHS U01 AI038858NIAID NIH HHS U01 AI046370NIAID NIH HHS U01 AI046376NIAID NIH HHS U01 AI046381NIAID NIH HHS U01 AI046386NIAID NIH HHS U01 AI068634NIAID NIH HHS U01 AI068636NIAID NIH HHS U01 AI069423NIAID NIH HHS U01 AI069424NIAID NIH HHS U01 AI069432NIAID NIH HHS U01 AI069434NIAID NIH HHS U01 AI069450NIAID NIH HHS U01 AI069452NIAID NIH HHS U01 AI069465NIAID NIH HHS U01 AI069467NIAID NIH HHS U01 AI069471NIAID NIH HHS U01 AI069472NIAID NIH HHS U01 AI069495NIAID NIH HHS U01 AI069503NIAID NIH HHS U01 AI069511NIAID NIH HHS U01 AI069532NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069424NIAID NIH HHS UM1 AI069432NIAID NIH HHS UM1 AI069434NIAID NIH HHS UM1 AI069439NIAID NIH HHS UM1 AI069450NIAID NIH HHS UM1 AI069452NIAID NIH HHS UM1 AI069465NIAID NIH HHS UM1 AI069467NIAID NIH HHS UM1 AI069471NIAID NIH HHS UM1 AI069472NIAID NIH HHS UM1 AI069495NIAID NIH HHS UM1 AI069503NIAID NIH HHS UM1 AI069511NIAID NIH HHS UM1 AI069532NIMH NIH HHS MH075673NIMH NIH HHS MH64409NIMH NIH HHS P30 MH075673NIMH NIH HHS R01 MH064409NIMH NIH HHS R01 MH071150NINDS NIH HHS NS055628NINDS NIH HHS NS081196NINDS NIH HHS NS32228NINDS NIH HHS R01 NS032228NINDS NIH HHS R01 NS055628NINDS NIH HHS R01 NS081196NINDS NIH HHS U01 NS032228
6 · The paper itself

Abstract

Elevated cerebrospinal fluid (CSF) levels of markers of oxidative stress, neuronal injury, and inflammation and decreased neurotransmitter levels have been reported in HIV-associated neurocognitive disorders (HAND). Minocycline may have a neuroprotective effect by inhibiting inducible nitric oxide synthase, which produces nitric oxide, a compound that induces oxygen free radical production. In A5235, "Phase II, Randomized, Placebo-Controlled, Double-Blind Study of Minocycline in the Treatment of HIV-Associated Cognitive Impairment," minocycline was not associated with cognitive improvement, but the effect on the above CSF measures was not examined previously. The objective of this study was to examine the effect of minocycline on markers of oxidative stress, neuronal injury, neurotransmitter levels, and inflammation from CSF in participants in A5235. One hundred seven HIV+ individuals received either minocycline 100 mg or placebo orally every 12 h for 24 weeks. Twenty-one HIV+ individuals received the optional lumbar punctures. Lipid and protein markers of oxidative stress (e.g., ceramides and protein carbonyls), glutamate, neurotransmitter precursors, kynurenine metabolites, neurofilament heavy chain, and inflammatory cytokines were measured in the CSF before and after treatment. The 24-week change in ceramides was larger in a beneficial direction in the minocycline group compared to the placebo group. The two groups did not differ in the 24-week changes for other markers.These results suggest that minocycline may decrease lipid markers of oxidative stress (ceramides) in individuals with HAND; however, an effect of minocycline on other CSF markers was not observed. A larger sample size is needed to further validate these results.

Indexed as

Antiretroviral Therapy, Highly ActiveAcquired Immunodeficiency SyndromeAdministration, OralAdultAIDS Dementia ComplexAnti-HIV AgentsCeramidesCytokinesDouble-Blind MethodFemaleGlutamic AcidHIV-1HumansKynurenineMaleMiddle AgedAnti-HIV AgentsCeramidesCytokinesGlutamic AcidKynurenineMinocyclineneurofilament protein HNeurofilament ProteinsNeuroprotective AgentsNitric Oxide Synthase Type IINOS2 protein, human

Identifiers

PMID25377444
PMCPMC4268406
OpenAlexW2046712759

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.