Evidence map›Paper›PMID 25553058›Full record

ArticleAIDS research and therapy2014

Effectiveness of enfuvirtide in a cohort of highly antiretroviral-experienced HIV-1-infected patients in Mexico.

Gloria Huerta-García, Marcelino Chavez-García, José Antonio Mata-Marín, Jorge Sandoval-Ramírez, Juan Domínguez-Hermosillo, Ana Lourdes Rincón-Rodríguez, Jesús Gaytán-Martínez

Open access · goldAbstract read
In one paragraph

Article in AIDS research and therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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 3 institutions in 1 country.

Gloria Huerta-GarcíaDepartamento de Infectología Pediátrica, Hospital de Pediatría, Centro Médico Nacional "Siglo XXI", IMSS, México City (Distrito Federal), México ; Servicio de Infectología, Hospital de Pediatría Centro Médico Nacional Siglo XXI, Avenida Cuauhtémoc 330, Cuauhtémoc, Doctores, Ciudad de México, DF 06720 México.
Marcelino Chavez-GarcíaUnidad Médica de Alta Especialidad No. 25, IMSS, Monterrey, Nuevo León México.
José Antonio Mata-MarínDepartamento de Infectología adultos, Hospital de Infectología, Centro Médico Nacional "La Raza", IMSS, México City (Distrito Federal), México.
Jorge Sandoval-RamírezDepartamento de Infectología adultos, Hospital de Infectología, Centro Médico Nacional "La Raza", IMSS, México City (Distrito Federal), México.
Juan Domínguez-HermosilloDepartamento de Infectología adultos, Hospital de Infectología, Centro Médico Nacional "La Raza", IMSS, México City (Distrito Federal), México.
Ana Lourdes Rincón-RodríguezDepartamento de Infectología adultos, Hospital de Infectología, Centro Médico Nacional "La Raza", IMSS, México City (Distrito Federal), México.
Jesús Gaytán-MartínezDepartamento de Infectología adultos, Hospital de Infectología, Centro Médico Nacional "La Raza", IMSS, México City (Distrito Federal), México.
Centro Médico Nacional La Raza · MXCentro Medico Nacional Siglo XXI · MXMexican Social Security Institute · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatments in patients with multidrug resistance often involve the use of multiple agents with partial antiviral activity and overlapping metabolic toxicities. Enfuvirtide is therefore a welcome addition to the antiretroviral management of patients with multiclass resistant virus, given the low risk of systemic toxicities and novel mechanism of action relative to existing drug classes. The aim of this study was to evaluate the effectiveness of ENF plus optimized background regimen (OBR) in a Mexican cohort of highly HIV-1 ARV-experienced patients.

methodsProspective cohort of treatment-experienced HIV-1-infected adults with virological failure who started therapy with an ENF-containing regimen. The effectiveness of ENF treatment was evaluated with percentages of undetectable HIV-1 RNA viral load after 24 and 48 weeks of treatment, and changes in CD4+ cell counts.

resultsForty patients >18 years were included. After 24 weeks of treatment, 91% of patients had HIV-1 RNA viral load <400 copies/mL and 65.8% had <50 copies/mL. At week 48 of treatment, 81.4% of the patients had HIV-1 RNA <400 copies/mL and 55.5% had <50 copies/mL; in both cases p <0.0001 compared to baseline. Increase CD4+ cells were also statistically significant at weeks 24 and 48 with respect to the baseline. Pain at the site of injection was the main adverse event in 100% of patients.

conclusionOur study provides clinically important evidence of the effectiveness and safety of ENF in highly ARV-experienced HIV-1-infected patients. These findings strengthen the results of previous randomized controlled trials with this agent.

Indexed as

Drug tolerabilityEnfuvirtideHIVTreatment- experiencedVirologic suppression

Identifiers

PMID25553058
PMCPMC4280743
OpenAlexW1968767956

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.