Evidence map›Paper›PMID 25686680›Full record

Trial reportAIDS (London, England)2015

Statin therapy decreases N-terminal pro-B-type natriuretic peptide in HIV: randomized placebo-controlled trial.

Sahera Dirajlal-Fargo, Bruce Kinley, Ying Jiang, Chris T Longenecker, Corrilynn O Hileman, Sara Debanne, Grace A McComsey

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Effects of Statins on Renin-Angiotensin System.Journal of cardiovascular development and disease · 2021
    Review
  7. Review
  8. Article
  9. Evidence-based review of statin use in patients with HIV on antiretroviral therapy.Journal of clinical & translational endocrinology · 2017
    Review
  10. Statins to improve cardiovascular outcomes in treated HIV infection.Current opinion in infectious diseases · 2016
    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

7 authors at 2 institutions in 1 country.

Sahera Dirajlal-FargoaCase Western Reserve University bRainbow Babies and Children's Hospital cCase Medical Center, University Hospitals dMetroHealth Medical Center, Cleveland, Ohio, USA.
Bruce Kinley
Ying Jiang
Chris T Longenecker
Corrilynn O Hileman
Sara Debanne
Grace A McComsey
Case Western Reserve University · USMetroHealth · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Immaculate Lillian Nankya · 1994 to 2026
$50.0M
Inflammation, Heart and BoneR01NR012642 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2010 to 2014
$2.5M
Pericardial fat, inflammation, and structural heart disease in HIVK23HL123341 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LONGENECKER, CHRIS TODD · 2014 to 2018
$885k
Vitamin D Status, Inflammation and Cardiac Risk in HIVK23HL116209 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI HILEMAN, CORRILYNN OLESKY · 2013 to 2017
$734k
NHLBI NIH HHS K23 HL116209NHLBI NIH HHS K23HL116209NHLBI NIH HHS K23 HL123341NIAID NIH HHS P30 AI036219NIAID NIH HHS P30 AI36219NINR NIH HHS R01 NR012642
6 · The paper itself

Abstract

objectiveHIV-infected participants are at a higher risk for cardiovascular disease (CVD). N-terminal pro-B-type natriuretic peptide (NT-proBNP) is a significant predictor of CVD in the general population and is associated with mortality in HIV. DESIGN AND

methodsThe 96-week Stopping Atherosclerosis and Treating Unhealthy Bone with Rosuvastatin in HIV (SATURN-HIV) trial randomized 147 patients on stable antiretroviral therapy with low-density lipoprotein-cholesterol level lower than 130 mg/dl and without overt heart failure to 10 mg daily rosuvastatin or placebo. We measured NT-proBNP levels by enzyme-linked immunosorbent assay (ELISA). Baseline and changes in NT-proBNP were compared between groups. Spearman correlation was used to explore relationships between baseline NT-proBNP, inflammation, and CVD risk markers. Multivariable analyses were conducted to assess associations with NT-proBNP levels.

resultsMedian age was 46 years, 80% were men, 69% were African American, and 46% were on protease inhibitors. At baseline, median (Q1, Q3) NT-proBNP was higher in the rosuvastatin group than placebo [41 (20, 66.5) versus 25 pg/ml (11, 56), P = 0.012)]. Baseline NT-proBNP correlated with bulb and common carotid artery intima-media thickness, coronary calcium score, interleukin 6, and cystatin C. After 96 weeks, median NT-proBNP decreased significantly in the rosuvastatin group versus placebo (-1.50 versus +4.50 pg/ml, P = 0.041). Within the rosuvastatin group, changes in NT-proBNP were negatively correlated with changes in insulin resistance and total limb fat.

conclusionRosuvastatin reduces plasma NT-proBNP in HIV-infected participants on antiretroviral therapy. NT-proBNP correlated with several measures of CVD risk, independent of inflammation markers.

Indexed as

AdultAnticholesteremic AgentsAnti-Retroviral AgentsCardiovascular DiseasesEnzyme-Linked Immunosorbent AssayFemaleFluorobenzenesHIV InfectionsHumansMaleMiddle AgedNatriuretic Peptide, BrainPlacebosPyrimidinesRosuvastatin CalciumSulfonamidesAnticholesteremic AgentsAnti-Retroviral AgentsFluorobenzenesNatriuretic Peptide, BrainPlacebosPyrimidinesRosuvastatin CalciumSulfonamides

Identifiers

PMID25686680
PMCPMC4405026
OpenAlexW2043299696

What OpenQuestion holds

Texttitle and abstract
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.