Evidence map›Paper›PMID 25743428›Full record

Trial reportThe Journal of infectious diseases2015

Vaginal Cytomegalovirus Shedding Before and After Initiation of Antiretroviral Therapy in Rakai, Uganda.

Sara Gianella, Andrew D Redd, Mary K Grabowski, Aaron A R Tobian, David Serwadda, Kevin Newell, Eshan U Patel, Sarah Kalibbala, Paschal Ssebbowa, Ronald H Gray and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Review
  14. Article
  15. Longitudinal Viral Dynamics in Semen During Early HIV Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  16. Cytomegalovirus and paediatric HIV infection.Journal of virus eradication · 2016
    Article
  17. Cytomegalovirus and HIV: A Dangerous Pas de Deux.The Journal of infectious diseases · 2016
    Review
  18. Observational
  19. Review
  20. 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

12 authors at 5 institutions in 2 countries.

Sara GianellaDepartment of Infectious Disease, University of California San Diego, La Jolla.
Andrew D ReddDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda Department of Medicine, School of Medicine, Johns Hopkins University.
Mary K GrabowskiDepartment of Epidemiology, Johns Hopkins University, Bloomberg School of Public Health.
Aaron A R TobianDepartment of Epidemiology, Johns Hopkins University, Bloomberg School of Public Health Department of Pathology, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
David SerwaddaRakai Health Sciences Program, Entebbe Institute of Public Health, Makerere University, Kampala, Uganda.
Kevin NewellClinical Research Directorate/Clinical Monitoring Research Program, SAIC-Frederick, Inc, Frederick National Laboratory for Cancer Research, Maryland.
Eshan U PatelDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda.
Sarah KalibbalaRakai Health Sciences Program, Entebbe.
Paschal SsebbowaRakai Health Sciences Program, Entebbe.
Ronald H GrayDepartment of Epidemiology, Johns Hopkins University, Bloomberg School of Public Health Rakai Health Sciences Program, Entebbe.
Thomas C QuinnDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda Department of Medicine, School of Medicine, Johns Hopkins University.
Steven J ReynoldsDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda Department of Medicine, School of Medicine, Johns Hopkins University Rakai Health Sciences Program, Entebbe.
Johns Hopkins University · USRakai Health Sciences Program · UGNational Institute of Allergy and Infectious Diseases · USScience Applications International Corporation (United States) · USUniversity of California, San Diego · 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
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Maile Ann Young Karris · 1994 to 2026
$78.4M
THE PERINATAL COMPLICATIONS OF ASYMPTOMATIC GENITAL HERPES SIMPLEX VIRUSP01AI030731 · NIAID · UNIVERSITY OF WASHINGTON · PI KOELLE, DAVID M · 1991 to 2017
$34.3M
International Center for Excellence in Research (ICER) in Uganda: Impact of ARVsZIAAI001040 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REYNOLDS, STEVEN · 2009 to 2025
$23.5M
Primary Infection Resource Consortium (PIRC)R24AI106039 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LITTLE, SUSAN JANET · 2013 to 2021
$23.1M
San Diego Clinical and Translational Research InstituteUL1TR000100 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2012 to 2015
$19.7M
International Studies of the Acquired Immune Deficiency Syndrome (AIDS)ZIAAI000361 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REDD, ANDREW · 2009 to 2025
$15.8M
Johns Hopkins HIV Epidemiology and Prevention Sciences Training ProgramT32AI102623 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Shruti H Mehta · 2013 to 2026
$5.3M
Mentoring Translational Research in HIVK24AI100665 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SMITH, DAVID MITCHELL · 2012 to 2021
$1.5M
Oncogenic HPV, Mucosal Immune Response and Risk of HIV AcquisitionK23AI093152 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TOBIAN, AARON A · 2011 to 2015
$684k
CCR NIH HHS HHSN261200800001CNCATS NIH HHS UL1 TR000100NCATS NIH HHS UL1TR000100NCI NIH HHS HHSN261200800001ENIAID NIH HHS 1K23AI093152-01A1NIAID NIH HHS 7-UM1 AI068636-07NIAID NIH HHS AI100665NIAID NIH HHS AI-30731-19NIAID NIH HHS K23 AI093152NIAID NIH HHS K24 AI100665NIAID NIH HHS P01 AI030731NIAID NIH HHS P30 AI027763NIAID NIH HHS P30-AI027763NIAID NIH HHS P30 AI036214NIAID NIH HHS R24 AI106039NIAID NIH HHS R24AI106039NIAID NIH HHS T32 AI102623NIAID NIH HHS T32AI102623NIAID NIH HHS UM1 AI068636
6 · The paper itself

Abstract

Vaginal shedding of cytomegalovirus (CMV) DNA was determined longitudinally among 96 women coinfected with human immunodeficiency virus (HIV), herpes simplex virus 2, and CMV starting antiretroviral therapy (ART) during a placebo-controlled trial of HSV-2 suppression with acyclovir in Rakai, Uganda. Vaginal CMV was detected in 75 of 96 women (78.0%) and 379 of 1080 individual visits (35.1%). ART status, higher HIV RNA viral load before ART initiation, and younger age were significantly associated with increased frequency of CMV shedding (P < .01). Compared to pre-ART, CMV shedding peaked from month 2 to month 4 after ART initiation, suggesting possible immune reconstitution inflammatory syndrome. Further studies need to determine the clinical significance of asymptomatic CMV shedding.

Indexed as

AcyclovirAdultAnti-Retroviral AgentsCD4 Lymphocyte CountCoinfectionCytomegalovirusCytomegalovirus InfectionsDouble-Blind MethodFemaleHerpes GenitalisHerpesvirus 2, HumanHIV InfectionsHumansLongitudinal StudiesUgandaVaginaAcyclovirAnti-Retroviral Agentsacyclovirantiretroviral therapy (ART)cytomegalovirus (CMV)human immunodeficiency virus (HIV)immune reconstitution inflammatory syndrome (IRIS)reactivationUganda

Identifiers

PMID25743428
PMCPMC4548459
OpenAlexW2118994361

What OpenQuestion holds

Textmetadata
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.