Evidence map›Paper›PMID 26107771›Full record

ReviewAIDS research and human retroviruses2015

HIV Epidemic in Asia: Implications for HIV Vaccine and Other Prevention Trials.

Nittaya Phanuphak, Ying-Ru Lo, Yiming Shao, Sunil Suhas Solomon, Robert J O'Connell, Sodsai Tovanabutra, David Chang, Jerome H Kim, Jean Louis Excler

Open access · greenAbstract readReview
In one paragraph

Review in AIDS research and human retroviruses, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Phylogenetic Analysis of Human Immunodeficiency Virus from People Who Inject Drugs in Indonesia, Ukraine, and Vietnam: HPTN 074.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
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  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. First Appearance of HIV-1 CRF07_BC and CRF08_BC Outside China.AIDS research and human retroviruses · 2017
    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

9 authors at 4 institutions in 3 countries.

Nittaya Phanuphak1 SEARCH, The Thai Red Cross AIDS Research Centre , Bangkok, Thailand .
Ying-Ru Lo2 HIV, Hepatitis, and STI Unit, WHO Regional Office for the Western Pacific , Manila, Philippines .
Yiming Shao3 National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention , Beijing, China .
Sunil Suhas Solomon4 Johns Hopkins University School of Medicine , Baltimore, Maryland.
Robert J O'Connell6 Department of Retrovirology, U.S. Army Medical Component, Armed Forces Institute of Medical Sciences (AFRIMS) , Bangkok, Thailand .
Sodsai Tovanabutra7 U.S. Military HIV Research Program, Walter Reed Army Institute of Research , Silver Spring, Maryland.
David Chang7 U.S. Military HIV Research Program, Walter Reed Army Institute of Research , Silver Spring, Maryland.
Jerome H Kim7 U.S. Military HIV Research Program, Walter Reed Army Institute of Research , Silver Spring, Maryland.
Jean Louis Excler8 U.S. Military HIV Research Program , Bethesda, Maryland.
Walter Reed Army Institute of Research · USHenry M. Jackson Foundation · USJohns Hopkins Medicine · USThai Red Cross Society · TH

Funding

World Health Organization 001
6 · The paper itself

Abstract

An overall decrease of HIV prevalence is now observed in several key Asian countries due to effective prevention programs. The decrease in HIV prevalence and incidence may further improve with the scale-up of combination prevention interventions. The implementation of future prevention trials then faces important challenges. The opportunity to identify heterosexual populations at high risk such as female sex workers may rapidly wane. With unabating HIV epidemics among men who have sex with men (MSM) and transgender (TG) populations, an effective vaccine would likely be the only option to turn the epidemic. It is more likely that efficacy trials will occur among MSM and TG because their higher HIV incidence permits smaller and less costly trials. The constantly evolving patterns of HIV-1 diversity in the region suggest close monitoring of the molecular HIV epidemic in potential target populations for HIV vaccine efficacy trials. CRF01_AE remains predominant in southeast Asian countries and MSM populations in China. This relatively steady pattern is conducive to regional efficacy trials, and as efficacy warrants, to regional licensure. While vaccines inducing nonneutralizing antibodies have promise against HIV acquisition, vaccines designed to induce broadly neutralizing antibodies and cell-mediated immune responses of greater breadth and depth in the mucosal compartments should be considered for testing in MSM and TG. The rationale and design of efficacy trials of combination prevention modalities such as HIV vaccine and preexposure prophylaxis (PrEP) remain hypothetical, require high adherence to PrEP, are more costly, and present new regulatory challenges. The prioritization of prevention interventions should be driven by the HIV epidemic and decided by the country-specific health and regulatory authorities. Modeling the impact and cost-benefit may help this decision process.

Indexed as

EpidemicsAIDS VaccinesAsiaClinical Trials as TopicDisease Transmission, InfectiousFemaleHIV InfectionsHomosexuality, MaleHumansIncidenceMalePrevalenceTransgender PersonsAIDS Vaccines

Identifiers

PMID26107771
PMCPMC4651036
OpenAlexW1730310909

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.