Evidence map›Paper›PMID 26285704›Full record

Trial reportBMC infectious diseases2015

The effect of standard dose multivitamin supplementation on disease progression in HIV-infected adults initiating HAART: a randomized double blind placebo-controlled trial in Uganda.

David Guwatudde, Molin Wang, Amara E Ezeamama, Danstan Bagenda, Rachel Kyeyune, Henry Wamani, Yukari C Manabe, Wafaie W Fawzi

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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.

NCT01228578 phase3completednot on this map

Multi-vitamins, HAART and HIV/AIDS in Uganda

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2010 to 2013Enrolled400ConditionsHIV/AIDSArmsMultivitamin supplements B,C and E
NCT02552602 naunknown statusnot on this map

The Role of Multivitamins in Pediatric HIV Management in Nigeria: A Randomized Controlled Study

TypeinterventionalSponsorRegina EsiovwaRan2015 to 2016Enrolled190ConditionsHIVArmsMultivitamin A, Multivitamin B, Multivitamin C
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Micronutrient supplementation in adults with HIV infection.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Trial
  4. Article
  5. Article
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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

8 authors at 3 institutions in 2 countries.

David GuwatuddeSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda. dguwatudde@musph.ac.ug.
Molin WangDepartments of Epidemiology and Biostatistics, Harvard School of Public Health, Channing Division of Network Medicine, Harvard Medical School, Boston, MA, USA. stmow@channing.harvard.edu.
Amara E EzeamamaDepartment of Epidemiology and Biostatistics, University of Georgia, Athens, GA, USA. aezeamam@uga.edu.
Danstan BagendaSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda. dbagenda@hsph.harvard.edu.
Rachel KyeyuneInfectious Diseases Institute, Makerere University College of Health Sciences, Kampala, Uganda. smilin.rasasa@gmail.com.
Henry WamaniSchool of Public Health, Makerere University College of Health Sciences, Kampala, Uganda. hwamani@musph.ac.ug.
Yukari C ManabeDivision of Infectious Diseases, Department of Medicine, John Hopkins University, Baltimore, MD, USA. ymanabe@jhmi.edu.
Wafaie W FawziDepartments of Global Health and Population, Nutrition and Epidemiology, Harvard School of Public Health, Boston, MA, USA. mina@hsph.harvard.edu.
Makerere University · UGHarvard University Press · USInfectious Diseases Institute · UG

Funding

Multi-vitamins, HAART and HIV/AIDS in UgandaR01HD060333 · NICHD · HARVARD SCHOOL OF PUBLIC HEALTH · PI FAWZI, WAFAIE W · 2008 to 2012
$1.6M
NICHD NIH HHS R01HD060333
6 · The paper itself

Abstract

backgroundEfficacy trials investigating the effect of multivitamin (MV) supplementations among patients on Highly Active Antiretroviral Therapy (HAART) have so far been inconclusive. We conducted a randomized, double blind, placebo controlled trial to determine the effect of one recommended daily allowance (RDA) of MV supplementation on disease progression in patients initiating HAART.

methodsEligible subjects were randomized to receive placebo or MV supplementation including vitamins B-complex, C and E. Participants were followed for up to 18 months. Primary endpoints were: change in CD4 cell count, weight and quality of life (QoL). Secondary endpoints were: i) development of a new or recurrent HIV disease progression event, including all-cause mortality; ii) switching from first- to second-line antiretroviral therapy (ART); and iii) occurrence of an adverse event. Intent-to-treat analysis, using linear regression mixed effects models were used to compare changes over time in the primary endpoints between the study arms. Kaplan-Meier time-to-event analysis and the log-rank test was used to compare HIV disease progression events and all-cause mortality.

resultsFour hundred participants were randomized, 200 onto MV and 200 onto placebo. By month 18, the average change in CD4 cell count in the MV arm was 141 cells/uL compared to 147 cells/uL in the placebo arm, a mean difference of -6 · 17 [95 % CI -29 · 3, 16 · 9]. The average change in weight in the MV arm was 3 · 9 kg compared to 3 · 3 kg in the placebo arm, a mean difference of 0 · 54 [95 % CI -0 · 40, 1 · 48]; whereas average change in QoL scores in the MV arm was 6 · 8 compared to 8 · 8 in the placebo arm, a mean difference of -2.16 [95 % CI -4 · 59,0 · 27]. No significant differences were observed in these primary endpoints, or in occurrence of adverse events between the trial arms.

conclusionsOne RDA of MV supplementation was safe but did not have an effect on indicators of disease progression among HIV infected adults initiating HAART.

trial registrationClinical trials NCT01228578 , registered on 15th October 2010.

Indexed as

Antiretroviral Therapy, Highly ActiveDietary SupplementsAdolescentAdultBody WeightCD4 Lymphocyte CountDisease ProgressionDouble-Blind MethodFemaleHIV InfectionsHumansKaplan-Meier EstimateLinear ModelsMaleMiddle AgedQuality of LifeVitamins

Identifiers

PMID26285704
PMCPMC4545778
OpenAlexW1859280451

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.