Evidence map›Paper›PMID 26379282›Full record

Trial reportPLoS pathogens2015

The Depsipeptide Romidepsin Reverses HIV-1 Latency In Vivo.

Ole S Søgaard, Mette E Graversen, Steffen Leth, Rikke Olesen, Christel R Brinkmann, Sara K Nissen, Anne Sofie Kjaer, Mariane H Schleimann, Paul W Denton, William J Hey-Cunningham and 9 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in PLoS pathogens, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 361 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
361citing papers in PubMed, 1 pooled it
29.5field-weighted citation impact, top 1% 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

361 citing papers in PubMed, 1 synthesis or guideline pooled it, 519 citations in OpenAlex.

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301 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 5 countries.

Ole S SøgaardDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Mette E GraversenDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Steffen LethDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Rikke OlesenDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Christel R BrinkmannDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Sara K NissenDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Anne Sofie KjaerDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Mariane H SchleimannDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Paul W DentonDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark; Aarhus Institute for Advanced Studies, Aarhus University, Denmark.
William J Hey-CunninghamKirby Institute, University of New South Wales Medicine, University of New South Wales Australia, Sydney, Australia.
Kersten K KoelschKirby Institute, University of New South Wales Medicine, University of New South Wales Australia, Sydney, Australia.
Giuseppe PantaleoDivision of Immunology and Allergy, Lausanne University Hospital, Lausanne, Switzerland.
Kim KrogsgaardBionor Pharma ASA, Oslo, Norway.
Maja SommerfeltBionor Pharma ASA, Oslo, Norway.
Remi FromentinCentre de Recherche du CHUM, Montreal, Quebec, Canada.
Nicolas ChomontCentre de Recherche du CHUM, Montreal, Quebec, Canada; Department of Microbiology, Infectiology, and Immunology, Université de Montréal, Faculty of Medicine, Montreal, Quebec, Canada.
Thomas A RasmussenDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.
Lars ØstergaardDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Martin TolstrupDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark; Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Aarhus University Hospital · DKAarhus University · DKBionor (Norway) · NOUNSW Sydney · AUCentre Hospitalier de l’Université de Montréal · CAUniversité du Québec à Montréal · CAUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledPharmacologically-induced activation of replication competent proviruses from latency in the presence of antiretroviral treatment (ART) has been proposed as a step towards curing HIV-1 infection. However, until now, approaches to reverse HIV-1 latency in humans have yielded mixed results. Here, we report a proof-of-concept phase Ib/IIa trial where 6 aviremic HIV-1 infected adults received intravenous 5 mg/m2 romidepsin (Celgene) once weekly for 3 weeks while maintaining ART. Lymphocyte histone H3 acetylation, a cellular measure of the pharmacodynamic response to romidepsin, increased rapidly (maximum fold range: 3.7–7.7 relative to baseline) within the first hours following each romidepsin administration. Concurrently, HIV-1 transcription quantified as copies of cell-associated un-spliced HIV-1 RNA increased significantly from baseline during treatment (range of fold-increase: 2.4–5.0; p = 0.03). Plasma HIV-1 RNA increased from <20 copies/mL at baseline to readily quantifiable levels at multiple post-infusion time-points in 5 of 6 patients (range 46–103 copies/mL following the second infusion, p = 0.04). Importantly, romidepsin did not decrease the number of HIV-specific T cells or inhibit T cell cytokine production. Adverse events (all grade 1–2) were consistent with the known side effects of romidepsin. In conclusion, romidepsin safely induced HIV-1 transcription resulting in plasma HIV-1 RNA that was readily detected with standard commercial assays demonstrating that significant reversal of HIV-1 latency in vivo is possible without blunting T cell-mediated immune responses. These finding have major implications for future trials aiming to eradicate the HIV-1 reservoir.

trial registrationclinicaltrials.gov NTC02092116.

Indexed as

AcetylationAdultAIDS VaccinesAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveBiomarkersCohort StudiesDepsipeptidesDrug InteractionsFemaleFollow-Up StudiesHistonesHIV-1HIV InfectionsHumansInfusions, IntravenousAIDS VaccinesAnti-HIV AgentsBiomarkersDepsipeptidesHistonesRNA, ViralromidepsinVacc-4x

Identifiers

PMID26379282
PMCPMC4575032
OpenAlexW2098194107

What OpenQuestion holds

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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.