Evidence map›Paper›PMID 26449164›Full record

Trial reportNature communications2015

Immunological biomarkers predict HIV-1 viral rebound after treatment interruption.

Jacob Hurst, Matthias Hoffmann, Matthew Pace, James P Williams, John Thornhill, Elizabeth Hamlyn, Jodi Meyerowitz, Chris Willberg, Kersten K Koelsch, Nicola Robinson and 12 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03198325 (Monitored Antiretroviral Pause in Chronic HIV-Infected Subjects With Long-Lasting Suppressed Viremia), which is not on this map. Cited by 127 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 2 pooled it
8.3field-weighted citation impact, top 2% 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.

NCT03198325 nacompletednot on this mapstarted 2016, after this paper: background citation

Monitored Antiretroviral Pause in Chronic HIV-Infected Subjects With Long-Lasting Suppressed Viremia (APACHE Study)

TypeinterventionalSponsorIRCCS San RaffaeleRan2016 to 2018Enrolled18ConditionsHIV SeropositivityArmsStop of ART
3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 2 syntheses or guidelines pooled it, 176 citations in OpenAlex.

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

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

22 authors at 9 institutions in 4 countries.

Jacob HurstNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
Matthias HoffmannNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
Matthew PaceNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
James P WilliamsNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
John ThornhillDivision of Medicine, Wright Fleming Institute, Imperial College, London W2 1PG, UK.
Elizabeth HamlynCaldecot Centre, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK.
Jodi MeyerowitzNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
Chris WillbergNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.ORCID http://orcid.org/0000-0003-3549-5472
Kersten K KoelschSt Vincent's Centre for Applied Medical Research and The Kirby Institute, UNSW Australia, Sydney, New South Wales 2052, Australia.
Nicola RobinsonNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
Helen BrownNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
Martin FisherDepartment of HIV and Sexual Health, Brighton and Sussex University Hospitals, Brighton BN2 5BE, UK.
Sabine KinlochDivision of Infection and Immunity, University College London, London WC1E 6BT, UK.
David A CooperSt Vincent's Centre for Applied Medical Research and The Kirby Institute, UNSW Australia, Sydney, New South Wales 2052, Australia.
Mauro SchechterProjeto Praça Onze, Hospital Escola São Francisco de Assis, Universidade Federal do Rio de Janeiro, Rio de Janeiro RJ 21941-901, Brazil.
Giuseppe TambussiDepartment of Infectious Diseases, Ospedale San Raffaele, Milan 20132, Italy.
Sarah FidlerDivision of Medicine, Wright Fleming Institute, Imperial College, London W2 1PG, UK.
Abdel BabikerMRC Clinical Trials Unit at UCL Institute of Clinical Trials &Methodology, London WC2B 6NH, UK.
Jonathan WeberDivision of Medicine, Wright Fleming Institute, Imperial College, London W2 1PG, UK.
Anthony D KelleherSt Vincent's Centre for Applied Medical Research and The Kirby Institute, UNSW Australia, Sydney, New South Wales 2052, Australia.
Rodney E PhillipsNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
John FraterNuffield Department of Clinical Medicine, Peter Medawar Building for Pathogen Research, John Radcliffe Hospital, Oxford OX1 3SY, UK.
John Radcliffe Hospital · GBImperial College London · GBSt Vincent's Clinic · AUIRCCS Ospedale San Raffaele · ITKing's College Hospital NHS Foundation Trust · GBMRC Clinical Trials Unit at UCL · GBUniversidade Federal do Rio de Janeiro · BRUniversity College London · GBUniversity of Sussex · GB

Funding

Medical Research Council MC_U122886352Medical Research Council MC_UU_12023/16Medical Research Council MC_UU_12023/23Medical Research Council MR/L006588/1Medical Research Council MR/N001265/1Wellcome TrustWellcome Trust 069598/Z/02/Z
6 · The paper itself

Abstract

Treatment of HIV-1 infection with antiretroviral therapy (ART) in the weeks following transmission may induce a state of 'post-treatment control' (PTC) in some patients, in whom viraemia remains undetectable when ART is stopped. Explaining PTC could help our understanding of the processes that maintain viral persistence. Here we show that immunological biomarkers can predict time to viral rebound after stopping ART by analysing data from a randomized study of primary HIV-1 infection incorporating a treatment interruption (TI) after 48 weeks of ART (the SPARTAC trial). T-cell exhaustion markers PD-1, Tim-3 and Lag-3 measured prior to ART strongly predict time to the return of viraemia. These data indicate that T-cell exhaustion markers may identify those latently infected cells with a higher proclivity to viral transcription. Our results may open new avenues for understanding the mechanisms underlying PTC, and eventually HIV-1 eradication.

Indexed as

Anti-HIV AgentsBiomarkersCD4 Lymphocyte CountHIV-1HIV InfectionsHumansViral LoadWithholding TreatmentAnti-HIV AgentsBiomarkers

Identifiers

PMID26449164
PMCPMC4633715
OpenAlexW2255978246

What OpenQuestion holds

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LicenceCC BY
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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.