Evidence map›Paper›PMID 26558541›Full record

ArticleAIDS (London, England)2015

Early HIV RNA decay during raltegravir-containing regimens exhibits two distinct subphases (1a and 1b).

Adriana Andrade, Jeremie Guedj, Susan L Rosenkranz, Darlene Lu, John Mellors, Daniel R Kuritzkes, Alan S Perelson, Ruy M Ribeiro, ACTG A5249s protocol team

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

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  16. Residual Viremia in Treated HIV+ Individuals.PLoS computational biology · 2016
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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

9 authors at 6 institutions in 2 countries.

Adriana AndradeaThe Johns Hopkins University, Baltimore, Maryland, USA bINSERM, IAME, UMR 1137, and Université Paris Diderot, IAME, UMR 1137, Sorbonne Paris Cité, Paris, France cCenter for Biostatistics in AIDS Research, Harvard School of Public Health, Boston, Massachusetts dUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania eBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts fTheoretical Biology and Biophysics, Los Alamos National Laboratory, Los Alamos, New Mexico, USA.
Jeremie Guedj
Susan L Rosenkranz
Darlene Lu
John Mellors
Daniel R Kuritzkes
Alan S Perelson
Ruy M Ribeiro
ACTG A5249s protocol team
Cancer Research And Biostatistics · USLos Alamos National Laboratory · USHarvard University · USJohns Hopkins University · USSorbonne Paris Cité · FRUniversity of Pittsburgh · 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
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
Modeling Viral and T Lymphocyte DynamicsR01OD011095 · OD · TRIAD NATIONAL SECURITY, LLC · PI PERELSON, ALAN S · 2012 to 2024
$5.0M
Immune System Modeling/HIVR01AI028433 · NIAID · UNIVERSITY OF CALIF-LOS ALAMOS NAT LAB · PI PERELSON, ALAN S · 1990 to 2021
$3.7M
Quantifying Immune VS. Viral Killing of SIV Infected and Latently Infected CellsR01AI104373 · NIAID · LOS ALAMOS NAT SECTY-LOS ALAMOS NAT LAB · PI RIBEIRO, RUY M · 2013 to 2016
$2.7M
NIAID NIH HHS R01 AI028433NIAID NIH HHS R01-AI028433NIAID NIH HHS R01 AI104373NIAID NIH HHS R01-AI104373NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI106701NIH HHS R01 OD011095NIH HHS R01-OD011095
6 · The paper itself

Abstract

backgroundWe analyzed the early kinetics with integrase inhibitor treatment to gain new insights into viral dynamics. METHODOLOGY: We analyzed data from 39 HIV-1 infected, treatment-naive, participants: 28 treated with raltegravir (RAL; multiple doses) monotherapy for 9 days, and 11 with RAL 400 mg twice daily and emtricitabine (200 mg daily)/tenofovir disoproxil fumarate (300 mg daily). Plasma HIV-1 RNA was measured frequently; the data was fitted using a mathematical model of viral dynamics distinguishing between infected cells with unintegrated HIV DNA and productively infected cells. Parameters were estimated using mixed-effect models.

resultsRAL treatment led to a biphasic viral decline with a rapid first phase (1a) lasting approximately 5 days followed by a slower phase (1b). Phase 1a is attributed to the rapid elimination of productively infected cells. Phase 1b reflects the loss of infected cells with nonintegrated provirus due to cell loss and integration of HIV DNA. The half-lives of productively infected cells and of infected cells that had completed reverse transcription but had not yet integrated HIV DNA were approximately 19 h and between 3.6 and 5.8 days, respectively. The effectiveness of RAL in preventing proviral integration was 94% and 99.7%, for the combination therapy and monotherapy groups, respectively.

conclusionWe found that the first phase of viral decay with RAL therapy was composed of two subphases corresponding to the half-lives of infected cells with integrated proviruses and with unintegrated HIV-DNA.

Indexed as

Anti-HIV AgentsAntiretroviral Therapy, Highly ActiveDNA, ViralHIV-1HIV InfectionsHumansPlasmaRaltegravir PotassiumRNA, ViralViral LoadAnti-HIV AgentsDNA, ViralRaltegravir PotassiumRNA, Viral

Identifiers

PMID26558541
PMCPMC4646723
OpenAlexW2437629619

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Registered trials

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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.