Evidence map›Paper›PMID 26636925›Full record

Observational studyAIDS (London, England)2016

The impact of transient combination antiretroviral treatment in early HIV infection on viral suppression and immunologic response in later treatment.

Nikos Pantazis, Giota Touloumi, Laurence Meyer, Ashley Olson, Dominique Costagliola, Anthony D Kelleher, Irja Lutsar, Marie-Laure Chaix, Martin Fisher, Santiago Moreno and 2 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

Nikos PantazisaDepartment of Hygiene, Epidemiology and Medical Statistics, Athens University Medical School, Athens, GreecebFaculte de Medecine Paris SudcINSERM U1018, Centre de recherche en Epidemiologie et Sante des Populations, Universite Paris Sud, Le Kremlin Bicetre, FrancedMedical Research Council Clinical Trials Unit, University College London, London, UKeINSERMfSorbonne Universités, UPMC Univ Paris 06, UMRS 1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, FrancegKirby Institute, UNSW, Sydney, AustraliahDepartment of Microbiology, Faculty of Medicine, University of Tartu, Tartu, EstoniaiLaboratoire de Virologie, Hopital Saint Louis, Universite Paris Diderot, INSERM U941, Paris, FrancejHIV/GUM Research, Brighton and Sussex University Hospitals NHS Trust, Brighton and Sussex Medical School, Brighton, UKkInfectious Diseases Department, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain.
Giota Touloumi
Laurence Meyer
Ashley Olson
Dominique Costagliola
Anthony D Kelleher
Irja Lutsar
Marie-Laure Chaix
Martin Fisher
Santiago Moreno
Kholoud Porter
CASCADE Collaboration in EuroCoord
Medical Research Council · GBCentre de recherche en Epidémiologie et Santé des Populations · FRHôpital Saint-Louis · FR

Funding

Medical Research Council MC_UU_12023/1Medical Research Council MC_UU_12023/15Medical Research Council MC_UU_12023/23
6 · The paper itself

Abstract

objectiveEffects of transient combination antiretroviral treatment (cART) initiated during early HIV infection (EHI) remain unclear. We investigate whether this intervention affects viral suppression and CD4 cell count increase following its reinitiation in chronic infection (CHI).

designLongitudinal observational study.

methodsWe identified adult patients from Concerted Action of Seroconversion to AIDS and Death in Europe who seroconverted after 1/1/2000, had a 12 months or less HIV test interval and initiated cART from naive. We classified individuals as 'pretreated in EHI' if treated within 6 months of seroconversion, interrupted for at least 12 weeks, and reinitiated during CHI. Statistical analysis was performed using survival analysis methods and mixed models.

resultsPretreated and initiated in CHI groups comprised 202 and 4263 individuals, with median follow-up after CHI treatment 4.5 and 3 years, respectively. Both groups had similar virologic response and relapse rates (P = 0.585 and P = 0.206) but pretreated individuals restarted treatment with higher baseline CD4 cell count (∼80 cells/μl; P < 0.001) and retained significantly higher CD4 cell count for more than 3 years after treatment (re)initiation. Assuming common baseline CD4 cell count, differences in CD4 cell count slopes were nonsignificant. Immunovirologic response to CHI treatment was not associated with timing or duration of the transient treatment.

conclusionAlthough treatment interruptions are not recommended, stopping cART initiated in EHI does not seem to reduce the chance of a successful outcome of treatment in CHI.

Indexed as

Viral LoadAdolescentAdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountEuropeFemaleHIVHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedTreatment OutcomeWithholding TreatmentAnti-HIV Agents

Identifiers

PMID26636925
PMCPMC4794189
OpenAlexW2335987464

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.