Evidence map›Paper›PMID 26935044›Full record

Trial reportAIDS research and human retroviruses2016

The Effect of Chloroquine on Immune Activation and Interferon Signatures Associated with HIV-1.

Jeffrey M Jacobson, Steven E Bosinger, Minhee Kang, Pablo Belaunzaran-Zamudio, Roy M Matining, Cara C Wilson, Charles Flexner, Brian Clagett, Jill Plants, Sarah Read and 10 more

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

Trial report in AIDS research and human retroviruses, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00819390 (A Phase II, Double Blind, Randomized, Exploratory Study of Chloroquine for Reducing HIV-Associated Immune Activation), which is not on this map. Cited by 25 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 5 pooled it
1.4field-weighted citation impact, top 18% 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.

NCT00819390 phase2completednot on this map

A Phase II, Double Blind, Randomized, Exploratory Study of Chloroquine for Reducing HIV-Associated Immune Activation

TypeinterventionalSponsorAdvancing Clinical Therapeutics Globally for HIV/AIDS and Other InfectionsRan2009 to 2013Enrolled70ConditionsHIV InfectionsArmsChloroquine, Placebo
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Adjunct Therapy for CD4Frontiers in immunology · 2021
    Pooled it
  5. Clinical evidence for repurposing chloroquine and hydroxychloroquine as antiviral agents: a systematic review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2020
    Pooled it
  6. Effect of Antiretroviral Therapy on Plasma Concentrations of Chloroquine and Desethyl-chloroquine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Trial
  7. Review
  8. Article
  9. Article
  10. Betamethasone induces potent immunosuppression and reduces HIV infection in a PBMC in vitro model.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2021
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Review
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

20 authors at 12 institutions in 1 country.

Jeffrey M Jacobson1 Drexel University College of Medicine , Philadelphia, Pennsylvania.
Steven E Bosinger2 Emory University , Atlanta, Georgia .
Minhee Kang3 Harvard University School of Public Health , Boston, Massachusetts.
Pablo Belaunzaran-Zamudio4 Johns Hopkins University School of Public Health , Baltimore, Maryland.
Roy M Matining3 Harvard University School of Public Health , Boston, Massachusetts.
Cara C Wilson5 University of Colorado , Denver, Colorado.
Charles Flexner6 Johns Hopkins University School of Medicine , Baltimore, Maryland.
Brian Clagett7 Case Western Reserve University , Cleveland, Ohio.
Jill Plants8 Rush University School of Medicine , Chicago, Illinois.
Sarah Read9 Division of AIDS , NIAID, Bethesda, Maryland.
Lynette Purdue9 Division of AIDS , NIAID, Bethesda, Maryland.
Laurie Myers10 Frontier Science , Amherst, New York.
Linda Boone11 Social and Scientific Systems, Inc., Silver Springs, Maryland.
Pablo Tebas12 University of Pennsylvania School of Medicine , Philadelphia, Pennsylvania.
Princy Kumar13 Georgetown University Medical School , Washington, District of Columbia.
David Clifford14 Washington University School of Medicine , St. Louis, Missouri.
Daniel Douek15 Vaccine Research Center , NIAID, Bethesda, Maryland.
Guido Silvestri2 Emory University , Atlanta, Georgia .
Alan L Landay8 Rush University School of Medicine , Chicago, Illinois.
Michael M Lederman7 Case Western Reserve University , Cleveland, Ohio.
Case Western Reserve University · USEmory University · USHarvard University · USJohns Hopkins University · USOffice of AIDS Research · USRush University · USDrexel University · USFrontier Science & Technology Research Foundation · USGeorgetown University · USUniversity of Colorado Denver · USUniversity of Pennsylvania · USWashington University in St. Louis · 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
Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
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
Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
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
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
Weill Cornell Medicine - Rutgers New Jersey Medical School Clinical Trials UnitUM1AI069419 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROY M. GULICK · 2012 to 2026
$44.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR001082NCATS NIH HHS UL1 TR001111NIAID NIH HHS P30 AI045008NIAID NIH HHS P30 AI050410NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069419NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069439NIAID NIH HHS UM1 AI069452NIAID NIH HHS UM1 AI069465NIAID NIH HHS UM1 AI069494NIAID NIH HHS UM1 AI069501NIAID NIH HHS UM1 AI069534NIAID NIH HHS UM1 AI106701NIH HHS P51 OD011132
6 · The paper itself

Abstract

Immune activation associated with HIV-1 infection contributes to morbidity and mortality. We studied whether chloroquine, through Toll-like receptor (TLR) antagonist properties, could reduce immune activation thought to be driven by TLR ligands, such as gut-derived bacterial elements and HIV-1 RNAs. AIDS Clinical Trials Group A5258 was a randomized, double-blind, placebo-controlled study in 33 HIV-1-infected participants off antiretroviral therapy (ART) and 37 participants on ART. Study participants in each cohort were randomized 1:1 to receive chloroquine 250 mg orally for the first 12 weeks then cross over to placebo for 12 weeks or placebo first and then chloroquine. Combining the periods of chloroquine use in both arms of the on-ART cohort yielded a modest reduction in the proportions of CD8 T cells co-expressing CD38 and DR (median decrease = 3.0%, p = .003). The effect on immune activation in the off-ART cohort was likely confounded by increased plasma HIV-1 RNA during chloroquine administration (median 0.29 log10 increase, p < .001). Transcriptional analyses in the off-ART cohort showed decreased expression of interferon-stimulated genes in 5 of 10 chloroquine-treated participants and modest decreases in CD38 and CCR5 RNAs in all chloroquine-treated participants. Chloroquine modestly reduced immune activation in ART-treated HIV-infected participants. Clinical Trials Registry Number: NCT00819390.

Indexed as

AdolescentAdultAgedCD8-Positive T-LymphocytesChloroquineCross-Over StudiesDouble-Blind MethodFemaleGene Expression ProfilingHIV InfectionsHumansImmunity, CellularImmunity, HumoralImmunologic FactorsMaleMiddle AgedChloroquineImmunologic FactorsPlacebos

Identifiers

PMID26935044
PMCPMC4931767
OpenAlexW2337591610

What OpenQuestion holds

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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.