Evidence map›Paper›PMID 27516476›Full record

Trial reportThe Journal of antimicrobial chemotherapy2016

Improved adipose tissue function with initiation of protease inhibitor-only ART.

Robert T Maughan, Eoin R Feeney, Emilie Capel, Jacqueline Capeau, Pere Domingo, Marta Giralt, Joep M A Lange, Praphan Phanuphak, David A Cooper, Peter Reiss and 2 more

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

Trial report in The Journal of antimicrobial chemotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00400738 (Pharmacokinetics of and Rate of HIV-1 RNA Decline in ARV-naive HIV-1 Infected Patients Treated With Low- or Standard-dose Saquinavir HGC), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 21% 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.

NCT00400738 phase2completednot on this map

Pharmacokinetics of and Rate of HIV-1 RNA Decline in ARV-naive HIV-1 Infected Patients Treated With Low- or Standard-dose Saquinavir HGC (Invirase®) and Lopinavir/Ritonavir (Kaletra®

TypeinterventionalSponsorThe HIV Netherlands Australia Thailand Research CollaborationRan2004 to 2006Enrolled48ConditionsHIV InfectionsArmsSaquinavir, lopinavir, ritonavir
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Adipose Tissue in HIV Infection.Comprehensive Physiology · 2017
    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

12 authors at 7 institutions in 6 countries.

Robert T MaughanHIV Molecular Research Group, School of Medicine, University College Dublin, Dublin, Ireland robert.maughan@ucdconnect.ie.
Eoin R FeeneyHIV Molecular Research Group, School of Medicine, University College Dublin, Dublin, Ireland.
Emilie CapelSorbonne Universities, UPMC Univ Paris 06, INSERM UMRS 938, Paris, France.
Jacqueline CapeauSorbonne Universities, UPMC Univ Paris 06, INSERM UMRS 938, Paris, France.
Pere DomingoInfectious Diseases Unit, Hospital de la Santa Creu/Sant Pau, Barcelona, Spain.
Marta GiraltDepartment of Biochemistry and Molecular Biology, University of Barcelona, Barcelona, Spain.
Joep M A LangeAcademic Medical Center, Department of Global Health and Division of Infectious Diseases, and Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.
Praphan PhanuphakThe HIV-Netherlands Australia Thailand Research Collaboration (HIV-NAT) - Thai Red Cross Aids Research Center (TRCARC), Bangkok, Thailand.
David A CooperKirby Institute, University of New South Wales, Sydney, Australia.
Peter ReissAcademic Medical Center, Department of Global Health and Division of Infectious Diseases, and Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.
Patrick W G MallonHIV Molecular Research Group, School of Medicine, University College Dublin, Dublin, Ireland.
HIVNAT-019 Study Group
University College Dublin · IEAmsterdam UMC Location University of Amsterdam · NLInserm · FRCentro de Investigación Biomédica en Red · ESChulalongkorn University · THHospital de Sant Pau · ESUNSW Sydney · AU

Funding

Wellcome TrustWellcome Trust 097424/Z/11/Z
6 · The paper itself

Abstract

objectivesUse of ART containing HIV PIs has previously been associated with toxicity in subcutaneous adipose tissue (SAT), potentially contributing to the development of lipodystrophy and insulin resistance. However, the effect of PIs on SAT function in ART-naive patients independent of other ART classes is unknown. This study aimed to elucidate the effect of initiating PI-only ART on SAT function in ART-naive subjects.

methodsIn the HIVNAT-019 study, 48 HIV-infected, ART-naive Thai adults commencing PI-only ART comprising lopinavir/ritonavir/saquinavir for 24 weeks underwent assessments of fasting metabolic parameters and body composition. In a molecular substudy, 20 subjects underwent SAT biopsies at weeks 0, 2 and 24 for transcriptional, protein, mitochondrial DNA (mtDNA) and histological analyses. ClinicalTrials.gov registration number: NCT00400738.

resultsOver 24 weeks, limb fat increased (+416.4 g, P = 0.023), coinciding with larger adipocytes as indicated by decreased adipocyte density in biopsies (-32.3 cells/mm

conclusionsInitiation of PI-only ART showed little evidence of SAT toxicity, the changes observed being consistent with a return to health rather than contributing to lipodystrophy.

Indexed as

AdultBiopsyDNA, MitochondrialFemaleGene Expression ProfilingHistocytochemistryHIV InfectionsHIV Protease InhibitorsHumansMaleProteomeSubcutaneous FatThailandDNA, MitochondrialHIV Protease InhibitorsProteome

Identifiers

PMID27516476
PMCPMC5079304
OpenAlexW2517303783

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.