Evidence map›Paper›PMID 27732929›Full record

ArticleThe Journal of infectious diseases2016

No Evidence That HIV-1 Subtype C Infection Compromises the Efficacy of Tenofovir-Containing Regimens: Cohort Study in the United Kingdom.

Ellen White, Erasmus Smit, Duncan Churchill, Simon Collins, Clare Booth, Anna Tostevin, Caroline Sabin, Deenan Pillay, David T Dunn, UK HIV Drug Resistance Database and UK Collaborative HIV Cohort Study

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Human Immunodeficiency Virus Drug Resistance: 2018 Recommendations of the International Antiviral Society-USA Panel.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  6. Observational
  7. Article
  8. Article
  9. HIV-1 drug resistance and resistance testing.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2016
    Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ellen WhiteMRC Clinical Trials Unit at UCL.
Erasmus SmitPublic Health England, Birmingham Heartlands Hospital.
Duncan ChurchillBrighton and Sussex Hospitals NHS Trust, United Kingdom.
Simon CollinsHIV i-Base.
Clare BoothHealth Service Laboratories, Royal Free Hospital, London.
Anna TostevinMRC Clinical Trials Unit at UCL.
Caroline SabinDepartment of Infection and Population Health.
Deenan PillayDivision of Infection and Immunity, University College London.
David T DunnMRC Clinical Trials Unit at UCL.
UK HIV Drug Resistance Database and UK Collaborative HIV Cohort Study

Funding

Medical Research Council MC_UU_12023/15Medical Research Council MR/M004236/1
6 · The paper itself

Abstract

Concern has been expressed that tenofovir-containing regimens may have reduced effectiveness in the treatment of human immunodeficiency virus type 1 (HIV-1) subtype C infections because of a propensity for these viruses to develop a key tenofovir-associated resistance mutation. We evaluated whether subtype influenced rates of virological failure in a cohort of 8746 patients from the United Kingdom who received a standard tenofovir-containing first-line regimen and were followed for a median of 3.3 years. In unadjusted analyses, the rate of failure was approximately 2-fold higher among patients infected with subtype C virus as compared to those with subtype B virus (hazard ratio [HR], 1.86; 95% confidence interval [CI], 1.50-2.31; P < .001). However, the increased risk was greatly attenuated in analyses adjusting for demographic and clinical factors (adjusted HR, 1.14; 95% CI, .83-1.58; P = .41). There were no differences between subtypes C and subtypes non-B and non-C in either univariate or multivariate analysis. These observations imply there is no intrinsic effect of viral subtype on the efficacy of tenofovir-containing regimens.

Indexed as

AdultAnti-HIV AgentsCohort StudiesDrug Resistance, ViralFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedMutationReverse Transcriptase InhibitorsTenofovirTreatment FailureUnited KingdomAnti-HIV AgentsReverse Transcriptase InhibitorsTenofovirHIV-1K65Rsubtypetenofovirvirological failure

Identifiers

PMID27732929
PMCPMC5079361

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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.