Evidence map›Paper›PMID 28060012›Full record

Trial reportAIDS (London, England)2017

Post-treatment control or treated controllers? Viral remission in treated and untreated primary HIV infection.

Genevieve E Martin, Morgane Gossez, James P Williams, Wolfgang Stöhr, Jodi Meyerowitz, Ellen M Leitman, Philip Goulder, Kholoud Porter, Sarah Fidler, John Frater and 1 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Viral and immune predictors of HIV posttreatment control.Current opinion in HIV and AIDS · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Approach to the management of paediatric HIV spontaneous controllers.Southern African journal of infectious diseases · 2022
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Genevieve E MartinaNuffield Department of Medicine, Peter Medawar Building for Pathogen Research, University of Oxford, Oxford bMRC Clinical Trials Unit at University College London, London cDepartment of Paediatrics, University of Oxford, Oxford, UK dHarvard Medical School, Boston, Massachusetts, USA eHIV Pathogenesis Programme, Doris Duke Medical Research Institute, University of KwaZulu-Natal, Durban, South Africa fResearch Department of Infection and Population Health, University College London gDivision of Medicine, Wright Fleming Institute, Imperial College, London hThe Oxford Martin School iOxford National Institute of Health Research Biomedical Research Centre, Oxford, UK.
Morgane Gossez
James P Williams
Wolfgang Stöhr
Jodi Meyerowitz
Ellen M Leitman
Philip Goulder
Kholoud Porter
Sarah Fidler
John Frater
the SPARTAC Trial Investigators
Medawar Building for Pathogen Research · GBUniversity of Oxford · GB

Funding

Medical Research Council MC_UU_12023/15Medical Research Council MC_UU_12023/23Medical Research Council MR/L00528X/1Medical Research Council MR/L006588/1Medical Research Council MR/N001265/1Wellcome Trust 069598/Z/02/Z
6 · The paper itself

Abstract

OBJECTIVE(S): An HIV cure will impose aviraemia that is sustained following the withdrawal of antiretroviral therapy (ART). Understanding the efficacy of novel interventions aimed at curing HIV requires characterization of both natural viral control and the effect of ART on viral control after treatment interruption.

designAnalysis of transient viral control in recent seroconverters in the Short Pulse AntiRetroviral Therapy at Acute Seroconversion trial.

methodsWe compared untreated and treated HIV seroconverters (n = 292) and identified periods of control (plasma HIV RNA < 400 copies/ml for ≥16 weeks off therapy) in 7.9% of ART-naive participants, and in 12.0% overall. HIV DNA was measured by qPCR, and HIV-specific CD8 responses were measured by enzyme-linked immunosorbent spot assay (ELISpot). T-cell activation and exhaustion were measured by flow cytometry.

resultsAt baseline, future controllers had lower HIV DNA, lower plasma HIV RNA, higher CD4 : CD8 ratios (all P < 0.001) and higher CD4 cell counts (P < 0.05) than noncontrollers. Among controllers, the only difference between the untreated and those who received ART was higher baseline HIV RNA in the latter (P = 0.003), supporting an added ART effect.

conclusionConsideration of spontaneous remission in untreated individuals will be critical to avoid overestimating the effect size of new interventions used in HIV cure studies.

Indexed as

Viral LoadAdultCD8-Positive T-LymphocytesDNA, ViralEnzyme-Linked Immunospot AssayFemaleFlow CytometryHIV InfectionsHumansMaleMiddle AgedReal-Time Polymerase Chain ReactionRNA, ViralDNA, ViralRNA, Viral

Identifiers

PMID28060012
PMCPMC5278888
OpenAlexW2569132857

What OpenQuestion holds

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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.