Evidence map›Paper›PMID 28122027›Full record

ArticlePloS one2017

'Well, It's the Risk of the Unknown… Right?': A Qualitative Study of Perceived Risks and Benefits of HIV Cure Research in the United States.

Karine Dubé, Jeff Taylor, Laurie Sylla, David Evans, Lynda Dee, Alasdair Burton, Loreen Willenberg, Stuart Rennie, Asheley Skinner, Joseph D Tucker and 2 more

Abstract readComparative Study
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Karine DubéUniversity of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States of America.
Jeff TaylorCollaboratory of AIDS Researchers for Eradication (CARE) Community Advisory Board (CAB), Palm Springs, CA, United States of America.
Laurie SylladefeatHIV CAB, Seattle, WA, United States of America.
David EvansDelaney AIDS Research Enterprise (DARE) CAB, Los Angeles, CA, United States of America.
Lynda DeeAIDS Action Baltimore, Baltimore, MD, United States of America.
Alasdair BurtonMulti-Decadal, Multi-CAB Member, Glendale, CA, United States of America.
Loreen WillenbergZephyr Long-Term Non-Progressors (LTNP) Foundation, Inc., Sacramento, CA, United States of America.
Stuart RennieDepartment of Social Medicine, UNC Bioethics Center, Chapel Hill, NC, United States of America.
Asheley SkinnerUniversity of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States of America.
Joseph D TuckerUNC Institute of Global Health and Infectious Diseases (IGHID), Chapel Hill, NC, United States of America.
Bryan J WeinerUniversity of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States of America.
Sandra B GreeneUniversity of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States of America.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Using NK Cells to eliminate the latent HIV reservoirU19AI096113 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LUCIW, PAUL · 2011 to 2015
$39.5M
Viral reservoirs and sanctuaries in HAART - treated patients: role and mechanismsU19AI096109 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PALMER, SARAH ELIZABETH · 2011 to 2015
$29.5M
Cell and Gene Therapy for HIV CureUM1AI126623 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JEROME, KEITH R, KIEM, HANS-PETER · 2016 to 2020
$24.2M
ZFN-Modified Stem Cells for HIV EradicationU19AI096111 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JEROME, KEITH R · 2011 to 2015
$20.8M
Unintended and Intended Implications of HIV Cure: A Social and Ethical AnalysisR01AI108366 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RENNIE, STUART, TUCKER, JOSEPH DAVID · 2013 to 2017
$2.9M
NIAID NIH HHS P30 AI050410NIAID NIH HHS R01 AI108366NIAID NIH HHS U19 AI096109NIAID NIH HHS U19 AI096111NIAID NIH HHS U19 AI096113NIAID NIH HHS UM1 AI126623
6 · The paper itself

Abstract

introductionBiomedical research towards an HIV cure is advancing in the United States and elsewhere, yet little is known about perceptions of risks and benefits among potential study participants and other stakeholders. We conducted a qualitative study to explore perceived risks and benefits of investigational HIV cure research among people living with HIV (PLWHIV), biomedical HIV cure researchers, policy-makers and bioethicists.

methodsWe conducted a qualitative research study using in-depth interviews with a purposive sample of PLWHIV, biomedical HIV cure researchers, policy-makers and bioethicists in 2015-2016. We analysed interview transcripts using thematic analysis anchored in grounded theory.

resultsWe conducted and analyzed 36 key informant interviews. Qualitative analysis revealed four main findings. 1) Potential HIV cure study volunteers noted needing more information and education about the potential risks of HIV cure research. 2) Biomedical HIV cure researchers, policy-makers and bioethicists showed less awareness of social and financial risks of HIV cure research than PLWHIV. 3) Most respondents across the different categories of informants identified some risks that were too great to be acceptable in HIV cure research, although a subset of PLWHIV did not place an upper limit on acceptable risk. 4) PLWHIV showed a better awareness of potential psychological benefits of participating in HIV cure research than other groups of stakeholders.

conclusionOur research suggests that PLWHIV have a variable understanding of the individual risks, sometimes substantial, associated with participating in biomedical HIV cure research studies. Community engagement and increased research literacy may help improve community understanding. Intensive informed consent procedures will be necessary for ethical study implementation. The current state of HIV cure research offers greater potential benefits to society than to participants. There is likely to be disagreement among regulators, researchers, clinicians, and potential participants about what constitutes acceptable risk for HIV cure studies.

Indexed as

Attitude to HealthAdministrative PersonnelAdultAnti-HIV AgentsClinical Trials as TopicDrug TherapyEthicistsFemaleGenetic TherapyHIV InfectionsHumansInterviews as TopicMaleMiddle AgedPatientsQualitative ResearchAnti-HIV Agents

Identifiers

PMID28122027
PMCPMC5266311

What OpenQuestion holds

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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.