Evidence map›Paper›PMID 28385131›Full record

Trial reportHIV clinical trials2017

Virologic outcomes in early antiretroviral treatment: HPTN 052.

Susan H Eshleman, Ethan A Wilson, Xinyi C Zhang, San-San Ou, Estelle Piwowar-Manning, Joseph J Eron, Marybeth McCauley, Theresa Gamble, Joel E Gallant, Mina C Hosseinipour and 16 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in HIV clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Rapid initiation of antiretroviral therapy for people living with HIV.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
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  13. Association between social support and viral load in adults on highly active antiretroviral therapy - Witbank, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020
    Article
  14. Article
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  19. Observational
  20. HIV Drug Resistance in Adults Receiving Early vs. Delayed Antiretroviral Therapy: HPTN 052.Journal of acquired immune deficiency syndromes (1999) · 2018
    Article
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

26 authors at 17 institutions in 9 countries.

Susan H Eshlemana Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.ORCID 0000-0002-4587-791X
Ethan A Wilsonb Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center , Seattle , WA , USA.ORCID 0000-0002-9120-3182
Xinyi C Zhangb Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center , Seattle , WA , USA.
San-San Oub Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center , Seattle , WA , USA.
Estelle Piwowar-Manninga Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Joseph J Eronc Department of Medicine , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.ORCID 0000-0002-4938-0644
Marybeth McCauleyd Science Facilitation Department , FHI 360 , Washington , DC , USA.
Theresa Gamblee Science Facilitation Department , FHI 360 , Durham , NC , USA.
Joel E Gallantf Southwest CARE Center , Santa Fe , NM , USA.
Mina C Hosseinipourg University of North Carolina at Chapel Hill, Institute for Global Health and Infectious Diseases , Chapel Hill , NC , USA.
Nagalingeswaran Kumarasamyi YRGCARE Medical Centre, VHS , Chennai , India.
James G Hakimj Department of Medicine , University of Zimbabwe , Harare , Zimbabwe.ORCID 0000-0002-5981-9331
Ben Kalongak College of Medicine-Johns Hopkins Project , Blantyre , Malawi.
Jose H Pilottol Hospital Geral de Nova Iguacu and Laboratorio de AIDS e Imunologia Molecular-IOC/Fiocruz , Rio de Janeiro , Brazil.ORCID 0000-0003-0521-8597
Beatriz Grinsztejnm Instituto Nacional de Infectologia Evandro Chagas-INI-Fiocruz , Rio de Janeiro , Brazil.ORCID 0000-0003-3692-5155
Sheela V Godbolen National AIDS Research Institute (ICMR) , Pune , India.ORCID 0000-0001-6537-9064
Nuntisa Chotirosniramito Research Institute for Health Sciences, Chiang Mai University , Chiang Mai , Thailand.
Breno Riegel Santosp Hospital Nossa Senhora da Conceição , Porto Alegre , Brazil.ORCID 0000-0002-2888-2573
Emily Shavaq Botswana Harvard AIDS Institute , Gaborone , Botswana.
Lisa A Millsr Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention and Kenya Medical Research Institute (KEMRI)/CDC Clinical Research Site , Kisumu , Kenya.
Ravindre Panchias University of the Witwatersrand, Perinatal HIV Research Unit, Soweto HPTN CRS , Soweto , South Africa.ORCID 0000-0002-3601-0839
Noluthando Mwelaset Clinical HIV Research Unit, Department of Medicine , University of the Witwatersrand , Johannesburg , South Africa.ORCID 0000-0002-8189-6149
Kenneth H Mayeru The Fenway Institute, Fenway Health/Infectious Disease Division, Beth Israel Deaconess Medical Center, Department of Medicine , Harvard Medical School , Boston , MA , USA.ORCID 0000-0001-7460-733X
Ying Q Chenb Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center , Seattle , WA , USA.
Myron S Cohenc Department of Medicine , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.ORCID 0000-0001-5917-9664
Jessica M Fogela Department of Pathology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.ORCID 0000-0003-3143-9000
Fred Hutch Cancer Center · USJohns Hopkins University · USUniversity of North Carolina at Chapel Hill · USFamily Health International 360 · USUniversity of the Witwatersrand · ZABeth Israel Deaconess Medical Center · USBotswana Harvard AIDS Institute Partnership · BWChiang Mai University · THHospital Geral de Fortaleza · BRHospital Nossa Senhora da Conceição · BRInstituto Evandro Chagas · BRKenya Medical Research Institute · KENational AIDS Research Institute · INSouthwest Regional Wound Care Center · USUniversity of Malawi · MWUniversity of Zimbabwe · ZWYR Gaitonde Centre for AIDS Research and Education · IN

Funding

LOC: HIV Prevention Trials NetworkUM1AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI Sinead Delany-Moretlwe, RAPHAEL J LANDOVITZ · 2011 to 2026
$779.5M
SDMC: HPTN 084 Pregnancy SupplementUM1AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth Renata Brown, Deborah J Donnell · 2011 to 2026
$204.9M
LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
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
UCSD Department of Medicine HIV/AIDS Clinical Trials UnitUM1AI069432 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TIMOTHY J. WILKIN · 2012 to 2026
$50.4M
The Malawi Clinical Trials UnitUM1AI069518 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JACKY M JENNINGS, TAHA E TAHA · 2012 to 2026
$43.8M
Soweto Clinical Trials UnitUM1AI069453 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI Glenda E Gray, Lerato Mohapi · 2012 to 2026
$40.9M
Botswana-Harvard T.H. Chan School of Public Health AIDS Initiative Partnership CTU Y18 SupplementUM1AI069456 · NIAID · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI SHAHIN LOCKMAN, Joseph Moeketsi Makhema · 2012 to 2026
$29.4M
UCLA AIDS Prevention and Treatment Clinical Trials UnitU01AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CURRIER, JUDITH S. · 2007 to 2011
$13.9M
NIAID NIH HHS P30 AI050410NIAID NIH HHS U01 AI069424NIAID NIH HHS UM1 AI068613NIAID NIH HHS UM1 AI068617NIAID NIH HHS UM1 AI068619NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069432NIAID NIH HHS UM1 AI069456NIAID NIH HHS UM1 AI069518
6 · The paper itself

Abstract

introductionThe HIV Prevention Trials Network (HPTN) 052 trial demonstrated that early antiretroviral therapy (ART) prevented 93% of HIV transmission events in serodiscordant couples. Some linked infections were observed shortly after ART initiation or after virologic failure.

objectiveTo evaluate factors associated with time to viral suppression and virologic failure in participants who initiated ART in HPTN 052.

methods1566 participants who had a viral load (VL) > 400 copies/mL at enrollment were included in the analyses. This included 832 in the early ART arm (CD4 350-550 cells/mm

resultsOverall, 93% of participants achieved viral suppression by 12 months. The annual incidence of virologic failure was 3.6%. Virologic outcomes were similar in the two study arms. Longer time to viral suppression was associated with younger age, higher VL at ART initiation, and region (Africa vs. Asia). Virologic failure was strongly associated with younger age, lower educational level, and lack of suppression by three months; lower VL and higher CD4 at ART initiation were also associated with virologic failure.

conclusionsSeveral clinical and demographic factors were identified that were associated with longer time to viral suppression and virologic failure. Recognition of these factors may help optimize ART for HIV treatment and prevention.

Indexed as

Secondary PreventionViral LoadAdultAfricaAnti-Retroviral AgentsAsiaCohort StudiesFemaleHIV InfectionsHumansMaleTreatment OutcomeAnti-Retroviral AgentsEarly ARTHIVHIV preventionHPTN 052Viral suppressionVirologic failureVirologic outcomes

Identifiers

PMID28385131
PMCPMC5633001
OpenAlexW2604144694

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.