Evidence map›Paper›PMID 28394856›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2017

Brief Report: Prevalence of Posttreatment Controller Phenotype Is Rare in HIV-Infected Persons After Stopping Antiretroviral Therapy.

Matthew J Perkins, William P Bradley, Tahaniyat Lalani, Brian K Agan, Timothy J Whitman, Tomas M Ferguson, Jason F Okulicz, Anuradha Ganesan

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Matthew J Perkins*Infectious Disease Service, Walter Reed National Military Medical Center, Bethesda, MD; †Infectious Disease Clinical Research Program, Rockville, MD; ‡Henry M Jackson Foundation for the Advancement of Military Medicine, Rockville, MD; §Infectious Disease Service, San Antonio Military Medical Center, San Antonio, TX; ‖Infectious Disease Service, Naval Medical Center Portsmouth, Portsmouth, VA; and ¶Infectious Disease Service, Tripler Army Medical Center, Honolulu, HI.
William P Bradley
Tahaniyat Lalani
Brian K Agan
Timothy J Whitman
Tomas M Ferguson
Jason F Okulicz
Anuradha Ganesan
Henry M. Jackson Foundation · USNaval Medical Center Portsmouth · USWalter Reed National Military Medical Center · USTripler Army Medical Center · US

Funding

DATA CENTER FOR EPIDEMIOLOGIC INVESTIGATIONS OF HIVN01AI005072 · NIAID · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI MCKINLAY, SONJA M · 1990 to 1994
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NIAID NIH HHS Y01 AI005072
6 · The paper itself

Abstract

backgroundPosttreatment control of HIV infection is a rare phenomenon primarily described among those initiating treatment with antiretroviral therapy (ART) during early/acute HIV infection.

methodsWe examined a large, well-characterized cohort of HIV-infected Department of Defense beneficiaries for the presence of posttreatment controllers (PTCs) whom we defined as individuals with sustained viral suppression for ≥6 months after discontinuation of ART. We defined those who became viremic within 6 months of discontinuing ART as rapid viremics (RVs) and compared demographic and clinical characteristics, CD4 counts, and viral loads prior, during, and after ART discontinuation between the 2 groups.

resultsFrom a cohort of 6070 patients, we identified 95 who had been treated with ART for 2 years or more who subsequently discontinued ART and had viral load assessments available after discontinuation. Four (4.2%) of these 95 met our definition of PTC. The duration of viral suppression off of ART ranged from 267 to 1058 days with 1 of the 4 restarting ART without having redeveloped a significant viremia. All 4 patients initiated ART during chronic HIV infection. Demographic and clinical characteristics of PTCs were similar to RVs.

conclusionsWhile posttreatment control has predominantly been described among individuals who initiated ART in early/acute HIV infection, we identified 4 PTCs who started ART during chronic infection suggesting that posttreatment control also occurs among such patients. The rarity of PTCs identified in our cohort is consistent with reports from previous studies.

Indexed as

Military PersonnelAdultAnti-HIV AgentsCD4 Lymphocyte CountDisease ProgressionDrug Administration ScheduleFemaleHIV InfectionsHIV Long-Term SurvivorsHumansMalePrevalenceRetrospective StudiesRNA, ViralViral LoadViremiaAnti-HIV AgentsRNA, Viral

Identifiers

PMID28394856
PMCPMC5473334
OpenAlexW2604572013

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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.