Evidence map›Paper›PMID 28714868›Full record

ArticleThe Journal of clinical investigation2017

Interval dosing with the HDAC inhibitor vorinostat effectively reverses HIV latency.

Nancie M Archin, Jennifer L Kirchherr, Julia Am Sung, Genevieve Clutton, Katherine Sholtis, Yinyan Xu, Brigitte Allard, Erin Stuelke, Angela D Kashuba, Joann D Kuruc and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01319383 (A Phase I/II Investigation of the Effect of Vorinostat), which is not on this map. Cited by 139 papers.

0numbers the graph read from it
0cells of the map it votes in
139citing papers in PubMed
–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.

NCT01319383 phase1 / phase2completednot on this map

A Phase I/II Investigation of the Effect of Vorinostat (VOR) on HIV RNA Expression in the Resting CD4+ T Cells of HIV-Infected Patients Receiving Stable Antiretroviral Therapy

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2011 to 2016Enrolled25ConditionsHIV-1 InfectionArmsVorinostat
3 · Its place in the literature

Who cites it

139 citing papers in PubMed.

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  11. Traditional Medicine Extracts ofInternational journal of molecular sciences · 2026
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79 more citing papers are in PubMed but not listed here.

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

14 authors.

Nancie M ArchinUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Jennifer L KirchherrUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Julia Am SungUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Genevieve CluttonUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Katherine SholtisUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Yinyan XuUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Brigitte AllardUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Erin StuelkeUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Angela D KashubaDivision of Pharmacotherapy and Experimental Therapeutics, UNC Eshelman School of Pharmacy.
Joann D KurucUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Joseph EronUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Cynthia L GayUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
Nilu GoonetillekeUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.
David M MargolisUniversity of North Carolina (UNC) HIV Cure Center, UNC Institute of Global Health and Infectious Diseases.

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
A Phase II/II Investigation of the Effect of Vorinostat (VOR) in HIV InfectionU01AI095052 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARGOLIS, DAVID M. · 2011 to 2013
$1.7M
NCATS NIH HHS KL2 TR001109NCI NIH HHS P30 CA016086NIAID NIH HHS P30 AI050410NIAID NIH HHS U01 AI095052
6 · The paper itself

Abstract

backgroundThe histone deacetylase (HDAC) inhibitor vorinostat (VOR) can increase HIV RNA expression in vivo within resting CD4+ T cells of aviremic HIV+ individuals. However, while studies of VOR or other HDAC inhibitors have reported reversal of latency, none has demonstrated clearance of latent infection. We sought to identify the optimal dosing of VOR for effective serial reversal of HIV latency.

methodsIn a study of 16 HIV-infected, aviremic individuals, we measured resting CD4+ T cell-associated HIV RNA ex vivo and in vivo following a single exposure to VOR, and then in vivo after a pair of doses separated by 48 or 72 hours, and finally following a series of 10 doses given at 72-hour intervals.

resultsSerial VOR exposures separated by 72 hours most often resulted in an increase in cell-associated HIV RNA within circulating resting CD4+ T cells. VOR was well tolerated by all participants. However, despite serial reversal of latency over 1 month of VOR dosing, we did not observe a measurable decrease (>0.3 log10) in the frequency of latent infection within resting CD4+ T cells.

conclusionsThese findings outline parameters for the experimental use of VOR to clear latent infection. Latency reversal can be achieved by VOR safely and repeatedly, but effective depletion of persistent HIV infection will require additional advances. In addition to improvements in latency reversal, these advances may include the sustained induction of potent antiviral immune responses capable of recognizing and clearing the rare cells in which HIV latency has been reversed.

trial registrationClinicaltrials.gov NCT01319383.

fundingNIH grants U01 AI095052, AI50410, and P30 CA016086 and National Center for Advancing Translational Sciences grant KL2 TR001109.

Indexed as

Drug Administration ScheduleAdultAgedAnti-HIV AgentsCD4-Positive T-LymphocytesFemaleHistone Deacetylase InhibitorsHIV-1HIV InfectionsHumansHydroxamic AcidsMaleMiddle AgedRNA, ViralTime FactorsTreatment OutcomeAnti-HIV AgentsHistone Deacetylase InhibitorsHydroxamic AcidsRNA, ViralVorinostat

Identifiers

PMID28714868
PMCPMC5531421

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Registered trials

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.