Evidence map›Paper›PMID 28822719›Full record

ArticleEBioMedicine2017

Thalidomide is Associated With Increased T Cell Activation and Inflammation in Antiretroviral-naive HIV-infected Individuals in a Randomised Clinical Trial of Efficacy and Safety.

Tânia R C Vergara, Sadia Samer, Joanna R Santos-Oliveira, Leila B Giron, Muhammad Shoaib Arif, Maria Luciana Silva-Freitas, Lia A Cherman, Mauro S Treitsman, Alberto Chebabo, Maria Cecilia A Sucupira and 3 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Adjunct Therapy for CD4Frontiers in immunology · 2021
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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

13 authors at 5 institutions in 1 country.

Tânia R C VergaraLaboratório de Retrovirologia, Universidade Federal de São Paulo, São Paulo, Brazil; Oncohiv, Rio de Janeiro, Brazil.
Sadia SamerLaboratório de Retrovirologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Joanna R Santos-OliveiraInstituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil.
Leila B GironLaboratório de Retrovirologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Muhammad Shoaib ArifLaboratório de Retrovirologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Maria Luciana Silva-FreitasLaboratório Interdisciplinar de Pesquisas Médicas, Instituto Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, Brazil.
Lia A ChermanSecretaria Municipal de Saúde Antônio Ribeiro Neto, Rio de Janeiro, Brazil.
Mauro S TreitsmanOncohiv, Rio de Janeiro, Brazil.
Alberto ChebaboOncohiv, Rio de Janeiro, Brazil; Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Maria Cecilia A SucupiraLaboratório de Retrovirologia, Universidade Federal de São Paulo, São Paulo, Brazil.
Alda M Da-CruzLaboratório Interdisciplinar de Pesquisas Médicas, Instituto Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, Brazil.
Ricardo Sobhie DiazLaboratório de Retrovirologia, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: rsdiaz@catg.com.br.
SPARC Working Group
Universidade Federal de São Paulo · BRFundação Oswaldo Cruz · BRRio de Janeiro Federal Institute of Education, Science and Technology · BRSecretaria Municipal de Saúde · BRUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

TRIAL

designOpen-label, randomised, controlled, pilot proof-of-concept clinical trial.

methodsParticipants: Antiretroviral naïve adult males with CD4 count ≥350cells/mm

interventionsPatients were randomised to receive thalidomide 200mg QD for 3weeks (Thalidomide group) or not (Control group) and followed for 48weeks.

objectiveWe hypothesized that short-term Thalidomide use would reduce HIV related inflammation and HIV replication among antiretroviral naïve HIV infected individuals. OUTCOME: Viral loads, CD4/CD8 counts, ultra-sensitive C-reactive protein (US-CRP), cell activation markers, and plasma lipopolysaccharide (LPS) were analyzed. Randomisation: Unrestricted randomisation. Blinding: No blinding was used.

resultsNumbers randomised: Thirty recruited individuals were randomised to Thalidomide (16 patients) or Control (14 patients) groups. Recruitment: Patients were recruited from April 2011 to January 2013. OUTCOME: Viral loads remained stable in both groups. During thalidomide treatment, a decrease in CD4/CD8 ratio (p=0.04), a decrease in CD4 count (p=0.04), an increase in cell activation calculated by the percentage of CD38 HARMS: No class 3/4 adverse events occurred.

conclusionsShort-term use of thalidomide led to an intense transient increase in T cell activation and inflammation, with a decrease in the CD4

Indexed as

Antiretroviral Therapy, Highly ActiveCase-Control StudiesCD4 Lymphocyte CountCytokinesHIV InfectionsHumansImmunosuppressive AgentsLymphocyte ActivationMaleRandomized Controlled Trials as TopicReceptors, CCR5Receptors, CXCR4ThalidomideT-LymphocytesTreatment OutcomeViral LoadCytokinesImmunosuppressive AgentsReceptors, CCR5Receptors, CXCR4ThalidomideHIVInflammationLatency reversal agentT cell activationThalidomide

Identifiers

PMID28822719
PMCPMC5605327
OpenAlexW2742310798

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.