Evidence map›Paper›PMID 30021018›Full record

ArticlePloS one2018

A study on the dynamics of temporary HIV treatment to assess the controversial outcomes of clinical trials: An in-silico approach.

Emiliano Mancini, Rick Quax, Andrea De Luca, Sarah Fidler, Wolfgang Stohr, Peter M A Sloot

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

6 authors at 4 institutions in 5 countries.

Emiliano ManciniInstitute for Advanced Study, University of Amsterdam, GC Amsterdam, The Netherlands.ORCID 0000-0002-5613-234X
Rick QuaxInstitute for Advanced Study, University of Amsterdam, GC Amsterdam, The Netherlands.
Andrea De LucaAzienda Ospedaliera Universitaria, UOC Malattie Infettive Universitarie, Siena, Italy.
Sarah FidlerUniversity College London Medical School, London, London, United Kingdom.
Wolfgang StohrUniversity College London Medical School, London, London, United Kingdom.
Peter M A SlootInstitute for Advanced Study, University of Amsterdam, GC Amsterdam, The Netherlands.
Netherlands Institute for Advanced Study in the Humanities and Social Sciences · NLUniversity College London · GBAzienda Ospedaliera Universitaria Senese · ITNanyang Technological University · SG

Funding

Medical Research Council MR/L00528X/1
6 · The paper itself

Abstract

It is still unclear under which conditions temporary combined antiretroviral therapy (cART) results in a prolonged remission after interruption. Clinical trials have contradicting reposts about the effect of cART during primary HIV infection on the disease progression. Here we propose that the apparent contradiction is due the presence of a window of opportunity for cART treatment observed in the in silico studies. We study non-linear correlations in the HIV dynamics over time using information theory. This approach requires a large dataset of CD4+ T lymphocytes and viral load concentrations over time. Since it is unfeasible to collect the required amount of data in clinical trials we use C-ImmSim, a clinically validated in silico model of the HIV infection, to simulate the HIV infection and temporary cART in 500 virtual patients for a period of 6 years post infection in time steps of 8 hours. We validate the results of our model with two published clinical trials of temporary cART in acute infection and analyse the impact of cART on the immune response. Our quantitative analysis predicts a "window of opportunity" of about ten months after the acute phase during which a temporary cART has significantly longer-lasting beneficial effects on the immune system as compared to treatment during the chronic phase. This window may help to explain the controversial outcomes of clinical trials that differ by the starting time and duration of the short-term course cART and provides a critical insight to develop appropriate protocols for future clinical trials.

Indexed as

Clinical Trials as TopicComputer SimulationAnti-HIV AgentsCD4-Positive T-LymphocytesHIV InfectionsHumansModels, BiologicalTreatment OutcomeAnti-HIV Agents

Identifiers

PMID30021018
PMCPMC6051647
OpenAlexW2884887967

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.