Evidence map›Paper›PMID 30775403›Full record

ArticleOpen forum infectious diseases2019

Correlation of Cytomegalovirus (CMV) Disease Severity and Mortality With CMV Viral Burden in CMV-Seropositive Donor and CMV-Seronegative Solid Organ Transplant Recipients.

Jacqueline M McBride, Daniel Sheinson, Jenny Jiang, Nicholas Lewin-Koh, Barbara G Werner, Jennifer K L Chow, Xiaoning Wu, Jorge A Tavel, David R Snydman

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06958796 (Exploratory Use of CMV Immunoglobulin in High Risk), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.1field-weighted citation impact, top 4% 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.

NCT06958796 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Exploratory Use of CMV Immunoglobulin in High Risk (D+R-) Transplant Recipients at the End of Antiviral Prophylaxis to Decrease the Risk of Late CMV Infection

TypeinterventionalSponsorCamille N. Kotton, MDRan2025 to 2028Enrolled80ConditionsCytomegalovirus, Organ Transplant, Kidney Transplant, ComplicationsArmsCytomegalovirus Immune Globulin Intravenous (Human) monthly for three months
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  7. Cytomegalovirus viremia as a risk factor for mortality in HIV-associated cryptococcal and tuberculous meningitis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  8. Review
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  17. Review
  18. Choice of Study Populations for Vaccines.The Journal of infectious diseases · 2020
    Article
  19. 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

9 authors at 2 institutions in 1 country.

Jacqueline M McBrideGenentech, Inc., South San Francisco, California.ORCID 0000-0002-0247-6569
Daniel SheinsonGenentech, Inc., South San Francisco, California.
Jenny JiangGenentech, Inc., South San Francisco, California.
Nicholas Lewin-KohGenentech, Inc., South San Francisco, California.
Barbara G WernerDepartment of Medicine and the Division of Geographic Medicine and Infectious Disease, Tufts Medical Center, and Tufts University School of Medicine, Boston, Masschusetts.
Jennifer K L ChowDepartment of Medicine and the Division of Geographic Medicine and Infectious Disease, Tufts Medical Center, and Tufts University School of Medicine, Boston, Masschusetts.
Xiaoning WuRoche Molecular Systems, Pleasanton, California.
Jorge A TavelGenentech, Inc., South San Francisco, California.
David R SnydmanDepartment of Medicine and the Division of Geographic Medicine and Infectious Disease, Tufts Medical Center, and Tufts University School of Medicine, Boston, Masschusetts.
Tufts University · USMaterials Systems (United States) · US

Funding

ZIDOVUDINE &LAMIVUDINE ALONE OR IN COMBINATION ON BODY COMPOSITIONM01RR000054 · NCRR · TUFTS MEDICAL CENTER · PI RAO, MADHUMATHI · 1985 to 2005
$12.2M
NCRR NIH HHS M01 RR000054
6 · The paper itself

Abstract

backgroundThe rate of cytomegalovirus (CMV) viral load increase and peak viral loads are associated with CMV disease in kidney and liver transplant recipients, but relationships to disease severity or mortality have not been shown.

methodsUsing stored serial serum specimens from renal (n = 59) and liver (n = 35) transplant recipients (D+R-; CMV-seropositive donors, CMV-seronegative recipients) from 2 prospective, randomized, controlled, interventional prophylaxis trials of CMV immune globulin (CMVIG), CMV viral load was measured using the COBAS quantitative polymerase chain reaction assay and the World Health Organization CMV standard. Patients with severe CMV-associated disease were classified according to trial definitions. Pairwise comparisons of mean viral load among deceased, surviving diseased, and nondiseased patients were analyzed by 2-way analysis of variance. To determine if viral load could predict mortality, receiver operating characteristic (ROC) curves were constructed using area under the curve (AUC) of the viral load and peak viral concentration (V

resultsViral load (mean log

conclusionsUsing specimens from studies preceding the antiviral prophylaxis era, CMV viral load was associated with severe CMV disease and death, supporting CMV viral load quantification as a proxy for CMV disease severity and disease-associated mortality end points in solid organ transplantation.

Indexed as

cytomegaloviruscytomegalovirus diseaseliver transplantationrenal transplantationviremia

Identifiers

PMID30775403
PMCPMC6366655
OpenAlexW2910751253

What OpenQuestion holds

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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.