Evidence map›Paper›PMID 31119944›Full record

ArticleAIDS research and human retroviruses2019

Impact of Estimated Pre-Exposure Prophylaxis (PrEP) Adherence Patterns on Bone Mineral Density in a Large PrEP Demonstration Project.

Matthew A Spinelli, David V Glidden, Peter L Anderson, Monica Gandhi, Vanessa M McMahan, Patricia Defechereux, Mauro Schechter, Valdiléa G Veloso, Suwat Chariyalertsak, Juan V Guanira and 3 more

Open access · greenAbstract read
In one paragraph

Article in AIDS research and human retroviruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Cardiometabolic health in people with HIV: expert consensus review.The Journal of antimicrobial chemotherapy · 2024
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. People living with HIV and fracture risk.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Review
  8. 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

13 authors at 10 institutions in 5 countries.

Matthew A SpinelliDivision of HIV, ID, and Global Medicine, University of California, San Francisco, San Francisco, California.
David V GliddenDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Peter L AndersonDepartment of Pharmaceutical Sciences, University of Colorado, Aurora, Colorado.
Monica GandhiDivision of HIV, ID, and Global Medicine, University of California, San Francisco, San Francisco, California.
Vanessa M McMahanDepartment of Health Services, University of Washington, Seattle, Washington.
Patricia DefechereuxDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Mauro SchechterDepartment of Preventive Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Valdiléa G VelosoEvandro Chagas National Institute of Infectious Diseases, Rio de Janeiro, Brazil.
Suwat ChariyalertsakResearch Institute for Health Sciences and Faculty of Public Health, Chiang Mai University, Chiang Mai, Thailand.
Juan V GuaniraInvestigaciones Medicas en Salud, Lima, Peru.
Linda-Gail BekkerDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Susan P BuchbinderDepartment of Medicine, University of California, San Francisco, San Francisco, California.
Robert M GrantDepartment of Medicine, University of California, San Francisco, San Francisco, California.
University of California, San Francisco · USChiang Mai University · THDesmond Tutu HIV Foundation · ZAEsSALUD · PEInstituto Evandro Chagas · BRUniversidade Federal do Rio de Janeiro · BRUniversity of California System · USUniversity of Colorado Anschutz Medical Campus · USUniversity of San Francisco · USUniversity of Washington · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 1988 to 2026
$93.6M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
San Francisco Vaccine and Prevention UnitUM1AI069496 · NIAID · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI Susan Buchbinder, Diane V Havlir · 2012 to 2026
$30.5M
The FIOCRUZ Therapeutic and Prevention HIV/AIDS Clinical Trials Unit (FioTrials)UM1AI069476 · NIAID · FUNDACAO OSWALDO CRUZ · PI BEATRIZ GRINSZTEJN · 2012 to 2026
$26.3M
Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
Plugging Hair ARV Levels as Adherence Biomarkers into HIV Prevention TrialsR01AI098472 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GANDHI, MONICA · 2012 to 2021
$5.6M
Randomized Trial to Optimize Virologic Suppression Rates Using a Point-of-Care Urine Monitoring Assay (ROVING-PUMA)R01AI143340 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi · 2018 to 2026
$5.6M
Cellular pharmacology of tenofovir and emtricitabine for HIV prophylaxisU01AI084735 · NIAID · UNIVERSITY OF COLORADO DENVER · PI ANDERSON, PETER L. · 2009 to 2012
$4.2M
“Hair Lengthening”: Using Hair Levels to Interpret Long-Acting PrEP Studies.R37AI098472 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi · 2023 to 2026
$3.2M
Chemoprophylaxis and HIV Host InteractionsR01AI118575 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANT, ROBERT M. · 2015 to 2019
$2.9M
PrEP and ART adherence monitoring using dried blood spotsU01AI106499 · NIAID · UNIVERSITY OF COLORADO DENVER · PI ANDERSON, PETER L. · 2013 to 2016
$2.9M
Comparison of Pharmacologic Markers of Exposure to HIV Pre-Exposure ProphylaxisR03AI122908 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GLIDDEN, DAVID V. · 2016 to 2017
$159k
NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI098472NIAID NIH HHS R01 AI118575NIAID NIH HHS R01 AI143340NIAID NIH HHS R03 AI120819NIAID NIH HHS R03 AI122908NIAID NIH HHS R37 AI098472NIAID NIH HHS T32 AI060530NIAID NIH HHS U01 AI084735NIAID NIH HHS U01 AI106499NIAID NIH HHS UM1 AI069476NIAID NIH HHS UM1 AI069496NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

Bone mineral density (BMD) declines due to tenofovir-containing pre-exposure prophylaxis (PrEP) have varied among PrEP demonstration projects, potentially related to variable adherence. Characterization of BMD changes in highly adherent individuals, estimated via tenofovir-diphosphate (TFV-DP) levels in dried blood spots (DBS), can assist clinicians when counseling patients. Cisgender men who have sex with men and transwomen in the optional dual-energy X-ray absorptiometry (DXA) substudy of a large, international, open-label PrEP demonstration project, the iPrEx-open-label extension (OLE) study underwent DXA scans and DBS collection every 24 weeks, with average weekly dosing adherence patterns (2, 4, and 7 doses/week) estimated from validated TFV-DP cut-offs. The mean percent BMD change was estimated in strata of average weekly adherence by using a linear mixed-effects model to calculate the BMD decline in highly adherent individuals on PrEP for the first time. DXA/DBS data were available for 254 individuals over a median of 24 weeks in iPrEx-OLE from June 2011 to December 2013. The percent decline in spine BMD was monotonically associated with strata of increasing average weekly adherence (

Indexed as

Medication AdherencePre-Exposure ProphylaxisAbsorptiometry, PhotonAdultAnti-HIV AgentsBone DensityCohort StudiesDried Blood Spot TestingFemaleHipHIV InfectionsHomosexuality, MaleHumansMaleSpineTenofovirAnti-HIV AgentsTenofoviradherencebone mineral densitycohort studiesmen who have sex with menPrEPtransgender people

Identifiers

PMID31119944
PMCPMC6735322
OpenAlexW2946043188

What OpenQuestion holds

Textmetadata
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.