Evidence map›Paper›PMID 31146698›Full record

SynthesisBMC infectious diseases2019

Comparative efficacy and safety of dolutegravir relative to common core agents in treatment-naïve patients infected with HIV-1: a systematic review and network meta-analysis.

Sonya J Snedecor, Matthew Radford, David Kratochvil, Richard Grove, Yogesh S Punekar

Open access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 5 pooled it
4.9field-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.

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

39 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

Sonya J SnedecorPharmerit International, Bethesda, MD, USA.
Matthew RadfordViiV Healthcare, GSK House, 980 Great West Rd, Brentford, Middlesex, TW8 9GS, UK.
David KratochvilPharmerit International, Bethesda, MD, USA.
Richard GroveGSK, Brentford, Middlesex, UK.
Yogesh S PunekarViiV Healthcare, GSK House, 980 Great West Rd, Brentford, Middlesex, TW8 9GS, UK. yogesh.q.punekar@gsk.com.ORCID http://orcid.org/0000-0002-7531-1319
Pharmerit (United States) · USViiV Healthcare (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNetwork meta-analyses (NMAs) provide comparative treatment effects estimates in the absence of head-to-head randomized controlled trials (RCTs). This NMA compared the efficacy and safety of dolutegravir (DTG) with other recommended or commonly used core antiretroviral agents.

methodsA systematic review identified phase 3/4 RCTs in treatment-naïve patients with HIV-1 receiving core agents: ritonavir-boosted protease inhibitors (PIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), or integrase strand inhibitors (INSTIs). Efficacy (virologic suppression [VS], CD4

resultsThe NMA included 36 studies; 2 additional studies were included in subgroup analyses only. Odds of achieving VS with DTG were statistically superior to PIs (odds ratios [ORs] 1.78-2.59) and NNRTIs (ORs 1.51-1.86), and similar but numerically higher than other INSTIs. CD4

conclusionINSTI core agents had superior efficacy and similar safety to PIs and NNRTIs at Week 48 in treatment-naïve patients with HIV-1, with DTG being among the most efficacious, including in patients with baseline VL > 100,000copies/mL or ≤ 200 CD4

Indexed as

AdolescentAdultAlkynesAnti-HIV AgentsBayes TheoremBenzoxazinesCD4 Lymphocyte CountClinical Trials, Phase III as TopicClinical Trials, Phase IV as TopicCyclopropanesDolutegravirFemaleHeterocyclic Compounds, 3-RingHIV-1HIV InfectionsHumansAlkynesAnti-HIV AgentsBenzoxazinesCyclopropanesDolutegravirefavirenzHeterocyclic Compounds, 3-RingOxazinesPiperazinesPyridonesReverse Transcriptase InhibitorsRitonavirAntiretroviral therapyDolutegravirHIV-1Integrase strand inhibitorsNetwork meta-analysisNon-nucleoside reverse transcriptase inhibitorProtease inhibitorSystematic reviewTreatment-naïve

Identifiers

PMID31146698
PMCPMC6543679
OpenAlexW2947571847

What OpenQuestion holds

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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.