Evidence map›Paper›PMID 31609926›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2019

Brief Report: Zinc Supplementation and Inflammation in Treated HIV.

Sahera Dirajlal-Fargo, Jiao Yu, Manjusha Kulkarni, Abdus Sattar, Nicholas Funderburg, Hope Barkoukis, Grace A Mccomsey

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Observational
  5. Review
  6. A secondary approach with conventional medicines and supplements to recuperate current COVID-19 status.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021
    Review
  7. Review
  8. Review
  9. Review
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

7 authors at 3 institutions in 1 country.

Sahera Dirajlal-FargoDepartment of Pediatrics, Division of Pediatric Infectious Diseases, Rainbow Babies and Children's Hospital, Cleveland, OH.
Jiao YuDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH.
Manjusha KulkarniDivision of Medical Laboratory Science, Ohio State University School of Health and Rehabilitation Sciences, Columbus, OH.
Abdus SattarDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH.
Nicholas FunderburgDivision of Medical Laboratory Science, Ohio State University School of Health and Rehabilitation Sciences, Columbus, OH.
Hope BarkoukisDepartment of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH.
Grace A MccomseyDepartment of Pediatrics, Division of Pediatric Infectious Diseases, Rainbow Babies and Children's Hospital, Cleveland, OH.
Case Western Reserve University · USRainbow Babies & Children's Hospital · USThe Ohio State University · US

Funding

Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Cardiovascular disease and inflammation in Ugandan children with HIVK23HD088295 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI DIRAJLAL-FARGO, SAHERA · 2016 to 2020
$799k
Role of Zinc in HIV inflammationR33AT009153 · NCCIH · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2019 to 2021
$727k
Role of Zinc in HIV inflammationR21AT009153 · NCCIH · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2016 to 2017
$441k
NCATS NIH HHS UM1 TR004528NCCIH NIH HHS R21 AT009153NCCIH NIH HHS R33 AT009153NICHD NIH HHS K23 HD088295
6 · The paper itself

Abstract

objectiveIn this study, we explored the effect of zinc supplementation on markers of inflammation and monocyte activation in antiretroviral therapy-treated HIV infection.

methodsThis is a phase I open-labeled randomized double-arm study, exploring the efficacy and safety of zinc supplementation on inflammation in ≥18-year-old people living with HIV in the US, on stable antiretroviral therapy and with zinc levels ≤75 µg/dL in the last 60 days. Patients were randomized 1:1 to zinc gluconate capsules at a dose of 45 mg (low-dose), or 90 mg (high-dose) elemental zinc daily for 16 weeks. We assessed inflammatory and gut integrity biomarkers at baseline and 16 weeks.

resultsOverall, a total of 52 participants were enrolled (25 participants in the low-dose arm and 27 participants in the high-dose arm). Median (Interquartile range) age was 49 (38, 60) years, 77% were men and 73% were African Americans. At baseline, median zinc levels were 73 (64, 86) µg/dL. Median circulating zinc levels increased to 91 µg/dL in the low-dose arm and to 100 µg/dL in the high-dose arm. Overall, 48%-60% of participants experienced a reduction in biomarkers levels. The margin of reduction ranged between 8% and 21%. This change was meaningful with large effect size (Cohen D ranging from 5 to 19).

conclusionsIn this pilot study, we found that zinc supplementation is effective at increasing circulating zinc levels. In addition, our findings provide novel data suggesting that zinc can affect a biological signature in people living with HIV and modulate biomarkers associated with clinical comorbidities.

Indexed as

Dietary SupplementsInflammationAdultAnti-Retroviral AgentsBiomarkersDrug Administration ScheduleFemaleGluconatesHIV InfectionsHumansMaleMiddle AgedMonocytesPilot ProjectsUnited StatesZincAnti-Retroviral AgentsBiomarkersGluconatesgluconic acidZinc

Identifiers

PMID31609926
PMCPMC6812547
OpenAlexW2980497093

What OpenQuestion holds

Textmetadata
LicenceTDM
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.