Evidence map›Paper›PMID 32424549›Full record

ReviewCurrent HIV/AIDS reports2020

Approaches to Objectively Measure Antiretroviral Medication Adherence and Drive Adherence Interventions.

Matthew A Spinelli, Jessica E Haberer, Peter R Chai, Jose Castillo-Mancilla, Peter L Anderson, Monica Gandhi

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current HIV/AIDS reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06423612 (Randomized Trial to Optimize Virologic Suppression Rates Using a Point-of-Care Urine Monitoring Assay), which is not on this map. Cited by 93 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 7% 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.

NCT06423612 narecruitingnot on this mapstarted 2025, after this paper: background citation

Randomized Trial to Optimize Virologic Suppression Rates Using a Point-of-Care Urine Monitoring Assay (ROVING PUMA)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2025 to 2026Enrolled500ConditionsART AdherenceArmsPOC urine assay informed enhanced ART adherence counselling for viral suppression
3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 4 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
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  3. Accuracy of measures for antiretroviral adherence in people living with HIV.The Cochrane database of systematic reviews · 2022
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  6. A Real-Time Urine Tenofovir Assay Improves Drug Adherence Among People With HIV With Prior Virologic Failure in a Randomized Controlled Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
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33 more citing papers are in PubMed but not listed here.

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 5 institutions in 1 country.

Matthew A SpinelliDivision of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.ORCID 0000-0001-6368-8664
Jessica E HabererCenter for Global Health, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Peter R ChaiDepartment of Emergency Medicine, Brigham and Women's Hospital/Harvard, Boston, MA, USA.
Jose Castillo-MancillaDivision of Infectious Diseases, University of Colorado-Denver, Denver, CO, USA.
Peter L AndersonDepartment of Pharmaceutical Sciences, University of Colorado-Denver, Denver, CO, USA.
Monica GandhiDivision of HIV, Infectious Diseases, and Global Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA. Monica.gandhi@ucsf.edu.
University of Colorado Denver · USBrigham and Women's Hospital · USHarvard University · USRAND Corporation · USUniversity of California, San Francisco · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
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
New Pharmacologic Measures of ART Adherence and Exposure: Pathway to Clinical ImplementationR01AI145453 · NIAID · UNIVERSITY OF COLORADO DENVER · PI ANDERSON, PETER L. · 2019 to 2023
$3.7M
Novel approaches for quantitative assessment of adherenceR01AI122298 · NIAID · UNIVERSITY OF COLORADO DENVER · PI ANDERSON, PETER L. · 2016 to 2020
$3.4M
“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
Development of Ingestible Biosensors to Enhance PrEP Adherence in Substance UsersK23DA044874 · NIDA · BRIGHAM AND WOMEN'S HOSPITAL · PI CHAI, PETER R · 2018 to 2022
$1.0M
PrEP Point-of-Care Brief-Intervention for Adherence among Young Men Who Have Sex with Men (PrEP2-BAY Study)K23MH122286 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SPINELLI, MATTHEW A. · 2020 to 2024
$1.0M
Optimizing mHealth for adherence monitoring and interventionK24MH114732 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI HABERER, JESSICA ELIZABETH · 2017 to 2021
$800k
Objective measures of adherence for later-stage ART failure in resource limited settingsR03AI152773 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GANDHI, MONICA · 2020 to 2021
$161k
NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI098472NIAID NIH HHS R01 AI122298NIAID NIH HHS R01 AI143340NIAID NIH HHS R01 AI145453NIAID NIH HHS R03 AI152773NIAID NIH HHS R37 AI098472NIAID NIH HHS T32 AI060530NIDA NIH HHS K23 DA044874NIMH NIH HHS K23 MH122286NIMH NIH HHS K24 MH114732
6 · The paper itself

Abstract

purpose of reviewTraditional methods to assess antiretroviral adherence, such as self-report, pill counts, and pharmacy refill data, may be inaccurate in determining actual pill-taking to both antiretroviral therapy (ART) or pre-exposure prophylaxis (PrEP). HIV viral loads serve as surrogates of adherence on ART, but loss of virologic control may occur well after decreases in adherence and viral loads are not relevant to PrEP. RECENT

findingsPharmacologic measures of adherence, electronic adherence monitors, and ingestible electronic pills all serve as more objective metrics of adherence, surpassing self-report in predicting outcomes. Pharmacologic metrics can identify either recent adherence or cumulative adherence. Recent dosing measures include antiretroviral levels in plasma or urine, as well as emtricitabine-triphosphate in dried blood spots (DBS) for those on tenofovir-emtricitabine-based therapy. A urine tenofovir test has recently been developed into a point-of-care test for bedside adherence monitoring. Cumulative adherence metrics assess adherence over weeks to months and include measurement of tenofovir-diphosphate in peripheral blood mononuclear cells or DBS, as well as ART levels in hair. Electronic adherence monitors and ingestible electronic pills can track pill bottle openings or medication ingestion, respectively. New and objective approaches in adherence monitoring can be used to detect nonadherence prior to loss of prevention efficacy or virologic control with PrEP or ART, respectively.

Indexed as

Drug MonitoringAdenineAdultAnti-HIV AgentsEmtricitabineFemaleHairHIV InfectionsHumansLeukocytes, MononuclearMaleMonitoring, AmbulatoryOrganophosphatesPre-Exposure ProphylaxisTenofovirViral LoadAdenineAnti-HIV AgentsEmtricitabineOrganophosphatesTenofovirtenofovir diphosphateAdherence metricsARTElectronic adherence monitorsIngestible sensorsPharmacologic metricsPrEP

Identifiers

PMID32424549
PMCPMC7363551
OpenAlexW3028223594

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.