Evidence map›Paper›PMID 32627120›Full record

ReviewCurrent HIV/AIDS reports2020

Point-of-care and Near Real-time Testing for Antiretroviral Adherence Monitoring to HIV Treatment and Prevention.

Paul K Drain, Ashley R Bardon, Jane M Simoni, Tim R Cressey, Pete Anderson, Derin Sevenler, Ayokunle O Olanrewaju, Monica Gandhi, Connie Celum

Registry-linked trialAbstract 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
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  5. Review
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  11. Review
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  13. Roadmap for Achieving Universal Antiretroviral Treatment.Annual review of pharmacology and toxicology · 2023
    Review
  14. Article
  15. Article
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  17. Article
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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

9 authors.

Paul K DrainDepartment of Global Health, Schools of Medicine and Public Health, University of Washington, 325 Ninth Ave, UW Box 359927, Seattle, WA, 98104-2420, USA. pkdrain@uw.edu.ORCID 0000-0002-9569-4097
Ashley R BardonDepartment of Global Health, Schools of Medicine and Public Health, University of Washington, 325 Ninth Ave, UW Box 359927, Seattle, WA, 98104-2420, USA.
Jane M SimoniDepartment of Global Health, Schools of Medicine and Public Health, University of Washington, 325 Ninth Ave, UW Box 359927, Seattle, WA, 98104-2420, USA.
Tim R CresseyPHPT/IRD 174, Department of Medical Technology, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand.
Pete AndersonDepartment of Pharmaceutical Sciences, University of Colorado, Aurora, Aurora, CO, USA.
Derin SevenlerCenter for Engineering in Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Ayokunle O OlanrewajuDepartment of Mechanical Engineering, University of Washington, Seattle, USA.
Monica GandhiDepartment of Medicine, University of California, San Francisco, San Francisco, USA.
Connie CelumDepartment of Global Health, Schools of Medicine and Public Health, University of Washington, 325 Ninth Ave, UW Box 359927, Seattle, WA, 98104-2420, USA.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
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
“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
A Rapid Point-of-Care Test to Improve ART and PrEP AdherenceR01AI136648 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAIN, PAUL K · 2018 to 2020
$2.3M
A Point-of-Care Assay to Measure Tenofovir for Monitoring PrEP and ART AdherenceR21AI127200 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAIN, PAUL K · 2016 to 2017
$396k
Advancing point-of-care diagnostics for integrated HIV and TB care in South AfricaR03AI143351 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAIN, PAUL K · 2019 to 2020
$145k
NIAID NIH HHS P30 AI027757NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI136648NIAID NIH HHS R01 AI143340NIAID NIH HHS R03 AI143351NIAID NIH HHS R21 AI127200NIAID NIH HHS R37 AI098472
6 · The paper itself

Abstract

purpose of reviewIn this report, we review the need for point-of-care (POC) or near real-time testing for antiretrovirals, progress in the field, evidence for guiding implementation of these tests globally, and future directions in objective antiretroviral therapy (ART) or pre-exposure prophylaxis (PrEP) adherence monitoring. RECENT

findingsTwo cornerstones to end the HIV/AIDS pandemic are ART, which provides individual clinical benefits and eliminates forward transmission, and PrEP, which prevents HIV acquisition with high effectiveness. Maximizing the individual and public health benefits of these powerful biomedical tools requires high and sustained antiretroviral adherence. Routine monitoring of medication adherence in individuals receiving ART and PrEP may be an important component in interpreting outcomes and supporting optimal adherence. Existing practices and subjective metrics for adherence monitoring are often inaccurate or unreliable and, therefore, are generally ineffective for improving adherence. Laboratory measures of antiretroviral concentrations using liquid chromatography tandem mass spectrometry have been utilized in research settings to assess medication adherence, although these are too costly and resource-intensive for routine use. Newer, less costly technologies such as antibody-based methods can provide objective drug-level measurement and may allow for POC or near-patient adherence monitoring in clinical settings. When coupled with timely and targeted counseling, POC drug-level measures can support adherence clinic-based interventions to ART or PrEP in near real time.

Indexed as

Medication AdherencePoint-of-Care SystemsAnti-HIV AgentsCounselingFemaleHIV InfectionsHumansPre-Exposure ProphylaxisPublic HealthTenofovirAnti-HIV AgentsTenofovirAdherenceAntiretroviral therapy (ART)HIVPoint-of-care testPre-exposure prophylaxis (PrEP)Tenofovir

Identifiers

PMID32627120
PMCPMC7492442

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.