Evidence map›Paper›PMID 33251022›Full record

ArticleJournal of virus eradication2020

A randomized trial of vorinostat with treatment interruption after initiating antiretroviral therapy during acute HIV-1 infection.

Eugène D M B Kroon, Jintanat Ananworanich, Amélie Pagliuzza, Ajantha Rhodes, Nittaya Phanuphak, Lydie Trautmann, Julie L Mitchell, Michelle Chintanaphol, Jintana Intasan, Suteeraporn Pinyakorn and 20 more

Open access · goldAbstract read
In one paragraph

Article in Journal of virus eradication, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 18% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  8. Unique CD8bioRxiv : the preprint server for biology · 2026
    Article
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  11. Article
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  14. Article
  15. Article
  16. Research Toward a Cure for Perinatal HIV.Clinics in perinatology · 2024
    Review
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  19. 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

30 authors at 8 institutions in 5 countries.

Eugène D M B KroonSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Jintanat AnanworanichSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Amélie PagliuzzaCentre de Recherche du CHUM and Department of Microbiology, Infectiology and Immunology, Université de Montréal, Montreal, Canada.
Ajantha RhodesThe Peter Doherty Institute for Infection and Immunity, University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia.
Nittaya PhanuphakSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Lydie TrautmannThe Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.
Julie L MitchellThe Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.
Michelle ChintanapholSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Jintana IntasanSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Suteeraporn PinyakornSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Khuntalee BenjapornpongSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
J Judy ChangThe Peter Doherty Institute for Infection and Immunity, University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia.
Donn J ColbySEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Nitiya ChomcheySEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
James L K FletcherSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Keith EubanksCooper Human Systems, Nashua, NH, USA.
Hua YangCooper Human Systems, Nashua, NH, USA.
John KapsonCooper Human Systems, Nashua, NH, USA.
Ashanti DantanarayanaThe Peter Doherty Institute for Infection and Immunity, University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia.
Surekha TennakoonThe Peter Doherty Institute for Infection and Immunity, University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia.
Robert J GorelickAIDS and Cancer Virus Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD, USA.
Frank MaldarelliCenter for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Merlin L RobbThe Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.
Jerome H KimInternational Vaccine Initiative, Seoul, Republic of Korea.
Serena SpudichDepartment of Neurology, Yale University School of Medicine, Yale University, New Haven, CT, USA.
Nicolas ChomontCentre de Recherche du CHUM and Department of Microbiology, Infectiology and Immunology, Université de Montréal, Montreal, Canada.
Praphan PhanuphakSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Sharon R LewinThe Peter Doherty Institute for Infection and Immunity, University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia.
Mark S de SouzaSEARCH, Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
SEARCH 019 and RV254 Study Teams
Thai Red Cross Society · THHenry M. Jackson Foundation · USThe Royal Melbourne Hospital · AUCentre Hospitalier de l’Université de Montréal · CAInternational Vaccine Institute · KRLeidos (United States) · USNational Cancer Institute · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Preservation of adaptive immunity leads to HIV control upon treatment cessation.R01AI108433 · NIAID · VGTI FLORIDA · PI VASAN, SANDHYA · 2014 to 2018
$3.6M
NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI108433
6 · The paper itself

Abstract

OBJECTIVE AND

designA randomized, open-label pilot study in individuals treated with antiretroviral therapy (ART) since acute HIV infection (AHI) with a regimen including a histone deacetylase inhibitor to induce HIV from latency and control HIV replication during subsequent treatment interruption (TI).

methodsFifteen participants who initiated ART at AHI were randomized to vorinostat/hydroxychloroquine/maraviroc (VHM) plus ART (n ​= ​10) or ART alone (n ​= ​5). The VHM arm received three 14-day vorinostat cycles within 10 weeks before TI. ART was resumed for plasma viral load (VL) ​> ​1,000 HIV RNA copies/mL. Primary outcome was proportion of participants on VHM ​+ ​ART versus ART only with VL ​< ​50 copies/mL for 24 weeks after TI.

resultsFifteen participants on ART (median: 178 weeks: range 79-295) enrolled. Two on VHM ​+ ​ART experienced serious adverse events. Fourteen participants underwent TI; all experienced VL rebound with no difference in time between arms: VHM ​+ ​ART (n ​= ​9) median: 4 weeks and ART only (n ​= ​5) median: 5 weeks. VHM induced a 2.2-fold increase in VL (p ​= ​0.008) by single-copy HIV RNA assay after the first cycle. Neopterin levels increased significantly following the first two cycles. After VHM treatment, the frequencies of peripheral blood mononuclear cells harboring total HIV DNA and cell-associated RNA were unchanged. All participants achieved VL suppression following ART re-initiation.

conclusionsAdministration of VHM increased HIV VL in plasma, but this was not sustained. VHM did not impact time to viral rebound following TI and had no impact on the size of the HIV reservoir, suggesting that HIV reservoir elimination will require alternative treatment strategies.

Indexed as

Acute HIV infectionHIV remissionLatency reversalMaravirocVorinostat

Identifiers

PMID33251022
PMCPMC7646672
OpenAlexW3043410578

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.