Evidence map›Paper›PMID 33440260›Full record

Observational studyInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2021

Uptake of antiretroviral treatment and viral suppression among men who have sex with men and transgender women in sub-Saharan Africa in an observational cohort study: HPTN 075.

Philip J Palumbo, Yinfeng Zhang, William Clarke, Autumn Breaud, Mariya Sivay, Vanessa Cummings, Erica L Hamilton, Xu Guo, Arthur Ogendo, Noel Kayange and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 10 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

15 authors at 9 institutions in 4 countries.

Philip J PalumboDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: ppalumb1@jhmi.edu.
Yinfeng ZhangDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: zhangy26@upmc.edu.
William ClarkeDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: wclarke@jhmi.edu.
Autumn BreaudDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: abreaud1@jhmi.edu.
Mariya SivayDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: sivay_mv@vector.nsc.ru.
Vanessa CummingsDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: vcummin1@jhmi.edu.
Erica L HamiltonScience Facilitation Department, FHI 360, Durham, North Carolina, USA. Electronic address: ehamilton@fhi360.org.
Xu GuoVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. Electronic address: xguo@fredhutch.org.
Arthur OgendoHIV Research Division, Kenya Medical Research Institute (KEMRI) CDC, Kisumu, Kenya. Electronic address: aogendo@kemricdc.org.
Noel KayangeDepartment of Internal Medicine, Johns Hopkins Project, College of Medicine, Malawi, Blantyre, Malawi. Electronic address: nkayange@jhu.medcol.mw.
Ravindre PanchiaPerinatal HIV Research Unit, University of the Witwatersrand, Soweto HPTN CRS, Soweto, South Africa. Electronic address: panchiar@phru.co.za.
Karen DominguezDesmond Tutu HIV Centre, UCT Medical School, Cape Town, South Africa. Electronic address: karen.dominguez@emory.edu.
Ying Q ChenVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. Electronic address: yqchen@fredhutch.org.
Theodorus G M SandfortHIV Center for Clinical and Behavioral Studies, Department of Psychiatry, Columbia University, New York, New York, USA. Electronic address: tgs2001@cumc.columbia.edu.
Susan H EshlemanDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: seshlem@jhmi.edu.
Johns Hopkins University · USFred Hutch Cancer Center · USJohns Hopkins Medicine · USDesmond Tutu HIV Foundation · ZAFamily Health International 360 · USKenya Medical Research Institute · KENew York Psychoanalytic Society and Institute · USUniversity of Malawi · MWUniversity of the Witwatersrand · ZA

Funding

LOC: HIV Prevention Trials NetworkUM1AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI Sinead Delany-Moretlwe, RAPHAEL J LANDOVITZ · 2011 to 2026
$779.5M
SDMC: HPTN 084 Pregnancy SupplementUM1AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth Renata Brown, Deborah J Donnell · 2011 to 2026
$204.9M
LC: HIV Prevention Trials Network - Laboratory Support for the SARS-CoV-2 Seroprevalence Study (CoVPN 5002)UM1AI068613 · NIAID · JOHNS HOPKINS UNIVERSITY · PI SUSAN H ESHLEMAN, Mark A Marzinke · 2011 to 2026
$100.2M
The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
The Malawi Clinical Trials UnitUM1AI069518 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JACKY M JENNINGS, TAHA E TAHA · 2012 to 2026
$43.8M
Soweto Clinical Trials UnitUM1AI069453 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI Glenda E Gray, Lerato Mohapi · 2012 to 2026
$40.9M
NIAID NIH HHS UM1 AI068613NIAID NIH HHS UM1 AI068617NIAID NIH HHS UM1 AI068619NIAID NIH HHS UM1 AI069453NIAID NIH HHS UM1 AI069518NIMH NIH HHS P30 MH043520
6 · The paper itself

Abstract

objectivesHPTN 075 enrolled men who have sex with men (MSM) and transgender women (TGW) in sub-Saharan Africa. Persons in HIV care or on antiretroviral treatment (ART) were not eligible to enroll. We evaluated antiretroviral (ARV) drug use, viral suppression, and drug resistance in this cohort over a 12-month follow-up period.

methodsAssessments included 64 participants with HIV (39 MSM, 24 TGW, and one gender not specified). ARV drugs were detected using a qualitative assay. Viral load (VL) and drug resistance testing were performed using commercial assays.

resultsOver 12 months, the proportion of participants using ARV drugs increased from 28.1% to 59.4% and the proportion with VLs <400 copies/mL increased from 21.9% to 57.8%. The rate of ART failure (detection of drugs without viral suppression) was similar at screening and 12 months (12.0% and 11.1%, respectively) and was similar among MSM and TGW. Two participants developed HIV drug resistance during follow-up.

conclusionsOver 12 months, ARV drug use in the cohort more than doubled and viral suppression increased nearly threefold without a significant increase in ART failure or drug resistance. These results suggest that ART can be successfully scaled up for HIV prevention and treatment in this high-risk population.

Indexed as

Homosexuality, MaleSexual and Gender MinoritiesTransgender PersonsAfrica South of the SaharaAnti-HIV AgentsCohort StudiesDrug Resistance, ViralFemaleFollow-Up StudiesHIV InfectionsHumansMaleMass ScreeningRisk FactorsTreatment OutcomeViral LoadAnti-HIV AgentsAntiretroviral drugsHIVHIV drug resistanceMen who have sex with menSub-Saharan AfricaTransgender womenViral suppression

Identifiers

PMID33440260
PMCPMC8091139
OpenAlexW3120278093

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.