Evidence map›Paper›PMID 33901017›Full record

Trial reportAntiviral therapy2020

Statin effect on coronary calcium distribution, mass and volume scores and associations with immune activation among HIV+ persons on antiretroviral therapy.

Jerry Lipinski, Seunghee Margevicius, Mark D Schluchter, David L Wilson, Grace A McComsey, Chris T Longenecker

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Antiviral therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 65% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

6 authors at 2 institutions in 1 country.

Jerry LipinskiDepartment of Internal Medicine, University of California, San Diego, San Diego, CA, USA.
Seunghee MargeviciusSchool of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Mark D SchluchterSchool of Medicine, Case Western Reserve University, Cleveland, OH, USA.
David L WilsonCase Western Reserve University School of Engineering, Cleveland, OH, USA.
Grace A McComseySchool of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Chris T LongeneckerSchool of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Case Western Reserve University · USUniversity of California, San Diego · US

Funding

WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
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
Inflammation, Heart and BoneR01NR012642 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2010 to 2014
$2.5M
Short term heart, lung, blood research opportunitiesR25HL103152 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI MONTANO, MONICA · 2010 to 2024
$2.3M
Pericardial fat, inflammation, and structural heart disease in HIVK23HL123341 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LONGENECKER, CHRIS TODD · 2014 to 2018
$885k
NCATS NIH HHS UM1 TR004528NHLBI NIH HHS K23 HL123341NHLBI NIH HHS R25 HL103152NIAID NIH HHS P30 AI036219NINR NIH HHS R01 NR012642
6 · The paper itself

Abstract

backgroundInflammation has been associated with whole heart coronary artery calcification (CAC) among people with HIV (PWH) on antiretroviral therapy (ART); however, prior studies have not evaluated the distribution of calcium or separated mass versus volume scores, which are differentially associated with clinical events in the general population. Statins may also have a greater effect on CAC mass compared with volume.

methods147 PWH were randomized 1:1 to rosuvastatin 10 mg or placebo and followed for 96 weeks. We re-analysed coronary calcium scans from 0, 48 and 96 weeks to determine mass and volume scores and measures of CAC diffusivity. Mixed effects models and generalized estimating equations were used to examine longitudinal associations of CAC with treatment and biomarkers.

resultsMedian age at study entry was 46 years; 78% were male and 68% African American. Median CD4+ was 613 and half were on protease inhibitors. Randomization to statin therapy was not associated with a change in mass score, volume score, number of involved vessels or diffusivity index (all P>0.1). Soluble CD14 was associated with the presence of CAC (P=0.05) and borderline associated with number of involved vessels (P=0.07) across all three time points.

conclusionsIn PWH on ART, moderate intensity rosuvastatin does not appear to have a significant effect on volume, mass or regional distribution of CAC over 96 weeks. We extend previous cross-sectional observations to show that soluble CD14 is associated with whole heart CAC over time and independently of age and systolic blood pressure.

Indexed as

Coronary Artery DiseaseHIV InfectionsHydroxymethylglutaryl-CoA Reductase InhibitorsCalciumCoronary VesselsCross-Sectional StudiesFemaleHumansLipopolysaccharide ReceptorsMaleRisk FactorsRosuvastatin CalciumCalciumHydroxymethylglutaryl-CoA Reductase InhibitorsLipopolysaccharide ReceptorsRosuvastatin Calcium

Identifiers

PMID33901017
PMCPMC12854078
OpenAlexW3157100554

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.