Evidence map›Paper›PMID 34877881›Full record

ArticleAIDS research and human retroviruses2022

Integrase Inhibitor Use Associated with Weight Gain in Women and Incident Diabetes Mellitus.

Archana Asundi, Alex Olson, Wenqing Jiang, Swati P Varshney, Laura F White, Manish Sagar, Nina H Lin

Open access · greenAbstract read
In one paragraph

Article in AIDS research and human retroviruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
  5. Article
  6. Review
  7. Weight Gain After HIV Therapy Initiation: Pathophysiology and Implications.The Journal of clinical endocrinology and metabolism · 2024 · on this map
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
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

7 authors at 2 institutions in 1 country.

Archana AsundiSection of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.ORCID 0000-0003-3910-909X
Alex OlsonSection of Infectious Diseases, Boston Medical Center, Boston, Massachusetts, USA.
Wenqing JiangDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0001-6825-5534
Swati P VarshneySection of Infectious Diseases, Boston Medical Center, Boston, Massachusetts, USA.
Laura F WhiteDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Manish SagarSection of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Nina H LinSection of Infectious Diseases, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Boston University · USBoston Medical Center · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Persistent HIV expression induced type I IFN responses and inflammagingR01AG060890 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GUMMULURU, SURYARAM, LIN, NINA H. · 2018 to 2022
$3.8M
HIV-1 mucosal transmission and persistenceK24AI145661 · NIAID · BOSTON MEDICAL CENTER · PI SAGAR, MANISH · 2019 to 2023
$908k
NIAID NIH HHS K24 AI145661NIAID NIH HHS P30 AI042853NIA NIH HHS R01 AG060890
6 · The paper itself

Abstract

Excessive weight gain associated with integrase strand transfer inhibitor (InSTI) antiretrovirals is an emerging issue; however, the metabolic consequences of this effect have not been established. Our objective was to evaluate for InSTI-emergent weight gain and potential associated type 2 diabetes mellitus (T2DM) among a diverse HIV patient cohort. For this retrospective cohort study, we obtained clinical warehouse data for HIV+ patients between fiscal years 2007-17. We compared patients initiated on an InSTI with those started on an alternate regimen. Our primary outcome was percentage weight change from baseline to 24 months postinitiation using the linear mixed-effects model fit by restricted maximum likelihood. Our secondary outcome was incident T2DM as defined by a new prescription for antihyperglycemic medication within 18 months after antiretroviral therapy (ART) start. Diabetes-free survival was estimated using the Kaplan-Meier method, log-rank test, and Cox proportional-hazards model. The cohort included 1,235 individuals initiating ART, 136 (11.0%) with an InSTI. InSTI use in women was significantly associated with greater weight gain compared with non-InSTIs (11.0%, 95% confidence interval, CI: 5.22 to 16.8,

Indexed as

Diabetes Mellitus, Type 2HIV InfectionsHIV IntegraseHIV Integrase InhibitorsFemaleHumansProspective StudiesRetrospective StudiesWeight GainHIV IntegraseHIV Integrase Inhibitorsdiabetes mellitusHIVintegrase inhibitorsobesityweight gain

Identifiers

PMID34877881
PMCPMC8968841
OpenAlexW4200257277

What OpenQuestion holds

Textmetadata
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.