Evidence map›Paper›PMID 35138683›Full record

ArticleJournal of the International AIDS Society2022

Mitigation strategies to safely conduct HIV treatment research in the context of COVID-19.

Merle Henderson, Sarah Fidler, Beatriz Mothe, Beatriz Grinsztejn, Bridget Haire, Simon Collins, Jillian S Y Lau, Maureen Luba, Ian Sanne, Roger Tatoud and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 52% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

12 authors at 8 institutions in 7 countries.

Merle HendersonDepartment of Infectious Disease, Imperial College London, London, UK.ORCID 0000-0003-3326-9674
Sarah FidlerDepartment of Infectious Disease, Imperial College London, London, UK.ORCID 0000-0003-1676-7583
Beatriz MotheIrsiCaixa AIDS Research Institute, HUGTIP, Badalona, Spain.
Beatriz GrinsztejnFundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Bridget HaireKirby Institute, Sydney, New South Wales, Australia.
Simon Collinsi-Base, London, UK.
Jillian S Y LauThe Peter Doherty Institute for Infection and Immunity, The University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Maureen LubaAVAC, Lilongwe, Malawi.
Ian SanneUniversity of the Witwatersrand, Johannesburg, South Africa.
Roger TatoudInternational AIDS Society, Geneva, Switzerland.ORCID 0000-0002-3999-8264
Steve DeeksUniversity of California, San Francisco (UCSF), San Francisco, California, USA.
Sharon R LewinThe Peter Doherty Institute for Infection and Immunity, The University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Imperial College London · GBThe Royal Melbourne Hospital · AUFundação Oswaldo Cruz · BRInternational AIDS Society · CHIrsiCaixa · ESNew South Wales Institute of Psychiatry · AUUniversity of California, San Francisco · USUniversity of the Witwatersrand · ZA

Funding

Medical Research Council MR/L00528X/1
6 · The paper itself

Abstract

introductionThe International AIDS Society convened a multidisciplinary committee of experts in December 2020 to provide guidance and key considerations for the safe and ethical management of clinical trials involving people living with HIV (PLWH) during the SARS-CoV-2 pandemic. This consultation did not discuss guidance for the design of prevention studies for people at risk of HIV acquisition, nor for the programmatic delivery of antiretroviral therapy (ART). DISCUSSION: There is strong ambition to continue with HIV research from both PLWH and the research community despite the ongoing SARS-CoV-2 pandemic. How to do this safely and justly remains a critical debate. The SARS-CoV-2 pandemic continues to be highly dynamic. It is expected that with the emergence of effective SARS-CoV-2 prevention and treatment strategies, the risk to PLWH in clinical trials will decline over time. However, with the emergence of more contagious and potentially pathogenic SARS-CoV-2 variants, the effectiveness of current prevention and treatment strategies may be compromised. Uncertainty exists about how equally SARS-CoV-2 prevention and treatment strategies will be available globally, particularly for marginalized populations, many of whom are at high risk of reduced access to ART and/or HIV disease progression. All of these factors must be taken into account when deciding on the feasibility and safety of developing and implementing HIV research.

conclusionsIt can be assumed for the foreseeable future that SARS-CoV-2 will persist and continue to pose challenges to conducting clinical research in PLWH. Guidelines regarding how best to implement HIV treatment studies will evolve accordingly. The risks and benefits of performing an HIV clinical trial must be carefully evaluated in the local context on an ongoing basis. With this document, we hope to provide a broad guidance that should remain viable and relevant even as the nature of the pandemic continues to develop.

Indexed as

COVID-19HIV InfectionsHumansPandemicsSARS-CoV-2analytical treatment interruption (ATI)clinical trialCOVID-19HIVrisk mitigationSARS-CoV-2

Identifiers

PMID35138683
PMCPMC8826545
OpenAlexW4210930962

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.