Evidence map›Paper›PMID 35301540›Full record

Trial reportThe Journal of infectious diseases2022

Characterization of Human Immunodeficiency Virus (HIV) Infections in Women Who Received Injectable Cabotegravir or Tenofovir Disoproxil Fumarate/Emtricitabine for HIV Prevention: HPTN 084.

Susan H Eshleman, Jessica M Fogel, Estelle Piwowar-Manning, Gordon Chau, Vanessa Cummings, Yaw Agyei, Paul Richardson, Philip Sullivan, Casey D Haines, Lane R Bushman and 23 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 6% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  10. The Critical Importance of Clinical Use Case to Inform Point-of-Care Technology Development: A Case Study of HIV Nucleic Acid Assays in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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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

33 authors at 16 institutions in 4 countries.

Susan H EshlemanDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jessica M FogelDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Estelle Piwowar-ManningDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Gordon ChauFred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Vanessa CummingsDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yaw AgyeiDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Paul RichardsonDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Philip SullivanDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Casey D HainesDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Lane R BushmanDepartment of Pharmaceutical Sciences, University of Colorado, Aurora, Colorado, USA.
Christos PetropoulosMonogram Biosciences, South San Francisco, California, USA.
Deborah PersaudDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ryan KofronDepartment of Medicine, University of California at Los Angeles, Los Angeles, California, USA.
Craig W HendrixDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Peter L AndersonDepartment of Pharmaceutical Sciences, University of Colorado, Aurora, Colorado, USA.
Jennifer FarriorFHI 360, Durham, North Carolina, USA.
John MellorsDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Adeola AdeyeyePrevention Science Program, Division of Acquired Immunodeficiency Syndrome, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland, USA.
Alex RinehartViiV Healthcare, Research Triangle Park, North Carolina, USA.
Marty St ClairViiV Healthcare, Research Triangle Park, North Carolina, USA.
Susan FordGlaxoSmithKline, Research Triangle Park, North Carolina, USA.
James F RooneyGilead Sciences, Foster City, California, USA.
Carrie-Anne MathewWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Portia HunidzariraUniversity of Zimbabwe Clinical Trials Research Centre, Harare, Zimbabwe.
Elizabeth SpoonerHIV Prevention Research Unit, South African Medical Research Council, Durban, South Africa.
Juliet MpendoUVRI-IAVI HIV Vaccine Program, Entebbe, Uganda.
Gonasagrie NairCenter for Medical Ethics and Law, Stellenbosch University, Stellenbosch, South Africa.
Myron S CohenDepartment of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
James P HughesDepartment of Biostatistics, University of Washington, Seattle, Washington, USA.ORCID 0000-0001-5034-3157
Mina HosseinipourDepartment of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Brett HanscomFred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Sinead Delany-MoretlweWits RHI, University of the Witwatersrand, Johannesburg, South Africa.
Mark A MarzinkeDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · USFred Hutch Cancer Center · USUniversity of Colorado Anschutz Medical Campus · USUniversity of North Carolina at Chapel Hill · USUniversity of the Witwatersrand · ZAFamily Health International 360 · USGilead Sciences (United States) · USNational Institutes of Health · USResearch Triangle Park Foundation · USSouth African Medical Research Council · ZAStellenbosch University · ZAUganda Virus Research Institute · UGUniversity of California, Los Angeles · USUniversity of Pittsburgh · USUniversity of Washington · USUniversity of Zimbabwe · ZW

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
VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
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
UZ-UCSF CTUUM1AI069436 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ZVAVAHERA MIKE CHIRENJE, LYNDA STRANIX-CHIBANDA · 2012 to 2026
$75.9M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
UZ-UCSF Clinical Trials UnitU01AI069436 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHIRENJE, ZVAVAHERA MIKE · 2007 to 2011
$49.3M
University of KwaZulu-Natal - CAPRISA HIV/AIDS Clinical Trials UnitUM1AI069469 · NIAID · UNIVERSITY OF KWAZULU-NATAL · PI QUARRAISHA ABDOOL KARIM · 2012 to 2026
$36.4M
The Johns Hopkins University - Uganda Clinical Trials UnitUM1AI069530 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MARY Glenn Fowler, Philippa Musoke · 2012 to 2026
$34.8M
Wits HIV Research Group CLINICAL TRIAL UNIT (CTU) reapplicationUM1AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI REES, HELEN, SANNE, IAN MATTHIAS · 2012 to 2025
$31.8M
Botswana-Harvard T.H. Chan School of Public Health AIDS Initiative Partnership CTU Y18 SupplementUM1AI069456 · NIAID · THE BOTSWANA HARVARD HEALTH PARTNERSHIP · PI SHAHIN LOCKMAN, Joseph Moeketsi Makhema · 2012 to 2026
$29.4M
Children of Depressed Mothers: Culture &PreventionK01MH068619 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI BOYD, RHONDA C · 2005 to 2009
$697k
NCI NIH HHS P30 CA047904NIAID NIH HHS U01 AI069436NIAID NIH HHS UM1 AI068613NIAID NIH HHS UM1 AI068617NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069436NIAID NIH HHS UM1 AI069456NIAID NIH HHS UM1 AI069463NIAID NIH HHS UM1 AI069469NIAID NIH HHS UM1 AI069530NIMH NIH HHS UM1AI068619
6 · The paper itself

Abstract

backgroundHIV Prevention Trials Network 084 demonstrated that long-acting injectable cabotegravir (CAB) was superior to daily oral tenofovir (TFV) disoproxil fumarate (TDF)/emtricitabine (FTC) for preventing human immunodeficiency virus (HIV) infection in sub-Saharan African women. This report describes HIV infections that occurred in the trial before unblinding.

methodsTesting was performed using HIV diagnostic assays, viral load testing, a single-copy RNA assay, and HIV genotyping. Plasma CAB, plasma TFV, and intraerythrocytic TFV-diphosphate concentrations were determined by liquid chromatography-tandem mass spectrometry.

resultsForty HIV infections were identified (CAB arm, 1 baseline infection, 3 incident infections; TDF/FTC arm, 36 incident infections). The incident infections in the CAB arm included 2 with no recent drug exposure and no CAB injections and 1 with delayed injections; in 35 of 36 cases in the TDF/FTC arm, drug concentrations indicated low or no adherence. None of the cases had CAB resistance. Nine women in the TDF/FTC arm had nonnucleoside reverse-transcriptase inhibitor resistance; 1 had the nucleoside reverse-transcriptase inhibitor resistance mutation, M184V.

conclusionsAlmost all incident HIV infections occurred in the setting of unquantifiable or low drug concentrations. CAB resistance was not detected. Transmitted nonnucleoside reverse-transcriptase inhibitor resistance was common; 1 woman may have acquired nucleoside reverse-transcriptase inhibitor resistance from study drug exposure.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisDiketopiperazinesDNA-Directed RNA PolymerasesEmtricitabineFemaleHIVHumansNucleosidesPyridonesReverse Transcriptase InhibitorsTenofovirAnti-HIV AgentscabotegravirDiketopiperazinesDNA-Directed RNA PolymerasesEmtricitabineNucleosidesPyridonesReverse Transcriptase InhibitorsTenofovirAfricacabotegravirHIVHPTN 084injectablelong-actingpreexposure prophylaxispreventionTDF/FTCwomen

Identifiers

PMID35301540
PMCPMC9113509
OpenAlexW4221037082

What OpenQuestion holds

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Registered trials

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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.