Evidence map›Paper›PMID 36166405›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2023

How Applicable Is the Single-Dose AMBITION Regimen for Human Immunodeficiency Virus-Associated Cryptococcal Meningitis to High-Income Settings?

Thomas S Harrison, David S Lawrence, Henry C Mwandumba, David R Boulware, Mina C Hosseinipour, Olivier Lortholary, Graeme Meintjes, Mosepele Mosepele, Joseph N Jarvis

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Cryptococcal meningitis.Nature reviews. Disease primers · 2023
    Review
  8. Review
  9. Therapeutic advances in neuroinfectious diseases.Therapeutic advances in infectious disease
    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

9 authors at 8 institutions in 7 countries.

Thomas S HarrisonInstitute of Infection and Immunity, St George's University London, London, United Kingdom.
David S LawrenceDepartment of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Henry C MwandumbaClinical Sciences Department, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
David R BoulwareInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Mina C HosseinipourLilongwe Medical Relief Trust (University of North Carolina Project), Lilongwe, Malawi.
Olivier LortholaryInstitut Pasteur, National Center for Scientific Research, Molecular Mycology Unit and National Reference Center for Invasive Mycoses and Antifungals, Unités Mixtes de Recherche 2000, Paris, France.
Graeme MeintjesWellcome Centre for Infectious Diseases Research in Africa, Institute of Infectious Disease and Molecular Medicine, Cape Town, South Africa.
Mosepele MosepeleBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Joseph N JarvisDepartment of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.ORCID 0000-0003-1459-5554
London School of Hygiene & Tropical Medicine · GBHôpital Necker-Enfants Malades · FRSt George's, University of London · GBUniversity of Botswana · BWUniversity of Cape Town · ZAUniversity of Liverpool · GBUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · US

Funding

Improving Diagnostics and Neurocognitive Outcomes in HIV/AIDS-related MeningitisR01NS086312 · NINDS · UNIVERSITY OF MINNESOTA · PI David R Boulware, David Bisagaya Meya · 2013 to 2026
$8.3M
Medical Research Council MC_PC_MR/P006922/1Medical Research Council MR/P020526/1Medical Research Council MR/V033417/1NINDS NIH HHS R01 NS086312
6 · The paper itself

Abstract

The AmBisome Therapy Induction Optimization (AMBITION-cm) trial, conducted in eastern and southern Africa, showed that a single, high dose (10 mg/kg) of liposomal amphotericin B, given with an oral backbone of fluconazole and flucytosine, was noninferior to the World Health Organization (WHO)-recommended regimen of 7 days of amphotericin B deoxycholate plus flucytosine for treatment of human immunodeficiency virus (HIV)-associated cryptococcal meningitis and has been incorporated into WHO treatment guidelines. We believe that the trial also has important implications for the treatment of HIV-associated cryptococcal meningitis in high-income settings. We advance the arguments, supported by evidence where available, that the AMBITION-cm trial regimen is likely to be as fungicidal as the currently recommended 14-day liposomal amphotericin-based treatments, better tolerated with fewer adverse effects, and confer significant economic and practical benefits and, therefore, should be included as a treatment option in guidance for HIV-associated cryptococcal treatment in high-income settings.

Indexed as

HIV InfectionsMeningitis, CryptococcalAmphotericin BAntifungal AgentsDrug Therapy, CombinationFluconazoleFlucytosineHIVHumansAmphotericin BAntifungal AgentsFluconazoleFlucytosineliposomal amphotericin Bamphotericin Bcryptococcal meningitisfluconazoleflucytosineHIV

Identifiers

PMID36166405
PMCPMC9989135
OpenAlexW4297262059

What OpenQuestion holds

Textmetadata
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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.