Evidence map›Paper›PMID 36382436›Full record

ArticleAIDS (London, England)2022

Tenofovir disoproxil fumarate/emtricitabine and severity of coronavirus disease 2019 in people with HIV infection.

Julia Del Amo, Rosa Polo, Santiago Moreno, Esteban Martínez, Alfonso Cabello, José Antonio Iribarren, Adria Curran, Juan Macías, Marta Montero, Carlos Dueñas and 7 more

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

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  10. Autophagy and SARS-CoV-2-Old Players in New Games.International journal of molecular sciences · 2023
    Review
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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

17 authors at 13 institutions in 6 countries.

Julia Del AmoDivision of HIV, STI, Hepatitis and Tuberculosis. Ministry of Health, Madrid.
Rosa PoloDivision of HIV, STI, Hepatitis and Tuberculosis. Ministry of Health, Madrid.
Santiago MorenoCIBER de Enfermedades Infecciosas.
Esteban MartínezCIBER de Enfermedades Infecciosas.
Alfonso CabelloHIV Network of Excellence.
José Antonio IribarrenHIV Network of Excellence.
Adria CurranHIV Network of Excellence.
Juan MacíasHIV Network of Excellence.
Marta MonteroHIV Network of Excellence.
Carlos DueñasUniversity Clinical Hospital of Valladolid.
Ana I MariñoHIV Network of Excellence.
Santiago Pérez de la CámaraHIV Network of Excellence.
Asuncion DíazCIBER de Enfermedades Infecciosas.
José Ramón ArribasCIBER de Enfermedades Infecciosas.
Inma JarrínCIBER de Enfermedades Infecciosas.
Miguel A HernánCAUSALab.
on behalf of the CoVIHd Collaboration in Spain
Ministry of Health · MNNational Center for Epidemiology · HUBiogipuzkoa Health Research Institute · ESCentro de Investigación Biomédica en Red · ESComplejo Hospitalario Universitario de Ferrol · ESHarvard University · USHebron University · PSHospital Clínic de Barcelona · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario de Valme · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Ramón y Cajal · ESItalian Institute of Telemedicine · IT

Funding

Dynamic Strategies for the clinical management of HIV diseaseR37AI102634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI MIGUEL HERNAN · 2018 to 2026
$5.3M
NIAID NIH HHS R37 AI102634
6 · The paper itself

Abstract

backgroundEffective, safe, and affordable antivirals are needed for coronavirus disease 2019 (COVID-19). Several lines of research suggest that tenofovir may be effective against COVID-19, but no large-scale human studies with appropriate adjustment for comorbidities have been conducted.

methodsWe studied HIV-positive individuals on antiretroviral therapy (ART) in 2020 at 69 HIV clinics in Spain. We collected data on sociodemographics, ART, CD4+ cell count, HIV-RNA viral-load, comorbidities and the following outcomes: laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, COVID-19 hospitalization, intensive care unit (ICU) admission and death. We compared the 48-week risks for individuals receiving tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC), tenofovir alafenamide (TAF)/FTC, abacavir (ABC)/lamivudine (3TC), and other regimes. All estimates were adjusted for clinical and sociodemographic characteristics via inverse probability weighting.

resultsOf 51 558 eligible individuals, 39.6% were on TAF/FTC, 11.9% on TDF/FTC, 26.6% on ABC/3TC, 21.8% on other regimes. There were 2402 documented SARS-CoV-2 infections (425 hospitalizations, 45 ICU admissions, 37 deaths). Compared with TAF/FTC, the estimated risk ratios (RR) (95% confidence interval) of hospitalization were 0.66 (0.43, 0.91) for TDF/FTC and 1.29 (1.02, 1.58) for ABC/3TC, the RRs of ICU admission were 0.28 (0.11, 0.90) for TDF/FTC and 1.39 (0.70, 2.80) for ABC/3TC, and the RRs of death were 0.37 (0.23, 1.90) for TDF/FTC and 2.02 (0.88-6.12) for ABC/3TC. The corresponding RRs of hospitalization for TDF/FTC were 0.49 (0.24, 0.81) in individuals ≥50 years and 1.15 (0.59, 1.93) in younger individuals. DISCUSSION: Compared with other antiretrovirals, TDF/FTC lowers COVID-19 severity among HIV-positive individuals with virological control. This protective effect may be restricted to individuals aged 50 years and older.

Indexed as

Anti-HIV AgentsCOVID-19HIV InfectionsAgedAntiretroviral Therapy, Highly ActiveDrug CombinationsEmtricitabineHumansLamivudineMiddle AgedSARS-CoV-2TenofovirAnti-HIV AgentsDrug CombinationsEmtricitabineLamivudineTenofovir

Identifiers

PMID36382436
PMCPMC9673178
OpenAlexW4309511641

What OpenQuestion holds

Textmetadata
LicenceTDM
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.