Evidence map›Paper›PMID 36540390›Full record

ArticleOpen forum infectious diseases2022

Determinants of Antiretroviral Treatment Success and Adherence in People With Human Immunodeficiency Virus Treated for Tuberculosis.

Nathalie De Castro, Corine Chazallon, Jean-Baptiste N'takpe, Isabel Timana, Rodrigo Escada, Sandra Wagner, Eugène Messou, Serge Eholie, Nilesh Bhatt, Celso Khosa and 9 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. 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

19 authors at 6 institutions in 4 countries.

Nathalie De CastroBordeaux Population Health Centre, Research Institute for Sustainable Development (IRD) EMR 271, National Institute for Health and Medical Research (INSERM) UMR 1219, University of Bordeaux, Bordeaux, France.ORCID https://orcid.org/0000-0001-5315-1097
Corine ChazallonBordeaux Population Health Centre, Research Institute for Sustainable Development (IRD) EMR 271, National Institute for Health and Medical Research (INSERM) UMR 1219, University of Bordeaux, Bordeaux, France.
Jean-Baptiste N'takpeBordeaux Population Health Centre, Research Institute for Sustainable Development (IRD) EMR 271, National Institute for Health and Medical Research (INSERM) UMR 1219, University of Bordeaux, Bordeaux, France.
Isabel TimanaInstituto Nacional de Saúde, Marracuene, Mozambique.
Rodrigo EscadaNational Institute of Infectious Diseases Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Sandra WagnerNational Institute of Infectious Diseases Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Eugène MessouProgramme PACCI/ANRS Research Center, Abidjan, Côte-d'Ivoire.
Serge EholieProgramme PACCI/ANRS Research Center, Abidjan, Côte-d'Ivoire.
Nilesh BhattInstituto Nacional de Saúde, Marracuene, Mozambique.
Celso KhosaInstituto Nacional de Saúde, Marracuene, Mozambique.
Didier LaureillardDepartment of Infectious and Tropical Diseases, Nimes University Hospital, Nimes, France.
Giang Do ChauPham Ngoc Thach Hospital, Ho Chi Minh City, Vietnam.
Valdilea G VelosoInstituto Nacional de Saúde, Marracuene, Mozambique.
Constance DelaugerreVirology Department, APHP-Hôpital Saint-Louis, Paris.
Xavier AnglaretBordeaux Population Health Centre, Research Institute for Sustainable Development (IRD) EMR 271, National Institute for Health and Medical Research (INSERM) UMR 1219, University of Bordeaux, Bordeaux, France.
Jean-Michel MolinaInfectious Diseases Department, AP-HP-Hôpital Saint-Louis Lariboisière, Paris, France.
Beatriz GrinsztejnInstituto Nacional de Saúde, Marracuene, Mozambique.
Olivier MarcyBordeaux Population Health Centre, Research Institute for Sustainable Development (IRD) EMR 271, National Institute for Health and Medical Research (INSERM) UMR 1219, University of Bordeaux, Bordeaux, France.ORCID https://orcid.org/0000-0003-3350-112X
ANRS 12300 Reflate TB2 Study Group
Instituto Nacional de Saúde · MZUniversité de Bordeaux · FRInserm · FRFundação Oswaldo Cruz · BRProgramme PAC-CI · CISociété de Développement des Forêts · CI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In people with human immunodeficiency virus [HIV] presenting with advanced disease, rates of virologic success may be lower than expected. The Reflate TB2 trial did not show non-inferiority of raltegravir versus efavirenz in people with HIV (PWH) treated for tuberculosis. We aimed to identify factors associated with virologic success and higher adherence in the trial. Methods: In this analysis, we included participants enrolled in the Reflate TB2 trial with adherence data available. The primary outcome was virologic success (HIV-1 ribonucleic acid [RNA] <50 copies/mL) at week 48, and the secondary outcome was adherence as assessed by the pill count adherence ratio. We used logistic regression to study determinants of virologic success and optimal adherence in 2 separate analyses. Results: Four hundred forty-four participants were included in the present analysis. Over the 48-week follow-up period, 290 of 444 (65%) participants had a pill count adherence ratio ≥95%. At week 48, 288 of 444 (65%) participants were in virologic success. In the multivariate analysis, female sex (adjusted odds ratio [aOR], 1.77; 95% confidence interval [CI], 1.16-2.72; Conclusions: In PWH with tuberculosis receiving raltegravir or efavirenz-based regimens, female sex, optimal adherence, and baseline HIV-1 RNA <100 000 copies/mL were associated with virologic success, and the number of antiretroviral tablets taken daily was a strong predictor of adherence.

Indexed as

adherenceHIV viral loadraltegravirtuberculosis

Identifiers

PMID36540390
PMCPMC9757687
OpenAlexW4309561831

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.