Evidence map›Paper›PMID 37986879›Full record

ArticlemedRxiv : the preprint server for health sciences2023

Cost-effectiveness of broadly neutralizing antibodies for infant HIV prophylaxis in settings with high HIV burdens: a simulation modeling study.

Christopher Alba, Shelly Malhotra, Stephanie Horsfall, Matthew E Barnhart, Adrie Bekker, Katerina Chapman, Coleen K Cunningham, Patricia E Fast, Genevieve G Fouda, Kenneth A Freedberg and 14 more

Open access · greenAbstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2023. 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
–field-weighted citation impact
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. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 13 institutions in 4 countries.

Christopher AlbaMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, United States.ORCID 0000-0001-8692-7656
Shelly MalhotraIAVI, New York, United States.
Stephanie HorsfallMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, United States.
Matthew E BarnhartOffice of HIV/AIDS, Bureau for Global Health, Agency for International Development (USAID), District of Columbia, United States.
Adrie BekkerDepartment of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Katerina ChapmanIAVI, New York, United States.
Coleen K CunninghamDepartment of Pediatrics, University of California Irvine, Irvine, United States.
Patricia E FastIAVI, New York, United States.
Genevieve G FoudaDepartment of Pediatrics, New York-Presbyterian/Weill Cornell Medical Center, New York, United States.
Kenneth A FreedbergMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, United States.
Ameena GogaSouth African Medical Research Council, Cape Town, South Africa.
Lusine R GhazaryanOffice of HIV/AIDS, Bureau for Global Health, Agency for International Development (USAID), District of Columbia, United States.
Valériane LeroyCentre d'Epidémiologie et de Recherche en santé des POPulations (CERPOP), Inserm and Université Toulouse III, Toulouse, France.
Carlyn MannOffice of HIV/AIDS, Bureau for Global Health, Agency for International Development (USAID), District of Columbia, United States.
Margaret M McCluskeyOffice of HIV/AIDS, Bureau for Global Health, Agency for International Development (USAID), District of Columbia, United States.
Elizabeth J McFarlandDepartment of Pediatrics, Children's Hospital Colorado and University of Colorado Anschutz Medical Campus, Aurora, United States.
Vincent Muturi-KioiEastern Africa Regional Office, IAVI, Nairobi, Kenya.
Sallie R PermarDepartment of Pediatrics, New York-Presbyterian/Weill Cornell Medical Center, New York, United States.
Roger ShapiroDivision of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, United States.
Devin SokIAVI, New York, United States.
Lynda Stranix-ChibandaChild and Adolescent Health Unit, University of Zimbabwe Faculty of Medicine and Health Sciences, Harare, Zimbabwe.
Milton C WeinsteinDepartment of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, United States.
Andrea L CiaranelloMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, United States.
Caitlin M DugdaleMedical Practice Evaluation Center, Massachusetts General Hospital, Boston, United States.
Harvard University · USUnited States Agency for International Development · USInternational AIDS Vaccine Initiative · USCornell University · USMassachusetts General Hospital · USBeth Israel Deaconess Medical Center · USChildren's Hospital Colorado · USChildren's Hospital of Orange County · USScripps Research Institute · USSouth African Medical Research Council · ZAStellenbosch University · ZAUniversité Toulouse III - Paul Sabatier · FRUniversity of Zimbabwe · ZW

Funding

LOC-IMPAACT Leadership GroupPharmacokinetics and Safety of Remdesivir for Treatment of COVID-19 in Pregnant Women in the USUM1AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI Jennifer Jao, Sharon A Nachman · 2011 to 2026
$278.1M
Statistical and Data Management Center-Pediatric,Adolescent, and Maternal CTGUM1AI068616 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Sean Scott Brummel, Marlene Ann Cooper · 2011 to 2026
$155.6M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
Innovation across the spectrum of pediatric HIV care: Clinical impact and cost-effectiveness of long-acting antiretroviral therapy for breastfeeding people with HIV and their infants in ZimbabweR01HD079214 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI CIARANELLO, ANDREA LYNNE · 2014 to 2023
$8.0M
Modeling the Effects of HIV, Chlamydia, and Gonorrhea in Mother-Infant Pairs in Botswana.K08HD101342 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI DUGDALE, CAITLIN · 2020 to 2024
$897k
NIAID NIH HHS UM1 AI068616NIAID NIH HHS UM1 AI068632NIAID NIH HHS UM1 AI106716NICHD NIH HHS HHSN275201800001CNICHD NIH HHS HHSN275201800001INICHD NIH HHS K08 HD101342NICHD NIH HHS R01 HD079214
6 · The paper itself

Abstract

Introduction: Approximately 130 000 infants acquire HIV annually despite global maternal antiretroviral therapy scale-up. We evaluated the potential clinical impact and cost-effectiveness of offering long-acting, anti-HIV broadly neutralizing antibody (bNAb) prophylaxis to infants in three distinct settings. Methods: We simulated infants in Côte d'Ivoire, South Africa, and Zimbabwe using the Cost-Effectiveness of Preventing AIDS Complications-Pediatric (CEPAC-P) model. We modeled strategies offering a three-bNAb combination in addition to WHO-recommended standard-of-care oral prophylaxis to infants: a) with known, WHO-defined high-risk HIV exposure at birth ( Results: The base case model projects that bNAb strategies targeting Discussion: Adding long-acting bNAbs to current standard-of-care prophylaxis would be cost-effective, assuming plausible efficacies and costs. The cost-effective target population would vary by setting, largely driven by maternal antenatal HIV prevalence and postpartum incidence.

Identifiers

PMID37986879
PMCPMC10659508
OpenAlexW4388449514

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.