Evidence map›Paper›PMID 38329130›Full record

ArticleJCI insight2024

Predictors of HIV rebound differ by timing of antiretroviral therapy initiation.

Jonathan Z Li, Meghan Melberg, Autumn Kittilson, Mohamed Abdel-Mohsen, Yijia Li, Evgenia Aga, Ronald J Bosch, Elizabeth R Wonderlich, Jennifer Kinslow, Leila B Giron and 17 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Unique CD8bioRxiv : the preprint server for biology · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Characterization of HIV humoral immunity during analytical treatment interruption.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2026
    Article
  11. Early immune responses anticipate HIV rebound and precede viral control.bioRxiv : the preprint server for biology · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Post-Treatment HIV Control in a Married Couple.Infectious diseases & clinical microbiology · 2025
    Article
  16. Article
  17. CD8medRxiv : the preprint server for health sciences · 2025
    Article
  18. Article
  19. Observational
  20. Viral and immune predictors of HIV posttreatment control.Current opinion in HIV and AIDS · 2025
    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

27 authors at 17 institutions in 2 countries.

Jonathan Z LiBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Meghan MelbergBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Autumn KittilsonBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Mohamed Abdel-MohsenThe Wistar Institute, Philadelphia, Pennsylvania, USA.
Yijia LiBrigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Evgenia AgaHarvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Ronald J BoschHarvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Elizabeth R WonderlichSouthern Research, Frederick, Maryland, USA.
Jennifer KinslowRush University Medical Center, Chicago, Illinois, USA.
Leila B GironThe Wistar Institute, Philadelphia, Pennsylvania, USA.
Clara Di GermanioUniversity of California, San Francisco, San Francisco, California, USA.
Mark PilkintonVanderbilt University Medical Center, Nashville, Tennessee, USA.
Lynsay MacLarenWhitman Walker Health, Washington, DC, USA.
Michael KeeferUniversity of Rochester, Rochester, New York, USA.
Lawrence FoxNational Institute of Allergy and Infectious Diseases, NIH, Rockville, Maryland, USA.
Liz BarrAIDS Clinical Trials Group Community Scientific Subcommittee, Los Angeles, California, USA.
Edward AcostaUniversity of Alabama, Birmingham, Alabama, USA.
Jintanat AnanworanichThai Red Cross AIDS Research Centre, Bangkok, Thailand.
Robert CoombsUniversity of Washington, Seattle, Washington, USA.
John MellorsUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Steven DeeksUniversity of California, San Francisco, San Francisco, California, USA.
Rajesh T GandhiMassachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Michael BuschVitalant Research Institute, San Francisco, California, USA.
Alan LandayRush University Medical Center, Chicago, Illinois, USA.
Bernard MacatangayUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Davey M SmithUniversity of California, San Diego, San Diego, California, USA.
AIDS Clinical Trials Group A5345 Study Team
Brigham and Women's Hospital · USHarvard University · USRush University Medical Center · USThe Wistar Institute · USUniversity of California, San Francisco · USUniversity of Pittsburgh · USAIDS Clinical Trials Group · USNational Institute of Allergy and Infectious Diseases · USPacific Research Institute · USSouthern Research Institute · USThai Red Cross Society · THUniversity of Alabama at Birmingham · USUniversity of California San Diego · USUniversity of Rochester · USUniversity of Washington · USVanderbilt University Medical Center · USWhitman-Walker Health · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
Validation, CLIA and Qualification (VQC): Enhancing the RS ratio as a tool for AIDS Clinical Trial Group (ACTG) tuberculosis trialsUM1AI106701 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$116.8M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
Statistical and Data Management Center for the AIDS Clinical Trials GroupU01AI068634 · NIAID · HARVARD SCHOOL OF PUBLIC HEALTH · PI HUGHES, MICHAEL DAVID · 2006 to 2010
$71.9M
UCSD Department of Medicine HIV/AIDS Clinical Trials UnitUM1AI069432 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI TIMOTHY J. WILKIN · 2012 to 2026
$50.4M
University of Pittsburgh Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUSAN L KOLETAR, John W Mellors · 2012 to 2026
$38.0M
Seattle Vaccine Trials UnitUM1AI069481 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Rachel Ann Bender Ignacio, Margaret Juliana McElrath · 2012 to 2026
$24.4M
Multidisciplinary HIV Training ProgramT32AI007387 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Daniel R. Kuritzkes · 1990 to 2026
$8.8M
Revealing Reservoirs during Rebound (R3)P01AI131385 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEGRUTTOLA, VICTOR GERARD · 2017 to 2021
$8.7M
Centralized Resource to Accurately Quantify Latent and Expressed HIV ReservoirsU24AI143502 · NIAID · ACCELEVIR DIAGNOSTICS, LLC · PI LAIRD, GREGORY MICHAEL, MARTIN, ALBINE · 2020 to 2024
$4.9M
Centralized Resource to Accurately Quantify Latent and Expressed HIVReservoirsR24AI143502 · NIAID · ACCELEVIR DIAGNOSTICS, LLC · PI Gregory Michael Laird, Albine Martin · 2025 to 2026
$2.1M
NIAID NIH HHS HHSN272201500017CNIAID NIH HHS P01 AI131385NIAID NIH HHS P30 AI036214NIAID NIH HHS R24 AI143502NIAID NIH HHS T32 AI007387NIAID NIH HHS U01 AI068634NIAID NIH HHS U24 AI143502NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069432NIAID NIH HHS UM1 AI069481NIAID NIH HHS UM1 AI069494NIAID NIH HHS UM1 AI106701
6 · The paper itself

Abstract

BACKGROUNDIdentifying factors that predict the timing of HIV rebound after treatment interruption will be crucial for designing and evaluating interventions for HIV remission.METHODSWe performed a broad evaluation of viral and immune factors that predict viral rebound (AIDS Clinical Trials Group A5345). Participants initiated antiretroviral therapy (ART) during chronic (N = 33) or early (N = 12) HIV infection with ≥ 2 years of suppressive ART and restarted ART if they had 2 viral loads ≥ 1,000 copies/mL after treatment interruption.RESULTSCompared with chronic-treated participants, early-treated individuals had smaller and fewer transcriptionally active HIV reservoirs. A higher percentage of HIV Gag-specific CD8+ T cell cytotoxic response was associated with lower intact proviral DNA. Predictors of HIV rebound timing differed between early- versus chronic-treated participants, as the strongest reservoir predictor of time to HIV rebound was level of residual viremia in early-treated participants and intact DNA level in chronic-treated individuals. We also identified distinct sets of pre-treatment interruption viral, immune, and inflammatory markers that differentiated participants who had rapid versus slow rebound.CONCLUSIONThe results provide an in-depth overview of the complex interplay of viral, immunologic, and inflammatory predictors of viral rebound and demonstrate that the timing of ART initiation modifies the features of rapid and slow viral rebound.TRIAL REGISTRATIONClinicalTrials.gov NCT03001128FUNDINGNIH National Institute of Allergy and Infectious Diseases, Merck.

Indexed as

HIV InfectionsCD8-Positive T-LymphocytesDNAHumansProvirusesViral LoadDNAAdaptive immunityAIDS/HIVAIDS vaccine

Identifiers

PMID38329130
PMCPMC10967395
OpenAlexW4394729437

What OpenQuestion holds

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LicenceCC BY
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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.