Evidence map›Paper›PMID 39837813›Full record

SynthesisNature communications2025

Time to HIV viral rebound and frequency of post-treatment control after analytical interruption of antiretroviral therapy: an individual data-based meta-analysis of 24 prospective studies.

Jesper D Gunst, Jesal Gohil, Johanthan Z Li, Ronald J Bosch, Andrea White Catherine Seamon, Tae-Wook Chun, Beatriz Mothe, Kathleen Gittens, Lauren Praiss, Marie-Angélique De Scheerder and 20 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–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

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

30 authors.

Jesper D Gunst *Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark. jesper@gunst.dk.ORCID http://orcid.org/0000-0002-3787-0259
Jesal Gohil *Department of Infectious Disease Imperial College London, Imperial College NIHR BRC, London, UK.
Johanthan Z LiBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9914-9662
Ronald J BoschHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Andrea White Catherine SeamonCritical Care Medicine Department, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Tae-Wook ChunLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0001-5153-7340
Beatriz MotheIrsiCaixa Immunopathology Research Institute, Badalona, Spain.ORCID http://orcid.org/0000-0001-9975-407X
Kathleen GittensClinical Center, National Institutes of Health, Bethesda, MD, USA.
Lauren PraissLaboratory of Immunoregulation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Marie-Angélique De ScheerderDepartment of General Internal Medicine, Ghent University Hospital, Ghent, Belgium.
Linos VandekerckhoveHIV Cure Research Center, Department of General Internal Medicine, Ghent University Hospital, Ghent University, Ghent, Belgium.
Kevin EscandónDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, USA.
Ann ThorkelsonDepartment of Medicine, University of Minnesota, Minneapolis, USA.
Timothy SchackerDivision of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, USA.ORCID http://orcid.org/0000-0002-2451-9937
Devi SenGuptaGilead Sciences, Inc, Foster, USA.
Christian BranderIrsiCaixa Immunopathology Research Institute, Badalona, Spain.ORCID http://orcid.org/0000-0002-0548-5778
Emmanouil PapasavvasThe Wistar Institute, Philadelphia, PA, USA.
Luis J MontanerThe Wistar Institute, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-5799-6759
Javier Martinez-PicadoIrsiCaixa Immunopathology Research Institute, Badalona, Spain.ORCID http://orcid.org/0000-0002-4916-2129
Ruxandra CalinDepartment of Infectious Diseases, Tenon Hospital, Sorbonne University, AP-HP, Paris, France.
Antonella CastagnaInfectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Scientific Institute, Milan, Italy.
Camilla MucciniInfectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Scientific Institute, Milan, Italy.
Wesley de JongDepartment of Viroscience, Erasmus MC, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9674-2647
Lorna LealInfectious Diseases Department, Hospital Clínic Barcelona, Barcelona, Spain.
Felipe GarciaInfectious Diseases Department, Hospital Clínic Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0001-7658-5832
Rob A GrutersDepartment of Viroscience, Erasmus MC, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0002-8486-5903
Timothy TipoeNuffield Dept of Medicine, University of Oxford, UK and NIHR Oxford Biomedical Research Centre, Oxford, UK.
John FraterNuffield Dept of Medicine, University of Oxford, UK and NIHR Oxford Biomedical Research Centre, Oxford, UK.ORCID http://orcid.org/0000-0001-7163-7277
Ole S Søgaard *Department of Infectious Diseases, Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0001-9107-2023
Sarah Fidler *Department of Infectious Disease Imperial College London, Imperial College NIHR BRC, London, UK.ORCID http://orcid.org/0000-0003-1676-7583

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
The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ARTHUR Y KIM · 2004 to 2026
$94.4M
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
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
BEAT-HIV: Delaney Collaboratory to Cure HIV-1 Infection by Combination ImmunotherapyUM1AI164570 · NIAID · WISTAR INSTITUTE · PI Luis J Montaner, James L. Riley · 2021 to 2026
$34.7M
Reversing Immune Dysfunction for HIV-1 EradicationUM1AI164561 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI SUMIT K CHANDA, Paula M Cannon · 2021 to 2026
$30.0M
High-Definition Characterization of the Persistence and Perturbation of the HIV Reservoir: Project 3P01AI169768 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Athe M. Tsibris · 2022 to 2026
$10.1M
Supplement to A Multi-omics Approach to Immune Responses in HIV Vaccination and InterventionP01AI178375 · NIAID · UNIVERSITY OF CALIFORNIA AT DAVIS · PI DENNIS J. HARTIGAN-O'CONNOR, Rachel Lena Rutishauser · 2023 to 2026
$8.5M
UC Davis Biostatistics CoreP01AI131568 · NIAID · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HARTIGAN-O'CONNOR, DENNIS J. · 2017 to 2021
$7.1M
HIV Reservoir Ecology of Viral Remission (PTC)R01AI150396 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI LI, JONATHAN · 2020 to 2025
$5.4M
Lundbeckfonden (Lundbeck Foundation) R381-2021-1405NIAID NIH HHS P01 AI131568NIAID NIH HHS P01 AI169768NIAID NIH HHS P01 AI178375NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI048398NIAID NIH HHS R01 AI150396NIAID NIH HHS R37 AI150396NIAID NIH HHS U01 AI068634NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI106701NIAID NIH HHS UM1 AI164561NIAID NIH HHS UM1 AI164570
6 · The paper itself

Abstract

The only current strategy to test efficacy of novel interventions for sustained HIV control without antiretroviral therapy (ART) among people with HIV (PWH) is through an analytical treatment interruption (ATI). Inclusion of 'placebo' controls in ATIs poses ethical, logistical, and economic challenges. To understand viral dynamics and rates of post-treatment control (PTC) after ATI among PWH receiving either placebo or no intervention, we undertook an individual-participant data meta-analysis. In total, 24 eligible prospective studies with 382 individuals with ≥5 plasma HIV RNA viral loads (pVLs) within the first 84 days post-ATI were included. Early-ART was defined as ART initiation within 6 months of HIV acquisition; others were classified as late-ART or unknown. Median age was 42 years, 91% male, 75% white, 45% received early-ART. Median time to pVL >50, >400, and >10,000 copies/mL was 16 days (interquartile range [IQR]:13-25), 21 (IQR:15-28), and 32 (IQR:20-35), respectively. PTC defined as pVL <50 copies/mL at day 84 occurred in 4% (n = 14) of participants (6% early-ART and 1% late-ART). Sustained PTC of pVL <50 copies/ml after 84 days is rare in PWH, especially in those starting ART late. Our findings inform future interventional HIV cure/remission trials on study size and design.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsAdultAntiretroviral Therapy, Highly ActiveFemaleHumansMaleMiddle AgedProspective StudiesRNA, ViralTime FactorsViral LoadAnti-HIV AgentsRNA, Viral

Identifiers

PMID39837813
PMCPMC11751076

What OpenQuestion holds

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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.