Evidence map›Paper›PMID 40281648›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2026

Factors Affecting Risk of Cardiovascular Disease (CVD) Events in a Global CVD Prevention Cohort of People With HIV.

Steven K Grinspoon, Maya Watanabe, Heather J Ribaudo, Gerald S Bloomfield, Carl J Fichtenbaum, Triin Umbleja, Sarah M Chu, Kathleen V Fitch, Marissa R Diggs, Sophia Zhao and 14 more

Registry-linked trialAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT02344290. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT02344290 phase3completed

Randomized Trial to Prevent Vascular Events in HIV - REPRIEVE

Ran2015Enrolled7,769Registered outcomes37Posted comparisons40ConditionsCardiovascular Diseases, HIVArmsPitavastatin, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Primary Prevention for People Living With HIV: A Call to Action.Journal of the American College of Cardiology · 2026
    Article
  5. Article
  6. Observational
  7. Observational
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Steven K GrinspoonMetabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Maya WatanabeCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Heather J RibaudoCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Gerald S BloomfieldDivision of Cardiology, Duke Global Health Institute and Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina, USA.
Carl J FichtenbaumDivision of Infectious Diseases, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Triin UmblejaCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0001-7161-7743
Sarah M ChuMetabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Kathleen V FitchMetabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-0541-3707
Marissa R DiggsMetabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Sophia ZhaoMetabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Sara E LoobyMetabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Judith S CurrierDivision of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA.
Judith A AbergDivision of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Carlos D MalvestuttoDivision of Infectious Diseases, Ohio State University Medical Center, Columbus, Ohio, USA.ORCID 0000-0003-3156-2965
Kristine M ErlandsonDivision of Infectious Diseases, Department of Medicine, University of Colorado-Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0003-0808-6729
Esteban MartinezThe Infectious Diseases Service, Hospital Clinic and University of Barcelona, Barcelona, Spain.ORCID 0000-0002-6911-8846
Olabimpe AsupotoDepartment of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA.ORCID 0009-0003-0390-3774
Samir K GuptaDivision of Infectious Diseases, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID 0000-0001-6031-8705
Juan C Lopez-Bernaldo de QuirosServicio de Enfermedades Infecciosas, Hospital Universitario Gregorio Marañon, IiSGM, CIBERINFEC, Instituto de Salud Carlos III, Madrid, Spain.
Daniel NixonDepartment of Medicine, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA.
Roger BedimoDivision of Infectious Diseases, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0001-9794-0389
Michael T LuDepartment of Radiology and Department of Cardiology, Cardiovascular Imaging Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Pamela S DouglasDivision of Cardiology, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0001-9876-4049
Markella V ZanniMetabolism Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

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
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
REPRIEVE COVID-19 Administrative SupplementU01HL123336 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGLAS, PAMELA SUSAN, GRINSPOON, STEVEN K. · 2014 to 2021
$52.4M
UCLA AIDS Prevention and Treatment Clinical Trials UnitUM1AI069424 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Judith S. Currier, RAPHAEL J LANDOVITZ · 2012 to 2026
$51.8M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
1/2 REPRIEVE Extension for Trial CompletionUG3HL164285 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGLAS, PAMELA SUSAN, GRINSPOON, STEVEN K. · 2023 to 2025
$14.2M
REPRIEVE - DCCU01HL123339 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI LU, MICHAEL TSE-YIN, RIBAUDO, HEATHER JANE · 2014 to 2019
$6.0M
Cardiovascular Disease Risk in HIV-infected Women: Sex-Specific Mechanisms of Risk and Risk Reduction among REPRIEVE Trial ParticipantsR01AI123001 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI LOOBY, SARA ELIZABETH DOLAN, ZANNI, MARKELLA V. · 2015 to 2019
$3.4M
2/2 REPRIEVE Extension for Trial CompletionU24HL164284 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI LU, MICHAEL TSE-YIN, RIBAUDO, HEATHER JANE · 2023 to 2025
$2.9M
Consequences of Persistent Immune Activation among ART-treated Women with HIVK24AI157882 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI ZANNI, MARKELLA V. · 2021 to 2025
$908k
ACTG Laboratory CenterClinical Coordinating Center 1U24HL164284Clinical Coordinating Center U01HL123339Data Coordinating CenterGilead SciencesKowa Pharmaceuticals America, IncNational Institutes of Health (NIH) 1UG3HL164285National Institutes of Health (NIH) U01HL123336NHLBI NIH HHS U01 HL123336NHLBI NIH HHS U01 HL123339NHLBI NIH HHS U24 HL164284NHLBI NIH HHS UG3 HL164285NIAID NIH HHS K24 AI157882NIAID NIH HHS R01 AI123001NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069424NIAID NIH HHS UM1 AI106701NIDDK NIH HHS P30 DK040561Nutrition Obesity Research Center at Harvard P30DK040561ViiV Healthcare
6 · The paper itself

Abstract

backgroundPersons with HIV face increased risks of major adverse cardiovascular events (MACE), partially mitigated by statin therapy.

methodsWe characterized factors associated with MACE and MACE subcomponents among PWH enrolled in REPRIEVE, globally. Our primary outcome measure was time-to-first primary MACE. Secondary outcome measures included time-to-first (1) hard MACE (cardiovascular disease [CVD] death, myocardial infarction [MI], or stroke), (2) MI, or (3) stroke. For each outcome, Cox proportional hazards models were used to estimate the hazard of baseline risk factors.

resultsAmong participants (N = 7769), median age was 50 (Q1, Q3: 45, 55) years, and 31% were female. In fully adjusted models, risk of first MACE was higher for older individuals (50-59 and ≥60 vs 40-49 years; HR [95% CI]: 2.06 [1.54-2.76] and 2.53 [1.60-4.01]) and for those with Black/African-American race (vs White race, within HICs; HR: 1.65; 1.19-2.27), family history of premature CVD (HR: 1.53; 1.16-2.03), current cigarette smoking (HR: 2.27; 1.65-3.13), hypertension (HR: 1.77; 1.36-2.30), lower HDL cholesterol (HR: 1.21; 1.10-1.34), HIV-1 RNA ≥lower limit of quantification (LLQ) (HR: 1.40; 1.0-1.97), and a select antiretroviral therapy class combination (HR: 1.53; 1.01-2.31). Individuals from HICs had a higher risk of first MACE versus those from other regions, except South Asia. There was no apparent protective effect of female sex. Modeling for hard MACE, MI, and stroke yielded similar results for most variables.

conclusionsAmong PWH in REPRIEVE, select modifiable risk factors were associated with first MACE after accounting for statin effects. Female sex was not protective. CLINICAL TRIALS REGISTRATION: NCT02344290 (ClinicalTrials.gov; date of initial registration: 22 January 2015).

Indexed as

Cardiovascular DiseasesHIV InfectionsAdultCohort StudiesFemaleHumansMaleMiddle AgedProportional Hazards ModelsRisk FactorsCVDHIVMACEREPRIEVEwomen

Identifiers

PMID40281648
PMCPMC12501528

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Registered trials

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.