Evidence map›Paper›PMID 41299212›Full record

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

The Bounce-back Effect: What Happens After Cessation of Low-dose Semaglutide in People With HIV.

Kristine M Erlandson, Douglas W Kitch, Amy Kantor, Pablo F Belaunzaran-Zamudio, Todd T Brown, Carl J Fichtenbaum, Sonya L Heath, Fred R Sattler, Jordan E Lake

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 is linked to trial NCT04216589 (A Single-Arm, Open-Label, Pilot Study of Semaglutide for Non-Alcoholic Fatty Liver Disease), which is not on this 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.

NCT04216589 phase2completednot on this map

A Single-Arm, Open-Label, Pilot Study of Semaglutide for Non-Alcoholic Fatty Liver Disease (NAFLD), a Metabolic Syndrome With Insulin Resistance, Increased Hepatic Lipids, and Increased Cardiovascular Disease Risk (The SLIM LIVER Study)

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2021 to 2023Enrolled51ConditionsHIV Infections, Non-Alcoholic Fatty Liver DiseaseArmsSemaglutide
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

9 authors.

Kristine M ErlandsonDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID 0000-0003-0808-6729
Douglas W KitchHarvard TH Chan School of Public Health, Boston, Massachusetts, USA.
Amy KantorHarvard TH Chan School of Public Health, Boston, Massachusetts, USA.
Pablo F Belaunzaran-ZamudioContractor for National Institute of Allergy and Infectious Diseases, Rockville, Maryland, USA.
Todd T BrownDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-8599-278X
Carl J FichtenbaumDepartment of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.ORCID 0000-0002-6778-7253
Sonya L HeathDepartment of Medicine, University of Alabama Birmingham, Birmingham, Alabama, USA.
Fred R SattlerDeparment of Medicine, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
Jordan E LakeDepartment of Internal Medicine, UTHealth, Houston, Texas, USA.ORCID 0000-0002-0640-5514

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
AIDS Clinical Trials Group NetworkU01AI068636 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI KURITZKES, DANIEL R. · 2006 to 2010
$147.1M
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
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
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BRYAN C BERGMAN · 1995 to 2026
$32.6M
National Institute of Allergy and Infectious DiseasesNIAID NIH HHS U01 AI068634NIAID NIH HHS U01 AI068636NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069432NIDDK NIH HHS P30 DK048520NIH HHS UM1 AI068634NIH HHS UM1 AI068636NIH HHS UM1 AI106701UTHealth Houston K24AI120834
6 · The paper itself

Abstract

backgroundWe previously reported reductions in weight and cardiometabolic risk factors in people with human immunodeficiency virus (PWH) receiving semaglutide; here, we explored the durability of these changes after treatment cessation.

methodsACTG A5371 enrolled PWH ≥18 years on suppressive antiretroviral therapy with metabolic dysfunction-associated steatotic liver disease. All received subcutaneous semaglutide 1 mg weekly for 24 weeks followed by 24 weeks off semaglutide. We measured weight and cardiometabolic risk factors (blood pressure, cholesterol, metabolic syndrome) at weeks 0, 24, and 48. Mean (95% confidence interval [CI]) changes were estimated using linear regression.

resultsThe 49 participants had a median age of 52 years, body mass index 35 kg/m2, 39% Hispanic and 33% Black, and 43% female. After the mean 7.8 kg (95% CI, 6.1-9.5) weight loss in the first 24 weeks, absolute mean weight regain from 24 to 48 weeks was +2.9 kg (95% CI, 1.5-4.3). Weight regain was accompanied by significant increases in waist circumference (2.0 cm [0.9-3.1]) and fasting glucose (5.1 mg/dL [0.9-9.3]) without significant changes in blood pressure, total or low-density lipoprotein cholesterol, triglycerides, or metabolic syndrome.

conclusionsShort-term, low-dose, semaglutide was associated with cardiometabolic benefit in PWH, but rapid weight regain and some loss of cardiometabolic benefit occurred after stopping semaglutide, similar to the general population. Further study of higher dose semaglutide and strategies to maintain benefits following initial therapy are needed in PWH. ClinicalTrials.gov: NCT04216589.

Indexed as

Glucagon-Like PeptidesHIV InfectionsAdultBlood PressureCardiometabolic Risk FactorsFemaleHumansMaleMiddle AgedWeight GainWeight LossGlucagon-Like PeptidesGLP-1 receptor agonistHIVMASLDweight regain

Identifiers

PMID41299212
PMCPMC13017447

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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.