Evidence map›Paper›PMID 21717822›Full record

Trial reportAlternative therapies in health and medicine

Policosanol for managing human immunodeficiency virus-related dyslipidemia in a medically underserved population: a randomized, controlled clinical trial.

Barbara Swanson, Joyce K Keithley, Beverly E Sha, Louis Fogg, Judith Nerad, Richard M Novak, Oluwatoyin Adeyemi, Gregory T Spear

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Alternative therapies in health and medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Effects of Fish Oil on HIV-Related Inflammation and Markers of Immunosenescence: A Randomized Clinical Trial.Journal of alternative and complementary medicine (New York, N.Y.) · 2018
    Trial
  3. Article
  4. Food Ingredients That Inhibit Cholesterol Absorption.Preventive nutrition and food science · 2017
    Review
  5. Article
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

8 authors at 2 institutions in 1 country.

Barbara SwansonRush University College of Nursing, Chicago, Illinois, USA. Barbara_a_swanson@rush.edu
Joyce K Keithley
Beverly E Sha
Louis Fogg
Judith Nerad
Richard M Novak
Oluwatoyin Adeyemi
Gregory T Spear
Rush University · USCook County Health and Hospitals System · US

Funding

Preliminary Study of Safety and Efficacy of Policosanol for Dyslipidemia in HIVR21AT003077 · NCCIH · RUSH UNIVERSITY MEDICAL CENTER · PI SWANSON, BARBARA A · 2005 to 2007
$578k
NCCIH NIH HHS R21 AT003077
6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV) infection is associated with dyslipidemia and increased risk for cardiovascular events; however, the use ofstatins in HIV-infected people is complicated by pharmacokinetic interactions and overlapping toxicities with antiretroviral medications. Policosanol is a dietary supplement derived from sugar cane that is widely used as a statin alternative in Latin America. PRIMARY STUDY

objectiveTo collect feasibility data on sugar cane-derived policosanol to normalize dyslipidemic profiles in a sample of medically underserved HIV-infected people. METHODS/

designRandomized, controlled, double-blind clinical trial.

settingTwo infectious disease outpatient clinics located in a Health Resources Service Administration-designated medically underserved neighborhood in Chicago, Illinois.

participantsFifty-four clinically stable HIV-infected people (91% black) with at least one lipid abnormality that warranted dietary modifications and/or drug therapy.

interventionParticipants received either 20 mg/day of policosanol or placebo for 12 weeks, followed by a 4-week washout and crossover to the other arm. PRIMARY OUTCOME MEASURES: Efficacy measures included the standard lipid panel (low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides) and nuclear magnetic resonance (NMR)-derived lipoprotein particle profiles. Safety measures included CD4+ T lymphocyte counts, plasma HIV ribonucleic acid levels, serum creatinine, and liver function tests.

resultsPolicosanol supplementation was not associated with normalization of any dyslipidemic parameters as measured by the standard lipid panel or NMR spectroscopy-measured lipoprotein size or concentration. The supplement was well tolerated and was not associated with any changes in parameters of HIV disease progression.

conclusionsOur findings corroborate recent studies conducted outside Cuba that have failed to find any lipid modulatory effects for policosanol.

Indexed as

Medically Underserved AreaAdultAnticholesteremic AgentsAntiretroviral Therapy, Highly ActiveCholesterol, HDLCholesterol, LDLCross-Over StudiesDouble-Blind MethodDyslipidemiasFatty AlcoholsFemaleHIV InfectionsHumansMaleMiddle AgedSeverity of Illness IndexAnticholesteremic AgentsCholesterol, HDLCholesterol, LDLFatty AlcoholspolicosanolTriglycerides

Identifiers

PMID21717822
PMCPMC3654198
OpenAlexW161722948

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.