Evidence mapPaperPMID 26477698Full record

Trial reportAIDS research and human retroviruses2016

Effects of 96 Weeks of Rosuvastatin on Bone, Muscle, and Fat in HIV-Infected Adults on Effective Antiretroviral Therapy.

Kristine M Erlandson, Ying Jiang, Sara M Debanne, Grace A McComsey

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS research and human retroviruses, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Inflammation Strikes Again: Frailty and HIV.Current HIV/AIDS reports · 2018
    Review
  11. Bone Loss in HIV Infection.Current treatment options in infectious diseases · 2017
    Article
  12. 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

4 authors at 2 institutions in 1 country.

Kristine M Erlandson1 Department of Medicine, Divisions of Infectious Diseases and Geriatric Medicine, University of Colorado , Aurora, Colorado.
Ying Jiang2 Department of Epidemiology and Biostatistics, Case Western Reserve University , Cleveland, Ohio.
Sara M Debanne2 Department of Epidemiology and Biostatistics, Case Western Reserve University , Cleveland, Ohio.
Grace A McComsey3 Department of Medicine and Pediatrics, Division of Pediatric Infectious Diseases and Rheumatology, Case Western Reserve University , Cleveland, Ohio.
Case Western Reserve University · USUniversity of Colorado Denver · US

Funding

Case Clinical Trials UnitUM1AI069501 · NIAID · CASE WESTERN RESERVE UNIVERSITY · 2021 to 2025
$13.2M
SWG2: End the HIV EpidemicP30AI036219 · CASE WESTERN RESERVE UNIVERSITY · 1994 to 2025
$9.8M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · UNIVERSITY OF COLORADO DENVER · 1995 to 2025
$7.7M
NIAID NIH HHS P30 AI036219NIAID NIH HHS UM1 AI069501NIA NIH HHS K23 AG050260NIA NIH HHS K23AG050260NIA NIH HHS L30 AG037992NINR NIH HHS NR012642NINR NIH HHS R01 NR012642
6 · The paper itself

Abstract

Heightened inflammation and immune activation are associated with lower bone mineral density (BMD) and lean body mass (LBM) among HIV-infected persons. We hypothesized that a reduction in inflammation with rosuvastatin would be associated with improvements in BMD and LBM. HIV-infected participants on stable antiretroviral therapy without statin indication and with heightened immune activation (≥19% CD8(+)CD38(+)HLA-DR(+) T cells) or inflammation (hsCRP ≥2 mg/liter) were randomized to rosuvastatin 10 mg daily or placebo for 96 weeks. Among 72 participants randomized to rosuvastatin and 75 to placebo, there were no significant differences in the relative changes in BMD (p > 0.29) or in fat (p ≥ 0.19). A trend toward increased LBM (p = 0.059) was seen in the rosuvastatin arm without differences in creatinine kinase or self-reported physical activity (p ≥ 0.10). In a multivariable regression model, rosuvastatin was associated with a significant positive effect on LBM after adjusting for age, sex, race, smoking status, and detectable HIV-1 viral load. Higher baseline sCD163 correlated with increases in LBM from weeks 0 to 96 (p = 0.023); greater changes in total and leg lean mass were seen among statin users with higher compared to lower baseline IP-10 levels (LBM 1.8 vs. -0.3%; p = 0.028 and leg lean mass 2.9 vs. -1.7%; p = 0.012). Rosuvastatin is associated with an absence of toxicity on BMD and a potential benefit on LBM over 96 weeks of therapy. The preservation of LBM in the rosuvastatin arm over the 2 years of the study is of major clinical relevance in delaying loss of muscle mass with aging.

Indexed as

Adipose TissueAdolescentAdultAnticholesteremic AgentsAnti-Retroviral AgentsBone and BonesDouble-Blind MethodFemaleHIV InfectionsHumansInflammationMaleMiddle AgedMusclesPlacebosRosuvastatin CalciumAnticholesteremic AgentsAnti-Retroviral AgentsPlacebosRosuvastatin Calcium

Identifiers

PMID26477698
PMCPMC4817594
OpenAlexW1800795126

What Socratic holds

Textmetadata
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.