Evidence mapPaperPMID 32055640Full record

ArticleOpen forum infectious diseases2020

Factor Xa Inhibition Reduces Coagulation Activity but Not Inflammation Among People With HIV: A Randomized Clinical Trial.

Jason V Baker, Julian Wolfson, Tess Peterson, Micah Mooberry, Matthew Gissel, Harry Mystakelis, Michael W Henderson, Kelly Garcia-Myers, Frank S Rhame, Timothy W Schacker and 4 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.3field-weighted citation impact, top 32% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Cardiovascular Disease and Thrombosis in HIV Infection.Arteriosclerosis, thrombosis, and vascular biology · 2023
    Review
  6. Article
  7. Review
  8. Article
  9. 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

14 authors at 5 institutions in 1 country.

Jason V BakerHennepin Healthcare Research Institute, Minneapolis, Minnesota, USA.
Julian WolfsonUniversity of Minnesota, Minneapolis, Minnesota, USA.
Tess PetersonUniversity of Minnesota, Minneapolis, Minnesota, USA.
Micah MooberryUniversity of North Carolina, Chapel Hill, North Carolina, USA.
Matthew GisselUniversity of Vermont, Burlington, Vermont, USA.
Harry MystakelisNIAID/NIH, Bethesda, Maryland, USA.
Michael W HendersonUniversity of North Carolina, Chapel Hill, North Carolina, USA.
Kelly Garcia-MyersHennepin Healthcare Research Institute, Minneapolis, Minnesota, USA.
Frank S RhameAbbot Northwestern Hospital, Minneapolis, Minnesota, USA.
Timothy W SchackerUniversity of Minnesota, Minneapolis, Minnesota, USA.
Kathleen E Brummel-ZiedinsUniversity of Vermont, Burlington, Vermont, USA.
Irini SeretiNIAID/NIH, Bethesda, Maryland, USA.ORCID 0000-0002-0076-0224
Nigel S KeyUniversity of North Carolina, Chapel Hill, North Carolina, USA.
Russell P TracyUniversity of Vermont, Burlington, Vermont, USA.
University of Minnesota · USUniversity of North Carolina at Chapel Hill · USUniversity of Vermont · USAbbott Northwestern Hospital · USHennepin Healthcare Research Institute · US

Funding

Cardiovascular Disease Epidemiology &Prevention TrngT32HL007779 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · 1994 to 2025
$2.2M
Immunopathogenic Mechanisms of Human Immunodeficiency Virus (HIV) DiseaseZIAAI001121 · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · 2025 to 2025
$1.5M
NHLBI NIH HHS R01 HL126542NHLBI NIH HHS T32 HL007779NIA NIH HHS R01 AG045032
6 · The paper itself

Abstract

backgroundCoagulation activity among persons with HIV is associated with end-organ disease risk, but the pathogenesis is not well characterized. We tested a hypothesis that hypercoagulation contributes to disease risk, in part, via upregulation of inflammation.

methodsTreatment effects of edoxaban (30 mg), a direct factor Xa inhibitor, vs placebo were investigated in a randomized, double-blind crossover trial among participants with HIV and viral suppression and D-dimer levels ≥100 ng/mL. During each 4-month crossover period, blood measures of coagulation, inflammation, and immune activation were assessed. Analyses of change on edoxaban vs change on placebo used linear mixed models.

resultsForty-four participants were randomized, and 40 completed at least 1 visit during each study period. The mean age was 49 years, and the CD4+ count was 739 cells/mm

conclusionsThe direct factor Xa inhibitor edoxaban led to a substantial reduction in coagulation but no effect on inflammation or immune activation. These results do not support that hypercoagulation contributes to ongoing inflammation during chronic antiretroviral therapy-treated HIV disease.

Indexed as

coagulationHIVimmune activationinflammation

Identifiers

PMID32055640
PMCPMC7008475
OpenAlexW3004027800

What Socratic holds

Textmetadata
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 Socratic graph.