Evidence map›Paper›PMID 35413022›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2022

Asymptomatic SARS-CoV-2 Infection Is Common Among ART-Treated People With HIV.

Edgar T Overton, Isabelle R Weir, Markella V Zanni, Stephanie Fischinger, Rodger D MacArthur, Judith A Aberg, Kathleen V Fitch, Michael Frank, Helmut Albrecht, Elliot Goodenough and 10 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2022. 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 16% 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.

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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
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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

20 authors at 15 institutions in 2 countries.

Edgar T OvertonDivision of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL.
Isabelle R WeirCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston MA.
Markella V ZanniMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Stephanie FischingerRagon Institute of MGH, MIT, and Harvard, Cambridge, MA.
Rodger D MacArthurDivision of Infectious Diseases and Office of Academic Affairs, Medical College of Georgia at Augusta University, Augusta, GA.
Judith A AbergDivision of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Kathleen V FitchMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Michael FrankDivision of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Helmut AlbrechtDivision of Infectious Diseases, Palmetto Health, University of South Carolina, Columbia, SC.
Elliot GoodenoughDivision of Infectious Diseases & HIV Medicine, Drexel University College of Medicine, Philadelphia, PA.
Frank S RhameAbbott Northwestern Hospital and University of Minnesota, Minneapolis, MN.
Carl J FichtenbaumDepartment of Medicine for Translational Research, University of Cincinnati, Cincinnati, OH.
Gerald S BloomfieldDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC.
Carlos MalvestuttoDivision of Infectious Diseases, The Ohio State University Wexner Medical Center, Columbus, OH; and.
Khuanchai SupparatpinyoResearch Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.
Sara McCallumMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Pamela S DouglasDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC.
Galit AlterRagon Institute of MGH, MIT, and Harvard, Cambridge, MA.
Heather RibaudoCenter for Biostatistics in AIDS Research, Harvard T.H. Chan School of Public Health, Boston MA.
Steven K GrinspoonMetabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Massachusetts General Hospital · USCancer Research And Biostatistics · USClinical Research Institute · USRagon Institute of MGH, MIT and Harvard · USAbbott Northwestern Hospital · USAugusta University · USChiang Mai University · THDrexel University · USHarvard University · USIcahn School of Medicine at Mount Sinai · USMedical College of Wisconsin · USThe Ohio State University Wexner Medical Center · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · USUniversity of South Carolina · US

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
University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PETER W HUNT · 1988 to 2026
$93.6M
Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Renee A. Heffron · 1988 to 2026
$84.1M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SONIA JAIN · 1994 to 2026
$78.4M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ALLISON L AGWU · 2012 to 2026
$67.0M
REPRIEVE COVID-19 Administrative SupplementU01HL123336 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGLAS, PAMELA SUSAN, GRINSPOON, STEVEN K. · 2014 to 2021
$52.4M
NHLBI NIH HHS U01 HL123336NHLBI NIH HHS U01 HL123339NIAID NIH HHS P30 AI027757NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI027767NIAID NIH HHS P30 AI036214NIAID NIH HHS P30 AI036219NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI060354NIAID NIH HHS P30 AI094189NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069452NIAID NIH HHS UM1 AI069453NIAID NIH HHS UM1 AI069456NIAID NIH HHS UM1 AI069494NIAID NIH HHS UM1 AI106701NIDA NIH HHS R01 DA047045NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

backgroundLimited data are available regarding asymptomatic COVID-19 among people with HIV (PWH). Data on a representative subset of PWH enrolled in Randomized Trial to Prevent Vascular Events in HIV, a global clinical trial, are presented here.

methodsRandomized Trial to Prevent Vascular Events in HIV is an atherosclerotic cardiovascular disease prevention trial among 7770 PWH on antiretroviral therapy. Beginning April 2020, targeted data on coronavirus disease 2019 (COVID-19) diagnosis and symptoms were collected during routine trial visits. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was defined as either COVID-19 clinical diagnosis or presence of SARS-CoV-2 Immunoglobulin G (IgG) or Immunoglobulin A (IgA) receptor binding domain protein (antispike) antibodies in the absence of prior COVID-19 vaccine.

resultsThe group (N = 2464) had a median age 53 years, 35% female sex, 47% Black or African American race, median CD4 count 649 c/mm 3 , and 97% with HIV VL <400 cp/m. SARS-CoV-2 infection occurred in 318 persons (13%): 58 with clinical diagnosis and 260 with detectable antibodies. Of these PWH, 304 completed symptom questionnaires: 121 (40%) reported symptoms, but 183 (60%) were asymptomatic. PWH with asymptomatic SARS-CoV-2 infection were more likely to be from low-income or middle-income regions, of Black or African American race, older in age, and with higher atherosclerotic cardiovascular disease risk score. Symptomatic COVID was more common with obesity, metabolic syndrome, and low HDL levels. CD4 counts and HIV viral suppression rates were similar among PWH with symptomatic vs. asymptomatic COVID.

conclusionsAsymptomatic SARS-CoV-2 infection is common among antiretroviral therapy-treated PWH globally. We determined that 60% of infections in PWH were asymptomatic. HIV clinicians must remain vigilant about COVID-19 testing among PWH to identify asymptomatic cases.

Indexed as

Cardiovascular DiseasesCOVID-19HIV InfectionsCOVID-19 TestingCOVID-19 VaccinesFemaleHumansMaleMiddle AgedSARS-CoV-2COVID-19 Vaccines

Identifiers

PMID35413022
PMCPMC9246928
OpenAlexW4223414944

What Socratic holds

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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 Socratic graph.