Evidence map›Paper›PMID 39338913›Full record

SynthesisPathogens (Basel, Switzerland)2024

A Systematical Review on ART Use in HTLV Infection: Clinical, Virological, and Immunological Outcomes.

Tatiana Fernandez, Cleyde Marconi, Iris Montaño-Castellón, Felice Deminco, Carlos Brites

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Pathogens (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07555431 (Dolutegravir Versus Dolutegravir in Combination With Tenofovir for the Treatment of HTLV-1 Infection), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT07555431 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Dolutegravir Versus Dolutegravir in Combination With Tenofovir for the Treatment of HTLV-1 Infection (DOT-H): an Open-label, Randomized, Controlled Study.

TypeinterventionalSponsorCarlos BritesRan2026 to 2028Enrolled146ConditionsHTLV-1 Infection, HTLV I Associated Myelopathies, HTLV I Associated T Cell Leukemia Lymphoma, NeuritisArmsCombination of Dolutegravir + Tenofovir DF for treatment of HTLV-1 infection, Dolutegravir (DTG)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

5 authors.

Tatiana FernandezLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador 40110-060, Brazil.
Cleyde MarconiLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador 40110-060, Brazil.ORCID 0000-0003-0435-7288
Iris Montaño-CastellónLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador 40110-060, Brazil.ORCID 0000-0001-7072-749X
Felice DemincoLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador 40110-060, Brazil.ORCID 0000-0002-6132-192X
Carlos BritesLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador 40110-060, Brazil.ORCID 0000-0002-4673-6991

Funding

Brazilian National Research Council (CNPq)
6 · The paper itself

Abstract

Human T-cell lymphotropic virus (HTLV) infection affects over ten million people worldwide, but there is no effective treatment so far. This review describes the virological, immunological, and clinical outcomes of antiretroviral therapy (ART) in people with HTLV infection. This systematic review followed PRISMA reporting guidelines and was registered in PROSPERO: CRD42022350076. The Newcastle-Ottawa Scale, adapted for cross-sectional studies, and Rob-2 were used to assess the methodological quality of these studies. Systematic searches were conducted in the Medline (PubMed), Scopus (Elsevier), Cochrane Library, and Web of Science (Clarivate Analytics) databases. We retrieved data from eight methodologically diverse articles on treatment of patients infected by HTLV-1 or HTLV-2 alone, or coinfected by HIV-1, who received Raltegravir, Tenofovir, Lamivudine, or Zidovudine. The proviral load decreased in three out of seven studies over 4 to 48 weeks of antiretroviral use. Cellular immune response (CD4, CD8, CD25, CD69, and CD71 cells) was evaluated in six studies. While no significant clinical improvement was observed, all studies reported clinical stability during treatment. Despite the demonstrated antiviral activity of ART, in vitro, clinical improvement was not proven. Most studies showed disease stability during ART use, suggesting potential clinical benefits. There is a need of larger, well-controlled trials to define the role of ART in the treatment of HTLV infection.

Indexed as

HTLV-I InfectionsHuman T-lymphotropic virus 1Viral LoadAnti-Retroviral AgentsCoinfectionHIV InfectionsHTLV-II InfectionsHumansHuman T-lymphotropic virus 2Treatment OutcomeZidovudineAnti-Retroviral AgentsZidovudineantiretroviralHTLVtreatment

Identifiers

PMID39338913
PMCPMC11434664

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.