Evidence map›Paper›PMID 41413309›Full record

ArticleCommunications medicine2025

Dolutegravir use is related to lower HTLV-1 proviral load in people co-infected by HIV-1.

Tatiana Fernandez, María B Arriaga, Rafaela Mayoral, Eduardo M Netto, Carlos Brites

Registry-linked trialAbstract read
In one paragraph

Article in Communications medicine, 2025. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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, Universidade Federal da Bahia, Salvador, Brazil.
María B ArriagaLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.ORCID http://orcid.org/0000-0001-6883-8422
Rafaela MayoralLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.
Eduardo M NettoLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil.
Carlos BritesLaboratório de Pesquisa em Infectologia (LAPI), Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, Brazil. crbrites@gmail.com.ORCID http://orcid.org/0000-0002-4673-6991

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfection by human T-cell lymphotropic virus type 1 (HTLV-1) affects millions of people worldwide and causes severe diseases. To date, no specific treatment is available for HTLV infection. The purpose of this study was to determine the impact of Dolutegravir use in reducing HTLV-1 proviral load (PVL) in HIV-HTLV1 coinfected subjects on stable antiretroviral therapy.

methodsIn this cross-sectional study we quantified HTLV-1 PVL in HIV-HTLV1 coinfected patients and HTLV-1 mono-infected ones. We compared HTLV-1 proviral load across groups, adjusting for age and sex, antiretroviral therapy use and CD4/CD8 cells count. We used a propensity score derived from a regression model for Dolutegravir use and HTLV-1 PVL, that included covariates like age and antiretroviral therapy duration.

resultsEighty-eight patients were included, 44 coinfected by HIV and HTLV-1 and 44 controls. Linear regression shows an association between Dolutegravir use and lower HTLV-1 proviral load values (p = 0.042). Participants using Dolutegravir are significantly more likely to have an HTLV-1 proviral load below the median (205 DNA copies/mm

conclusionsDolutegravir use is consistently associated with lower HTLV-1 proviral load in HIV-HTLV-1 coinfected patients. This indicates that Dolutegravir may be an effective treatment for HTLV-1 infection.

Identifiers

PMID41413309
PMCPMC12830689

What Socratic holds

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LicenceCC BY
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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.