REVIEW PAPER
Current clinical trials update on HIV/AIDS: a systematic review
More details
Hide details
1
Georgia State University, United States
Submission date: 2018-10-09
Acceptance date: 2019-02-11
Publication date: 2019-07-05
HIV & AIDS Review 2019;18(2):79-84
KEYWORDS
TOPICS
ABSTRACT
Several clinical trials using different interventions are being sponsored to combat human immunodeficiency virus (HIV) at different stages. For evidence-based knowledge studies in medicine, clinical trials are of utmost importance. A legislative requirement to register the clinical trials at the ClinicalTrials.gov provides the information necessary for intensive evaluation, which was previously not possible. The purpose of this study was to provide an intensive portfolio of HIV clinical trials and perform a retrospective ClinicalTrials.gov data review. All active, open, and recruiting clinical trials registered at ClinicalTrials.gov up to May 2018 were included. Information related to trial characteristics, intervention type, primary outcome, and patient enrollment timeline was extracted. Information related to 10,182 registered HIV trials was download from ClinicalTrials.gov. Phase 2 clinical trials were the major ones comprising nearly 1.6% of total clinical trials with the industry being the major sponsor followed by NIH. Other characteristics analyzed included the number of trial centers, primary outcome, treatment setting, and time relation with phases. Common intervention were classified into adjuvant, non-adjuvant, and radiotherapy. The clinical trials data analysis provides a comprehensive description of HIV trials. The information provided may be useful to re-tailor the intervention techniques and to overcome the discrepancy in data management for clinical trials which would improve clinical trial design, and reduce failures and cost of trials.
REFERENCES (17)
1.
Sharp PM, Hahn BH. Origins of HIV and the AIDS pandemic. Cold Spring Harb Perspect Med 2011; 1: 006841.
2.
Quinn TC, Wawer MJ, Sewankambo N, et al., and the Rakai Project Study Group. Viral load and heterosexual transmission of human immunodeficiency virus type 1. N Engl J Med 2000; 342: 921-929.
3.
Mugo NR, Heff ron R, Donnell D, et al., and the Partners in Prevention HSV/HIV Transmission Study Team. Increased risk of HIV-1 transmission in pregnancy: a prospective study among African HIV-1-serodiscordant couples. AIDS 2011; 25: 1887-1895.
4.
Glynn JR, Biraro S, Weiss HA. Herpes simplex virus type 2: a key role in HIV incidence. AIDS 2009; 23: 1595-1598.
5.
Røttingen JA, Cameron DW, Garnett GP. A systematic review of the epidemiologic interactions between classic sexually transmitted diseases and HIV: how much really is known? Sex Transm Dis 2001; 28: 579-597.
6.
Atashili J, Poole C, Ndumbe PM, et al. Bacterial vaginosis and HIV acquisition: a meta-analysis of published studies. AIDS 2008; 22: 1493-1501.
7.
Baggaley RF, White RG, Boily MC. HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention. Int J Epidemiol 2010; 39: 1048-1063.
8.
Tanser F, Bärnighausen T, Hund L, et al. Effect of concurrent sexual partnerships on rate of new HIV infections in a high-prevalence, rural South African population: a cohort study. Lancet 2011; 378: 247-255.
9.
Epstein H, Morris M. Concurrent partnerships and HIV: an inconvenient truth. J Int AIDS Soc 2011; 14: 13.
10.
Weiss HA, Quigley MA, Hayes RJ. Male circumcision and risk of HIV infection in sub-Saharan Africa: a systematic review and meta-analysis. AIDS 2000; 14: 2361-2370.
12.
Joint United Nations Programme on HIV/AIDS (UNAIDS). Global HIV statistics. Fact sheet July, 2017.
13.
Bradley B, Hall H, Wolitski R, et al. Vital signs: HIV diagnosis, care, and treatment among persons living with HIV – United States, 2011. MMWR Morb Mortal Wkly Rep 2014; 63: 1113-1117.
14.
Clarridge K, Blazkova J, Einkauf K, et al. Effect of analytical treatment interruption and reinitiation of antiretroviral therapy on HIV reservoirs and immunologic parameters in infected individuals. PLoS Pathog 2018; 14: e1006792.
16.
Lo B, Grady C. Ethical considerations in HIV cure research: points to consider. Curr Opin HIV AIDS 2013; 8: 243-249.
17.
Eyal N. The benefit/risk ratio challenge in clinical research, and the case of HIV cure: an introduction. J Med Eethics 2017; 43: 65-66.