Viral infections evidence library
HIV Infection
A living PubMed evidence library for HIV prevention, antiretroviral therapy, long-acting treatment, resistance, comorbidities, and cure research.
Living evidence synopsis
What the current PubMed collection shows.
Alexandria currently organizes 776 non-retracted PubMed-indexed records for HIV Infection. The structured collection includes 9 guideline or consensus records, 108 evidence syntheses/systematic reviews/meta-analyses, and 114 randomized or phase III studies. 273 records were identified by the configured last-24-month search. Conflict-of-interest statements are available in the PubMed record for 536 of 776 included records.
Research landscape
Charts are generated from Alexandria’s structured PubMed records, not copied from journal figures.
Records by publication year
Study designs
Conflict-of-interest reporting
Absence of a conflict-of-interest statement in PubMed does not establish that no conflict existed.
Extracted result direction
Numerical results extracted from PubMed abstracts
Each value remains attached to its original PMID. Alexandria does not pool these results or imply that unlike populations and endpoints are directly comparable.
Hazard, risk, and odds ratios reported in abstracts
View extracted numerical results 60
| Publication | Outcome | Measure | Reported value | Source |
|---|---|---|---|---|
| Safety and Immunogenicity of a PD-1-Enhanced HIV-1 Therapeutic DNA Vaccine: A Randomized, Double-Blind, Placebo-Controlled, Dose-Escalating Phase I Clinical Trial in People With HIV-1 on Antiretroviral Therapy.The Journal of infectious diseases · 2026 | not_reported | Odds Ratio | 4.0 | PMID 42446368 |
| Euphorbia kansui for latent virus reactivation in people living with HIV on suppressive antiretroviral therapy: A phase 1b/2a clinical trial.Journal of virus eradication · 2026 | not_reported | Odds Ratio | 1.0 | PMID 42780501 |
| A Dual Prevention Pill for HIV & Pregnancy Prevention: A Pilot Study Among Adolescent Girls and Young Women in Zimbabwe.AIDS and behavior · 2026 | not_reported | Odds Ratio | 2.0 | PMID 41251867 |
| The prevalence of HIV among patients with cardiovascular disease in a Tanzanian emergency department: results from a prospective observational study.AIDS care · 2026 | mortality | Odds Ratio | 1.93 95% CI 1.05–3.6 p < 0.05 | PMID 41396046 |
| The prevalence of HIV among patients with cardiovascular disease in a Tanzanian emergency department: results from a prospective observational study.AIDS care · 2026 | mortality | Percentage Comparison | 37.5percent vs 24.5percent p < 0.05 | PMID 41396046 |
| Assessing the impact of nicotinic partial agonists compared to NRT on opioid and cigarette use: A secondary analysis investigating treatment outcomes for co-occurring nicotine and opioid use.Journal of substance use and addiction treatment · 2026 | not_reported | Odds Ratio | 12.0 | PMID 41558587 |
| Effectiveness of behavioural tobacco cessation interventions with and without pharmacotherapy among people living with HIV in Viet Nam: a three-arm pragmatic randomised controlled trial.The Lancet. Global health · 2026 | not_reported | Odds Ratio | 1.0 | PMID 41713442 |
| Islatravir distribution in plasma, peripheral blood mononuclear cells, and mucosal tissues after monthly oral dosing.AIDS (London, England) · 2026 | not_reported | Odds Ratio | 120.0 | PMID 41789892 |
| The impact of accumulating immune adaptation in circulating strains of HIV-1.HIV medicine · 2026 | not_reported | Odds Ratio | 2.4 | PMID 41795223 |
| Safety, Immunovirologic, and Central Nervous System Effects of PD-1 Inhibition in People With HIV Without Malignancy.The Journal of infectious diseases · 2026 | adverse events | Odds Ratio | 2.0 | PMID 41797330 |
| Determinants of long-acting cabotegravir plus rilpivirine discontinuation in real-world HIV care: insights from the relativity cohort.AIDS (London, England) · 2026 | not_reported | Hazard Ratio | 2.06 95% CI 1.48–2.86 P = 0.036 | PMID 41805169 |
| Determinants of long-acting cabotegravir plus rilpivirine discontinuation in real-world HIV care: insights from the relativity cohort.AIDS (London, England) · 2026 | not_reported | Hazard Ratio | 0.65 95% CI 0.44–0.96 P = 0.036 | PMID 41805169 |
| Effect of a digital training package on clinical outcomes in Malawi's index case testing programme: a cluster randomised controlled trial.BMJ global health · 2026 | not_reported | Risk Ratio | 1.37 95% CI 1.1–1.71 p=0.006 | PMID 41825916 |
| Effect of a digital training package on clinical outcomes in Malawi's index case testing programme: a cluster randomised controlled trial.BMJ global health · 2026 | not_reported | Risk Ratio | 1.45 p=0.006 | PMID 41825916 |
| Effect of a digital training package on clinical outcomes in Malawi's index case testing programme: a cluster randomised controlled trial.BMJ global health · 2026 | not_reported | Risk Ratio | 2.29 95% CI 1.19–4.4 p=0.006 | PMID 41825916 |
| Effect of a digital training package on clinical outcomes in Malawi's index case testing programme: a cluster randomised controlled trial.BMJ global health · 2026 | not_reported | Risk Ratio | 1.22 p=0.1 | PMID 41825916 |
| Effect of a digital training package on clinical outcomes in Malawi's index case testing programme: a cluster randomised controlled trial.BMJ global health · 2026 | not_reported | Risk Ratio | 1.28 p=0.1 | PMID 41825916 |
| Fluconazole plus flucytosine versus fluconazole alone for adults with HIV-associated cryptococcal antigenaemia identified through screening: a multi-centre phase III randomised-controlled trial.Trials · 2026 | mortality | Odds Ratio | 4.0 | PMID 41877274 |
| Hypertension in a Randomized Trial of Dolutegravir- Versus Efavirenz-Based Antiretroviral Therapy in Pregnant and Postpartum Women with HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 | not_reported | Odds Ratio | 80.0 | PMID 41973953 |
| Hypertension in a Randomized Trial of Dolutegravir- Versus Efavirenz-Based Antiretroviral Therapy in Pregnant and Postpartum Women with HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 | not_reported | Odds Ratio | 90.0 | PMID 41973953 |
| Men's willingness to receive text messages and speak with an HIV counselor via the National HIV Hotline following HIV self-testing in Tanzania; a baseline cross- sectional analysis from a cluster -randomized controlled trial.BMC public health · 2026 | not_reported | Odds Ratio | 3.37 | PMID 41998582 |
| Men's willingness to receive text messages and speak with an HIV counselor via the National HIV Hotline following HIV self-testing in Tanzania; a baseline cross- sectional analysis from a cluster -randomized controlled trial.BMC public health · 2026 | not_reported | Odds Ratio | 3.84 | PMID 41998582 |
| Men's willingness to receive text messages and speak with an HIV counselor via the National HIV Hotline following HIV self-testing in Tanzania; a baseline cross- sectional analysis from a cluster -randomized controlled trial.BMC public health · 2026 | not_reported | Odds Ratio | 2.52 | PMID 41998582 |
| Men's willingness to receive text messages and speak with an HIV counselor via the National HIV Hotline following HIV self-testing in Tanzania; a baseline cross- sectional analysis from a cluster -randomized controlled trial.BMC public health · 2026 | not_reported | Odds Ratio | 2.96 | PMID 41998582 |
| Linked-color imaging with computer-aided detection and the proximal adenoma miss rate: a randomized tandem trial.Gastrointestinal endoscopy · 2026 | not_reported | Percentage Comparison | 42.0percent vs 18.0percent P = .001 | PMID 42009205 |
| Linked-color imaging with computer-aided detection and the proximal adenoma miss rate: a randomized tandem trial.Gastrointestinal endoscopy · 2026 | not_reported | Percentage Comparison | 42.0percent vs 21.0percent P = .001 | PMID 42009205 |
| Linked-color imaging with computer-aided detection and the proximal adenoma miss rate: a randomized tandem trial.Gastrointestinal endoscopy · 2026 | not_reported | Percentage Comparison | 46.0percent vs 0.0percent | PMID 42009205 |
| Linked-color imaging with computer-aided detection and the proximal adenoma miss rate: a randomized tandem trial.Gastrointestinal endoscopy · 2026 | not_reported | Percentage Comparison | 30.0percent vs 0.0percent | PMID 42009205 |
| Linked-color imaging with computer-aided detection and the proximal adenoma miss rate: a randomized tandem trial.Gastrointestinal endoscopy · 2026 | not_reported | Percentage Comparison | 25.0percent vs 0.0percent | PMID 42009205 |
| Linked-color imaging with computer-aided detection and the proximal adenoma miss rate: a randomized tandem trial.Gastrointestinal endoscopy · 2026 | not_reported | Percentage Comparison | 27.0percent vs 5.6percent | PMID 42009205 |
| An integrated HIV and chronic disease intervention to reduce HIV infection risk among older men who have sex with men in China: a randomized controlled trial.BMC public health · 2026 | not_reported | Risk Ratio | 0.34 95% CI 0.21–0.57 | PMID 42021278 |
| An integrated HIV and chronic disease intervention to reduce HIV infection risk among older men who have sex with men in China: a randomized controlled trial.BMC public health · 2026 | not_reported | Risk Ratio | 0.43 95% CI 0.25–0.74 | PMID 42021278 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 21.9percent vs 17.9percent P = 0.650 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 7.3percent vs 5.1percent | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 3.8percent vs 23.2percent P = 0.027 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 16.8percent vs 40.2percent P = 0.027 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 55.7percent vs 26.1percent P = 0.03 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 24.9percent vs 49.2percent P = 0.03 | PMID 42055353 |
| Health-Related Quality of Life in Well-treated People With HIV and Comparators Over an 8-year Period: A Longitudinal Analysis From the Prospective AGEhIV Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 | not_reported | Odds Ratio | 2.74 | PMID 42133472 |
| Tuberculosis in children who are HIV-exposed uninfected.AIDS (London, England) · 2026 | not_reported | Risk Ratio | 1.26 | PMID 42138367 |
Funding and conflicts of interest
Conflict and funding fields reproduce what is available in PubMed records. Missing disclosure data does not establish that no conflict or funding existed.
View records with declared financial or industry relationships 12
A CT-based score for predicting histopathological usual interstitial pneumonia features and predicting disease progression in smokers with fibrotic idiopathic interstitial pneumonia.
Compliance with ethical standards. Guarantor: The scientific guarantor of this publication is Osamu Togao, Department of Radiology, Faculty of Medicine, Saga University, Japan. Email: togao@cc.saga-u.ac.jp Conflict of interest: The authors of this manuscript declare relationships with the following companies outside the submitted work: R.E., K.K., and M.K. report lecture fees from Boehringer Ingelheim. K.F. received lecture fees from Boehringer Ingelheim, AstraZeneca, Kyorin, and Bayer Pharma Japan. Y.K. reports consulting fees from Asahi Kasei Pharma Corp, Boehringer Ingelheim, Bristol Myers Squibb, Chugai Pharmaceutical Co., Ltd., GlaxoSmithKline plc, Healios K.K., Insmed Inc., Janssen Pharmaceutical KK, Mochida Pharmaceutical Co., Ltd, Shionogi Co, Ltd., TAIHO PHARMACEUTICAL CO., LTD., lecture fees from Asahi Kasei Pharma Corp, Bristol Myers Squibb, Boehringer Ingelheim, Eisai Co, Ltd, Janssen Pharmaceutical K.K., GlaxoSmithKline plc, KYORIN Pharmaceutical Co, Ltd, Mitsubishi Tanabe Pharma, Mochida Pharmaceutical Co., Ltd., Nippon Shinyaku Co, Ltd., Novartis Pharma KK, Shionogi Co, Ltd., Teijin Pharma Ltd. and research funding from MICIN Inc. J.F. reports stock or stock options in N Lab and Pathology Institute, lecture fees and research funding from Boehringer Ingelheim. T.J. reports lecture fees from AstraZeneca K.K., Boehringer Ingelheim, KYORIN Pharmaceutical Co, Ltd. The remaining authors have no relevant disclosures. T.S. reports lecture fees and consulting fees from Nippon Boehringer Ingelheim, lecture fees from Shionogi & Co., Ltd., consulting fees from Bristol Myers Squibb and consulting fees from Mochida Pharmaceutical Co., Ltd. J.F. reports lecture fees from Nippon Boehringer Ingelheim and Mochida Pharmaceutical Co., Ltd. The other authors of this manuscript declare no relationship with any companies whose products or services may be related to the subject matter of the article. Statistics and biometry: One of the authors has significant statistical expertise, Atsushi Kawaguchi. Informed consent: Informed consent was obtained through opt-out processes in this study; written informed consent from each patient was waived. Ethical approval: Institutional Review Board approval was obtained at Saga University. Study subjects or cohorts overlap: The cohorts used in this study originated from a Japanese registry (nonpublic) and a single-centre database. While many publications have partially or fully overlapped with these cohorts in the past, none have pursued the identical research objective. Due to the anonymisation process and differences in inclusion criteria, it was difficult to determine how many individuals overlapped between studies. Methodology: Retrospective Diagnostic or prognostic study Multicentre study
PMID 42470480 · 2026Initial HIV Therapy for Adults and Treatment-Associated Weight Gain: The Opti-DOR Randomized Clinical Trial.
Conflict of Interest Disclosures: Dr Woods reported receiving institutional grant funding from Gilead Sciences, ViiV Healthcare, and the Bill and Melinda Gates Foundation. Dr Lebina reported receiving grants from Gilead Sciences, the Bill and Melinda Gates Foundation, and the Wellcome Trust. Dr Möller reported receiving institutional grant funding from Gilead Sciences, ViiV Healthcare, and the Bill and Melinda Gates Foundation. Dr Venter reported receiving personal fees from ViiV Healthcare, Gilead Sciences, Mylan/Viatris, MSD, Adcock-Ingram, Aspen, Abbott, Roche, Sanofi, Boehringer Ingelheim, Thermo Fisher, and Virology Education and receiving institutional grant funding from Gilead, Novo Nordisk, the Bill and Melinda Gates Foundation, the South African Medical Research Council, the National Institutes of Health, Unitaid, the Foundation for Innovative New Diagnostics, and the Children’s Investment Fund Foundation. Mr Akpomiemie reported receiving institutional grant funding from Gilead Sciences, ViiV Healthcare, and the Bill and Melinda Gates Foundation. Dr Manentsa reported receiving institutional grant funding from Gilead Sciences, ViiV Healthcare, and the Bill and Melinda Gates Foundation. Mr Taukobong reported receiving institutional grant funding from Gilead Sciences, ViiV Healthcare, and the Bill and Melinda Gates Foundation. Ms Macholo reported receiving institutional grant funding from Gilead Sciences, ViiV Healthcare, and the Bill and Melinda Gates Foundation. Dr Sokhela reported receiving institutional grant funding from Gilead Sciences, ViiV Healthcare, Janssen, and the Bill and Melinda Gates Foundation. No other disclosures were reported.
PMID 42536019 · 2026Potential Risks and Benefits of Low-barrier Access and Monitoring for HIV Pre-exposure Prophylaxis: A Modeling Study.
Potential conflicts of interest . S. M. J. has conducted research with grants from Merck to his institution and has received consulting payments from Gilead Sciences and the Elton John AIDS Foundation to conduct research. J. L. M. received an honorarium for development of medical education content for MyBodyPro. D. S. K. has conducted research with grants from Gilead Sciences and Merck to his institution, received personal funds from Medscape and UpToDate, Inc. to develop medical education content, and received travel support from PrEP4All to attend a conference on a national PrEP program. L. R. V. is now an employee of Merck outside the presented work. Other authors report no potential conflicts of interest.
PMID 42467629 · 2026Key Decision Points for Personalization and Customization in Self-Guided Digital Suicide Prevention: Qualitative Interview Study.
Conflicts of Interest: JM has accepted consulting fees from Boehringer Ingelheim and the Shirley Ryan Ability Lab. DCM, PhD, has accepted honoraria and consulting fees from Benchmark Health, Clinical Care Options, and OpenAI; has received royalties from Oxford Press; and has an ownership interest in Adaptive Health, Inc.
PMID 42873538 · 2026Mirikizumab is associated with improvements in bowel urgency and quality of life in moderately-to-severely active ulcerative colitis: 28-week phase 3b results from the LUCENT-URGE trial.
M.L. reports consultancy for AbbVie, Takeda, Pfizer, Janssen, UCB, Target PharmaSolutions, Salix, Valeant, Prometheus, and Eli Lilly and Company. D.L. declares counseling, boards, transports or fees from AbbVie, Alfasigma, Amgen, Celltrion, Ferring, Janssen, Lilly, Medac, MSD, Pfizer, Prometheus, Takeda, and Theradiag. G.R. has consulted to AbbVie, Arena, Augurix, BMS, Boehringer, Calypso, Celgene, FALK, Ferring, Fisher, Genentech, Gilead, Janssen, Lilly, MSD, Novartis, Pfizer, Phadia, Roche, UCB, Takeda, Tillots, Vifor, Vital Solutions and Zeller; has received speaker’s honoraria from AbbVie, Astra Zeneca, BMS, Celgene, FALK, Janssen, MSD, Pfizer, Phadia, Takeda, Tillots, UCB, Vifor and Zeller; has received educational grants and research grants from AbbVie, Ardeypharm, Augurix, Calypso, FALK, Flamentera, MSD, Lilly, Novartis, Pfizer, Roche, Takeda, Tillots, UCB and Zeller. G.R. is cofounder and head of the scientific advisory board of PharmaBiome. S.N. has served on advisory board and speaker for Eli Lilly and Company, Pfizer, Celltrion, and advisory board for Madrigal and speaker for Janssen. A.V., W.J.E., T.T., and A.P.B. are employees and shareholders of Eli Lilly and Company. A.A. has received consulting fees from AbbVie, Abivax, Alfa Sigma, Astra Zeneca, Biogen, Boehringer Ingelheim, Bristol-Myers Squibb, Celgene, Celltrion, Eli Lilly, Enthera, Ferring, Galapagos, Gilead, Giuliani, Janssen, Lionhealth, MSD, Nestlé, Pfizer, Protagonist Therapeutics, Roche, Samsung Bioepis, Sanofi, Sandoz, Takeda, Teva Pharmaceuticals; speaker’s fees from AbbVie, Abivax, AG Pharma, Alfa Sigma, Biogen, Bristol-Myers Squibb, Celltrion, Eli Lilly and Company, Ferring, Fresenius Kabi, Galapagos, Gilead, Janssen, Lionhealth, MSD, Novartis, Pfizer, Roche, Samsung Bioepis, Sandoz, Takeda, Teva Pharmaceuticals; and research support from Biogen, MSD, Takeda, and Pfizer.
PMID 42927097 · 2026Growth Outcomes After 48 Weeks of Dolutegravir in Children and Adolescents With HIV-1 in IMPAACT P1093 and IMPAACT 2019.
M.M., Z.L., A.M.B., C.B., L.K.T., and M.W. are or were employees of GSK or ViiV Healthcare at the time of the analysis and own stock in GSK. S.B. and L.Z. have received research funding (paid to institution) from the National Institutes of Health and ViiV Healthcare. S.B. has also received travel support (paid to institution) from the National Institute of Child Health and Human Development and National Institute of Allergy and Infectious Diseases and served on a data safety monitoring board for the Adolescent Medicine Trials Network for HIV/AIDS Interventions. T.R. and A.W. received salary support for serving as co-chairs of the IMPAACT Network Trial P1093; funding was provided from ViiV Healthcare to the IMPAACT Network and their institutions. T.R. has also served on a pediatric advisory board for ViiV Healthcare. P.M.F. has received grants/contracts from the National Institute of Allergy and Infectious Diseases (NIAID) under award numbers UM1AI068632, UM1AI068616, and UM1AI106716 and from the National Institute of Child Health and Human Development under contract number HHSN275201800001I and received salary support for serving as vice-chair of the IMPAACT Network, supported by the National Institute of Allergy and Infectious Diseases. H.R. has received support (paid to institution) from the IMPAACT Network and FAMCRU clinical trial unit; received consulting fees from AID FOR AIDS, MSD, and ViiV Healthcare; and participated in data safety monitoring/advisory boards for the EMPIRICAL study.
PMID 42731017 · 2026Comparison of Immune Activation and Gut Barrier Dysfunction Between Long COVID and HIV Infection.
Potential conflicts of interest. G. A. M serves as a research consultant for Merck, Gilead, and GlaxoSmithKline/ViiV. All other authors reported no potential conflicts.
PMID 41914490 · 2026Weight Gain on Contemporary Integrase Strand Transfer Inhibitors and Tenofovir Alafenamide in Persons With HIV Starting Antiretroviral Therapy in the United States and Canada.
Potential conflicts of interest. K. B. has received consultancy fees from Gilead Sciences, Merck & Co, and ViiV Healthcare and research grants from Gilead Sciences. S. K. G. has received consultancy fees from Gilead Sciences and ViiV Healthcare and unrestricted research grants from ViiV Healthcare. C. C. and J. C. L. are full-time employees of Gilead Sciences and hold company stock. F. J. P. is a consultant and/or on the speakers’ bureau for ViiV, Gilead, Merck, and EMD Serono. J. R. K. has received consultancy fees and research grants from Gilead Sciences and Merck & Co, and provided expert witness testimony on behalf of Gilead Sciences. All other authors report no potential conflicts.
PMID 42216675 · 2026Infections and the Opioid Epidemic: Changing Epidemiology and Treatment Options.
Declarations. Conflicts of Interest: In the last 3 years, MRL has been a research consultant for Braeburn Pharmaceuticals, Berkshire Biomedical, and Journey Colab and has received an honorarium from Camurus for developing and giving a research talk about long-acting injectable buprenorphine. EE has received honoraria from PRIME and Integritas for developing continuing medical education content. LF has been a consultant for Eli Lilly for development of medical education content unrelated to this manuscript. Availability of Data And Material: Not applicable. Ethics Approval: Not applicable. Consent to Participate: Not applicable. Consent for Publication: Not applicable. Code Availability: Not applicable. Author Contributions: LCF: conceptualization, writing—original draft, writing—review and editing, project administration; EE: writing—original draft, writing—review and editing; NVS: writing—original draft, writing—review and editing; MRL: conceptualization, writing—original draft, writing—review and editing. All authors approved of the final manuscript for submission.
PMID 42830379 · 2026Doravirine/Islatravir: First Approval.
Declarations. Funding: The preparation of this review was not supported by any external funding. Authorship and Conflict of interest: During the peer review process the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from any comments received were made by the authors on the basis of scientific completeness and accuracy. Sheridan M. Hoy is a salaried employee of Adis International Ltd/Springer Nature, and declares no relevant conflicts of interest. All authors contributed to this article and are responsible for its content. Ethics approval, Consent to participate, Consent to publish, Availability of data and material, Code availability: Not applicable.
PMID 42730871 · 2026Global burden of drug-resistant tuberculosis in children: a systematic analysis for the Global Burden of Disease Study.
Conflict of interest: X. Liu reports grant support from the Ministry of Science and Technology, PRC. P. Mijiti reports grant support from the Xinjiang Medical University. S.M. LaCourse reports grants from the US National Institutes of Health (NIH) and UNITAID, and royalties or licences from UpToDate. A.W. Kay reports grants from the National Institute of Child Health and Human Development and Fogarty International Center, and participation on a data safety monitoring board or advisory board with the Smile TB study. A. Shen reports grants from the Key Project of the Department of Science and Technology of Beijing. A.M. Mandalakas reports grants from the NIH and the US Centers for Disease Control and Prevention, and participation on a data safety monitoring board or advisory board with Janssen Pharmaceutica. F. Li reports grants from the Medical Research Fund of the Shanghai Hospital Development Center. C. Lange is a member of the WHO Guideline Development Group on drug-resistant tuberculosis, Secretary General of the International Union Against Tuberculosis and Lung Disease, and is a member of the steering committees of the Tuberculosis Network European Trials Group and the UNITE4TB consortium. Z. Huang reports grants from the National Natural Science Foundation of China, the Medical Science Research Foundation of Guangdong Province and the Applied Basic Research Foundation of Guangdong Province. The remaining authors have no potential conflicts of interest to disclose.
PMID 42242755 · 2026HIV and Antiretroviral Therapy Influence Tumor Microenvironment Architecture, Subclonal Evolution, and Immune Evasion Strategies in Diffuse Large B-cell Lymphoma.
A. Merchant reports personal fees from Genmab, AbbVie, Bristol Myers Squibb, and Incyte outside the submitted work. No disclosures were reported by the other authors.
PMID 42831881 · 2026Current Standard-of-Care Sources
Alexandria uses this label only for PubMed-indexed guidelines or consensus documents. These are source publications, not individualized recommendations.
Clinical Practice Guideline on the Pharmacological Management of Antipsychotic-Related Dyslipidemia.
Schizophrenia bulletin · 2026
PMID 42544493Fostering healthy cognitive ageing in people living with HIV.
The lancet. HIV · 2025
PMID 39615509Brazilian Society of Otology Task Force - bone-anchored hearing system - recommendations based on strength of evidence.
Brazilian journal of otorhinolaryngology · 2026
PMID 42485883Breastfeeding in Patients With Human Immunodeficiency Virus.
Obstetrics and gynecology · 2026
PMID 41926772Joint British association for sexual health and HIV/British HIV association guidelines for the sexual and reproductive health of people with HIV 2026.
International journal of STD & AIDS · 2026
PMID 42549667Belgian guidance 2026 on management of pregnancy and breastfeeding in women living with HIV and their infants.
European journal of obstetrics, gynecology, and reproductive biology · 2026
PMID 42468119British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026
PMID 42117446[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026
PMID 42236454[Allogeneic stem cell transplantation for persons living with HIV (SFGM-TC)].
Bulletin du cancer · 2026
PMID 42103547Metal-artefact-reduction MRI for diagnosing periprosthetic joint infection: a systematic review and meta-analysis.
Skeletal radiology · 2026
PMID 41792512Interventions to improve viral suppression and adherence to antiretroviral therapy among people living with HIV: a systematic review and network meta-analysis.
The lancet. HIV · 2026
PMID 42556371Dysregulated Metabolism in People Living With HIV in the Modern ART-Era: A Systematic Review of Targeted Metabolomics Studies.
Reviews in medical virology · 2026
PMID 42406562Highest-Priority Research
Clinical Practice Guideline on the Pharmacological Management of Antipsychotic-Related Dyslipidemia.
Schizophrenia bulletin · 2026
BACKGROUND: People taking antipsychotic medicines and those with severe mental illness experience elevated cardiovascular risk compared to the general population which is not adequately addressed by existing guidelines. Increases in lipid levels can occur soon after starting antipsychotics but often go untreated. Cumulative exposure to dyslipidemia from childhood, through young adulthood, facilitates atherogenesis. Regression of early lesions is possible; however, plaque progression can be irreversible, leading to sustained long-term cardiovascular risk. Although lipid-lowering therapies are effective at lowering cardiovascular risk, they are underutilized in this population. We have thus de…
PMID 42544493Fostering healthy cognitive ageing in people living with HIV.
The lancet. HIV · 2025
Prevalence and incidence of HIV among people aged 50 years and older continue to rise worldwide, generating increasing awareness among care providers, scientists, and the HIV community about the importance of brain health in older adults with HIV. Many age-related factors that adversely affect brain health can occur earlier and more often among people with HIV, including epigenetic ageing, chronic medical conditions (eg, cardiovascular disease), and age-related syndromes (eg, frailty). Extensive dialogue between HIV community leaders, health-care providers, and scientists has led to the development of a multidimensional response strategy to protect and enhance brain health in people ageing w…
PMID 39615509Utility of Artificial Intelligence in Detecting Lymph Node Metastasis in Oral Cancer: A Systematic Review.
Cureus · 2026
Oral squamous cell carcinoma (OSCC) is associated with considerable morbidity because of occult lymph node metastasis (OLNM). Conventional imaging has limitations in detecting OLNM in oral cancer. AI-based technologies have been proposed as potential aids in diagnosis. This systematic review was carried out following PRISMA 2020 guidelines and registered in the International Prospective Register of Systematic Reviews (PROSPERO) (February 2025). PubMed, Scopus, Embase, Web of Science, and Google Scholar were searched. Studies utilizing artificial intelligence (AI)-based techniques, such as machine learning (ML), deep learning (DL), and convolutional neural networks (CNNs), in the detection of…
PMID 42924327Prevalence and associated factors of public stigma toward people living with HIV: a systematic review and meta-analysis.
BMC public health · 2026
BACKGROUND: HIV-related public stigma remains a critical barrier to ending the AIDS epidemic, yet its global prevalence remains poorly quantified. Existing evidence is fragmented, with no comprehensive synthesis of temporal trends, regional patterns, or population subgroups. This systematic review and meta-analysis aimed to estimate the global prevalence of public stigma toward people living with HIV (PLHIV) in the general population and to identify factors associated with such stigma. METHODS: We searched PubMed, Embase, Web of Science, and the DHS Program website, among others, from inception to June 30, 2025. We included observational studies reporting the prevalence of public stigma towa…
PMID 42928180Brazilian Society of Otology Task Force - bone-anchored hearing system - recommendations based on strength of evidence.
Brazilian journal of otorhinolaryngology · 2026
OBJECTIVES: To provide evidence-based recommendations for the indication of bone anchored hearing system in adults and children. METHODS: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese were eligible for inclusion. The American College of Physicians' guideline grading system and the American Thyroid Association's guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions. RESULTS: The topics were divided into four parts: 1) Non-implantable hearing devices;…
PMID 42485883Breastfeeding in Patients With Human Immunodeficiency Virus.
Obstetrics and gynecology · 2026
This Clinical Practice Update provides revised guidance regarding the opportunity for infant feeding in patients with human immunodeficiency virus (HIV) based on revised recommendations from the U.S. Department of Health and Human Services and the American Academy of Pediatrics. This document updates the content in Committee Opinion No. 756, Optimizing Support for Breastfeeding as Part of Obstetric Practice (Obstet Gynecol 2018;132:e187-96).
PMID 41926772Joint British association for sexual health and HIV/British HIV association guidelines for the sexual and reproductive health of people with HIV 2026.
International journal of STD & AIDS · 2026
These guidelines are an update to the 2008 UK guidelines for the management of sexual and reproductive health of people living with HIV. The writing group has followed updated British Association for Sexual Health and HIV (BASHH) guideline methodology, notably using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system for assessing evidence and making recommendations. We have made significant changes to the recommendations which are summarised below.
PMID 42549667Belgian guidance 2026 on management of pregnancy and breastfeeding in women living with HIV and their infants.
European journal of obstetrics, gynecology, and reproductive biology · 2026
INTRODUCTION: In 2021, a call was made to write a guidance for the management of pregnancy in women living with HIV (WLWH) in Belgium. METHODS: The call was sent to BREACH (Belgium Research on AIDS and HIV Consortium), a network of Belgian HIV Reference Centers, Laboratories and interest organizations in the field of HIV. The first working group (30 healthcare workers from 13 institutions) reviewed literature and had online discussions. This Guidance is an expert consensus document designed to answer real life clinical situations; it was presented at BREACH symposium in November 2023 and then updated annually. RESULTS: Antiretroviral drugs prescribed to women considering pregnancy or during …
PMID 42468119British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
PMID 42117446[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clinical management of MDR/RR-TB in China. In response to recent advances in global evidence-based medicine and in consideration of China's specific context, the Chinese Medical Associ…
PMID 42236454[Allogeneic stem cell transplantation for persons living with HIV (SFGM-TC)].
Bulletin du cancer · 2026
People living with HIV (PLWH) experienced an increased risk of heme malignancies. The place of cellular therapy as consolidation is well established in the general population, but remains to be confirmed in PLWH. Control of HIV has dramatically been improved due to combined antiretroviral therapy, and continuation of the treatment all through the graft procedure resulted in survival and TRM comparable with the general population. So, PLWH with an indication of auto- or allo-graft must be referred as eligible for the procedure. The conditioning regimen depends mainly on the malignancy and comorbidities. In allograft setting, the choice of the donor and the stem cell source must follow standar…
PMID 42103547Digital supportive care in prostate cancer: a systematic review.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
PURPOSE: To map and synthesise the existing evidence on people's perspectives and requirements for patient-facing digital health technologies for use in prostate cancer care delivery. Understanding the preferences of people with prostate cancer and understanding the barriers and facilitators to maximising engagement with digital supportive care healthcare landscape. METHODS: Four electronic databases were searched to identify suitable studies. All identified citations were imported into Covidence systematic review software for the removal of duplicate records and the study selection process by two reviewers. Methodological quality was appraised using the MMAT, and findings were synthesised n…
PMID 42891837Latest Research — Last 24 Months
Effectiveness of Yoga-based guided meditation In Improving the quality of sleep in patients with coronary artery disease: The Yoga Nidra Trial.
American journal of preventive cardiology · PMID 42893216
Single-walled carbon nanotube-based Schottky transistor for the detection of human immunodeficiency virus-1 antibodies in human serum.
Biosensors & bioelectronics · PMID 42727494
Prevalence and associated factors of public stigma toward people living with HIV: a systematic review and meta-analysis.
BMC public health · PMID 42928180
Clinical and epidemiological aspects of coinfection with American tegumentary leishmaniasis and HIV/AIDS in South American countries: a systematic review.
Revista da Sociedade Brasileira de Medicina Tropical · PMID 42912083
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · PMID 42400399
Acquired Single-Sided Deafness - Patients Prefer Invasive over Non-Invasive Hearing Solutions: A Systematic Review and Meta-analysis.
The Journal of laryngology and otology · PMID 42929386
Creatine supplementation in soccer players: a systematic review.
Journal of the International Society of Sports Nutrition · PMID 42826085
Treatment Options Studied in the PubMed Collection
These are interventions detected in PubMed metadata and abstracts. Inclusion does not establish approval, effectiveness, suitability, or standard-of-care status.
antiretroviral therapy
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, quality of life, viral suppression, mortality, HIV transmission, adverse events, AIDS-defining illness, serious adverse events
- Populations represented
- general population; CD4 count; HIV-1; advanced; first-line; viral load
- Mechanism
- Inflammatory cytokines occupy a central position in HIV-associated cardiovascular pathobiology, serving dual roles as disease predictors and candidate treatment targets The immunosuppressive, checkpoint-enriched microenvironment of ART-experienced tumors supports further investigation of immune checkpoint blockade and macrophage-targeting strategies in a population historically excluded from such trials
Anti-HIV Agents
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, HIV transmission, quality of life, viral suppression, drug resistance, serious adverse events, virologic failure
- Populations represented
- general population; HIV-1; HIV-1; viral load; viral load; drug resistance; HIV-1; drug resistance
- Mechanism
- This scoping review examined studies published since March 2020 that evaluated the association between alcohol use and PrEP outcomes and identified interventions targeting PrEP users who consume alcohol We also included intervention studies targeting alcohol use among PrEP users
pre-exposure prophylaxis
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, HIV transmission, drug resistance, adverse events, mortality
- Populations represented
- general population; drug resistance; children; viral load
- Mechanism
- Participants underwent individual randomization to 3 arms: (1) HAPA-based cognitive behavioral intervention featuring tailored WeChat messages and 2 structured motivational interviews targeting stage-specific barriers; (2) combined HAPA intervention with GCEI linked to peer group initiation rates, incorporating facilitated offline group activities; or (3) standard care control receiving nonpersonalized HIV prevention information Geographic targeting at ≥0.7% incidence was more cost-effective, averting approximately 8450 acquisitions at a net cost of US$8530 per acquisition averted
PrEP
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, HIV transmission, drug resistance, adverse events
- Populations represented
- general population; drug resistance; HIV-1
- Mechanism
- This scoping review examined studies published since March 2020 that evaluated the association between alcohol use and PrEP outcomes and identified interventions targeting PrEP users who consume alcohol We also included intervention studies targeting alcohol use among PrEP users
Biomarkers
- Research status
- mostly supportive
- Outcomes represented
- reported clinical outcomes
- Populations represented
- general population; children; older adults
- Mechanism
- Inflammatory cytokines occupy a central position in HIV-associated cardiovascular pathobiology, serving dual roles as disease predictors and candidate treatment targets Thus, there is promise that a minimal set of proteins defining all the different reservoir subsets can be identified and developed into a reservoir targeting strategy
Tenofovir
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, drug resistance, viral suppression, adverse events
- Populations represented
- general population; drug resistance; HIV-1; children; treatment-naive
- Mechanism
- Reversing weight gain linked to ART, by switching regimens or adding antiobesity medications like the GLP-1 receptor agonist semaglutide, has shown potential in reducing adipose tissue remodeling, visceral adiposity and cardiometabolic risk factors Median vaginal tissue concentrations of the anabolites responsible for inhibition of HIV reverse transcriptase exceeded our target concentrations: TFV diphosphate 0.651×103 fmol mg-1 and FTC triphosphate 0.180×103 fmol mg-1
Anti-Retroviral Agents
- Research status
- harm signal
- Outcomes represented
- reported clinical outcomes, mortality
- Populations represented
- general population; first-line; first-line; second-line; viral load; CD4 count
- Mechanism
- The immunosuppressive, checkpoint-enriched microenvironment of ART-experienced tumors supports further investigation of immune checkpoint blockade and macrophage-targeting strategies in a population historically excluded from such trials Considering age, body mass index, and blood pressure as a priori confounders in multivariable analyses, higher cfPWV was independently associated with shorter sleep duration (β -0.04 per hour; 95%CI: -0.08, 0.0; P = 0.046), prolonged sleep latency ≥ 15 min (β 0.18; 95%CI: 0.05, 0.31; P = 0.006) and current use of a protease inhibitor antiretroviral regimen (β 0.3; 95%CI: 0.00, 0.61; P = 0.049)
dolutegravir
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, serious adverse events, viral suppression, virologic failure
- Populations represented
- general population; first-line; viral load; HIV-1; children; treatment-naive; HIV RNA
- Mechanism
- Reversing weight gain linked to ART, by switching regimens or adding antiobesity medications like the GLP-1 receptor agonist semaglutide, has shown potential in reducing adipose tissue remodeling, visceral adiposity and cardiometabolic risk factors Predicted weight change was modeled using linear mixed effects models adjusted for demographic and clinical factors, and nucleoside reverse transcriptase inhibitor (NRTI) backbone, with subanalyses excluding EFV and stratifying by INSTI agent, NRTI, sex, and race
emtricitabine
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, drug resistance, viral suppression, adverse events, serious adverse events, virologic failure, quality of life
- Populations represented
- general population; drug resistance; HIV-1; HIV RNA
- Mechanism
- Median vaginal tissue concentrations of the anabolites responsible for inhibition of HIV reverse transcriptase exceeded our target concentrations: TFV diphosphate 0.651×103 fmol mg-1 and FTC triphosphate 0.180×103 fmol mg-1
Pyridones
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, serious adverse events, viral suppression, virologic failure, reported clinical outcomes
- Populations represented
- general population; viral load; HIV-1; children; first-line; HIV-1
- Mechanism
- All patients were switched to a single-tablet regimen, with 34.7% receiving a non-nucleoside reverse transcriptase inhibitor (NNRTI)-containing regimen Among individuals who discontinued LAI for reasons other than virologic failure (VF), all those previously on NNRTI-and/or integrase inhibitor (INSTI)-based oral ART resumed regimens containing the same drug classes
HIV Antibodies
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, virologic failure
- Populations represented
- HIV-1; HIV-1; perinatal HIV; children
- Mechanism
- Concomitant with the iterative evolution of vaccine design - spanning from protein subunits to mRNA and germline-targeting platforms - immunogenicity evaluation frameworks have undergone a critical paradigm shift Furthermore, we highlight a pivotal transition in evaluative logic: moving beyond a singular focus on neutralizing antibody titres to integrate Fc-mediated effector functions (e.g
Antibodies, Neutralizing
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, virologic failure, adverse events, serious adverse events
- Populations represented
- HIV-1; general population; HIV-1; perinatal HIV; children; children
- Mechanism
- Concomitant with the iterative evolution of vaccine design - spanning from protein subunits to mRNA and germline-targeting platforms - immunogenicity evaluation frameworks have undergone a critical paradigm shift Furthermore, we highlight a pivotal transition in evaluative logic: moving beyond a singular focus on neutralizing antibody titres to integrate Fc-mediated effector functions (e.g
Antitubercular Agents
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, mortality
- Populations represented
- general population; advanced; children; CD4 count
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Cytokines
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, HIV transmission, mortality, quality of life
- Populations represented
- general population
- Mechanism
- In this study, we evaluated the in vivo potential of the anti-inflammatory drug Acetylsalicylic Acid (ASA) to lower proinflammatory cytokine production, restore vaginal barrier integrity and reduce the frequency of activated T cells that serve as targets for HIV infection
Heterocyclic Compounds, 3-Ring
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, serious adverse events, viral suppression, virologic failure, reported clinical outcomes, quality of life
- Populations represented
- HIV RNA; HIV-1; children; treatment-naive; general population; first-line
- Mechanism
- Predicted weight change was modeled using linear mixed effects models adjusted for demographic and clinical factors, and nucleoside reverse transcriptase inhibitor (NRTI) backbone, with subanalyses excluding EFV and stratifying by INSTI agent, NRTI, sex, and race At 2 years, INSTIs (4.9 kg, 95% CI: 4.6-5.2) and protease inhibitors (PIs) (4.7 kg, 95% CI: 4.4-5.1) were associated with greater mean predicted weight gain compared to non-nucleoside reverse transcriptase inhibitors (NNRTIs) (2.7 kg, 95% CI: 2.4-2.9)
cabotegravir
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, serious adverse events, viral suppression, virologic failure, reported clinical outcomes
- Populations represented
- general population; viral load; HIV-1; children
- Mechanism
- All patients were switched to a single-tablet regimen, with 34.7% receiving a non-nucleoside reverse transcriptase inhibitor (NNRTI)-containing regimen Among individuals who discontinued LAI for reasons other than virologic failure (VF), all those previously on NNRTI-and/or integrase inhibitor (INSTI)-based oral ART resumed regimens containing the same drug classes
AIDS Vaccines
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events
- Populations represented
- HIV-1
- Mechanism
- Concomitant with the iterative evolution of vaccine design - spanning from protein subunits to mRNA and germline-targeting platforms - immunogenicity evaluation frameworks have undergone a critical paradigm shift Furthermore, we highlight a pivotal transition in evaluative logic: moving beyond a singular focus on neutralizing antibody titres to integrate Fc-mediated effector functions (e.g
Rilpivirine
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, serious adverse events, viral suppression, virologic failure
- Populations represented
- general population; viral load; HIV-1; children
- Mechanism
- All patients were switched to a single-tablet regimen, with 34.7% receiving a non-nucleoside reverse transcriptase inhibitor (NNRTI)-containing regimen Among individuals who discontinued LAI for reasons other than virologic failure (VF), all those previously on NNRTI-and/or integrase inhibitor (INSTI)-based oral ART resumed regimens containing the same drug classes
Conflicting Research
antiretroviral therapy · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Anti-HIV Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
PrEP · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
pre-exposure prophylaxis · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Biomarkers · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Tenofovir · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
antiretroviral therapy · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: CD4 count. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Antitubercular Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
antiretroviral therapy · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: HIV-1; CD4 count. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Failed or Negative Trials
Adenovirus type 5 vector-based COVID-19 vaccine does not increase the likelihood of HIV infection.
randomized controlled trial · 2026 · PMID 41785679
Comparison of the Hearing Benefits and User Satisfaction With Hearing Aids and Personal Sound Amplification Products: A Multicenter Prospective Randomized Crossover Trial.
randomized controlled trial · 2026 · PMID 42011002
Fluconazole plus flucytosine versus fluconazole alone for adults with HIV-associated cryptococcal antigenaemia identified through screening: a multi-centre phase III randomised-controlled trial.
randomized controlled trial · 2026 · PMID 41877274
LC16m8 for Pre-exposure Prophylaxis Against Mpox in a High-Risk Population: An Open-Label Randomized Trial.
randomized controlled trial · 2026 · PMID 39982831
Efficacy and safety of the Chinese herbal medicine Yiaikang capsule in treating AIDS: a randomized, double-blind, controlled trial.
randomized controlled trial · 2026 · PMID 41967778
Comparable Inflammatory and Metabolic Outcomes After Switching to Bictegravir/Emtricitabine/Tenofovir Alafenamide Versus Continuing Dolutegravir/Lamivudine in Virologically Suppressed Adults With HIV (INSTINCT/GESIDA10918 Study).
randomized controlled trial · 2026 · PMID 41070447
Promoting shared decision-making in colorectal cancer screening in primary care: A cluster randomized controlled trial.
randomized controlled trial · 2026 · PMID 42263092
Early antiretroviral therapy and long-term cancer risk in HIV: 9-year outcomes from the START randomized trial.
randomized controlled trial · 2026 · PMID 42251304
HIV Care Retention and Cost Analysis in Multi-Month ART Dispensing: A Randomized Controlled Trial in China.
randomized controlled trial · 2026 · PMID 42339560
Weight gain, body composition, and metabolic parameters of dolutegravir-based antiretroviral therapy versus standard of care in children and adolescents: an ancillary analysis of the ODYSSEY trial.
randomized controlled trial · 2026 · PMID 41579881
Emerging and Experimental Research
A Systematic Review of Quantitative Health Preference Methods to Support Value Clarification and Shared Decision Making: A Report of an ISPOR Special Interest Group.
systematic review · 2026 · PMID 42000134
Bridging Pedagogy and Technology: A Systematic Literature Review on Inquiry-Collaborative Models Assisted with Virtual Laboratory in Physics Education.
systematic review · 2026 · PMID 42928776
Implementation of therapeutic adherence in adult patients diagnosed with the Human Immunodeficiency Virus: A systematic review.
systematic review · 2026 · PMID 42155336
Integrating smoking cessation into HIV care settings: A systematic review and meta-analysis of effectiveness and the evidence gap in cost-effectiveness.
meta analysis · 2026 · PMID 42531253
Safety and immunogenicity of one or two doses of the rVSVΔG-ZEBOV-GP Ebola virus vaccine in adults and adolescents living with HIV: a phase 2, multicentre, double-blind, randomised, placebo-controlled trial.
randomized controlled trial · 2026 · PMID 42567171
Islatravir distribution in plasma, peripheral blood mononuclear cells, and mucosal tissues after monthly oral dosing.
randomized controlled trial · 2026 · PMID 41789892
[Cochlear implantation in Ménière's disease].
systematic review · 2026 · PMID 41644838
Week 96 resistance analysis in participants receiving bictegravir/lenacapavir in the phase 2 ARTISTRY-1 study.
randomized controlled trial · 2026 · PMID 42627157
Efficacy and safety of switching to once-daily oral doravirine plus raltegravir in virologically suppressed people with HIV-1: a randomized, open-label, multicentre phase 2 study (DORAL).
randomized controlled trial · 2026 · PMID 42841932
Resistance Analysis of Weekly Islatravir Plus Lenacapavir in People With HIV at 48 Weeks.
randomized controlled trial · 2026 · PMID 41885130
Evidence Gaps
Detailed risk-of-bias assessment remains limited
PubMed abstracts often do not include enough methodological detail for a complete study-level risk-of-bias assessment.
Complete Ranked PubMed Index
The retrieval-priority score orders records using publication type, recency, sample-size signals, and replication signals. It is not a recommendation or a formal risk-of-bias grade.
Current Standard Of Care76 records
Clinical Practice Guideline on the Pharmacological Management of Antipsychotic-Related Dyslipidemia.
Schizophrenia bulletin · 2026 · PMID 42544493
BACKGROUND: People taking antipsychotic medicines and those with severe mental illness experience elevated cardiovascular risk compared to the general population which is not adequately addressed by existing guidelines. Increases in lipid levels can occur soon after starting antipsychotics but often go untreated. Cumulative exposure to dyslipidemia from childhood, through young adulthood, facilitates atherogenesis. Regression of early lesions is possible; however, plaque progression can be irreversible, leading to …
Fostering healthy cognitive ageing in people living with HIV.
The lancet. HIV · 2025 · PMID 39615509
Prevalence and incidence of HIV among people aged 50 years and older continue to rise worldwide, generating increasing awareness among care providers, scientists, and the HIV community about the importance of brain health in older adults with HIV. Many age-related factors that adversely affect brain health can occur earlier and more often among people with HIV, including epigenetic ageing, chronic medical conditions (eg, cardiovascular disease), and age-related syndromes (eg, frailty). Extensive dialogue between HI…
Belgian guidance 2026 on management of pregnancy and breastfeeding in women living with HIV and their infants.
European journal of obstetrics, gynecology, and reproductive biology · 2026 · PMID 42468119
INTRODUCTION: In 2021, a call was made to write a guidance for the management of pregnancy in women living with HIV (WLWH) in Belgium. METHODS: The call was sent to BREACH (Belgium Research on AIDS and HIV Consortium), a network of Belgian HIV Reference Centers, Laboratories and interest organizations in the field of HIV. The first working group (30 healthcare workers from 13 institutions) reviewed literature and had online discussions. This Guidance is an expert consensus document designed to answer real life clin…
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026 · PMID 42117446
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
Brazilian Society of Otology Task Force - bone-anchored hearing system - recommendations based on strength of evidence.
Brazilian journal of otorhinolaryngology · 2026 · PMID 42485883
OBJECTIVES: To provide evidence-based recommendations for the indication of bone anchored hearing system in adults and children. METHODS: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese were eligible for inclusion. The American College of Physicians' guideline grading system and the American Thyroid Association's guideline criteria w…
Breastfeeding in Patients With Human Immunodeficiency Virus.
Obstetrics and gynecology · 2026 · PMID 41926772
This Clinical Practice Update provides revised guidance regarding the opportunity for infant feeding in patients with human immunodeficiency virus (HIV) based on revised recommendations from the U.S. Department of Health and Human Services and the American Academy of Pediatrics. This document updates the content in Committee Opinion No. 756, Optimizing Support for Breastfeeding as Part of Obstetric Practice (Obstet Gynecol 2018;132:e187-96).
Joint British association for sexual health and HIV/British HIV association guidelines for the sexual and reproductive health of people with HIV 2026.
International journal of STD & AIDS · 2026 · PMID 42549667
These guidelines are an update to the 2008 UK guidelines for the management of sexual and reproductive health of people living with HIV. The writing group has followed updated British Association for Sexual Health and HIV (BASHH) guideline methodology, notably using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system for assessing evidence and making recommendations. We have made significant changes to the recommendations which are summarised below.
[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026 · PMID 42236454
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clin…
[Allogeneic stem cell transplantation for persons living with HIV (SFGM-TC)].
Bulletin du cancer · 2026 · PMID 42103547
People living with HIV (PLWH) experienced an increased risk of heme malignancies. The place of cellular therapy as consolidation is well established in the general population, but remains to be confirmed in PLWH. Control of HIV has dramatically been improved due to combined antiretroviral therapy, and continuation of the treatment all through the graft procedure resulted in survival and TRM comparable with the general population. So, PLWH with an indication of auto- or allo-graft must be referred as eligible for th…
[Presentations for HIV post-exposure prophylaxis in emergency departments: guideline and recommendations].
Die Anaesthesiologie · 2024 · PMID 38285211
Patients often present to emergency departments after potential or confirmed exposure to human immunodeficiency virus (HIV) asking for recommendations concerning the initiation of post-exposure prophylaxis (PEP). These presentations may occur after occupational as well as non-occupational exposure. PEP entails taking a triple antiretroviral therapy for 28-30 days. If taken early (ideally within 2 h, but no later than 72 h) and as indicated, HIV infection can be prevented with a high level of probability. Since thes…
EAES Multidisciplinary Rapid Guideline: systematic review, meta-analysis, GRADE assessment and evidence-informed recommendations on the surgical management of paraesophageal hernias.
Surgical endoscopy · 2023 · PMID 37910246
BACKGROUND: New evidence has emerged since latest guidelines on the management of paraesophageal hernia, and guideline development methodology has evolved. Members of the European Association for Endoscopic Surgery have prioritized the management of paraesophageal hernia to be addressed by pertinent recommendations. OBJECTIVE: To develop evidence-informed clinical practice recommendations on paraesophageal hernias, through evidence synthesis and a structured evidence-to-decision framework by an interdisciplinary pa…
EAES, SAGES, and ESCP rapid guideline: bowel preparation for minimally invasive colorectal resection.
Surgical endoscopy · 2023 · PMID 37903883
BACKGROUND: Variation exists in practice pertaining to bowel preparation before minimally invasive colorectal surgery. A survey of EAES members prioritized this topic to be addressed by a clinical practice guideline. OBJECTIVE: The aim of the study was to develop evidence-informed clinical practice recommendations on the use of bowel preparation before minimally invasive colorectal surgery, through evidence synthesis and a structured evidence-to-decision framework by an interdisciplinary panel of stakeholders. METH…
EAES rapid guideline: updated systematic review, network meta-analysis, CINeMA and GRADE assessment, and evidence-informed European recommendations on the management of common bile duct stones.
Surgical endoscopy · 2022 · PMID 36229556
BACKGROUND: Choledocholithiasis presents in a considerable proportion of patients with gallbladder disease. There are several management options, including preoperative or intraoperative endoscopic cholangiopancreatography (ERCP), and laparoscopic common bile duct exploration (LCBDE). OBJECTIVE: To develop evidence-informed, interdisciplinary, European recommendations on the management of common bile duct stones in the context of intact gallbladder with a clinical decision to intervene to both the gallbladder and t…
Metal-artefact-reduction MRI for diagnosing periprosthetic joint infection: a systematic review and meta-analysis.
Skeletal radiology · 2026 · PMID 41792512
BACKGROUND: Periprosthetic joint infection (PJI) remains one of the most serious. Advances in metal-artefact-reduction sequences (MARS) now allow for improved diagnostic quality imaging in the periprosthetic region. Early studies suggest the diagnostic efficacy of MARS, including subfeatures, yet no formal synthesis of available data exists. METHODS: A systematic review and meta-analysis were conducted following PRISMA-DTA and PRISMA 2020 guidelines. Eligible studies include diagnostic accuracy studies reporting MA…
Interventions to improve viral suppression and adherence to antiretroviral therapy among people living with HIV: a systematic review and network meta-analysis.
The lancet. HIV · 2026 · PMID 42556371
BACKGROUND: In 2025, 78% of people living with HIV worldwide were on antiretroviral therapy 95% of people on treatment were virally suppressed. Suboptimal adherence, defined as not taking interventions as prescribed, threatens viral suppression and can lead to antiviral resistance, morbidity, mortality, and transmission. We updated a systematic review and network meta-analysis to estimate the effects of different adherence interventions on adherence and viral suppression. METHODS: In this systematic review and netw…
Dysregulated Metabolism in People Living With HIV in the Modern ART-Era: A Systematic Review of Targeted Metabolomics Studies.
Reviews in medical virology · 2026 · PMID 42406562
HIV remains a significant public health issue, with 1.3 million new infections and 630,000 deaths annually, and 40.8 million people living with HIV (PLHIV) globally in 2024. Although antiretroviral therapy (ART) suppresses viral replication, it does not eradicate the virus, and metabolic dysregulation persists despite treatment. Metabolomics allows for a detailed investigation of these alterations; however, targeted metabolomics studies in ART-treated PLHIV are limited, and there is no consensus on consistently dys…
Sepsis in Dogs and Cats-Consensus Definition and Clinical Criteria.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2026 · PMID 42438185
Sepsis is the clinical syndrome that results from the host response to severe or widespread infection and is a frequent cause of death in veterinary critical care settings. Rapid diagnosis aids early treatment initiation, and hence, how sepsis is defined and identified clinically has implications for patient outcomes. Recent changes in the definitions of sepsis in human adult and pediatric patients have reduced the alignment of veterinary sepsis definitions with those in human medicine. We defined sepsis in cats an…
Tuberculosis in adult migrants in Europe: a TBnet consensus statement.
The European respiratory journal · 2025 · PMID 39672603
INTRODUCTION: Global migration has increased in recent decades owing to war, conflict, persecution and natural disasters, but also secondary to increased opportunities related to work or study. Migrants' risk of tuberculosis (TB) differs depending on migration, socioeconomic status, mode of travel and TB risk in transit, TB incidence and healthcare provision in country of origin. Despite advances in TB care for migrants and new treatment strategies, decisions for managing migrants at risk of TB often rely on expert…
Towards consensus on the treatment of congenital craniofacial conditions: the discussion section of a doctoral thesis.
Journal of plastic surgery and hand surgery · 2026 · PMID 42095487
BACKGROUND: Congenital craniofacial conditions are a diverse group of rare and complex disorders, leading to significant functional and psychosocial challenges. Their rarity and variability hinder research and clinical standardisation, resulting in substantial practice variation across centres. International collaboration and high-quality evidence are therefore essential to improve and converge care for affected individuals. This article presents the discussion section of a doctoral thesis that addressed these chal…
Developing and evaluating measurement instruments for intensive and high-acuity care: A practical six-step guide aligned with international measurement standards.
Australian critical care : official journal of the Confederation of Australian Critical Care Nurses · 2026 · PMID 42673737
INTRODUCTION: Clinical decisions in intensive care, emergency, and high-dependency settings depend on defensible measurement of patient outcomes, care processes, and staff and family experiences. Systematic reviews have found that most outcome instruments used in acute care and survivorship research lack adequate evidence for key measurement properties, limiting confidence in research synthesis and clinical translation. OBJECTIVES: The aim of this study was to provide a practical, six-step guide for developing and …
[Cochlear implantation in Ménière's disease].
HNO · 2026 · PMID 41644838
Menière's disease is a chronic inner ear disorder characterized by recurrent vertigo attacks, tinnitus, and fluctuating hearing loss, which may progress to severe sensorineural hearing impairment in a subset of patients. Since 2015, international consensus criteria distinguish between definite and probable disease. Current therapeutic strategies follow a stepwise approach, ranging from non-ablative to ablative interventions. Cochlear implantation (CI) has emerged as an effective option for auditory rehabilitation a…
Frailty phenotype transitions and functional improvements during a supervised exercise trial in older people with HIV: results from the HEALTH Trial.
Age and ageing · 2026 · PMID 42407092
BACKGROUND: Frailty and sarcopenia contribute to functional decline in older people with HIV (PWH), yet intervention data remain limited. We evaluated changes in frailty phenotype status, sarcopenia-related outcomes and functional performance during a supervised exercise trial and assessed associations between baseline frailty, study withdrawal and intervention response. METHODS: The High-Intensity Exercise to Attenuate Limitations and Train Habits in Older Adults with HIV (HEALTH) study randomised sedentary PWH ag…
Pharmacological and Nonpharmacological Interventions to Address Insomnia Symptoms and Poor Sleep Quality Among People With HIV: Protocol for a Scoping Review.
JMIR research protocols · 2026 · PMID 42873550
BACKGROUND: HIV-related research has increasingly focused on addressing long-term comorbidities affecting health-related quality of life for people with HIV. Sleep-related conditions, such as insomnia, are highly prevalent among people with HIV and are associated with a variety of health challenges, including immune dysregulation, increased mental health burden, and reduced antiretroviral therapy adherence. Although there are several evidence-based pharmacological (eg, hypnotics) and nonpharmacological intervention…
Determinants of long-acting cabotegravir plus rilpivirine discontinuation in real-world HIV care: insights from the relativity cohort.
AIDS (London, England) · 2026 · PMID 41805169
OBJECTIVES: To evaluate real-world persistence with long-acting cabotegravir plus rilpivirine (CAB+RPV LA) in a nationwide cohort of virologically suppressed adults, describe the main clinical and structural reasons for discontinuation, and identify predictors of early interruption in routine practice. DESIGN: Ambispective, multicenter cohort study assessing the durability, safety, adherence, and virological outcomes of CAB+RPV LA implementation across 58 Spanish healthcare settings. METHODS: Adults initiating CAB+…
Prevalence and cardiovascular associations of elevated lipoprotein(a) in people living with HIV: A cross-sectional study.
Clinical medicine (London, England) · 2026 · PMID 42462818
BACKGROUND: Lipoprotein(a) [Lp(a)] has emerged as an important cardiovascular risk factor. However, the prevalence and determinants of elevated Lp(a) in people living with HIV (PLHIV) remain insufficiently characterised. Since PLHIV have an increased cardiovascular risk even under effective virological control, our aim was to explore the prevalence of elevated Lp(a) and its association with cardiovascular risk in this population. METHODS: We conducted a single-centre observational study in adult PLHIV with sustaine…
Diagnosis And Screening176 records
Fostering healthy cognitive ageing in people living with HIV.
The lancet. HIV · 2025 · PMID 39615509
Prevalence and incidence of HIV among people aged 50 years and older continue to rise worldwide, generating increasing awareness among care providers, scientists, and the HIV community about the importance of brain health in older adults with HIV. Many age-related factors that adversely affect brain health can occur earlier and more often among people with HIV, including epigenetic ageing, chronic medical conditions (eg, cardiovascular disease), and age-related syndromes (eg, frailty). Extensive dialogue between HI…
Utility of Artificial Intelligence in Detecting Lymph Node Metastasis in Oral Cancer: A Systematic Review.
Cureus · 2026 · PMID 42924327
Oral squamous cell carcinoma (OSCC) is associated with considerable morbidity because of occult lymph node metastasis (OLNM). Conventional imaging has limitations in detecting OLNM in oral cancer. AI-based technologies have been proposed as potential aids in diagnosis. This systematic review was carried out following PRISMA 2020 guidelines and registered in the International Prospective Register of Systematic Reviews (PROSPERO) (February 2025). PubMed, Scopus, Embase, Web of Science, and Google Scholar were searche…
Clinical and epidemiological aspects of coinfection with American tegumentary leishmaniasis and HIV/AIDS in South American countries: a systematic review.
Revista da Sociedade Brasileira de Medicina Tropical · 2026 · PMID 42912083
Leishmaniasis is one of the 10 leading neglected tropical diseases (NTDs), and cutaneous leishmaniasis is endemic in 19 countries in the Americas. This study aimed to systematically review the epidemiological and clinical characteristics, diagnostic methods, and outcomes associated with coinfection with American tegumentary leishmaniasis (ATL) and HIV in South American countries. This review was registered in the International Prospective of Systematic Reviews (PROSPERO; CRD42023138800). Searches were conducted in …
Barriers and facilitators to PrEP knowledge, acceptability, uptake, and adherence among criminal-justice involved cisgender women: a systematic review.
BMC public health · 2026 · PMID 42919299
OBJECTIVE: Cisgender women involved in the U.S. criminal justice system (CJI) experience heightened HIV vulnerability due to intersecting structural risks such as substance use, unstable housing, intimate partner violence, and limited healthcare access. Despite the effectiveness of pre-exposure prophylaxis (PrEP), uptake remains low in this population. This systematic review synthesized evidence on barriers and facilitators influencing PrEP knowledge, acceptability, initiation, uptake, and adherence among CJI cisge…
Implementation of point of care HIV viral load monitoring for people living with HIV in low- and middle-income countries: A systematic review on implementation research outcomes.
PloS one · 2026 · PMID 41637436
BACKGROUND: Viral load monitoring has rapidly increased among people living with HIV(PLHIV) in low- and middle-income countries (LMICs), resulting in an increased laboratory workload. The use of innovative Point of Care (PoC) or near Point of Care (n)PoC HIV Viral Load (HIV VL) monitoring has enabled improved patient care, a reduction in laboratory workload, improved clinic retention and reduced turnaround time of results. However, implementation bottlenecks of such methods are uncertain, especially when PoC or (n)…
Resistance-containing exercise versus non-exercise control for inflammatory markers and T-cell counts in adults living with HIV: a systematic review and meta-analysis.
Frontiers in immunology · 2026 · PMID 42908849
BACKGROUND: Adults living with HIV may have persistent immune activation and low-grade inflammation despite effective antiretroviral therapy. We assessed whether resistance training or resistance-containing combined exercise alters inflammatory biomarkers or T-cell counts versus non-exercise control. METHODS: Six databases were searched to 1 June 2026 without language restrictions. Controlled intervention studies lasting at least four weeks were eligible. Screening and extraction were performed independently in dup…
Diagnostic accuracy of the VISITECT CD4 lateral-flow assay for screening advanced HIV disease: A systematic review and meta-analysis.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 42700888
OBJECTIVE: This systematic review and meta-analysis aimed to evaluate the pooled performance of the VISITECT-CD4 advanced disease lateral-flow assay (VISITECT-CD4-LFA) for diagnosing advanced HIV disease (AHD). METHODS: A search was conducted in PubMed, EMBASE, Google Scholar, and Scopus up to February 2, 2026, to identify studies that evaluated VISITECT-CD4-LFA. Methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Meta-analysis was conducted using a bivariate rand…
Faith-based organisations in providing HIV services within low- and middle-income countries (LMICs): a systematic review.
HIV research & clinical practice · 2026 · PMID 42855958
BACKGROUND: To end the acquired immune deficiency syndrome (AIDS) epidemic by 2030, the Joint United Nations Programme on HIV/AIDS (UNAIDS) proposes that 95% of people living with HIV should be diagnosed, 95% of those with a diagnosis should be on treatment, and 95% of those on treatment should achieve viral suppression. To attain these targets, UNAIDS estimates that community-based HIV services should increase from 5% to 30%. Within low-and-middle-income countries (LMICs), faith-based organisations (FBOs) often po…
Factors associated with tuberculosis treatment initiation among bacteriologically negative individuals evaluated for tuberculosis: An individual patient data meta-analysis.
PLoS medicine · 2025 · PMID 39804959
BACKGROUND: Globally, over one-third of pulmonary tuberculosis (TB) disease diagnoses are made based on clinical criteria after a negative bacteriological test result. There is limited information on the factors that determine clinicians' decisions to initiate TB treatment when initial bacteriological test results are negative. METHODS AND FINDINGS: We performed a systematic review and individual patient data meta-analysis using studies conducted between January 2010 and December 2022 (PROSPERO: CRD42022287613). We…
Diagnostic accuracy of tests for visceral leishmaniasis caused by Leishmania infantum: A systematic review and meta-analysis.
Diagnostic microbiology and infectious disease · 2026 · PMID 42424806
This systematic review assessed the diagnostic accuracy of tests for visceral leishmaniasis (VL) caused by Leishmania infantum in individuals with suspected disease, including people living with HIV and other immunocompromising conditions. Nineteen studies met the inclusion criteria, eight of which included VL-HIV coinfected patients. Among immunocompetent individuals, rapid diagnostic tests (RDTs) and kDNA-PCR showed the highest accuracy compared with parasitological reference methods, with diagnostic odds ratios …
Epigenetic aging in people with HIV across the life course: a systematic review and meta-analysis.
The journals of gerontology. Series A, Biological sciences and medical sciences · 2026 · PMID 42921758
Epigenetic aging algorithms are emerging tools for understanding the biological effects of human immunodeficiency virus (HIV). A growing body of literature has applied DNA methylation-based epigenetic clocks in people living with HIV (PWH) across the life course, examining epigenetic age acceleration (EAA) in relation to HIV infection, antiretroviral therapy (ART), comorbidities, and clinical biomarkers (e.g., viral load, CD4 T-cell counts). This systematic review (Prospero: CRD420251126874) summarizes and synthesi…
Cancer Screening Behaviors among People with HIV in the United States and the Role of Multi-Level Social and Economic Factors: A Systematic Review.
Current epidemiology reports · 2026 · PMID 42694953
PURPOSE OF REVIEW: In the US, people with HIV (PWH) are more likely to be diagnosed with cancer at advanced stages, contributing to higher cancer-specific mortality rates. As such, the leading cause of non-AIDS death among PWH is cancer, including cancers with guideline recommended screening as a part of preventative care. Nonmedical drivers of health contribute to poor access to timely cancer screening among PWH. Thus, the purpose of this systematic review is to summarize the available evidence on the relationship…
Effectiveness of Interventions to Improve Oral Cancer Knowledge: a Systematic Review.
Journal of cancer education : the official journal of the American Association for Cancer Education · 2022 · PMID 33506408
Oral cancer is prone to late-stage diagnosis, and subsequent low five-year survival rates. A small number of interventions or campaigns designed to enhance knowledge of risk factors and symptoms associated with oral cancer have been attempted in the UK, US, and some other countries. The purpose of this systematic review is to assess the effectiveness of interventions designed to improve oral cancer knowledge. We searched five databases to identify randomized controlled trials (RCTs) and non-randomized/quasi-experim…
CRISPR-Edited Stem Cell Transplantation for HIV-Related Gene Modification In Vivo: A Systematic Review.
Stem cell reviews and reports · 2022 · PMID 35169967
BACKGROUND: CRISPR is a novel genomic editing technology which can be useful for the treatment of immune diseases such as HIV. However, the application of CRISPR in stem cells for HIV-related research was not effective, and most of the research was done in vivo. This systematic review is to identify a new research idea about increase CRISPR-editing efficiencies in stem cell transplantation for HIV treatment, as well as its future perspective. METHOD: Four databases were searched for articles published during 1952 t…
Assessing stigma and perceptions of respectful care in Malawi's index case testing program: Findings from a cluster randomized controlled trial.
PloS one · 2026 · PMID 42945363
BACKGROUND: Healthcare worker (HCW) HIV-related stigma can reduce participation in HIV prevention services in Malawi, including HIV index testing. However, evidence on interventions to reduce HCW stigma and improve client experiences of care in index testing settings remains limited. We evaluated HCW stigmatizing attitudes and also assessed anticipated stigma and perceptions of respectful care among both people living with HIV (index clients) and their sexual partners (contact clients) in index testing settings. ME…
Impact of Anthelmintic Therapy for Invasive Helminth Infection on Microbial Translocation, Inflammation, and Immune Response among Ugandans Living with HIV: A Randomized Proof of Concept Study.
The American journal of tropical medicine and hygiene · 2025 · PMID 41130223
Microbial translocation drives chronic immune activation that is linked to HIV disease progression. Invasive parasitic gut nematodes induce microbial translocation and downregulate the expression of pro-inflammatory cytokines. We evaluated the impact of albendazole anthelmintic therapy on serum markers of microbial translocation and inflammation among helminth-infected Ugandans living with HIV. Participants were randomized to an immediate or delayed 400 mg of daily albendazole and followed for 1 month. Baseline sto…
Epidemiological, etiological, and antifungal resistance patterns of vulvovaginal Candida spp. infections in Cameroon: a systematic review and meta-analysis.
Medical mycology · 2026 · PMID 42925421
Vulvovaginal candidiasis is a common fungal infection, mainly due to Candida species, affecting two-thirds of women globally at least once in their lifetime. Here, we conducted a systematic review and meta-analysis (PROSPERO ID: CRD420261368975) of the epidemiology, aetiology, and drug resistance profiles of vulvovaginal Candida infections and VVC in Cameroon. Databases were queried to identify all eligible papers. Data were extracted, and the quality bias of studies was assessed. Random effect models were used to …
Intraoperative electrodiagnostic testing as a decision-making tool for neonatal brachial plexus palsy: a scoping review.
The Journal of hand surgery, European volume · 2026 · PMID 42661336
INTRODUCTION: Neonatal brachial plexus palsy causes upper extremity paralysis owing to birth-related brachial plexus injury. Although intraoperative electrodiagnostic techniques are routinely used to guide nerve repair in adult brachial plexus surgery, their utility in neonatal cases remains unclear. This scoping review examines whether intraoperative electrodiagnosis aids surgical decision-making, particularly in distinguishing cases amenable to neurolysis, from those that may benefit from nerve reconstruction. ME…
Assessing Fidelity to HIV Index Case Testing Protocols in Malawian Clinical Settings: Results From a Cluster Randomized Controlled Trial.
Journal of the International AIDS Society · 2026 · PMID 42851014
INTRODUCTION: HIV index case testing is an evidence-based practice in which health care workers (HCWs) counsel people living with HIV (index clients) to offer HIV testing services to their sexual partners and biological children (contacts). For index case testing to be effective, it is important that index- and contact-client counselling protocols are implemented as intended (fidelity). We evaluated whether a digital training implementation strategy improved HCWs' fidelity to these counselling protocols. METHODS: W…
Evaluating the impact of upper limb training on respiratory function in long-term tracheostomy patients: a preliminary single-center, randomized crossover study.
BMC pulmonary medicine · 2026 · PMID 42934624
OBJECTIVE: The quality and quantity of respiratory muscles directly affect respiratory function, but it's unclear how much improved muscle function enhances cough capacity. Our preliminary studies show that active/passive lower limb training can improve cough capacity, but the impact of upper limb training is uncertain. This study aims to evaluate the effectiveness of passive upper limb training on cough capacity in long-term tracheostomy patients. METHODS: In this single-center, single-blind, randomized crossover …
Examining the effect of universal testing and treatment strategies for HIV prevention in Zambia and South Africa: generalizing the results of the HPTN 071 (PopART) trial.
Journal of the International AIDS Society · 2025 · PMID 41298252
INTRODUCTION: HIV Prevention Trials Network (HPTN) 071 (PopART) was a cluster-randomized trial to evaluate universal testing and treatment (UTT) strategies for HIV prevention. HPTN071 compared three arms: (A) combination prevention with UTT; (B) combination prevention with universal testing and antiretroviral therapy initiation according to local guidelines; and (C) standard of care (SOC). Interventions were implemented in entire randomized communities, with impacts on HIV incidence measured in "population cohorts,…
Patient decision aids for pain medication management: A scoping review.
Patient education and counseling · 2026 · PMID 42607384
BACKGROUND: Medications are commonly used to manage pain; however, patients may find it challenging to weigh benefits and harms within the context of their own clinical circumstances, goals, and preferences. Patient Decision Aids (PtDAs) can improve knowledge and engagement in health decisions, yet the nature, content, and quality of PtDAs for pain medication management have not been evaluated. OBJECTIVE: This scoping review aimed to identify, describe, and appraise PtDAs for pain medication management, including t…
Polygenic Scores and Preclinical Cardiovascular Disease in Individuals With HIV: Insights From the REPRIEVE Trial.
Journal of the American Heart Association · 2024 · PMID 38533953
BACKGROUND: Coronary artery disease (CAD) is a leading cause of death among the 38.4 million people with HIV globally. The extent to which cardiovascular polygenic risk scores (PRSs) derived in non-HIV populations generalize to people with HIV is not well understood. METHODS AND RESULTS: PRSs for CAD (GPSMult) and lipid traits were calculated in a global cohort of people with HIV treated with antiretroviral therapy with low-to-moderate atherosclerotic cardiovascular disease risk enrolled in REPRIEVE (Randomized Tri…
Interleukin-Driven Inflammation and Cardiovascular Risk in People Living with HIV: Mechanisms, Biomarkers, and Emerging Preventive Strategies.
Medical sciences (Basel, Switzerland) · 2026 · PMID 42930548
Heart and vascular complications now rank among the leading health threats facing individuals with HIV, a reality that continues even when modern drug regimens successfully silence viral replication. Sustained immune system overdrive and persistent low-grade systemic inflammation appear central to this heightened vulnerability. This narrative review integrates current understanding of how inflammatory signaling molecules, particularly interleukins, connect to heightened cardiovascular danger in HIV-positive populat…
Investigating the Distribution: Signal, Noise, and the Resolution Toolkit in Evidence-Based Medicine.
Journal of evaluation in clinical practice · 2026 · PMID 42947579
RATIONALE, AIMS AND OBJECTIVES: Evidence-based medicine (EBM) manages observational noise but lacks an explicit framework for taxonomic blur: treatment-relevant variation generated when syndromic populations mix patients differing in mechanism or treatment responsiveness. Patients present with syndromes, not resolved pathophysiological classes. This article identifies the epistemological gap between adjudicating average treatment effects and developing reference classes where effects are clinically meaningful. We d…
Evidence Syntheses135 records
Fostering healthy cognitive ageing in people living with HIV.
The lancet. HIV · 2025 · PMID 39615509
Prevalence and incidence of HIV among people aged 50 years and older continue to rise worldwide, generating increasing awareness among care providers, scientists, and the HIV community about the importance of brain health in older adults with HIV. Many age-related factors that adversely affect brain health can occur earlier and more often among people with HIV, including epigenetic ageing, chronic medical conditions (eg, cardiovascular disease), and age-related syndromes (eg, frailty). Extensive dialogue between HI…
[Presentations for HIV post-exposure prophylaxis in emergency departments: guideline and recommendations].
Die Anaesthesiologie · 2024 · PMID 38285211
Patients often present to emergency departments after potential or confirmed exposure to human immunodeficiency virus (HIV) asking for recommendations concerning the initiation of post-exposure prophylaxis (PEP). These presentations may occur after occupational as well as non-occupational exposure. PEP entails taking a triple antiretroviral therapy for 28-30 days. If taken early (ideally within 2 h, but no later than 72 h) and as indicated, HIV infection can be prevented with a high level of probability. Since thes…
Prevalence and associated factors of public stigma toward people living with HIV: a systematic review and meta-analysis.
BMC public health · 2026 · PMID 42928180
BACKGROUND: HIV-related public stigma remains a critical barrier to ending the AIDS epidemic, yet its global prevalence remains poorly quantified. Existing evidence is fragmented, with no comprehensive synthesis of temporal trends, regional patterns, or population subgroups. This systematic review and meta-analysis aimed to estimate the global prevalence of public stigma toward people living with HIV (PLHIV) in the general population and to identify factors associated with such stigma. METHODS: We searched PubMed, …
Joint British association for sexual health and HIV/British HIV association guidelines for the sexual and reproductive health of people with HIV 2026.
International journal of STD & AIDS · 2026 · PMID 42549667
These guidelines are an update to the 2008 UK guidelines for the management of sexual and reproductive health of people living with HIV. The writing group has followed updated British Association for Sexual Health and HIV (BASHH) guideline methodology, notably using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system for assessing evidence and making recommendations. We have made significant changes to the recommendations which are summarised below.
Cause of Death and Risk of Death for People Living With HIV Admitted to Hospital: A Systematic Review and Meta-Analysis.
Journal of the International AIDS Society · 2026 · PMID 42261234
INTRODUCTION: Despite increasing access to HIV treatment and care, HIV-associated deaths remain high. We aimed to summarize global and regional trends in risk and causes of death among people living with HIV (PLHIV) admitted to hospital. METHODS: We conducted a systematic search across eight databases on 23 April 2023, identifying studies that reported cause of hospital admission or death among hospitalized PLHIV from first January 2014 onwards. We extracted data on age, geographical region, type of ward, antiretro…
EAES Multidisciplinary Rapid Guideline: systematic review, meta-analysis, GRADE assessment and evidence-informed recommendations on the surgical management of paraesophageal hernias.
Surgical endoscopy · 2023 · PMID 37910246
BACKGROUND: New evidence has emerged since latest guidelines on the management of paraesophageal hernia, and guideline development methodology has evolved. Members of the European Association for Endoscopic Surgery have prioritized the management of paraesophageal hernia to be addressed by pertinent recommendations. OBJECTIVE: To develop evidence-informed clinical practice recommendations on paraesophageal hernias, through evidence synthesis and a structured evidence-to-decision framework by an interdisciplinary pa…
Digital supportive care in prostate cancer: a systematic review.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026 · PMID 42891837
PURPOSE: To map and synthesise the existing evidence on people's perspectives and requirements for patient-facing digital health technologies for use in prostate cancer care delivery. Understanding the preferences of people with prostate cancer and understanding the barriers and facilitators to maximising engagement with digital supportive care healthcare landscape. METHODS: Four electronic databases were searched to identify suitable studies. All identified citations were imported into Covidence systematic review …
The impact of HIV coinfection on mpox patients: a systematic review and meta-analysis.
Emerging microbes & infections · 2026 · PMID 42461714
A substantial proportion of mpox cases occur in people with HIV, but how HIV coinfection and immune status affect clinical outcomes remains unclear. We systematically searched major databases up to March 2025 for observational studies comparing mpox patients with and without HIV coinfection. Pooled effect sizes were calculated using random-effects models. Risk ratios (RRs) or standardized mean differences (SMDs) with 95% confidence intervals were used for dichotomous or continuous outcomes. Post hoc subgroup analys…
Immunogenicity and safety of prophylactic HPV vaccines in people living with HIV: A systematic review and meta-analysis.
Human vaccines & immunotherapeutics · 2026 · PMID 42684271
Human papillomavirus (HPV) is a major global public health concern, causing genital warts and cancers of the cervix, anus, oropharynx, vulva, and penis. People living with HIV (PLWH) face a disproportionately elevated burden of HPV infection and HPV-related malignancies due to chronic immunosuppression. We conducted a systematic review and meta-analysis searching six databases from January 2006 to June 2026 without language restrictions. Twenty-five studies were included in the systematic review; 12 independent stu…
Large language models in undergraduate medical education: a systematic review of examination performance, knowledge acquisition, and learner perceptions.
BMC medical education · 2026 · PMID 42947104
BACKGROUND: Large language models (LLMs), particularly successive iterations of ChatGPT (GPT-3.5 and GPT-4), have demonstrated increasingly sophisticated performance on standardised medical assessments and are now widely accessible to undergraduate medical students worldwide. Although the evidence base has expanded rapidly since ChatGPT's public release in November 2022, findings remain fragmented across three largely distinct research domains: examination performance, knowledge acquisition, and learner perceptions…
Effectiveness of Over-the-Counter Hearing Aids Versus Professionally Fitted Devices: A Systematic Review and Meta-analysis.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026 · PMID 42307981
OBJECTIVE: To systematically review and meta-analyze the clinical effectiveness of self-fitting over-the-counter (OTC) hearing aids compared with professionally fitted devices. DATA SOURCES: PubMed, Scopus, Web of Science, Food and Drug Administration (FDA) 510(k) and De Novo databases, and ClinicalTrials.gov were searched in March 2025 and updated in August 2025. Reference lists were screened, and manufacturers were contacted for unpublished data. REVIEW METHODS: Two reviewers conducted screening, full-text review…
Cognitive Strategy Use for Functional Compensation in Multiple Sclerosis: A Systematic Review.
Archives of physical medicine and rehabilitation · 2026 · PMID 41997443
OBJECTIVE: To examine the evidence supporting the use of specific compensatory cognitive strategies in people with multiple sclerosis (PwMS). DATA SOURCES: PubMed, MEDLINE, PsycINFO, and CINAHL were queried using an optimized string with Medical Subject Headings search terms to identify English language articles published through December 31, 2024. STUDY SELECTION: Clinical trials and observations studies (eg, cohort and case-control studies) were eligible if they included adults with PwMS who underwent an interven…
Clinical and epidemiological aspects of coinfection with American tegumentary leishmaniasis and HIV/AIDS in South American countries: a systematic review.
Revista da Sociedade Brasileira de Medicina Tropical · 2026 · PMID 42912083
Leishmaniasis is one of the 10 leading neglected tropical diseases (NTDs), and cutaneous leishmaniasis is endemic in 19 countries in the Americas. This study aimed to systematically review the epidemiological and clinical characteristics, diagnostic methods, and outcomes associated with coinfection with American tegumentary leishmaniasis (ATL) and HIV in South American countries. This review was registered in the International Prospective of Systematic Reviews (PROSPERO; CRD42023138800). Searches were conducted in …
Effectiveness and safety of darunavir and lopinavir for treating children and adolescents living with HIV: a systematic review.
BMC infectious diseases · 2026 · PMID 41933292
INTRODUCTION: Darunavir and lopinavir solid formulations are recommended protease inhibitors for treating HIV. An evidence review of their effectiveness/efficacy and safety in young populations was needed to inform the 2025 World Health Organization guidelines. METHODS: We conducted a systematic review of publications reporting efficacy/effectiveness and/or safety of darunavir and/or lopinavir solid formulations in children and/or adolescents with HIV aged 0–19 years, with at least 6 months follow-up. Sources inclu…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
EAES rapid guideline: updated systematic review, network meta-analysis, CINeMA and GRADE assessment, and evidence-informed European recommendations on the management of common bile duct stones.
Surgical endoscopy · 2022 · PMID 36229556
BACKGROUND: Choledocholithiasis presents in a considerable proportion of patients with gallbladder disease. There are several management options, including preoperative or intraoperative endoscopic cholangiopancreatography (ERCP), and laparoscopic common bile duct exploration (LCBDE). OBJECTIVE: To develop evidence-informed, interdisciplinary, European recommendations on the management of common bile duct stones in the context of intact gallbladder with a clinical decision to intervene to both the gallbladder and t…
EAES, SAGES, and ESCP rapid guideline: bowel preparation for minimally invasive colorectal resection.
Surgical endoscopy · 2023 · PMID 37903883
BACKGROUND: Variation exists in practice pertaining to bowel preparation before minimally invasive colorectal surgery. A survey of EAES members prioritized this topic to be addressed by a clinical practice guideline. OBJECTIVE: The aim of the study was to develop evidence-informed clinical practice recommendations on the use of bowel preparation before minimally invasive colorectal surgery, through evidence synthesis and a structured evidence-to-decision framework by an interdisciplinary panel of stakeholders. METH…
Standard medical therapy with vs. without nebulised magnesium for children with asthma decompensation.
European journal of pediatrics · 2024 · PMID 38492031
UNLABELLED: Pediatric asthma is a common condition, and its exacerbations can be associated with significant morbidity and mortality. The role of nebulised magnesium as adjunct therapy for children with asthma exacerbations is still unclear. To compare clinical and functional outcomes for children with asthma exacerbation taking either nebulised magnesium sulfate added to standard medical therapy (SMT) versus SMT alone. PubMed, Embase, and Cochrane Library were systematically searched for randomised clinical trials…
Efficacy of cannabinoids for insomnia and sleep disturbance: A systematic review and meta-analysis of randomized controlled trials.
Sleep medicine · 2026 · PMID 42574897
BACKGROUND: Insomnia is a common sleep disorder that presents with difficulty falling asleep or staying asleep. Standard hypnotics often lead to tolerance and dependency, prompting interest in cannabinoids as alternative sleep aids. This study evaluated the efficacy and safety of cannabinoids in improving sleep among adults with insomnia or poor sleep quality. METHODS: PubMed, EMBASE, Cochrane Library, Scopus, and Web of Science were searched from inception to January 2025 for randomized controlled trials (RCTs) co…
Effectiveness of patient decision aids in patients with advanced kidney disease: a meta-analysis based on randomized controlled trials.
International urology and nephrology · 2024 · PMID 38862700
PURPOSE: To systematically evaluate the decision effectiveness of patient decision aids (PtDAs) on the decision-making effect of patients with advanced chronic kidney disease. METHOD: Two authors independently searched ten electronic databases [Web of science, PubMed, the Cochrane Library, Embase, CINAHL, EBSCO, CBM, CNKI, WanFang DATA and Vip database], to include randomized controlled trials of interventions through PtDAs in patients with advanced chronic kidney disease published from the inception of the databas…
HIV-associated pulmonary arterial hypertension: improving survival despite persistent treatment gaps - a systematic review and meta-analysis.
AIDS (London, England) · 2026 · PMID 42826228
HIV-associated pulmonary arterial hypertension (HIV-PAH) is rare and understudied. We pooled 12 right heart catheterization-confirmed cohorts (n = 537, 1986-2021) and found that HIV-PAH presents with severe hemodynamics and advanced functional limitation, with only 64% receiving PAH-targeted therapy at diagnosis. Survival improved progressively over three decades alongside increasing therapy use. These findings highlight persistent treatment gaps and support consideration of contemporary combination PAH therapy in …
Self-care practices of people living with HIV and hypertension or diabetes comorbidities in low-and-middle income countries: A systematic review.
PloS one · 2026 · PMID 42853857
BACKGROUND: People living with HIV in low-and middle-income countries (LMICs) face a growing burden of hypertension and diabetes comorbidities. Although self-care is essential, limited evidence exists on how patients manage these conditions concurrently within resource-constrained settings. We examined self-care practices among people living with HIV and hypertension or diabetes comorbidities in LMICs and identified treatment burdens related to these practices. METHODS: We searched Medline, EMBASE, PsycINFO, Global…
Apolipoprotein L1 gene variants and kidney disease in patients with HIV: a systematic review and meta-analysis.
Journal of nephrology · 2023 · PMID 36510118
BACKGROUND: The risk of various types of kidney disease is significantly increased in the presence of APOL1 high-risk genotype (carriage of two risk alleles), particularly HIV-associated nephropathy (HIVAN). However, there are discrepancies in the existing evidence about the level of association between APOL1 high-risk genotype and the risk of kidney diseases in people living with HIV (PLWHIV). METHODS: This systematic review and meta-analysis was conducted to assess the relationship between the APOL1 genotypes and…
False Belief Understanding in Deaf and Hard of Hearing Children: Systematic Review With Meta-Analysis.
Journal of speech, language, and hearing research : JSLHR · 2026 · PMID 42600163
PURPOSE: This meta-analysis aimed to compare the performance of deaf and hard of hearing (DHH) children who use cochlear implants (CIs) or hearing aids (HAs) with their typically hearing (TH) peers on false belief (FB) understanding tasks. METHOD: Data were synthesized from 13 studies comprising 292 participants 1.92-14.03 years of age. A multilevel random-effects meta-analysis was conducted, followed by metaregression to examine the effects of age, mean age at onset, type of hearing amplifier, type of FB task, and…
Programmatic effectiveness of tuberculosis preventive treatment for people with HIV in six high-tuberculosis-burden countries (PROTECT): a prospective cohort study and meta-analysis.
The lancet. HIV · 2026 · PMID 42607703
BACKGROUND: In randomised clinical trials (RCTs), tuberculosis preventive treatment (TPT) reduced tuberculosis incidence and mortality among people with HIV; however, real-world impact has not been evaluated since antiretroviral therapy (ART) was expanded to all people with HIV regardless of CD4 cell count. This study aimed to determine the programmatic effectiveness of TPT on reducing tuberculosis incidence and all-cause mortality among people with HIV initiating ART. METHODS: This prospective cohort study emulate…
Landmark Evidence59 records
Fostering healthy cognitive ageing in people living with HIV.
The lancet. HIV · 2025 · PMID 39615509
Prevalence and incidence of HIV among people aged 50 years and older continue to rise worldwide, generating increasing awareness among care providers, scientists, and the HIV community about the importance of brain health in older adults with HIV. Many age-related factors that adversely affect brain health can occur earlier and more often among people with HIV, including epigenetic ageing, chronic medical conditions (eg, cardiovascular disease), and age-related syndromes (eg, frailty). Extensive dialogue between HI…
Prevalence and associated factors of public stigma toward people living with HIV: a systematic review and meta-analysis.
BMC public health · 2026 · PMID 42928180
BACKGROUND: HIV-related public stigma remains a critical barrier to ending the AIDS epidemic, yet its global prevalence remains poorly quantified. Existing evidence is fragmented, with no comprehensive synthesis of temporal trends, regional patterns, or population subgroups. This systematic review and meta-analysis aimed to estimate the global prevalence of public stigma toward people living with HIV (PLHIV) in the general population and to identify factors associated with such stigma. METHODS: We searched PubMed, …
What is polypharmacy in people living with HIV/AIDS? A systematic review.
AIDS research and therapy · 2022 · PMID 35918746
Polypharmacy in people living with HIV/AIDS (PLWHA) is a rising morbidity that exacts hefty economic burden on health budgets in addition to other adverse clinical outcomes. Despite recent advances, uncertainty remains around its exact definition in PLWHA. In this systematic review and Meta-analysis, we explored relevant databases (PUBMED, EMBASE, CROI) for studies evaluating polypharmacy in PLWHA from January 2000 to August 2021 to ascertain the exact numerical threshold that defines this morbidity. Two independen…
Antiviral therapy for cytomegalovirus retinitis: A systematic review and meta-analysis.
Survey of ophthalmology · 2025 · PMID 39549781
Cytomegalovirus retinitis (CMVR) is a significant cause of blindness in patients with advanced acquired immunodeficiency syndrome (AIDS). There are no established guidelines for its treatment, resulting in varied antiviral approaches. We pooled data from 59 studies (4501 patients) to evaluate treatment variations and outcomes (CRD42022321088). Overall pooled estimates showed visual acuity improvement at 18 % (95 % CI: 7-41 %), inflammation resolution at 90 % (95 % CI: 81-95 %), retinal detachment at 11 % (95 % CI: …
Clinical and epidemiological aspects of coinfection with American tegumentary leishmaniasis and HIV/AIDS in South American countries: a systematic review.
Revista da Sociedade Brasileira de Medicina Tropical · 2026 · PMID 42912083
Leishmaniasis is one of the 10 leading neglected tropical diseases (NTDs), and cutaneous leishmaniasis is endemic in 19 countries in the Americas. This study aimed to systematically review the epidemiological and clinical characteristics, diagnostic methods, and outcomes associated with coinfection with American tegumentary leishmaniasis (ATL) and HIV in South American countries. This review was registered in the International Prospective of Systematic Reviews (PROSPERO; CRD42023138800). Searches were conducted in …
Human Immunodeficiency Virus Infection and Incident Heart Failure: A Meta-Analysis of Prospective Studies.
Journal of acquired immune deficiency syndromes (1999) · 2021 · PMID 33492019
OBJECTIVES: To systematically analyze available prospective evidence on the association between HIV infection and incident heart failure (HF). METHODS: A systematic search of PubMed, EMBASE, Web of Science, and manual search of relevant articles through June 1st, 2020, was conducted. Two authors independently performed full-text assessments and data extraction. The pooled relative risk with 95% confidence interval was estimated using DerSimonian and Laird random-effects models, with inverse-variance fixed-effects m…
Executive function in HIV-affected children and adolescents: a systematic review and meta-analyses.
AIDS care · 2021 · PMID 33764813
This review aimed to determine: whether EF is affected in children and adolescents (2-24-years-old) with perinatal HIV infection, perinatal HIV exposure without infection, and behaviourally acquired HIV. A systematic review (PROSPERO number: CRD42017067813) was conducted using 11 electronic databases (01.01.1981-09.07.2019) and 8 conference websites. Primary quantitative studies with EF scores on cognitive tasks and/or behavioural report measures were included. Meta-analyses were performed by EF subtype and subpopu…
A Systematic Review of Risk Factors for Suicide Among Persons Living with HIV (1996-2020).
AIDS and behavior · 2022 · PMID 35107660
Persons living with HIV (PWH) are at elevated risk for suicide. We conducted a systematic literature review following PRISMA-P guidelines to examine risk factors associated with suicide as a cause of morbidity among PWH. We searched six electronic databases using search terms (suicide, suicide attempt, self-harm, self-injurious behavior, HIV, AIDS, PWH). We focused on factors that were specific to HIV infection (CD4 count, HIV-1 RNA, and antiretroviral therapy [ART]). The initial search yielded N = 2657 studies. El…
Isoniazid preventive therapy plus antiretroviral therapy for the prevention of tuberculosis: a systematic review and meta-analysis of individual participant data.
The lancet. HIV · 2021 · PMID 33387480
BACKGROUND: Isoniazid preventive therapy prevents active tuberculosis in people with HIV, but previous studies have found no evidence of benefit in people with HIV who had a negative tuberculin skin test, and a non-significant effect on mortality. We aimed to estimate the effect of isoniazid preventive therapy given with antiretroviral therapy (ART) for the prevention of tuberculosis and death among people with HIV across population subgroups. METHODS: We searched PubMed, Embase, the Cochrane database, and conferen…
Bridging Pedagogy and Technology: A Systematic Literature Review on Inquiry-Collaborative Models Assisted with Virtual Laboratory in Physics Education.
F1000Research · 2026 · PMID 42928776
BACKGROUND: Virtual laboratories have become a standard infrastructure in physics teaching, yet their pedagogical value depends on the learning model that frames them. Inquiry and collaborative learning are routinely invoked together, but no synthesis has treated them as the joint pedagogical framework for virtual laboratories in physics education or examined how the three are configured in practice. METHODS: Scopus was searched on July 9, 2026, for English-language journal articles published between 2017 and 2026,…
HIV Testing Disruptions and Service Adaptations During the COVID-19 Pandemic: A Systematic Literature Review.
AIDS and behavior · 2024 · PMID 37548796
Access to treatment and care in safe clinical settings improves people's lives with HIV. The COVID-19 pandemic disrupted vital HIV programs and services, increasing the risk of adverse health outcomes for people with HIV and HIV transmission rates in the community. This systematic literature review provides a meta-analysis of HIV testing disruptions and a synthesis of HIV/AIDS services adapted during COVID-19. We searched scholarly databases from 01 January 2020 to 30 June 2022 using key terms on HIV testing rates …
Mental health and retention in HIV care: A systematic review and meta-analysis.
Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018 · PMID 29781655
OBJECTIVE: Mental health (MH) diagnoses, which are prevalent among persons living with HIV infection, might be linked to failed retention in HIV care. This review synthesized the quantitative evidence regarding associations between MH diagnoses or symptoms and retention in HIV care, as well as determined if MH service utilization (MHSU) is associated with improved retention in HIV care. METHOD: A comprehensive search of the Centers for Disease Control and Prevention's HIV/AIDS Prevention Research Synthesis database…
Barriers and facilitators to PrEP knowledge, acceptability, uptake, and adherence among criminal-justice involved cisgender women: a systematic review.
BMC public health · 2026 · PMID 42919299
OBJECTIVE: Cisgender women involved in the U.S. criminal justice system (CJI) experience heightened HIV vulnerability due to intersecting structural risks such as substance use, unstable housing, intimate partner violence, and limited healthcare access. Despite the effectiveness of pre-exposure prophylaxis (PrEP), uptake remains low in this population. This systematic review synthesized evidence on barriers and facilitators influencing PrEP knowledge, acceptability, initiation, uptake, and adherence among CJI cisge…
Estimates of the global burden of cervical cancer associated with HIV.
The Lancet. Global health · 2021 · PMID 33212031
BACKGROUND: HIV enhances human papillomavirus (HPV)-induced carcinogenesis. However, the contribution of HIV to cervical cancer burden at a population level has not been quantified. We aimed to investigate cervical cancer risk among women living with HIV and to estimate the global cervical cancer burden associated with HIV. METHODS: We did a systematic literature search and meta-analysis of five databases (PubMed, Embase, Global Health [CABI.org], Web of Science, and Global Index Medicus) to identify studies analys…
The Prevalence of Post-Traumatic Stress Disorder among People Living with HIV/AIDS: a Systematic Review and Meta-Analysis.
The Psychiatric quarterly · 2020 · PMID 32981021
Numerous studies have reported that the prevalence estimates of post-traumatic stress disorder (PTSD) might be substantially high among people with HIV/AIDS (PLWHA) when compared to the general population. However, there are no previous systematic reviews and meta-analysis studies that reported the pooled prevalence of PTSD among PLWHA. To fill this gap in research, this study aims to analyze data from observational studies concerning the prevalence of PTSD among PLWHA and formulate a recommendation for future rese…
Dermatological manifestation of HIV infection: systematic review and meta-analysis.
BMC infectious diseases · 2025 · PMID 41162862
INTRODUCTION: Since its discovery in 1981, AIDS has become a significant global public health issue, impacting more than 38 million people worldwide with HIV. Despite a 32% reduction in new HIV infections since 2010, millions continue to be affected, often experiencing dermatological problems. This study aims to examine the epidemiology of these dermatological issues in HIV patients by reviewing existing research. METHODS: We conducted an extensive search across MEDLINE, Web of Science, Google Scholar, and grey lit…
Implementation of point of care HIV viral load monitoring for people living with HIV in low- and middle-income countries: A systematic review on implementation research outcomes.
PloS one · 2026 · PMID 41637436
BACKGROUND: Viral load monitoring has rapidly increased among people living with HIV(PLHIV) in low- and middle-income countries (LMICs), resulting in an increased laboratory workload. The use of innovative Point of Care (PoC) or near Point of Care (n)PoC HIV Viral Load (HIV VL) monitoring has enabled improved patient care, a reduction in laboratory workload, improved clinic retention and reduced turnaround time of results. However, implementation bottlenecks of such methods are uncertain, especially when PoC or (n)…
Resistance-containing exercise versus non-exercise control for inflammatory markers and T-cell counts in adults living with HIV: a systematic review and meta-analysis.
Frontiers in immunology · 2026 · PMID 42908849
BACKGROUND: Adults living with HIV may have persistent immune activation and low-grade inflammation despite effective antiretroviral therapy. We assessed whether resistance training or resistance-containing combined exercise alters inflammatory biomarkers or T-cell counts versus non-exercise control. METHODS: Six databases were searched to 1 June 2026 without language restrictions. Controlled intervention studies lasting at least four weeks were eligible. Screening and extraction were performed independently in dup…
Risk of death and readmission among individuals with heart failure and HIV: A systematic review and meta-analysis.
Journal of infection and public health · 2024 · PMID 37992436
The association between human immunodeficiency virus (HIV) status and readmissions and death outcomes in patients with established heart failure (HF) remains unclear. We conducted a systematic search of PubMed, EMBASE, Cochrane Library, and Web of Science up to March 1st, 2023, for cohort studies of adult patients (≥18 years) diagnosed with HF and recorded HIV status at baseline. Our analysis included 7 studies with 10,328 HF patients living with HIV and 48,757 HF patients without HIV. Compared to HF patients witho…
Post-migration HIV acquisition: A systematic review and meta-analysis.
Epidemiology and infection · 2024 · PMID 38425215
Migrants in Europe face a disproportionate burden of HIV infection; however, it remains unclear if this can be prevented through public health interventions in host countries. We undertake a systematic review and meta-analysis to estimate post-migration HIV acquisition (PMHA) as a proportion of all HIV cases in European migrants. MEDLINE, EMBASE, Global Health, HMIC, and Cochrane Library were searched with terms capturing 'HIV', 'migration', and 'Europe'. Data relating to the proportion of HIV acquired following mi…
HIV infection and esophageal cancer in Sub-Saharan Africa: a comprehensive meta-analysis.
AIDS reviews · 2024 · PMID 38530745
Africa hosts the highest burden of esophageal cancer (49%) and HIV (60%) worldwide. It is imperative to investigate the synergistic impact of these two diseases on African populations. This study conducted an exhaustive computerized search of databases, including Medline/PubMed, Embase, Web of Science, Scopus, Cochrane library, and African Journals Online, to identify eligible studies up to October 2023. HIV infection was the exposure, esophageal cancer risk was the outcome, and healthy subjects with no cancer hist…
Precancerous cervical lesions and associated factors among HIV-positive women in Southern and Eastern African countries: A systematic review and meta-analysis.
PloS one · 2026 · PMID 42912824
BACKGROUND: Women living with HIV (WLHIV) face a sixfold increased risk of cervical cancer compared to HIV-negative women. Most WLHIV residing in the Southern and Eastern African regions have a substantial HIV-related cervical cancer burden. Studies on precancerous cervical lesions (PCCL) and associated factors in WLHIV from these regions have inconsistent and inconclusive findings. Therefore, we aimed to synthesize the pooled prevalence of PCCL and associated factors among WLHIV in Southern and Eastern Africa. MET…
Factors associated with tuberculosis treatment initiation among bacteriologically negative individuals evaluated for tuberculosis: An individual patient data meta-analysis.
PLoS medicine · 2025 · PMID 39804959
BACKGROUND: Globally, over one-third of pulmonary tuberculosis (TB) disease diagnoses are made based on clinical criteria after a negative bacteriological test result. There is limited information on the factors that determine clinicians' decisions to initiate TB treatment when initial bacteriological test results are negative. METHODS AND FINDINGS: We performed a systematic review and individual patient data meta-analysis using studies conducted between January 2010 and December 2022 (PROSPERO: CRD42022287613). We…
Factors associated with pyomyositis: A systematic review and meta-analysis.
Tropical medicine & international health : TM & IH · 2021 · PMID 34407271
OBJECTIVES: Pyomyositis, an acute bacterial infection of skeletal muscle usually resulting in abscess formation, is well recognised in tropical regions where it can account for up to 4% of adult surgical admissions. It is increasingly being reported from high-income temperate countries. Pyomyositis occurs across all ages and in both sexes. Mortality ranges from 1% to 23%. Many risk factors have been suggested. We aimed to identify factors associated with pyomyositis. METHODS: We undertook a systematic review and me…
Risk of mortality in HIV-infected COVID-19 patients: A systematic review and meta-analysis.
Journal of infection and public health · 2022 · PMID 35617829
BACKGROUND: The relationship between HIV infection and COVID-19 clinical outcomes remains a significant public health research problem. We aimed to determine the association of HIV comorbidity with COVID-19 mortality. METHODS: We searched PubMed, Google Scholar and World Health Organization library databases for relevant studies. All searches were conducted from 1st to 7th December 2021. Title, abstract and full text screening was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Ana…
Most Effective Evidence Supported Treatments153 records
[Presentations for HIV post-exposure prophylaxis in emergency departments: guideline and recommendations].
Die Anaesthesiologie · 2024 · PMID 38285211
Patients often present to emergency departments after potential or confirmed exposure to human immunodeficiency virus (HIV) asking for recommendations concerning the initiation of post-exposure prophylaxis (PEP). These presentations may occur after occupational as well as non-occupational exposure. PEP entails taking a triple antiretroviral therapy for 28-30 days. If taken early (ideally within 2 h, but no later than 72 h) and as indicated, HIV infection can be prevented with a high level of probability. Since thes…
Cause of Death and Risk of Death for People Living With HIV Admitted to Hospital: A Systematic Review and Meta-Analysis.
Journal of the International AIDS Society · 2026 · PMID 42261234
INTRODUCTION: Despite increasing access to HIV treatment and care, HIV-associated deaths remain high. We aimed to summarize global and regional trends in risk and causes of death among people living with HIV (PLHIV) admitted to hospital. METHODS: We conducted a systematic search across eight databases on 23 April 2023, identifying studies that reported cause of hospital admission or death among hospitalized PLHIV from first January 2014 onwards. We extracted data on age, geographical region, type of ward, antiretro…
EAES Multidisciplinary Rapid Guideline: systematic review, meta-analysis, GRADE assessment and evidence-informed recommendations on the surgical management of paraesophageal hernias.
Surgical endoscopy · 2023 · PMID 37910246
BACKGROUND: New evidence has emerged since latest guidelines on the management of paraesophageal hernia, and guideline development methodology has evolved. Members of the European Association for Endoscopic Surgery have prioritized the management of paraesophageal hernia to be addressed by pertinent recommendations. OBJECTIVE: To develop evidence-informed clinical practice recommendations on paraesophageal hernias, through evidence synthesis and a structured evidence-to-decision framework by an interdisciplinary pa…
Digital supportive care in prostate cancer: a systematic review.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026 · PMID 42891837
PURPOSE: To map and synthesise the existing evidence on people's perspectives and requirements for patient-facing digital health technologies for use in prostate cancer care delivery. Understanding the preferences of people with prostate cancer and understanding the barriers and facilitators to maximising engagement with digital supportive care healthcare landscape. METHODS: Four electronic databases were searched to identify suitable studies. All identified citations were imported into Covidence systematic review …
Immunogenicity and safety of prophylactic HPV vaccines in people living with HIV: A systematic review and meta-analysis.
Human vaccines & immunotherapeutics · 2026 · PMID 42684271
Human papillomavirus (HPV) is a major global public health concern, causing genital warts and cancers of the cervix, anus, oropharynx, vulva, and penis. People living with HIV (PLWH) face a disproportionately elevated burden of HPV infection and HPV-related malignancies due to chronic immunosuppression. We conducted a systematic review and meta-analysis searching six databases from January 2006 to June 2026 without language restrictions. Twenty-five studies were included in the systematic review; 12 independent stu…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Effectiveness and safety of darunavir and lopinavir for treating children and adolescents living with HIV: a systematic review.
BMC infectious diseases · 2026 · PMID 41933292
INTRODUCTION: Darunavir and lopinavir solid formulations are recommended protease inhibitors for treating HIV. An evidence review of their effectiveness/efficacy and safety in young populations was needed to inform the 2025 World Health Organization guidelines. METHODS: We conducted a systematic review of publications reporting efficacy/effectiveness and/or safety of darunavir and/or lopinavir solid formulations in children and/or adolescents with HIV aged 0–19 years, with at least 6 months follow-up. Sources inclu…
EAES rapid guideline: updated systematic review, network meta-analysis, CINeMA and GRADE assessment, and evidence-informed European recommendations on the management of common bile duct stones.
Surgical endoscopy · 2022 · PMID 36229556
BACKGROUND: Choledocholithiasis presents in a considerable proportion of patients with gallbladder disease. There are several management options, including preoperative or intraoperative endoscopic cholangiopancreatography (ERCP), and laparoscopic common bile duct exploration (LCBDE). OBJECTIVE: To develop evidence-informed, interdisciplinary, European recommendations on the management of common bile duct stones in the context of intact gallbladder with a clinical decision to intervene to both the gallbladder and t…
Efficacy of cannabinoids for insomnia and sleep disturbance: A systematic review and meta-analysis of randomized controlled trials.
Sleep medicine · 2026 · PMID 42574897
BACKGROUND: Insomnia is a common sleep disorder that presents with difficulty falling asleep or staying asleep. Standard hypnotics often lead to tolerance and dependency, prompting interest in cannabinoids as alternative sleep aids. This study evaluated the efficacy and safety of cannabinoids in improving sleep among adults with insomnia or poor sleep quality. METHODS: PubMed, EMBASE, Cochrane Library, Scopus, and Web of Science were searched from inception to January 2025 for randomized controlled trials (RCTs) co…
HIV-associated pulmonary arterial hypertension: improving survival despite persistent treatment gaps - a systematic review and meta-analysis.
AIDS (London, England) · 2026 · PMID 42826228
HIV-associated pulmonary arterial hypertension (HIV-PAH) is rare and understudied. We pooled 12 right heart catheterization-confirmed cohorts (n = 537, 1986-2021) and found that HIV-PAH presents with severe hemodynamics and advanced functional limitation, with only 64% receiving PAH-targeted therapy at diagnosis. Survival improved progressively over three decades alongside increasing therapy use. These findings highlight persistent treatment gaps and support consideration of contemporary combination PAH therapy in …
Self-care practices of people living with HIV and hypertension or diabetes comorbidities in low-and-middle income countries: A systematic review.
PloS one · 2026 · PMID 42853857
BACKGROUND: People living with HIV in low-and middle-income countries (LMICs) face a growing burden of hypertension and diabetes comorbidities. Although self-care is essential, limited evidence exists on how patients manage these conditions concurrently within resource-constrained settings. We examined self-care practices among people living with HIV and hypertension or diabetes comorbidities in LMICs and identified treatment burdens related to these practices. METHODS: We searched Medline, EMBASE, PsycINFO, Global…
False Belief Understanding in Deaf and Hard of Hearing Children: Systematic Review With Meta-Analysis.
Journal of speech, language, and hearing research : JSLHR · 2026 · PMID 42600163
PURPOSE: This meta-analysis aimed to compare the performance of deaf and hard of hearing (DHH) children who use cochlear implants (CIs) or hearing aids (HAs) with their typically hearing (TH) peers on false belief (FB) understanding tasks. METHOD: Data were synthesized from 13 studies comprising 292 participants 1.92-14.03 years of age. A multilevel random-effects meta-analysis was conducted, followed by metaregression to examine the effects of age, mean age at onset, type of hearing amplifier, type of FB task, and…
Nivolumab and cabozantinib in people with HIV and advanced solid tumors: a pilot trial and systematic review.
The oncologist · 2026 · PMID 42847673
BACKGROUND: People living with HIV (PWH) are underrepresented in immune checkpoint inhibitor (ICI) and targeted therapy trials, despite a growing burden of malignancies. Cabozantinib may remodel the tumor microenvironment by reducing immunosuppressive myeloid populations and enhancing cytotoxic T-cell infiltration, thereby augmenting antitumor immunity and providing a biologic rationale for combination with programmed cell death protein 1 (PD-1) blockade. However, prospective data on combined ICI and antiangiogenic…
Impact of violence on HIV outcomes among female sex workers: A global systematic review and meta-analysis.
PLoS medicine · 2026 · PMID 42905788
BACKGROUND: Female sex workers (FSW) are a key population for HIV prevention and care. Increasing evidence suggests that social and structural barriers are key drivers of HIV transmission. This global systematic review assesses whether experiencing violence is associated with worse HIV outcomes among FSW. METHODS AND FINDINGS: We searched MEDLINE, Embase, and PsycINFO databases for studies published from January 1st, 2010 to June 9th, 2026 assessing the impact of violence on HIV outcomes among FSW, without restrict…
Reactivation rates of hepatitis B or C or HIV in patients with psoriasis using biological therapies: a systematic review and meta-analysis.
Clinical and experimental medicine · 2023 · PMID 35499793
Some biological therapies for psoriasis can cause the reactivation of viral infections. Although recent studies suggest no increased rate of reactivation with biological therapies, some life-threatening cases have been reported. Therefore, this meta-analysis examined the rate of virus reactivation in patients with psoriasis with biological therapies and concurrent hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection. PubMed, Embase, and the Cochrane Library were searched…
HIV care cascade of adolescents and young adults in sub-Saharan Africa: a systematic review and meta-analysis.
BMJ open · 2026 · PMID 42843861
OBJECTIVES: Tracking the progress of the Joint United Nations Programme on HIV/AIDS (UNAIDS) 95-95-95 targets is essential for evaluating HIV programme performance and improving outcomes across all subpopulations, age groups and geographical settings. We conducted a systematic review and synthesis of the UNAIDS 95-95-95 targets among adolescents and young adults (AYA) living with HIV in sub-Saharan Africa (SSA). DESIGN: The systematic review and meta-analysis was conducted following the Preferred Reporting Items fo…
HIV and Human Papilloma Virus Community Service Integration Among Women: A Systematic Review and Narrative Synthesis.
The Journal of the Association of Nurses in AIDS Care : JANAC · 2026 · PMID 42460889
Cervical cancer (CC) is a leading cause of death, with women with HIV at an increased risk. Geographic disparities in CC and HIV reflect inequities in care access. The purpose of this systematic review was to evaluate integrated models for HIV and CC screening. This review was conducted following PRISMA guidelines. Full-text screening and data extraction were conducted independently. Eligible studies described integrated HIV and CC services. Of 4,280 records, 24 met inclusion criteria. Most studies ( n = 21) were c…
Rapid diagnostic tests, laboratory-based immunoassay and nucleic acid testing strategies for long-acting injectable pre-exposure prophylaxis: A systematic review and meta-analysis.
PLoS medicine · 2026 · PMID 41990088
BACKGROUND: Long-acting injectable pre-exposure prophylaxis (LAI-PrEP) is a highly effective biomedical intervention for the prevention of HIV acquisition. There is a strong interest among communities and policymakers for LAI-PrEP scale-up, accelerating the demand for clear guidance on testing approaches that balance accuracy with scalability. Unlike oral pre-exposure prophylaxis, LAI-PrEP may overcome adherence challenges, such as difficulty with frequent clinic visits. However, LAI-PrEP results in prolonged subth…
Global coverage of interventions for reduction of injecting drug use-related harm, HIV, viral hepatitis and tuberculosis in prisons and other carceral settings: A systematic review.
The International journal on drug policy · 2026 · PMID 41651702
BACKGROUND: People who are incarcerated experience disproportionately high rates of injecting drug use and infectious disease, including HIV, viral hepatitis and tuberculosis. However, comprehensive global data regarding the availability of services that prevent and manage infectious disease, injecting drug use and related harms remain limited and outdated. We provide the first systematic review to comprehensively examine the availability and coverage of infectious disease prevention, treatment, and harm reduction …
Barriers and facilitators to PrEP knowledge, acceptability, uptake, and adherence among criminal-justice involved cisgender women: a systematic review.
BMC public health · 2026 · PMID 42919299
OBJECTIVE: Cisgender women involved in the U.S. criminal justice system (CJI) experience heightened HIV vulnerability due to intersecting structural risks such as substance use, unstable housing, intimate partner violence, and limited healthcare access. Despite the effectiveness of pre-exposure prophylaxis (PrEP), uptake remains low in this population. This systematic review synthesized evidence on barriers and facilitators influencing PrEP knowledge, acceptability, initiation, uptake, and adherence among CJI cisge…
A Systematic Review of the Use of Antiretroviral Drugs to Prevent HIV in Neonates and Infants.
Journal of the Pediatric Infectious Diseases Society · 2026 · PMID 42391472
BACKGROUND: Preventing the postnatal transmission of HIV remains an unfinished goal globally. Infant antiretroviral (ARV) prophylaxis remains important, particularly when maternal viral suppression is not assured. We conducted a systematic review to identify optimal infant ARV prophylaxis to inform World Health Organization 2025 guidelines. METHODS: PubMed, Embase, and Global Index Medicus were searched for randomized controlled trials published in 2014-2024 evaluating ARVs given to infants to prevent postnatal HIV…
Tuberculosis in adult migrants in Europe: a TBnet consensus statement.
The European respiratory journal · 2025 · PMID 39672603
INTRODUCTION: Global migration has increased in recent decades owing to war, conflict, persecution and natural disasters, but also secondary to increased opportunities related to work or study. Migrants' risk of tuberculosis (TB) differs depending on migration, socioeconomic status, mode of travel and TB risk in transit, TB incidence and healthcare provision in country of origin. Despite advances in TB care for migrants and new treatment strategies, decisions for managing migrants at risk of TB often rely on expert…
Managing IBD Patients with Concomitant HIV Infection - a Systematic Review.
Current gastroenterology reports · 2024 · PMID 38180722
PURPOSE OF REVIEW: Inflammatory Bowel Disease (IBD) is a chronic GI inflammatory condition induced by a dysregulated immune system activation, whereas HIV infection causes depletion of the immune system, inducing immunosuppression. Given the increasing incidence of IBD across the globe, including in developing countries, the co-prevalence of both conditions is expected to increase. Herein, we systematically review the data describing disease course when both pathologies co-exist. RECENT FINDINGS: Overall, the co-pr…
Factors associated with tuberculosis treatment initiation among bacteriologically negative individuals evaluated for tuberculosis: An individual patient data meta-analysis.
PLoS medicine · 2025 · PMID 39804959
BACKGROUND: Globally, over one-third of pulmonary tuberculosis (TB) disease diagnoses are made based on clinical criteria after a negative bacteriological test result. There is limited information on the factors that determine clinicians' decisions to initiate TB treatment when initial bacteriological test results are negative. METHODS AND FINDINGS: We performed a systematic review and individual patient data meta-analysis using studies conducted between January 2010 and December 2022 (PROSPERO: CRD42022287613). We…
Predictors of immunological non-response despite virological suppression in people living with HIV on antiretroviral therapy: A systematic review and meta-analysis.
PloS one · 2026 · PMID 42862878
Immunological Nonresponse (INR) in people living with HIV (PLWH) is characterized by inadequate CD4+ T-cell recovery despite effective viral suppression through antiretroviral therapy (ART). This systematic review and meta-analysis identify key clinical, demographic, and molecular predictors of INR to optimize immune recovery strategies. A comprehensive literature search was conducted in accordance with PRISMA 2020 guidelines, yielding 59 eligible studies, with a total of 19,511 individuals with INR. Study quality …
New Research Last 24 Months273 records
Fostering healthy cognitive ageing in people living with HIV.
The lancet. HIV · 2025 · PMID 39615509
Prevalence and incidence of HIV among people aged 50 years and older continue to rise worldwide, generating increasing awareness among care providers, scientists, and the HIV community about the importance of brain health in older adults with HIV. Many age-related factors that adversely affect brain health can occur earlier and more often among people with HIV, including epigenetic ageing, chronic medical conditions (eg, cardiovascular disease), and age-related syndromes (eg, frailty). Extensive dialogue between HI…
Utility of Artificial Intelligence in Detecting Lymph Node Metastasis in Oral Cancer: A Systematic Review.
Cureus · 2026 · PMID 42924327
Oral squamous cell carcinoma (OSCC) is associated with considerable morbidity because of occult lymph node metastasis (OLNM). Conventional imaging has limitations in detecting OLNM in oral cancer. AI-based technologies have been proposed as potential aids in diagnosis. This systematic review was carried out following PRISMA 2020 guidelines and registered in the International Prospective Register of Systematic Reviews (PROSPERO) (February 2025). PubMed, Scopus, Embase, Web of Science, and Google Scholar were searche…
Prevalence and associated factors of public stigma toward people living with HIV: a systematic review and meta-analysis.
BMC public health · 2026 · PMID 42928180
BACKGROUND: HIV-related public stigma remains a critical barrier to ending the AIDS epidemic, yet its global prevalence remains poorly quantified. Existing evidence is fragmented, with no comprehensive synthesis of temporal trends, regional patterns, or population subgroups. This systematic review and meta-analysis aimed to estimate the global prevalence of public stigma toward people living with HIV (PLHIV) in the general population and to identify factors associated with such stigma. METHODS: We searched PubMed, …
Clinical and epidemiological aspects of coinfection with American tegumentary leishmaniasis and HIV/AIDS in South American countries: a systematic review.
Revista da Sociedade Brasileira de Medicina Tropical · 2026 · PMID 42912083
Leishmaniasis is one of the 10 leading neglected tropical diseases (NTDs), and cutaneous leishmaniasis is endemic in 19 countries in the Americas. This study aimed to systematically review the epidemiological and clinical characteristics, diagnostic methods, and outcomes associated with coinfection with American tegumentary leishmaniasis (ATL) and HIV in South American countries. This review was registered in the International Prospective of Systematic Reviews (PROSPERO; CRD42023138800). Searches were conducted in …
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Bridging Pedagogy and Technology: A Systematic Literature Review on Inquiry-Collaborative Models Assisted with Virtual Laboratory in Physics Education.
F1000Research · 2026 · PMID 42928776
BACKGROUND: Virtual laboratories have become a standard infrastructure in physics teaching, yet their pedagogical value depends on the learning model that frames them. Inquiry and collaborative learning are routinely invoked together, but no synthesis has treated them as the joint pedagogical framework for virtual laboratories in physics education or examined how the three are configured in practice. METHODS: Scopus was searched on July 9, 2026, for English-language journal articles published between 2017 and 2026,…
Barriers and facilitators to PrEP knowledge, acceptability, uptake, and adherence among criminal-justice involved cisgender women: a systematic review.
BMC public health · 2026 · PMID 42919299
OBJECTIVE: Cisgender women involved in the U.S. criminal justice system (CJI) experience heightened HIV vulnerability due to intersecting structural risks such as substance use, unstable housing, intimate partner violence, and limited healthcare access. Despite the effectiveness of pre-exposure prophylaxis (PrEP), uptake remains low in this population. This systematic review synthesized evidence on barriers and facilitators influencing PrEP knowledge, acceptability, initiation, uptake, and adherence among CJI cisge…
Acquired Single-Sided Deafness - Patients Prefer Invasive over Non-Invasive Hearing Solutions: A Systematic Review and Meta-analysis.
The Journal of laryngology and otology · 2026 · PMID 42929386
OBJECTIVE: To compare the effectiveness of implanted and non-implanted hearing solutions on subjective hearing disability and health-related quality of life in adults with acquired single-sided deafness. METHODS: This systematic review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines and was registered in the Prospective Register of Systematic Reviews. Multiple databases were searched from January 1965 to October 2025 for studies reporting patient-reported hearing disabi…
Factors associated with tuberculosis treatment initiation among bacteriologically negative individuals evaluated for tuberculosis: An individual patient data meta-analysis.
PLoS medicine · 2025 · PMID 39804959
BACKGROUND: Globally, over one-third of pulmonary tuberculosis (TB) disease diagnoses are made based on clinical criteria after a negative bacteriological test result. There is limited information on the factors that determine clinicians' decisions to initiate TB treatment when initial bacteriological test results are negative. METHODS AND FINDINGS: We performed a systematic review and individual patient data meta-analysis using studies conducted between January 2010 and December 2022 (PROSPERO: CRD42022287613). We…
Resistance-containing exercise versus non-exercise control for inflammatory markers and T-cell counts in adults living with HIV: a systematic review and meta-analysis.
Frontiers in immunology · 2026 · PMID 42908849
BACKGROUND: Adults living with HIV may have persistent immune activation and low-grade inflammation despite effective antiretroviral therapy. We assessed whether resistance training or resistance-containing combined exercise alters inflammatory biomarkers or T-cell counts versus non-exercise control. METHODS: Six databases were searched to 1 June 2026 without language restrictions. Controlled intervention studies lasting at least four weeks were eligible. Screening and extraction were performed independently in dup…
Faith-based organisations in providing HIV services within low- and middle-income countries (LMICs): a systematic review.
HIV research & clinical practice · 2026 · PMID 42855958
BACKGROUND: To end the acquired immune deficiency syndrome (AIDS) epidemic by 2030, the Joint United Nations Programme on HIV/AIDS (UNAIDS) proposes that 95% of people living with HIV should be diagnosed, 95% of those with a diagnosis should be on treatment, and 95% of those on treatment should achieve viral suppression. To attain these targets, UNAIDS estimates that community-based HIV services should increase from 5% to 30%. Within low-and-middle-income countries (LMICs), faith-based organisations (FBOs) often po…
Creatine supplementation in soccer players: a systematic review.
Journal of the International Society of Sports Nutrition · 2026 · PMID 42826085
AIM: Soccer places repeated demands on short-duration, high-intensity performance, including sprints, accelerations, jumps, and technical actions performed over the course of a match. Because these efforts depend heavily on rapid adenosine triphosphate (ATP) resynthesis, creatine is a plausible ergogenic aid for soccer players. However, findings in soccer-specific studies have been inconsistent, and previous reviews have addressed narrower questions using smaller evidence sets. This systematic review therefore exam…
Implementation of point of care HIV viral load monitoring for people living with HIV in low- and middle-income countries: A systematic review on implementation research outcomes.
PloS one · 2026 · PMID 41637436
BACKGROUND: Viral load monitoring has rapidly increased among people living with HIV(PLHIV) in low- and middle-income countries (LMICs), resulting in an increased laboratory workload. The use of innovative Point of Care (PoC) or near Point of Care (n)PoC HIV Viral Load (HIV VL) monitoring has enabled improved patient care, a reduction in laboratory workload, improved clinic retention and reduced turnaround time of results. However, implementation bottlenecks of such methods are uncertain, especially when PoC or (n)…
Precancerous cervical lesions and associated factors among HIV-positive women in Southern and Eastern African countries: A systematic review and meta-analysis.
PloS one · 2026 · PMID 42912824
BACKGROUND: Women living with HIV (WLHIV) face a sixfold increased risk of cervical cancer compared to HIV-negative women. Most WLHIV residing in the Southern and Eastern African regions have a substantial HIV-related cervical cancer burden. Studies on precancerous cervical lesions (PCCL) and associated factors in WLHIV from these regions have inconsistent and inconclusive findings. Therefore, we aimed to synthesize the pooled prevalence of PCCL and associated factors among WLHIV in Southern and Eastern Africa. MET…
Integrating hypertension care into the existing HIV services package in Botswana (InterCARE): a pair-matched, cluster-randomised, type 2 hybrid effectiveness-implementation trial.
The Lancet. Global health · 2026 · PMID 42586107
BACKGROUND: People with HIV have poor access to care for other chronic conditions despite the increasing disease burden and associated mortality. We evaluated the impact of integrated HIV and hypertension care on blood pressure control, electronic prescribing of antihypertensive medicines, and HIV viral suppression in Botswana. METHODS: We conducted a 24-month, pair-matched, cluster-randomised, type 2 hybrid effectiveness-implementation trial at 14 HIV clinics among adults aged 20-75 years with HIV and hypertension…
Epigenetic aging in people with HIV across the life course: a systematic review and meta-analysis.
The journals of gerontology. Series A, Biological sciences and medical sciences · 2026 · PMID 42921758
Epigenetic aging algorithms are emerging tools for understanding the biological effects of human immunodeficiency virus (HIV). A growing body of literature has applied DNA methylation-based epigenetic clocks in people living with HIV (PWH) across the life course, examining epigenetic age acceleration (EAA) in relation to HIV infection, antiretroviral therapy (ART), comorbidities, and clinical biomarkers (e.g., viral load, CD4 T-cell counts). This systematic review (Prospero: CRD420251126874) summarizes and synthesi…
Technology-Based Interventions, with a Stepped Care Approach, for Reducing Sexual Risk Behaviors and Increasing PrEP Initiation Among Transgender and Gender Expansive Youth and Young Adults.
AIDS and behavior · 2024 · PMID 39304589
TechStep was a technology-based trial, with a stepped care approach, to reduce sexual risks and increase PrEP uptake among transgender and gender expansive youth and young adults (15-24 years old). From October 2019 to September 2021, 254 participants were randomized into: 1) Text (n = 82), or 2) Webapp (n = 87), or 3) Control (n = 85). At the 3-month follow-up assessment, those randomized to Text and Webapp and did not demonstrate improvement on primary outcomes were re-randomized to receive virtual eCoaching (Tex…
Impact of Anthelmintic Therapy for Invasive Helminth Infection on Microbial Translocation, Inflammation, and Immune Response among Ugandans Living with HIV: A Randomized Proof of Concept Study.
The American journal of tropical medicine and hygiene · 2025 · PMID 41130223
Microbial translocation drives chronic immune activation that is linked to HIV disease progression. Invasive parasitic gut nematodes induce microbial translocation and downregulate the expression of pro-inflammatory cytokines. We evaluated the impact of albendazole anthelmintic therapy on serum markers of microbial translocation and inflammation among helminth-infected Ugandans living with HIV. Participants were randomized to an immediate or delayed 400 mg of daily albendazole and followed for 1 month. Baseline sto…
Intraoperative electrodiagnostic testing as a decision-making tool for neonatal brachial plexus palsy: a scoping review.
The Journal of hand surgery, European volume · 2026 · PMID 42661336
INTRODUCTION: Neonatal brachial plexus palsy causes upper extremity paralysis owing to birth-related brachial plexus injury. Although intraoperative electrodiagnostic techniques are routinely used to guide nerve repair in adult brachial plexus surgery, their utility in neonatal cases remains unclear. This scoping review examines whether intraoperative electrodiagnosis aids surgical decision-making, particularly in distinguishing cases amenable to neurolysis, from those that may benefit from nerve reconstruction. ME…
Epidemiological, etiological, and antifungal resistance patterns of vulvovaginal Candida spp. infections in Cameroon: a systematic review and meta-analysis.
Medical mycology · 2026 · PMID 42925421
Vulvovaginal candidiasis is a common fungal infection, mainly due to Candida species, affecting two-thirds of women globally at least once in their lifetime. Here, we conducted a systematic review and meta-analysis (PROSPERO ID: CRD420261368975) of the epidemiology, aetiology, and drug resistance profiles of vulvovaginal Candida infections and VVC in Cameroon. Databases were queried to identify all eligible papers. Data were extracted, and the quality bias of studies was assessed. Random effect models were used to …
AI at the bedside: Randomised controlled trial of ChatGPT's impact on student performance in real-patient clinical exams.
Medical teacher · 2026 · PMID 42010936
INTRODUCTION: Generative artificial intelligence (AI) tools are entering clinical training faster than curricula and assessments can adapt. It is currently unknown whether point-of-care access to large language models (LLMs) improves clinician performance during real-time bedside assessments. To evaluate the effect of allowing ChatGPT use on student performance in ward-based real-patient clinical exams. METHODS: We conducted a parallel‑group, randomised controlled trial (2:1 allocation) across four academic hospita…
Pathways of onward HIV disclosure in relationships among young people living with vertically acquired HIV receiving antiretroviral therapy: A qualitative analysis from the BREATHER Plus trial, South Africa.
Global public health · 2026 · PMID 42623024
For young people living with HIV (YPLHIV) navigating their status since birth, managing onward disclosure of a potentially stigmatising condition in relationships is challenging, and may or may not lead to social support, with implications for wellbeing. In a clinical trial setting in KwaZulu-Natal, South Africa, we investigate how young people living with vertically acquired HIV navigate onward disclosure. Data were from the qualitative component of the BREATHER Plus randomised controlled trial evaluating the effi…
Comparative effects of caffeine and paraxanthine on rowing performance and sleep quality: a randomized crossover study.
Journal of the International Society of Sports Nutrition · 2026 · PMID 41918248
BACKGROUND: Although caffeine is widely used in athletes due to its ergogenic effects, the effects of its main metabolite, paraxanthine, on performance and sleep have not been adequately investigated. PURPOSE: This study aimed to comparatively investigate the effects of caffeine and its main metabolite paraxanthine on rowing performance and sleep quality. METHODS: The study was designed as a randomized, double-blind, crossover study and included 14 male university-level rowers (21.6 ± 1.9 age; 2.2 ± 1 years of rowi…
Could creatine supplementation combined with physical rehabilitation accelerate return to play in athletes with patellar tendinopathy?
Journal of the International Society of Sports Nutrition · 2026 · PMID 42730713
BACKGROUND: Several dietary supplements have been proposed to positively influence the rehabilitation process following injury. However, to date, no studies have specifically examined the effects of scientifically supported ergogenic aids on recovery outcomes when combined with physical performance interventions. Therefore, the aim of this study was to analyze the ergogenic effects of creatine supplementation on neuromuscular performance, tendon thickness, pain, and body composition in athletes diagnosed with patel…
Safety and pharmacokinetics of CL-197, a potent compound with low cytotoxicity against HIV-1: a randomized, double-blind, placebo-controlled, first-in-human phase 1 clinical trial.
Antimicrobial agents and chemotherapy · 2026 · PMID 42695945
HIV infection remains a critical global public health concern. A potential long-acting therapeutic agent, 4'-ethynyl-2-fluoroadenosine analog 1c (CL-197), was investigated in a first-in-human phase 1 clinical trial. This single-center, randomized, double-blind, dose-escalation, placebo-controlled study assessed the safety and pharmacokinetics (PKs) of five doses of CL-197 (1, 10, 30, 60, and 100 mg) in healthy adults aged 18-45 years. The 1 mg group was open-label (n = 4), while the other groups were randomized 4:1…
Preclinical Research69 records
Polygenic Scores and Preclinical Cardiovascular Disease in Individuals With HIV: Insights From the REPRIEVE Trial.
Journal of the American Heart Association · 2024 · PMID 38533953
BACKGROUND: Coronary artery disease (CAD) is a leading cause of death among the 38.4 million people with HIV globally. The extent to which cardiovascular polygenic risk scores (PRSs) derived in non-HIV populations generalize to people with HIV is not well understood. METHODS AND RESULTS: PRSs for CAD (GPSMult) and lipid traits were calculated in a global cohort of people with HIV treated with antiretroviral therapy with low-to-moderate atherosclerotic cardiovascular disease risk enrolled in REPRIEVE (Randomized Tri…
Lipid Nanoparticle-Mediated Antifungal and Immunomodulatory Therapy for Neuromycoses.
International journal of nanomedicine · 2026 · PMID 42891393
BACKGROUND: Neuromycoses, fungal infections affecting the central nervous system (CNS), cause approximately 112,000 deaths annually, representing 19% of AIDS-related deaths globally. Conventional antifungal drugs are limited by poor blood-brain barrier (BBB) penetration, systemic toxicity, and increasing drug resistance. Lipid nanoparticles (LNPs) have emerged as promising vehicles for enhancing antifungal efficacy while modulating immune responses. Thus, this comprehensive review synthesizes current knowledge on L…
Clinical implications of the new definition of obesity among persons with HIV.
AIDS (London, England) · 2026 · PMID 42370691
OBJECTIVE: A new definition of obesity places emphasis on anthropometrics rather than BMI. We explored how people with HIV (PWH) shifted categories when using the new definition of obesity and the association with subclinical cardiovascular disease (CVD). DESIGN: A secondary data analysis of a cross-sectional and longitudinal cohort from a completed trial focused on CVD among PWH. METHODS: Obesity was defined as two measures of abnormal anthropometrics, or one measure of abnormal anthropometrics and a BMI at least …
Real-life durability and virological outcomes of doravirine in people with multidrug-resistant HIV.
AIDS (London, England) · 2026 · PMID 42826227
Outcomes of doravirine in heavily treatment-experienced people with HIV (PWH) remain poorly defined, despite in vitro activity against multiple resistance patterns. In this multicenter cohort of 4-class drug-resistant PWH, we evaluated durability and outcomes of doravirine-containing regimens. Among 52 individuals, doravirine was maintained in 63.5% over a median of 2.4 years. Viral load <50 copies/ml was achieved in 58.6% of viremic initiators, but maintained in 82.6% of nonviremics. Findings support genotype-info…
Development and Preliminary Application of a Method to Detect Sucralose in Placenta and Serum.
Biomedical chromatography : BMC · 2026 · PMID 42675547
Sucralose, an artificial sweetener widely used in sugar-free foods and beverages, raises human exposure and potential accumulation in tissues and organs. Given the profound long-term impact of maternal diet on offspring, its safety during pregnancy is of particular concern. Existing detection methods primarily target food matrices and lack reliable, efficient approaches for biological sample analysis. To address this gap, we developed an ultrahigh-performance liquid chromatography-multiple reaction monitoring tande…
Longxue tongluo capsule enhances ischemic stroke recovery via microbiota-metabolite-gene interactions.
Metabolic brain disease · 2026 · PMID 42804018
The gut-brain axis represents an emerging therapeutic target. This study seeks to investigate the regulatory effects of LXTL on the brain-gut axis and to elucidate its mechanism of action during the ischemic stroke recovery period. This study investigated the effects of LXTL on a middle cerebral artery occlusion and reperfusion model. The assessment of recovery effects was conducted through the evaluation of brain injury scores, Y-maze performance, open field tests. Furthermore, comprehensive analyses were conducte…
Avian egg incubation period: Revisiting existing allometric relationships via surface area-to-volume ratio of an egg.
Comparative biochemistry and physiology. Part A, Molecular & integrative physiology · 2026 · PMID 42668038
The incubation period (I) for bird eggs varies among species and is used in establishing allometric relationships. Research on variations in I shed light on the evolutionary mechanisms that gave rise to the differentiation of embryonic development in distinct taxa of birds. Here, using a sampling of 444 images from 444 avian species, 89 families and 30 orders, we calculated their major geometric dimensions: volume (V) and surface area (S). An assessment of the relationship between I and the measured and calculated …
Selective immune modulation in seminal plasma during simian immunodeficiency virus infection despite systemic inflammation.
Clinical immunology (Orlando, Fla.) · 2026 · PMID 42413644
Immune modulation in the male genital tract during HIV infection is not well understood, despite its role in viral persistence and transmission. In a study using an SIV rhesus macaque model, we assessed viral RNA and 61 cytokines, chemokines, and growth factors in peripheral plasma (PP) and seminal plasma (SP). SIV RNA was found in both plasma samples, but the SP viral loads were more variable and decreased over time, independent of the systemic viremia. Baseline immune mediator profiles exhibited compartment-speci…
IFN-γ-Mediated Innate Immunity in Females Is Less Efficient than That in Males in Restricting Cerebral Proliferation of Toxoplasma Tachyzoites During Reactivation of Chronic Infection with the Parasite.
Cells · 2026 · PMID 42929848
Female AIDS patients infected with Toxoplasma gondii have increased risks of developing toxoplasmic encephalitis caused by reactivation of chronic infection with this parasite when compared to males. In the present study, we compared the capability of innate immunity to limit proliferation of tachyzoites (the acute stage form) of T. gondii in the brain during reactivation of the infection between genders using SCID mice deficient in T and B cells. SCID mice were infected and treated with sulfadiazine to control tac…
Brain viral reservoir seeding and neurological metabolic dysregulation in early-life immunodeficiency virus infection.
Brain pathology (Zurich, Switzerland) · 2026 · PMID 42049247
While viral reservoirs establish rapidly in the peripheral and lymphoid tissues in HIV-exposed and infected infants, the timing and consequences of viral seeding in the developing brain remain unclear. Using a neonatal rhesus macaque SIV model, we tracked early brain-associated viral DNA/RNA, neuropathology, and cerebrospinal fluid (CSF) metabolism, and evaluated the impact of early antiretroviral therapy (ART). CSF viral RNA was detectable by 2 days post infection (dpi), mirroring plasma viral load kinetics. In co…
Advances in Stem Cell Therapy for Hearing Loss.
Ear and hearing · 2026 · PMID 42868225
Hearing loss is the most common sensory disorder, causing substantial impacts on language development, literacy, mood, and cognition. Sensorineural hearing loss, caused by injury to the cochlear hair cells, cochlear nerve, or central auditory pathways, accounts for most cases of hearing loss. Existing therapies for sensorineural hearing loss include hearing aids and cochlear implants; however, these modalities have limited efficacy in noisy environments, variable hearing outcomes, and limited frequency discriminati…
A shock-induced damage progression analysis on myelin sheath using molecular simulations.
Journal of the mechanical behavior of biomedical materials · 2026 · PMID 42585769
Myelin sheath are repetitive fat layers encapsulating and insulating neuronal cells. The primary role of the myelin sheath lies in facilitating uninterrupted signal transmission to the rest of the brain. As such, a clear understanding of how the myelin sheath responds to traumatic forces is crucial. While previous studies have primarily focused on myelin failure under incremental or quasi-static loading, these conditions allow sufficient time for the structure to reorganize and recover from the applied stress. In c…
Oral uracil treatment increases susceptibility to rectal SIV infection.
PLoS pathogens · 2026 · PMID 42911942
The intestinal microbiomes of men who have sex with men (MSM) are distinct as compared to non-MSM and may increase susceptibility to rectal HIV infection. We recently demonstrated that dysbiosis-associated disruptions to host antimicrobial immunity increase macaque susceptibility to rectal SIVmac239X acquisition. The described susceptibility-associated network identified Dual Oxidase 2 (DUOX2) - an epithelial sensor that catalyzes reactive oxygen species (ROS) production upon sensing pathobiont-derived uracil - as …
PRDX4-enriched exosomes from adipose stem cells enhance diabetic wound repair through angiogenic activation.
Burns : journal of the International Society for Burn Injuries · 2026 · PMID 42296599
BACKGROUND: Diabetic (DM) wounds are a major challenge in dermatology. Despite the therapeutic effectiveness of stem cell therapy in wound repair, clinical applications remain limited. We investigated whether adipose-derived exosomes (Exos) can promote healing in diabetic mice. METHODS: High-throughput sequencing (HTS) was employed to study abnormal circular RNA expression in ulcerated tissue with or without adipose-derived stem cell (ADSC)-Exo treatment. EPCs were employed to analyze reactive oxygen species (ROS),…
Polygenic selection to a changing optimum under self-fertilisation.
PLoS genetics · 2024 · PMID 39018328
Many traits are polygenic, affected by multiple genetic variants throughout the genome. Selection acting on these traits involves co-ordinated allele-frequency changes at these underlying variants, and this process has been extensively studied in random-mating populations. Yet many species self-fertilise to some degree, which incurs changes to genetic diversity, recombination and genome segregation. These factors cumulatively influence how polygenic selection is realised in nature. Here, we use analytical modelling…
Acute immunometabolic reprogramming following clade C HIV immunization in rhesus macaques.
Vaccine · 2026 · PMID 42696823
Immunometabolism shapes vaccine immunogenicity, yet how HIV vaccine platforms affect metabolic programs and whether those programs predict immunogenicity remain poorly understood. We applied untargeted serum metabolomics to nine rhesus macaques receiving an HIV-1 DNA-prime/protein-boost regimen, sampling at weeks 0, 1, 2, and 8 after first protein boost. Vaccination induced acute and sustained metabolic changes. Lipid metabolism showed the broadest perturbation: free fatty acids were transiently depleted during the…
Targeting the BACE1-GSK-3β Signaling Axis in Alzheimer's Disease: From Molecular Crosstalk to Nanotechnology-Based Translational Strategies.
Molecular neurobiology · 2026 · PMID 42764330
Recent evidence demonstrates that the interplay of amyloidogenesis and tauopathy plays a significant role in exacerbating neurodegeneration in Alzheimer's disease. This interplay of molecular pathways aids in the formation and accumulation of amyloid beta and neurofibrillary tangles extracellularly and intracellularly, respectively. These interconnected pathways highlight the need for the simultaneous inhibition of BACE1 and GSK-3β for the mitigation of disease progression. There are several drugs developed against…
On the role of cell chaining in the attenuation of a Listeria monocytogenes divIVA mutant.
Virulence · 2026 · PMID 42572258
Listeria monocytogenes is a human pathogen invading nonphagocytic host cells, replicating within their cytosol, and spreading directly from cell to cell. These processes are mediated by specialized virulence factors but also depend on the DivIVA protein. DivIVA aids in the secretion of peptidoglycan-degrading autolysins in a process that requires the accessory secretion ATPase SecA2, thereby promoting daughter cell separation following cytokinesis. Consequently, a ΔdivIVA mutant forms elongated chains of unseparate…
Chronic THC exposure modulates behavioral outcomes and endocannabinoid signaling in HIV-1 Tg26 mice in a sex-dependent manner.
Brain research bulletin · 2026 · PMID 42660238
While combined antiretroviral therapy (cART) has transitioned HIV-1 into a manageable chronic condition, it fails to eradicate latent viral reservoirs in the central nervous system (CNS) that drive persistent neuroinflammation and synaptodendritic injury. Consequently, people living with human immunodeficiency virus type-1 (HIV-1) often utilize cannabis to manage neurological symptoms, yet the long-term impact of exogenous cannabinoids on the HIV-1-burdened brain remains poorly understood. In this study, we utilize…
Evaluating the in vivo effects of Aspirin on vaginal inflammation and barrier function.
Frontiers in immunology · 2026 · PMID 42835080
Inflammation is an important component of protective immunity in the lower female genital tract but must be tightly regulated to limit host tissue damage. In this study, we evaluated the in vivo potential of the anti-inflammatory drug Acetylsalicylic Acid (ASA) to lower proinflammatory cytokine production, restore vaginal barrier integrity and reduce the frequency of activated T cells that serve as targets for HIV infection. Daily intraperitoneal administration of ASA in mice had no effect on epithelial layer struc…
Nonpathogenic SIV Infection in Sooty Mangabeys Is Characterized by a Lack of Activation and Expansion of Monocytes.
Journal of medical primatology · 2026 · PMID 42596509
INTRODUCTION: Natural hosts of simian immunodeficiency virus (SIV), including sooty mangabeys (SMs), maintain high viremia without progressing to AIDS and AIDS-associated histopathogenesis. The mechanisms underlying this protection and lack of pathogenesis remain incompletely understood, particularly in relation to monocyte/macrophage activation. METHODS: Plasma soluble CD163 (sCD163), monocyte CD163 expression, and monocyte subset phenotypes were quantified in uninfected and naturally SIV-infected SMs and compared…
The evolution of tecovirimat resistance in an immunocompromised individual with severe mpox infection.
Diagnostic microbiology and infectious disease · 2026 · PMID 42497630
Tecovirimat is widely used for severe mpox, but resistance is increasingly reported, particularly in immunocompromised hosts. We describe a case of persistent clade IIb mpox in a 43-year-old man with advanced HIV (CD4 23 cells/µL) and disseminated necrotising disease. Despite prolonged tecovirimat therapy, lesions progressed. Serial viral isolates (n=8) obtained over 45 days underwent phenotypic susceptibility testing and whole-genome sequencing. Tecovirimat susceptibility declined markedly, with a ∼3 log10 increas…
Comparison of oral and gut microbiome highlights the role of oral bacteria in systemic inflammation in HIV.
mSphere · 2026 · PMID 42831655
UNLABELLED: Chronic HIV-1 infection is associated with increased inflammation-related comorbidities, despite effective viral suppression with antiretroviral therapy. While the role of the gut microbiome in inflammation is well studied, the contribution of the oral microbiome remains less clear. This study investigates the relationship between the oral and gut microbiomes in driving systemic inflammation in persons with HIV. This cross-sectional study utilized archived samples from 198 participants (99 with HIV and …
Deubiquitinase USP8 inhibits HIV-1 replication by suppressing Tat-mediated viral transactivation.
Journal of virology · 2026 · PMID 42803586
Ubiquitin-specific proteases (USPs) modulate diverse virus-host interaction events through deubiquitination; thus, investigating their functional roles and molecular targets facilitates the interpretation of viral pathogenic mechanisms and informs the design of anti-virus strategies. The deubiquitinase USP8 has been reported to antagonize HIV-1 replication by reversing Vif-mediated ubiquitination of the host restriction factor A3G and shielding it from proteasomal degradation. Here, we identify an additional A3G-in…
Antiretroviral drug dolutegravir induces inflammation at the mouse brain barriers.
FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024 · PMID 38982638
Integrase strand transfer inhibitors (INSTIs) based antiretroviral therapy (ART) is currently used as first-line regimen to treat HIV infection. Despite its high efficacy and barrier to resistance, ART-associated neuropsychiatric adverse effects remain a major concern. Recent studies have identified a potential interaction between the INSTI, dolutegravir (DTG), and folate transport pathways at the placental barrier. We hypothesized that such interactions could also occur at the two major blood-brain interfaces: blo…
Promising Experimental Therapies64 records
A Systematic Review of Quantitative Health Preference Methods to Support Value Clarification and Shared Decision Making: A Report of an ISPOR Special Interest Group.
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026 · PMID 42000134
OBJECTIVES: This study aimed to explore the design and outcomes of preference-based value clarification methods (Pb-VCMs) used in the context of supporting patients' clinical decision making to understand whether guidance is used in Pb-VCM development and which Pb-VCM is most effective. METHODS: In April of 2023, PubMed, Scopus, and Web of Science were searched for studies reporting the development and/or evaluation of Pb-VCMs without restrictions on publication date. Two reviewers independently extracted data incl…
Bridging Pedagogy and Technology: A Systematic Literature Review on Inquiry-Collaborative Models Assisted with Virtual Laboratory in Physics Education.
F1000Research · 2026 · PMID 42928776
BACKGROUND: Virtual laboratories have become a standard infrastructure in physics teaching, yet their pedagogical value depends on the learning model that frames them. Inquiry and collaborative learning are routinely invoked together, but no synthesis has treated them as the joint pedagogical framework for virtual laboratories in physics education or examined how the three are configured in practice. METHODS: Scopus was searched on July 9, 2026, for English-language journal articles published between 2017 and 2026,…
Integrating smoking cessation into HIV care settings: A systematic review and meta-analysis of effectiveness and the evidence gap in cost-effectiveness.
PloS one · 2026 · PMID 42531253
The prevalence of smoking among people living with HIV (PLWH) is higher than in the general population, and PLWH who smoke are at increased risk of both smoking- and HIV-related comorbidities. As most PLWH reside in low- and middle-income countries (LMICs), there is a need for effective and cost-effective smoking cessation interventions in resource-constrained settings. We systematically reviewed and meta-analyzed the effectiveness of smoking cessation interventions for PLWH and looked for economic evaluations. Fou…
Implementation of therapeutic adherence in adult patients diagnosed with the Human Immunodeficiency Virus: A systematic review.
Patient education and counseling · 2026 · PMID 42155336
OBJECTIVES: To systematically map and summarize the available knowledge on interventions that promote medication adherence among adult HIV patients and to describe the current state of the art regarding the impact of these interventions on clinical and psychosocial outcomes. METHODS: A systematic search was conducted and two researchers screened eligible studies independently. The Joanna Briggs Institute Quality Appraisal for Randomized Controlled Trials, Cross-Sectional Studies, and Quasi-Experimental Studies were…
Safety and immunogenicity of one or two doses of the rVSVΔG-ZEBOV-GP Ebola virus vaccine in adults and adolescents living with HIV: a phase 2, multicentre, double-blind, randomised, placebo-controlled trial.
The lancet. HIV · 2026 · PMID 42567171
BACKGROUND: A single dose of the replication-competent rVSVΔG-ZEBOV-GP vaccine is recommended by the WHO Strategic Advisory Group of Experts on Immunization during Ebola virus disease outbreaks. We aimed to assess the immunogenicity, safety, and tolerability of this vaccine in adults and adolescents with HIV. METHODS: In this phase 2, multicentre, double-blind, randomised, placebo-controlled trial, we enrolled participants aged 13-70 years who had laboratory-confirmed HIV infection, were on antiretroviral therapy (…
Islatravir distribution in plasma, peripheral blood mononuclear cells, and mucosal tissues after monthly oral dosing.
AIDS (London, England) · 2026 · PMID 41789892
OBJECTIVE: Islatravir is a nucleoside reverse transcriptase translocation inhibitor (NRTTI) under development for HIV-1 treatment. We aimed to evaluate the pharmacokinetics (PK) of islatravir and its active form, islatravir-triphosphate, in blood and mucosal tissues. DESIGN: This was an exploratory substudy of a randomized, double-blind, placebo-controlled, multicenter, Phase 2a study of once-monthly islatravir in adults at low likelihood of HIV-1 exposure (NCT04003103). METHODS: Participants were randomly assigned…
[Cochlear implantation in Ménière's disease].
HNO · 2026 · PMID 41644838
Menière's disease is a chronic inner ear disorder characterized by recurrent vertigo attacks, tinnitus, and fluctuating hearing loss, which may progress to severe sensorineural hearing impairment in a subset of patients. Since 2015, international consensus criteria distinguish between definite and probable disease. Current therapeutic strategies follow a stepwise approach, ranging from non-ablative to ablative interventions. Cochlear implantation (CI) has emerged as an effective option for auditory rehabilitation a…
Week 96 resistance analysis in participants receiving bictegravir/lenacapavir in the phase 2 ARTISTRY-1 study.
Antiviral therapy · 2026 · PMID 42627157
BackgroundARTISTRY-1 is an ongoing Phase 2/3 study evaluating the safety and efficacy of once-daily oral bictegravir (BIC) + lenacapavir (LEN) in virologically suppressed (VS; HIV-1 RNA <50 copies/mL) participants on complex antiretroviral (ARV) regimens. Here, we report Week 96 extension-phase data after transition to BIC/LEN single-tablet regimen (STR).MethodsParticipants without known integrase strand-transfer inhibitor (INSTI) resistance were randomized (2:2:1) to BIC + LEN (75mg + 25mg or 75mg + 50mg) or stabl…
Efficacy and safety of switching to once-daily oral doravirine plus raltegravir in virologically suppressed people with HIV-1: a randomized, open-label, multicentre phase 2 study (DORAL).
The Journal of antimicrobial chemotherapy · 2026 · PMID 42841932
BACKGROUND: We evaluated the efficacy and safety of a once-daily oral two-drug regimen (2DR) combining doravirine and raltegravir in virologically suppressed people with HIV (PWH). METHODS: DORAL is a multicentre, open-label, randomized phase II trial conducted in France, Italy, and Spain. Virologically suppressed adults receiving stable antiretroviral therapy (ART), naïve to doravirine and without raltegravir resistance, were randomized (2:1) either to switch immediately to doravirine (100 mg) plus raltegravir (12…
Resistance Analysis of Weekly Islatravir Plus Lenacapavir in People With HIV at 48 Weeks.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41885130
BACKGROUND: Islatravir (ISL), a nucleoside reverse transcriptase translocation inhibitor, and lenacapavir (LEN), a capsid inhibitor, have pharmacokinetic profiles supporting once-weekly (QW) oral dosing. In a phase 2 study, QW ISL + LEN maintained a high rate (94.2%) of viral suppression (VS; HIV-1 RNA <50 copies/mL) at week 48. We report resistance analyses through week 48. METHODS: Virologically suppressed participants received ISL (2 mg QW) plus LEN (600 mg days 1 + 2, then 300 mg QW; n = 52) or once-daily bicte…
Safety and Immunogenicity of a PD-1-Enhanced HIV-1 Therapeutic DNA Vaccine: A Randomized, Double-Blind, Placebo-Controlled, Dose-Escalating Phase I Clinical Trial in People With HIV-1 on Antiretroviral Therapy.
The Journal of infectious diseases · 2026 · PMID 42446368
BACKGROUND: Therapeutic vaccines represent a potential strategy for HIV-1 control without antiretroviral therapy (ART). We report a first-in-human study on ICVAX™, a PD-1-enhanced HIV-1 therapeutic DNA vaccine. METHODS: This NMPA-approved, randomized, double-blind, placebo-controlled, dose-escalation phase I trial (NCT06253533) was conducted at Shenzhen Third People's Hospital, China. Adults with HIV-1 aged 18-50 years on ART were sequentially allocated to 1, 2, or 4 mg dose groups of 15, each randomized 12:3 to IC…
The impact of male circumcision on risk of HIV infection in sub-Saharan Africa: a household fixed-effects analysis of 279,351 men from 29 countries.
Frontiers in public health · 2026 · PMID 42871344
INTRODUCTION: While voluntary medical male circumcision (VMMC) reduces the individual-level risk of HIV acquisition by approximately 60% in randomised-controlled trials, little is known about the 'real-world' long-term effect of medical and traditional male circumcision on the cumulative risk of HIV infection. We estimate the association between these for the first time using a quasi-experimental study design-a household fixed-effects analysis-for sub-Saharan Africa, the global region with the largest HIV burden. M…
Football-Specific Performance and Cognitive Fatigue Resistance Following Supplementation with Two Phosphatidylserine Doses Combined with Taurine and Caffeine in Professional Male Football Players: A Randomized, Triple-Masked, Placebo-Controlled Trial.
Nutrients · 2026 · PMID 42654170
BACKGROUND/OBJECTIVES: Cognitive fatigue and impaired psychomotor function may contribute to reductions in football-specific performance during prolonged match-like activity. This study evaluated cognitive, psychomotor, sprint, and football-specific locomotor responses to multi-ingredient protocols containing taurine, caffeine, and either 300 or 600 mg·day-1 of phosphatidylserine in professional male football players. METHODS: In this randomized, triple-masked, placebo-controlled, parallel-group trial, 97 professio…
Safety, Pharmacokinetics, and Pharmacodynamics of Single-Dose Programmed Cell Death Protein 1 Inhibitor, Budigalimab, in People With HIV-1 With Antiretroviral Therapy-Suppressed Viral Load.
The Journal of infectious diseases · 2026 · PMID 41955081
BACKGROUND: Blockade of inhibitory immune checkpoint receptor programmed cell death protein 1 (PD-1) on target immune cells is associated with improved HIV-specific immune function and activation of latent HIV. This randomized, placebo-controlled, Phase 1b study assessed low doses of investigational anti-PD-1 monoclonal antibody, budigalimab, for safety, tolerability, pharmacokinetics, and pharmacodynamics in people with HIV (PWH) on antiretroviral therapy. METHODS: Participants received single doses of budigalimab…
Could creatine supplementation combined with physical rehabilitation accelerate return to play in athletes with patellar tendinopathy?
Journal of the International Society of Sports Nutrition · 2026 · PMID 42730713
BACKGROUND: Several dietary supplements have been proposed to positively influence the rehabilitation process following injury. However, to date, no studies have specifically examined the effects of scientifically supported ergogenic aids on recovery outcomes when combined with physical performance interventions. Therefore, the aim of this study was to analyze the ergogenic effects of creatine supplementation on neuromuscular performance, tendon thickness, pain, and body composition in athletes diagnosed with patel…
Impact of a clinical pathway-based antimicrobial stewardship program on surgical antibiotic prophylaxis in pediatric surgery: An uncontrolled pre-post quasi-experimental study.
American journal of infection control · 2026 · PMID 42276231
BACKGROUND: Pediatric surgical antibiotic prophylaxis (SAP) is often inappropriate and contributes to avoidable antimicrobial exposure. We evaluated whether a clinical pathway-based antimicrobial stewardship program improved pediatric SAP appropriateness. METHODS: In this single-center uncontrolled pre-post quasi-experimental study in a tertiary pediatric hospital in Tehran, Iran, clean or clean-contaminated procedures were screened before and after implementation. Overall appropriate SAP was assessed among all eli…
Safety and pharmacokinetics of CL-197, a potent compound with low cytotoxicity against HIV-1: a randomized, double-blind, placebo-controlled, first-in-human phase 1 clinical trial.
Antimicrobial agents and chemotherapy · 2026 · PMID 42695945
HIV infection remains a critical global public health concern. A potential long-acting therapeutic agent, 4'-ethynyl-2-fluoroadenosine analog 1c (CL-197), was investigated in a first-in-human phase 1 clinical trial. This single-center, randomized, double-blind, dose-escalation, placebo-controlled study assessed the safety and pharmacokinetics (PKs) of five doses of CL-197 (1, 10, 30, 60, and 100 mg) in healthy adults aged 18-45 years. The 1 mg group was open-label (n = 4), while the other groups were randomized 4:1…
Renal function in African women receiving tenofovir disoproxil fumarate as pre-exposure prophylaxis for HIV during pregnancy and postpartum: A postpartum safety analysis in the CAP016 randomized control trial.
HIV medicine · 2026 · PMID 42141514
BACKGROUND: The effect of tenofovir disoproxil fumarate (TDF) when used as pre-exposure prophylaxis (PrEP) on renal function in pregnant and postpartum women is understudied. An open-label clinical trial (CAP016 study) was designed to examine the safety of TDF-PrEP use during pregnancy and breastfeeding. METHODS: Women were randomized (1:1) to either initiate PrEP at enrolment in pregnancy (Immediate PrEP-IP) or initiate PrEP (Deferred PrEP-DP) at the time of breastfeeding cessation. We compared changes in creatini…
Physiological and Placebo Effects of Beetroot Juice in Virtual Cycling Using the Balanced Placebo Design.
Research quarterly for exercise and sport · 2026 · PMID 41886769
The physiological and placebo effects of beetroot juice remain unclear in settings outside traditional laboratory environments. Using a randomized, between-participant balanced placebo design, we asked 67 trained cyclists to complete 20-min time-trials on a virtual cycling platform with the ingestion of either beetroot juice or placebo (~552 or ~0.2 mg nitrate, respectively). After completing baseline trials, participants were randomized to one of four experimental groups: 1) informed beetroot juice/given beetroot …
Safety and immunogenicity of inactivated human Rotavirus vaccine in young children and infants: a randomized, placebo-controlled, double-blind, phase I clinical trial.
Nature communications · 2026 · PMID 42733081
Inactivated rotavirus vaccines (IRV) are an effective approach for providing protection against the virus. This double-blind, randomised, placebo-controlled, dose-escalation phase I trial evaluated the safety and immunogenicity of IRV in 288 healthy children aged 2-71 months without prior rotavirus vaccination or HIV infection. We stratified participants by age (7-71 months and 2-6 months) and schedule (2 or 3 doses), before randomising them 3:1 to receive one of three antigen doses (80, 160, or 320 ELISA Unit [EU]…
Caffeinated chewing gum improves military performances in special forces soldiers.
European journal of applied physiology · 2026 · PMID 42142184
PURPOSE: The purpose of this study was to investigate the effects of caffeinated chewing gum on the cognitive tasks, strength and military performance of tier 1 special forces soldiers in Taiwan. METHODS: Sixteen male serving special forces soldiers (age: 34 ± 7 years; height: 172 ± 4 cm; BMI: 25.4 ± 2.7 kg/m²) completed the caffeinated chewing gum (CAF) trial and the placebo (PL) trial using a randomised crossover experimental design. After chewing the caffeinated chewing gum containing 3 mg·kg- 1 of caffeine (CAF…
An intravaginal ring for HIV pre-exposure prophylaxis: assessment of safety and pharmacokinetics in a randomized, placebo-controlled clinical trial.
Frontiers in cellular and infection microbiology · 2026 · PMID 42903070
INTRODUCTION: In Eastern and Southern Africa, 63% of new HIV infections occurred in women and girls, with adolescent girls and young women representing a particularly vulnerable subpopulation. Effective vaginal products for HIV prevention are desirable because they are underrepresented in the currently approved portfolio and have attributes motivating product use. In this trial, we evaluated an innovative intravaginal ring (pod-IVR) as a platform for HIV pre-exposure prophylaxis (PrEP). OBJECTIVE: To measure the sa…
Effects of Acute Caffeine Ingestion on Morning Strength, Power and Repeated Sprint Measures in Males: A Standardized Approach.
Nutrients · 2026 · PMID 42588165
BACKGROUND/OBJECTIVES: Repeated sprint performance is typically reduced during the morning because of circadian-related changes in physiological function and muscle strength. Acute caffeine supplementation may attenuate these decrements; however, evidence remains inconsistent. This is partly because of inadequate control of chronobiological and methodological confounders. This study investigated the effects of acute morning caffeine ingestion on repeated sprint performance, physiological responses, strength, power …
Participant experiences of stopping ART as part of a clinical trial; findings from a qualitative study within the RIO trial in the United Kingdom.
HIV research & clinical practice · 2026 · PMID 42826224
INTRODUCTION: Evaluation of the efficacy of immunotherapeutic strategies aimed at achieving durable antiretroviral treatment (ART)-free control within a clinical trial relies on analytical treatment interruptions (ATIs). ATIs involve stopping ART to assess post-intervention efficacy with frequent viral load monitoring. These trials rely on participant commitment but also involve uncertainty about the timing and experience of viral rebound, transmission risk, and impacts on personal and sexual relationships. Underst…
The effect of metformin on the pharmacokinetics of rifampicin, isoniazid, and pyrazinamide in adults with tuberculosis.
Antimicrobial agents and chemotherapy · 2026 · PMID 42560062
Metformin is under investigation as adjunctive host-directed therapy for tuberculosis (TB), which might interact with first-line TB treatment. We used population pharmacokinetic modeling to assess whether metformin alters first-line TB-drug pharmacokinetics in HIV/TB-coinfected adults without diabetes. Rifampicin, isoniazid, and pyrazinamide pharmacokinetics were investigated in participants from a randomized clinical trial of adjunctive metformin (500 mg twice daily to week 12) in adults starting HIV-associated TB…
Prospective Cohort Studies92 records
Programmatic effectiveness of tuberculosis preventive treatment for people with HIV in six high-tuberculosis-burden countries (PROTECT): a prospective cohort study and meta-analysis.
The lancet. HIV · 2026 · PMID 42607703
BACKGROUND: In randomised clinical trials (RCTs), tuberculosis preventive treatment (TPT) reduced tuberculosis incidence and mortality among people with HIV; however, real-world impact has not been evaluated since antiretroviral therapy (ART) was expanded to all people with HIV regardless of CD4 cell count. This study aimed to determine the programmatic effectiveness of TPT on reducing tuberculosis incidence and all-cause mortality among people with HIV initiating ART. METHODS: This prospective cohort study emulate…
Exploring the relationship between HIV Testing frequency and sexual behavior, prevention prophylaxis use among MSM in Southern China.
PloS one · 2026 · PMID 42809564
AIM: This study aimed to explore the association between HIV testing trajectories, sexual behavior characteristics and HIV exposure prevention prophylaxis use, to provide a basis for developing more precise HIV prevention strategies. STUDY DESIGN: This analysis utilized pseudonymized data from a three-arm, open-label randomized controlled trial (RCT) conducted in Guangxi, China, between 2021 and 2023. METHODS: This prospective cohort study enrolled 327 participants from southern China. Longitudinal data-including H…
Exploring methods of improving patient understanding and communication in a complex anal fistula clinic: results from a randomized controlled feasibility study.
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024 · PMID 38235831
AIM: Patient understanding of disease can guide decision-making in the management of anal fistula. This prospective feasibility study aimed to assess the acceptability and methods of assessing the impact of viewing realistic models on patients with anal fistula. METHODS: New referrals to a tertiary clinic participated in this single-centre, parallel-group randomized controlled study. Baseline characteristics, Decisional Conflict Scale and understanding of disease were assessed pre-consultation. Participants were ra…
Development of HOPES Intervention for a Randomized Controlled Trial to Reduce the Perceived Stigma Among Women Living With HIV/AIDS in China.
AIDS education and prevention : official publication of the International Society for AIDS Education · 2026 · PMID 42841860
We developed and pilot-tested HOPES, the first theory-driven, culturally grounded mHealth program to reduce HIV-related stigma among Chinese women living with HIV/AIDS (WLWHA). Guided by the updated MRC framework, we synthesized a scoping review, 30 phenomenological interviews and multidisciplinary consultations, then co-created 12 weekly microdramas with 32 WLWHA from Yunnan/Henan that embed cultural motifs of face, family honor, and collectivism; content was delivered through an encrypted WeChat mini-program unde…
Local anaesthetic for pain post rubber band ligation of haemorrhoids: a prospective, single-blinded randomised controlled trial.
Techniques in coloproctology · 2023 · PMID 36856913
BACKGROUND: Rubber band ligation (RBL) is a widely accepted intervention for the treatment of haemorrhoids. However, post procedure pain is a common complaint. The aim of this study was to determine whether the addition of local anaesthetic (LA) to the haemorrhoid pedicle base, post RBL, aids in reducing early post-procedure pain. Additionally, to compare perceived perianal numbness, oral analgesia usage and total consumption, and adverse events. METHODS: This study was a prospective, single-blinded randomised cont…
'Implanting' knowledge - how best to aid patient understanding and retention of information regarding peri-implantitis.
Evidence-based dentistry · 2022 · PMID 35750731
Aims The study primarily assessed the efficacy of different communication methods on patients' comprehension and recall of knowledge relating to peri-implantitis. Secondarily, the study assessed the effect of different communication methods on patients' beliefs in line with the health belief model.Design A prospective randomised controlled trialMethods Ninety-nine patients with a diagnosis of peri-implantitis were recruited over 25 months. They were randomly allocated to one of three arms of the trial. Group one wa…
Death after discharge among children living with HIV admitted with suspected sepsis in Uganda: A secondary analysis of two prospective observational studies.
HIV medicine · 2026 · PMID 42394347
BACKGROUND: Children living with HIV in low-income countries contribute disproportionately to death after hospital discharge. This study investigates the effect of HIV on post-discharge mortality and readmission by exploring a wide range of clinical, maternal and socioeconomic variables. METHODS: A secondary analysis of children under 5 years old admitted with suspected sepsis. Participants were enrolled from two multisite observational studies conducted from 2012 to 2013 and 2017 to 2020 across six hospitals in Ug…
Predictors of Liver Steatosis Progression Among People Living With HIV in Low- and Middle-Income Countries: A Multicentre Longitudinal Study.
Journal of the International AIDS Society · 2026 · PMID 42809364
INTRODUCTION: Liver steatosis is increasingly recognized as a major comorbidity in people living with HIV (PLWH), with growing evidence suggesting an increased risk of progression to advanced liver disease. We assessed predictors of liver steatosis progression over 36 months in PLWH from low- and middle-income countries. METHODS: Between 2020 and 2023, we enrolled PLWH aged ≥40 years who had been on antiretroviral therapy (ART) for ≥6 months at nine HIV clinics in the IeDEA Sentinel Research Network (SRN) across th…
Relationship between immunosuppression and intensive care unit-acquired colonization and infection related to multidrug-resistant bacteria: a prospective multicenter cohort study.
Intensive care medicine · 2023 · PMID 36592202
PURPOSE: The impact of immunosuppression on intensive care unit (ICU)-acquired colonization and infection related to multidrug-resistant (MDR) bacteria (ICU-MDR-col and ICU-MDR-inf, respectively) is unknown. METHODS: We carried out an observational prospective cohort study in 8 ICUs in France (all with single-bed rooms and similar organizational characteristics). All consecutive patients with an ICU stay > 48 h were included, regardless of immune status, and followed for 28 days. Patients underwent systematic scree…
mRNA-1273 SARS-CoV-2 vaccination in people with HIV: an immune correlates analysis of CD4 + T cell responses in the multicenter CoVPN 3008 observational study.
Nature communications · 2026 · PMID 42946742
T cell correlates of COVID-19 risk are poorly defined, particularly in people with HIV (PWH). CoVPN 3008 ( NCT05168813 ) Part A was a prospective 14,002-participant cohort study that administered one or two doses of mRNA-1273 COVID-19 vaccine, depending on baseline SARS-CoV-2 serostatus, in participants (83% PWH) in sub-Saharan Africa. Participants self-monitored for prespecified COVID-19 symptoms, defined by Centers for Disease Control and Prevention symptom criteria. Previous work showed that protection from COVI…
Plasma dolutegravir exposure testing to identify people with HIV at highest risk for dolutegravir resistance (ITREMA-2): a two-centre, prospective implementation study in South Africa.
The lancet. HIV · 2026 · PMID 42685737
BACKGROUND: Dolutegravir resistance is increasingly reported in treatment-experienced people with HIV in low-income and middle-income countries. Resistance testing resources are sparse, and viral rebound often reflects adherence lapses rather than resistance. Efficient strategies are needed to target testing to individuals at highest risk. We evaluated a reflex laboratory approach using plasma dolutegravir exposure to guide resistance testing in routine care. METHODS: In this prospective implementation study at two…
CABO-CHANCE study: A real-life world study of cabotegravir plus rilpivirine long-acting intramuscular in ART-experienced people with HIV.
International journal of antimicrobial agents · 2026 · PMID 42409127
BACKGROUND: This study of people with HIV (PWH) receiving CAB + RPV LAI evaluated its effectiveness, safety, and impact on inflammatory markers, body fat/lean mass distributions, quality of life, sleep, health satisfaction, and stigma experience over 1 y. METHODS: A prospective, longitudinal, multicentre study was conducted in 15 hospitals and enrolled between June 2023 and January 2024. It included virologically suppressed PWH (HIV-1 RNA <50 c/mL for ≥6 months) switched from oral antiretroviral therapy to CAB + RP…
Tolerability and Virologic Outcomes after Transition from Long-Acting Injectable ART to Oral ART.
AIDS patient care and STDs · 2026 · PMID 42728773
The tolerability of oral antiretroviral therapy (ART) administered after discontinuation of long-acting injectable (LAI) cabotegravir (CAB) + rilpivirine (RPV), during the period of residual injectables persistence, has not been described. Limited data are available on the oral ART regimens used after all-cause LAI discontinuations and on their effectiveness. This analysis was conducted in Surveillance Cohort Long-Term Toxicity of Antiretrovirals, an active, multicenter, prospective, observational pharmacovigilance…
Heterogeneity of baseline immune activation and SARS-CoV-2 vaccine responses in people with HIV: a multicenter prospective study.
AIDS (London, England) · 2026 · PMID 42227026
OBJECTIVE: The aim of this study was to determine whether baseline immune activation and inflammation contribute to heterogeneity in SARS-CoV-2 vaccine-induced immunity in antiretroviral therapy (ART)-treated people with HIV (PWH) compared to controls. METHODS: In this multicenter prospective study, 159 ART-treated PWH from two cohorts and 56 HIV-negative controls were enrolled. The two PWH cohorts differed in immunovirological control: one showed sustained viral suppression and CD4 + T-cell recovery, the other per…
Vascular risk drives cognitive decline over 10 years in people aging with well controlled HIV.
AIDS (London, England) · 2026 · PMID 42412399
OBJECTIVE: To characterize long-term cognitive trajectories in adults aging with well controlled HIV and identify baseline predictors of cognitive decline. DESIGN: Prospective, multicenter longitudinal cohort study with repeated cognitive assessments for up to 10 years. METHODS: Positive Brain Health Now enrolled HIV+ adults aged ≥35 years without dementia and followed at 9-12-month intervals across two study phases (2013-2018; 2019-2024). Cognitive performance was assessed using the Brief Cognitive Ability Measure…
Associations of atherogenic index of plasma and its related obesity‑composite indices with cardiometabolic multimorbidity across glycemic states: A prospective cohort study of Chinese middle‑aged and older adults.
Diabetes research and clinical practice · 2026 · PMID 42710548
AIMS: To investigate associations of atherogenic index of plasma (AIP) and seven obesity-composite indices with cardiometabolic multimorbidity (CMM) across glycemic states. METHODS: We included 7,974 participants from the China Health and Retirement Longitudinal Study (CHARLS). Cox regression, restricted cubic splines (RCS), receiver operating characteristic (ROC) analyses, net reclassification improvement (NRI), and integrated discrimination improvement (IDI) assessed associations and incremental predictive value …
A US-Based National Virtual Cohort of People Living With HIV at Risk for Viral Nonsuppression: Protocol for the EPI-LoVE Prospective Cohort Study.
JMIR research protocols · 2026 · PMID 42842829
BACKGROUND: Despite advances in HIV treatment, many people living with HIV fail to achieve or maintain viral suppression. Individuals who experience interruptions in HIV care, adherence challenges, and viral nonsuppression are often underrepresented in clinic-based cohort studies. Virtual cohort methodologies offer opportunities to recruit, engage, and retain these populations while integrating longitudinal behavioral, biomarker, and digital engagement data needed to characterize dynamic changes in HIV care engagem…
Psychosocial vulnerabilities and loss to follow-up in people living with HIV in France.
HIV medicine · 2026 · PMID 42593250
BACKGROUND: Migration status is consistently associated with a higher risk of loss to follow-up (LTFU). We investigated how sex, sexual orientation and social vulnerabilities affect the association between migration status and LTFU for hospital care in people living with HIV, using data from the ANRS CO9-COPANA cohort linked to the nationwide French hospital database on HIV (ANRS CO4-FHDH). METHODS: The COPANA prospective cohort enrolled antiretroviral drug-naïve adults newly diagnosed with HIV-1 between 2004 and 2…
Lung and abdominal ultrasound accuracy for tuberculosis: An Indian prospective cohort study.
PloS one · 2025 · PMID 40901833
BACKGROUND: Tuberculosis (TB) diagnosis remains a challenge, particularly in low-resource settings. Point-of-care ultrasound (POCUS) has shown promise, but most studies focus on HIV-infected populations. In the case of TB, data on lung ultrasound (LUS) are sparse. Therefore, this study evaluates the diagnostic accuracy of lung and abdominal ultrasound for TB diagnosis in an Indian tertiary care hospital. METHODS: We prospectively enrolled adults with presumed TB and performed comprehensive ultrasound assessments. A…
Morbidity patterns and survival among children living with HIV and HIV-exposed uninfected children in North Karnataka, India: a community-based prospective cohort study.
Frontiers in public health · 2026 · PMID 42890862
BACKGROUND: Children living with HIV (CLHIV) continue to face high rates of infection and morbidity despite improved ART coverage. This study aimed to (i) compare the prevalence and factors associated with acute morbidities between CLHIV and HIV-exposed uninfected children (HEUC) and (ii) estimate survival probabilities over a two-year follow-up period in a community-based cohort from North Karnataka. MATERIALS AND METHODS: This prospective cohort study was conducted in Belagavi district. Data were collected over e…
Analytical description of adverse events with long-acting injectable cabotegravir and rilpivirine in people living with HIV: a large multicentre prospective observational cohort study (SCOLTA).
HIV research & clinical practice · 2026 · PMID 42765669
INTRODUCTION: Long-acting injectable cabotegravir plus rilpivirine (LA CAB+RPV) is a highly effective, well-tolerated antiretroviral regimen, but real-world adverse event (AE) data remain limited. We characterised the type and frequency of AEs associated with LA CAB+RPV in people with HIV in routine clinical practice. METHODS: This multicentre, prospective, observational study (SCOLTA project, Italy) enrolled people with HIV initiating LA CAB+RPV. Clinical characteristics, AEs and discontinuations were systematical…
Distance from low-density lipoprotein cholesterol targets across cardiovascular risk strata in people living with HIV: A multicentre cohort study.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 42431541
INTRODUCTION: Previous studies have described the gap between statin indication and prescription among people living with HIV (PLWH) using binary measures, which fail to capture the magnitude of residual lipid burden. OBJECTIVES: To quantify lipid burden in PLWH by measuring the distance from recommended LDL-cholesterol (LDL-C) targets ("LDL-C excess") across cardiovascular risk categories. DESIGN: Multicentre, nationwide, prospective cohort study. METHODS: We analysed data from 2,190 PLWH enrolled in the SCOLTA co…
Empiric tuberculosis treatment and 12-month mortality among sputum GeneXpert-negative adults living with HIV in Uganda in the era of widespread antiretroviral therapy: A prospective cohort study.
PloS one · 2026 · PMID 42709757
BACKGROUND: In sub-Saharan Africa where both tuberculosis (TB) and HIV are prevalent, empiric TB treatment in people living with HIV (PLHIV) persists due to limited sensitivity of sputum-based TB tests. We evaluated mortality among molecular test-negative presumptive TB adult PLHIV in a population with widespread antiretroviral therapy (ART) coverage, comparing those empirically treated and not treated for TB. MATERIALS AND METHODS: From November 2017 to December 2020, Xpert-negative adult PLHIV were recruited at M…
Response times from gap detection threshold testing relate to cognitive processing speed in young adults.
Neuroscience · 2026 · PMID 42398888
OBJECTIVE: In addition to a gap detection threshold, an auditory gap detection task also provides information on response time. This study investigated the association of response time from an adaptive gap detection task with two validated measures of cognitive processing speed as well as scores from a cognitive screener, while accounting for the effects of age, peripheral hearing ability, and HIV status. DESIGN: Participants (age 17-45 years) were from a prospective cohort study in Dar es Salaam, Tanzania with nor…
Rapid antiretroviral therapy initiation is associated with improved early retention in care and accelerates viral suppression among individuals newly diagnosed with HIV.
AIDS care · 2026 · PMID 42657525
Successful human immunodeficiency virus (HIV) treatment may depend on early linkage to care to sustain retention. This study evaluated whether rapid initiation of antiretroviral therapy (ART) improves retention in care and accelerates viral suppression among individuals newly diagnosed with HIV at a Ryan White-funded clinic. This prospective cohort study included treatment-naïve adults diagnosed with HIV between 2021 and 2023. Participants were classified into rapid and non-rapid ART groups based on timing of prese…
Quality Of Life70 records
Assistive technologies (lumbar supports and other devices) for treating chronic low back pain.
The Cochrane database of systematic reviews · 2026 · PMID 42680183
RATIONALE: Low back pain (LBP) is a major global health problem. It is the most common cause of activity limitation amongst individuals younger than 45 years, and one of the most frequent reasons for visits to a doctor. The 2019 Global Burden of Disease study named LBP as the leading cause of the need for rehabilitation, estimated to affect 568 million people. Its socioeconomic burden is substantial, with LBP-related costs from productivity loss and healthcare services utilisation making a significant impact on nat…
Surgical Reconstruction of Irreparable Hip Abductors With the Use of Allograft: A Systematic Review and Meta-analysis of Clinical Outcomes.
The Journal of the American Academy of Orthopaedic Surgeons · 2026 · PMID 41823157
BACKGROUND: Chronic hip abductor insufficiency remains a challenging problem to treat and can result in notable disability in some patients. The use of allograft has become an increasingly common option for surgical reconstruction. The purpose of this systematic review was to analyze the clinical outcomes, complications, and revisions rates of patients who underwent allograft reconstruction for irreparable hip abductor tears. METHODS: PubMed (MEDLINE), Scopus (EMBASE, MEDLINE, COMPENDEX), and Cochrane databases wer…
Physical activity interventions for cardiometabolic and psychosocial outcomes in people living with HIV in sub Saharan Africa: A systematic review.
PLOS global public health · 2026 · PMID 42804422
UNLABELLED: Antiretroviral therapy (ART) has extended the lifespan of people living with HIV (PWH), resulting in a growing burden of cardiometabolic disease (CMD) associated with chronic HIV infection and the effects of ART. Physical activity (PA) may reduce CMD risk while improving psychosocial health among PWH. We systematically reviewed the efficacy of PA interventions for improving cardiometabolic and psychosocial outcomes among PWH in sub-Saharan Africa (sSA). Web of Science, PubMed, African Index Medicus, Emb…
Acquired Single-Sided Deafness - Patients Prefer Invasive over Non-Invasive Hearing Solutions: A Systematic Review and Meta-analysis.
The Journal of laryngology and otology · 2026 · PMID 42929386
OBJECTIVE: To compare the effectiveness of implanted and non-implanted hearing solutions on subjective hearing disability and health-related quality of life in adults with acquired single-sided deafness. METHODS: This systematic review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines and was registered in the Prospective Register of Systematic Reviews. Multiple databases were searched from January 1965 to October 2025 for studies reporting patient-reported hearing disabi…
Shared Decision making aids in palliative care: A systematic review & meta-analysis of randomized controlled trials.
Palliative medicine · 2026 · PMID 42517466
BACKGROUND: Shared Decision Making in palliative care encompassing patient-clinician collaboration has shown potential for improved patient outcomes. However, the impact of decision aids intended to support palliative care decision making discussions across clinical care settings remains uncertain. AIM: To assess the impact of shared of decision aids on decision making, clinical outcomes, and quality of life for patients with palliative care needs and their caregivers. DESIGN: Systematic review and meta-analysis of…
Sleep Disturbances and Circadian Phase Delay in People Living with Human Immunodeficiency Virus (HIV): A Systematic Review.
International journal of molecular sciences · 2026 · PMID 42941957
Advances in HIV research and antiretroviral therapy (ART) have substantially increased life expectancy among people living with HIV (PLHIV). However, challenges affecting quality of life and alterations in daily physiological processes persist. Among the health dimensions most affected are sleep quality and circadian rhythms, resulting in significant biological alterations. The main objective of this study is to analyze the existing scientific evidence regarding the effects of HIV on sleep quality and on the alignm…
Economic Evaluations of Hearing Interventions in Older Adults: A Systematic Review of Evidence and Methods.
Advances in therapy · 2026 · PMID 42862436
INTRODUCTION: Age-related hearing loss is common among older adults and is associated with poorer quality of life, falls, cognitive and psychosocial consequences, and increased healthcare use. Hearing aids, cochlear implants and rehabilitation services may improve outcomes, but their economic value remains unclear. This systematic review assessed cost-effectiveness and cost-benefit evidence for hearing interventions in older adults and examined methods, assumptions and outcome measures used in the evaluations. METH…
Longitudinal effects of antiretroviral therapy on the oral microbiota in people living with HIV: A systematic review.
Acta microbiologica et immunologica Hungarica · 2026 · PMID 42319773
People living with HIV frequently experience oral microbial dysbiosis, contributing to oral disease burden and reduced quality of life. Although antiretroviral therapy (ART) effectively suppresses viral replication and promotes immune recovery, its longitudinal effects on the oral microbiota remain incompletely understood. This systematic review aimed to evaluate longitudinal changes in oral microbiota composition and diversity in people living with HIV before and after ART initiation. A systematic review was condu…
Challenges and Solutions in Delivering Preventive Periodontal Care to Older Adults in Community and Long-Term Residential Care Settings: A Scoping Review.
International journal of dentistry · 2026 · PMID 42812726
BACKGROUND: Preventive periodontal care is essential for older people in the community to reduce the risk of tooth loss, systemic diseases, and decreased quality of life. Despite its importance, older people in assisted living, home-based care (HBC), daycare, and other community settings face barriers to effective preventive periodontal care, including mobility, cognitive, and caregiver knowledge issues. Although these challenges are being recognized more and more, the evidence on barriers and solutions for deliver…
Developing and evaluating measurement instruments for intensive and high-acuity care: A practical six-step guide aligned with international measurement standards.
Australian critical care : official journal of the Confederation of Australian Critical Care Nurses · 2026 · PMID 42673737
INTRODUCTION: Clinical decisions in intensive care, emergency, and high-dependency settings depend on defensible measurement of patient outcomes, care processes, and staff and family experiences. Systematic reviews have found that most outcome instruments used in acute care and survivorship research lack adequate evidence for key measurement properties, limiting confidence in research synthesis and clinical translation. OBJECTIVES: The aim of this study was to provide a practical, six-step guide for developing and …
Pharmacological and Nonpharmacological Interventions to Address Insomnia Symptoms and Poor Sleep Quality Among People With HIV: Protocol for a Scoping Review.
JMIR research protocols · 2026 · PMID 42873550
BACKGROUND: HIV-related research has increasingly focused on addressing long-term comorbidities affecting health-related quality of life for people with HIV. Sleep-related conditions, such as insomnia, are highly prevalent among people with HIV and are associated with a variety of health challenges, including immune dysregulation, increased mental health burden, and reduced antiretroviral therapy adherence. Although there are several evidence-based pharmacological (eg, hypnotics) and nonpharmacological intervention…
The Architecture of Shared Decision-Making in Postmastectomy Breast Reconstruction: A Systematic Review of Concepts, Measures, and Clinical Realities.
Annals of surgical oncology · 2026 · PMID 42829411
BACKGROUND: Shared decision-making (SDM) is central to postmastectomy breast reconstruction (PMBR), yet its conceptualization, implementation, and evaluation remain heterogeneous. This study aimed to systematically synthesize the evidence on SDM processes, interventions, measurement approaches, and implementation in PMBR. METHODS: Following a preregistered protocol (OSF; https://osf.io/mu9hv ), we searched PubMed, Embase, Web of Science, Scopus, Trip, and Cochrane from inception to November 2025. Eligible studies i…
Barriers, limitations, and merits of mobility-enhancing devices among older adults and individuals with mobility impairments.
Disability and rehabilitation. Assistive technology · 2026 · PMID 42765896
PURPOSE: In older adults, mobility limitations cause functional decline, loss of independence, and reduced quality of life. Many mobility devices, walking aids, wheelchairs, wearables, and robotic technologies are designed to improve access, aid mobility, and enhance quality of life. This systematic review aims to systematically synthesise and critically evaluate the available evidence regarding mobility-enhancing assistive technologies. METHODS: Following PRISMA, PubMed, Scopus, and Embase were systematically sear…
Factors associated with quality of life among people living with HIV in Malaysia: a systematic review.
AIDS care · 2026 · PMID 42784845
Research on factors associated with quality of life (QoL) among people living with HIV (PLHIV) in Malaysia is reported to be fragmented and underexplored. In response, the current systematic review aimed to synthesise the existing evidence regarding factors associated with QoL among this population. A systematic search for studies in PubMed, MEDLINE, Scopus, APA PsycArticles, and CINAHL databases from inception up to 21 June 2026 was conducted. The inclusion criteria were original peer-reviewed papers, conducted wi…
Implementation of a Guideline-Based Preference Elicitation Tool to Enhance Shared Decision-Making in Supervised Exercise Therapy for Patients With Intermittent Claudication: A Multi-Methods Cluster Randomized Trial.
Physical therapy · 2026 · PMID 42878725
IMPORTANCE: Shared decision-making is not yet common practice in physical therapy, emphasizing the need for effective decision aids. A preference elicitation tool (PE-tool) was designed to complement supervised exercise therapy (SET) in intermittent claudication treatment. OBJECTIVE: Primarily, to assess the impact of implementing the PE-tool on patients' functional walking distance (FWD), maximal walking distance (MWD) and health-related quality of life (HRQoL) after 3 and 6 months. Secondarily, to assess the tool…
Effectiveness of Yoga-based guided meditation In Improving the quality of sleep in patients with coronary artery disease: The Yoga Nidra Trial.
American journal of preventive cardiology · 2027 · PMID 42893216
BACKGROUND: Poor sleep quality has emerged as a risk for coronary artery disease (CAD) and is also associated with poor prognosis and increased mortality. Sleep aids, among CAD patients, lead to increased heart failure, hospitalisation, and mortality. Yoga Nidra, a form of guided meditation, has been shown to improve sleep quality and duration. The aim of the study is to evaluate the adjunctive effect of Yoga Nidra on actigraphy-measured sleep quality parameters, psychological outcomes, and health-related quality o…
Influence of Infection Duration on Physical, Psychological, and Quality of Life Responses to Combined Training in People With HIV in Brazil: A Nonrandomized Clinical Trial Protocol From the CALM-HIV Study.
The Journal of the Association of Nurses in AIDS Care : JANAC · 2026 · PMID 42820493
Antiretroviral therapy (ART) has increased life expectancy for people with HIV (PWH), but prolonged infection and ART exposure contribute to early-onset sarcopenia, frailty, and metabolic dysfunction. Combined aerobic and strength training may mitigate these complications, although responses may vary according to clinical history. This clinical trial will include PWH aged 50 years and older, stratified by time since HIV diagnosis and ART exposure. Participants will be allocated to a 12-week, supervised, combined tr…
Reliability and validity of the Turkish translation of the MOS-HIV health survey in people living with HIV.
Frontiers in public health · 2026 · PMID 42903257
BACKGROUND: Health-related quality of life (HRQoL) is a key patient-centered outcome in HIV care, particularly in the current treatment era in which virological control is increasingly achievable but residual physical, mental, and social burden may persist. However, the clinical applicability of HIV-specific HRQoL instruments in Turkish-speaking people living with HIV (PLWH) remains insufficiently established. We aimed to characterize HRQoL in a multicenter Turkish sample of PLWH and to evaluate whether the Turkish…
Impact of bictegravir/emtricitabine/tenofovir alafenamide on health-related quality of life and economic outcomes in HIV care: Substudy of the BIC-NOW clinical trial.
PloS one · 2025 · PMID 40982450
BACKGROUND: The BICNOW clinical trial evaluated the effectiveness, safety, satisfaction, adherence to treatment, and retention in the system of a rapid initiation strategy with bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) in naïve HIV-infected individuals. It also assessed the burden of this infection on individuals and healthcare systems using various instruments, participant questionnaires, and pharmacoeconomic evaluations of this antiretroviral therapy (ART). This substudy focused on changes in …
CABO-CHANCE study: A real-life world study of cabotegravir plus rilpivirine long-acting intramuscular in ART-experienced people with HIV.
International journal of antimicrobial agents · 2026 · PMID 42409127
BACKGROUND: This study of people with HIV (PWH) receiving CAB + RPV LAI evaluated its effectiveness, safety, and impact on inflammatory markers, body fat/lean mass distributions, quality of life, sleep, health satisfaction, and stigma experience over 1 y. METHODS: A prospective, longitudinal, multicentre study was conducted in 15 hospitals and enrolled between June 2023 and January 2024. It included virologically suppressed PWH (HIV-1 RNA <50 c/mL for ≥6 months) switched from oral antiretroviral therapy to CAB + RP…
Patient-reported quality of life in people living with HIV in Romania: a cross-sectional PROM-based study.
HIV research & clinical practice · 2026 · PMID 42169383
BACKGROUND: In Romania, people living with HIV represent heterogeneous cohorts shaped by distinct epidemiological and social contexts. While antiretroviral therapy (ART) has markedly improved survival, quality-of-life (QoL) encompasses broader dimensions not fully captured by clinical indicators. Patient-reported outcome measures (PROMs) offer a valuable approach to understanding these dimensions in routine care. METHODS: We conducted a multicenter, cross-sectional study using the OCTAVE PROM to assess patient-repo…
A head-to-head comparison of health utilities and measurement properties of the EQ-5D-5L and SF-6Dv2 among people living with HIV in China.
Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026 · PMID 42717154
PURPOSE: To compare health utilities and measurement properties of the EQ-5D-5L and SF-6Dv2 among people living with HIV (PLHIV) in China, and to identify factors associated with utility values. METHODS: A multicenter cross-sectional survey was conducted among PLHIV in Shandong, Guangdong, and Sichuan provinces. Utilities were calculated using Chinese value sets. Ceiling/floor effects were evaluated. Convergent validity and agreement were assessed using Spearman's rank correlation, intraclass correlation coefficien…
Standing strong and tall-improving mobility and balance in older Aboriginal people through the Ironbark program.
Age and ageing · 2026 · PMID 42704260
BACKGROUND: Prevention of falls aids healthy ageing, but there are few Aboriginal-led and designed programs. OBJECTIVES: This study aimed to evaluate the effect of Ironbark, an Aboriginal co-designed fall prevention program, on functional mobility, a key indicator of falls. METHODS: This controlled pre-post study was conducted in organisations delivering services to Aboriginal people aged 45 years and older in New South Wales and Western Australia. A co-designed fall prevention program incorporating exercises and y…
Structural associations between health insurance and mental well-being among people living with HIV: a multi-method analysis.
International journal for equity in health · 2026 · PMID 42919284
BACKGROUND: In the post-antiretroviral therapy (ART) era, HIV care has shifted towards maximizing multidimensional Health-Related Quality of Life (HRQoL), yet a "clinical-social disconnect" persists among virally suppressed patients. This study investigates the structural associations between institutional health insurance tiers and mental well-being among people living with HIV (PLWH), exploring an 'Environment-Centric' associational framework. METHODS: A cross-sectional observational study was conducted among 710…
Observed Service Utilization Differences and Audiometric Profiles Among Adults With Hearing Loss in Eastern Coastal Provinces in China.
Journal of audiology & otology · 2026 · PMID 42947553
BACKGROUND AND OBJECTIVES: : Hearing loss is a major public health concern that hampers communication, social participation, and quality of life. To date, large-scale demographic and audiometric characteristic data for adults seeking hearing care services in China are limited. We aimed to assemble demographic and audiometric profiles for adults requesting hearing care services for the first time in selected eastern coastal provinces of China, with a focus on service- and region-specific patterns in observed service…
Randomized Controlled Trials128 records
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Effectiveness and safety of darunavir and lopinavir for treating children and adolescents living with HIV: a systematic review.
BMC infectious diseases · 2026 · PMID 41933292
INTRODUCTION: Darunavir and lopinavir solid formulations are recommended protease inhibitors for treating HIV. An evidence review of their effectiveness/efficacy and safety in young populations was needed to inform the 2025 World Health Organization guidelines. METHODS: We conducted a systematic review of publications reporting efficacy/effectiveness and/or safety of darunavir and/or lopinavir solid formulations in children and/or adolescents with HIV aged 0–19 years, with at least 6 months follow-up. Sources inclu…
Efficacy of cannabinoids for insomnia and sleep disturbance: A systematic review and meta-analysis of randomized controlled trials.
Sleep medicine · 2026 · PMID 42574897
BACKGROUND: Insomnia is a common sleep disorder that presents with difficulty falling asleep or staying asleep. Standard hypnotics often lead to tolerance and dependency, prompting interest in cannabinoids as alternative sleep aids. This study evaluated the efficacy and safety of cannabinoids in improving sleep among adults with insomnia or poor sleep quality. METHODS: PubMed, EMBASE, Cochrane Library, Scopus, and Web of Science were searched from inception to January 2025 for randomized controlled trials (RCTs) co…
Programmatic effectiveness of tuberculosis preventive treatment for people with HIV in six high-tuberculosis-burden countries (PROTECT): a prospective cohort study and meta-analysis.
The lancet. HIV · 2026 · PMID 42607703
BACKGROUND: In randomised clinical trials (RCTs), tuberculosis preventive treatment (TPT) reduced tuberculosis incidence and mortality among people with HIV; however, real-world impact has not been evaluated since antiretroviral therapy (ART) was expanded to all people with HIV regardless of CD4 cell count. This study aimed to determine the programmatic effectiveness of TPT on reducing tuberculosis incidence and all-cause mortality among people with HIV initiating ART. METHODS: This prospective cohort study emulate…
Rapid diagnostic tests, laboratory-based immunoassay and nucleic acid testing strategies for long-acting injectable pre-exposure prophylaxis: A systematic review and meta-analysis.
PLoS medicine · 2026 · PMID 41990088
BACKGROUND: Long-acting injectable pre-exposure prophylaxis (LAI-PrEP) is a highly effective biomedical intervention for the prevention of HIV acquisition. There is a strong interest among communities and policymakers for LAI-PrEP scale-up, accelerating the demand for clear guidance on testing approaches that balance accuracy with scalability. Unlike oral pre-exposure prophylaxis, LAI-PrEP may overcome adherence challenges, such as difficulty with frequent clinic visits. However, LAI-PrEP results in prolonged subth…
Faith-based organisations in providing HIV services within low- and middle-income countries (LMICs): a systematic review.
HIV research & clinical practice · 2026 · PMID 42855958
BACKGROUND: To end the acquired immune deficiency syndrome (AIDS) epidemic by 2030, the Joint United Nations Programme on HIV/AIDS (UNAIDS) proposes that 95% of people living with HIV should be diagnosed, 95% of those with a diagnosis should be on treatment, and 95% of those on treatment should achieve viral suppression. To attain these targets, UNAIDS estimates that community-based HIV services should increase from 5% to 30%. Within low-and-middle-income countries (LMICs), faith-based organisations (FBOs) often po…
Shared Decision making aids in palliative care: A systematic review & meta-analysis of randomized controlled trials.
Palliative medicine · 2026 · PMID 42517466
BACKGROUND: Shared Decision Making in palliative care encompassing patient-clinician collaboration has shown potential for improved patient outcomes. However, the impact of decision aids intended to support palliative care decision making discussions across clinical care settings remains uncertain. AIM: To assess the impact of shared of decision aids on decision making, clinical outcomes, and quality of life for patients with palliative care needs and their caregivers. DESIGN: Systematic review and meta-analysis of…
A Systematic Review of the Use of Antiretroviral Drugs to Prevent HIV in Neonates and Infants.
Journal of the Pediatric Infectious Diseases Society · 2026 · PMID 42391472
BACKGROUND: Preventing the postnatal transmission of HIV remains an unfinished goal globally. Infant antiretroviral (ARV) prophylaxis remains important, particularly when maternal viral suppression is not assured. We conducted a systematic review to identify optimal infant ARV prophylaxis to inform World Health Organization 2025 guidelines. METHODS: PubMed, Embase, and Global Index Medicus were searched for randomized controlled trials published in 2014-2024 evaluating ARVs given to infants to prevent postnatal HIV…
Creatine supplementation in soccer players: a systematic review.
Journal of the International Society of Sports Nutrition · 2026 · PMID 42826085
AIM: Soccer places repeated demands on short-duration, high-intensity performance, including sprints, accelerations, jumps, and technical actions performed over the course of a match. Because these efforts depend heavily on rapid adenosine triphosphate (ATP) resynthesis, creatine is a plausible ergogenic aid for soccer players. However, findings in soccer-specific studies have been inconsistent, and previous reviews have addressed narrower questions using smaller evidence sets. This systematic review therefore exam…
Effects of acute Capsaicin analogue intake on athletic performance: a three-level meta-analysis.
Journal of the International Society of Sports Nutrition · 2026 · PMID 42816054
BACKGROUND: Capsaicin analogues have been proposed as potential ergogenic aids, but their acute effects on athletic performance remain inconsistent. This study aimed to evaluate the effects of acute capsaicin analogue intake on exercise performance using a three-level meta-analysis. METHODS: PubMed, Web of Science, Scopus, SPORTDiscus, and the Cochrane Library were searched up to April 1, 2025. Randomized controlled trials examining acute oral capsaicin analogue intake in healthy adults were included. Outcomes were…
Intervention Using Video and Comic Books Targeting Nutritional Outcomes in Children and Adolescents: A Systematic Review.
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026 · PMID 42844866
INTRODUCTION: Unhealthy eating behaviours and rising rates of undernutrition and obesity remain widespread among children and adolescents. Traditional education often fails to engage this population. In contrast, video and comic book formats offer accessible, engaging tools for nutrition education, but evidence on their effectiveness is inconsistent. This systematic review synthesises and critically appraises the evidence on video- and comic-based interventions for improving nutritional outcomes in children and ado…
Efficacy of direct-acting antiviral regimens for acute HCV infection: a systematic review and meta-analysis.
Virology journal · 2026 · PMID 42850633
BACKGROUND: Acute and recently acquired hepatitis C virus (HCV) infection clusters in men who have sex with men living with HIV and in people who inject drugs, where early cure benefits both the individual and transmission control. The best interferon-free dual direct-acting antiviral (DAA) regimen and treatment duration, including short courses, remain undefined. METHODS: MEDLINE, Scopus, and the Cochrane Central Register of Controlled Trials were searched to 1 July 2026 for studies of interferon-free dual-DAA the…
The missing evidence: Stricturing Crohn's disease in clinical trials, a systematic review.
Inflammatory bowel diseases · 2026 · PMID 42128876
BACKGROUND: Stricturing Crohn's disease (CD) represents a major cause of morbidity, with limited prospective data addressing response to treatment. We performed a systematic review to evaluate the efficacy of biologic and small-molecule therapies in stricturing CD and to assess the role of imaging modalities in diagnosing and monitoring bowel stenoses. METHODS: We conducted a systematic search of PubMed, Scopus, and Web of Science through August 26, 2025. Prospective studies, including randomized controlled trials …
Evaluating the impact of conditional micro-incentives on linkage to HIV care in rural South Africa: results from the Home-Based Intervention to Test and Start (HITS) trial.
Health policy and planning · 2026 · PMID 42446180
Timely linkage from HIV diagnosis to care is critical for effective treatment and epidemic control. We evaluated the effectiveness of conditional micro-incentives on linkage to HIV care in the Home-Based Intervention to Test and Start (HITS) trial, a real-world implementation trial in rural South Africa. Of 45 communities in uMkhanyakude, KwaZulu-Natal, 16 were randomized to micro-incentive arms offering food vouchers (R50 [US$3]) conditional on completing home-based HIV counseling and testing (HBHCT) and linkage t…
Impact of Legal Perceptions and Disclosure on Willingness to Undergo HIV Antiretroviral Resistance Testing Among Men Who Have Sex with Men: A Brief Report.
AIDS and behavior · 2026 · PMID 41874900
Human Immunodeficiency Virus (HIV) criminalization laws may discourage engagement in care. American Men's Internet Survey participants were randomized to disclosure, in which automatic public health reporting of antiretroviral resistance testing (ARVRT) was explained upfront, or non-disclosure, in which it was revealed later. Among 4,750 participants, 64.4% were unsure whether their state had an HIV criminalization law. ARVRT willingness was greater with non-disclosure (OR = 1.96, 95% CI: 1.41-2.71) and most pronou…
Integrating hypertension care into the existing HIV services package in Botswana (InterCARE): a pair-matched, cluster-randomised, type 2 hybrid effectiveness-implementation trial.
The Lancet. Global health · 2026 · PMID 42586107
BACKGROUND: People with HIV have poor access to care for other chronic conditions despite the increasing disease burden and associated mortality. We evaluated the impact of integrated HIV and hypertension care on blood pressure control, electronic prescribing of antihypertensive medicines, and HIV viral suppression in Botswana. METHODS: We conducted a 24-month, pair-matched, cluster-randomised, type 2 hybrid effectiveness-implementation trial at 14 HIV clinics among adults aged 20-75 years with HIV and hypertension…
Next-Generation Bed Nets to Control Malaria in Côte d'Ivoire.
NEJM evidence · 2026 · PMID 42937427
BACKGROUND: Next-generation long-lasting insecticidal nets (LLINs) treated with more than one insecticide have been insufficiently evaluated in West Africa. METHODS: In this cluster randomized clinical trial, 33 clusters of villages (1-3 villages per cluster) in Côte d'Ivoire were randomly assigned (11 clusters per group) to use pyrethroid-only (py-only; MAGNet) (control), piperonyl butoxide-pyrethroid (PBO-py; Veeralin), or chlorfenapyr-pyrethroid (CFP-py; Interceptor G2) LLINs. One net was distributed for every t…
Evaluating adherence in an active-controlled HIV pre-exposure prophylaxis trial (PrEPVacc) to inform the estimation of HIV incidence in a counterfactual placebo arm.
HIV research & clinical practice · 2025 · PMID 40497744
BACKGROUND: Inferring the counterfactual placebo HIV incidence using the estimated effectiveness of Emtricitabine/Tenofovir (TDF/FTC) in active-controlled pre-exposure prophylaxis (PrEP) trials has been suggested. However, it has not yet been widely applied. In this article, we evaluate adherence to TDF/FTC in the PrEPVacc trial (NCT04066881) and consider how such adherence data could be used to estimate the effectiveness of TDF/FTC and subsequently, HIV incidence in a counterfactual placebo arm in a predominantly …
Safety and immunogenicity of one or two doses of the rVSVΔG-ZEBOV-GP Ebola virus vaccine in adults and adolescents living with HIV: a phase 2, multicentre, double-blind, randomised, placebo-controlled trial.
The lancet. HIV · 2026 · PMID 42567171
BACKGROUND: A single dose of the replication-competent rVSVΔG-ZEBOV-GP vaccine is recommended by the WHO Strategic Advisory Group of Experts on Immunization during Ebola virus disease outbreaks. We aimed to assess the immunogenicity, safety, and tolerability of this vaccine in adults and adolescents with HIV. METHODS: In this phase 2, multicentre, double-blind, randomised, placebo-controlled trial, we enrolled participants aged 13-70 years who had laboratory-confirmed HIV infection, were on antiretroviral therapy (…
Safety and efficacy of doravirine as first-line therapy in adults with HIV-1: week 192 results from the open-label extensions of the DRIVE-FORWARD and DRIVE-AHEAD phase 3 trials.
The lancet. HIV · 2024 · PMID 38141637
BACKGROUND: In two phase 3 trials for first-line therapy in adults with HIV-1, doravirine showed non-inferior efficacy, a favourable safety profile, and a superior lipid profile to darunavir and efavirenz through to 48 and 96 weeks. Here we report 192-week results from both studies. METHODS: DRIVE-FORWARD and DRIVE-AHEAD are multicentre, double-blind, randomised, active comparator-controlled, phase 3 trials of first-line antiretroviral treatment in adults with HIV-1. Eligible participants (aged ≥18 years) were naiv…
Effect of Personalized Risk Messages on Patient Intent and Decision Making in Colorectal Cancer Screening: A Randomized Controlled Trial.
Medical decision making : an international journal of the Society for Medical Decision Making · 2026 · PMID 42517432
PurposeTo measure the impact of a personalized message about current risk of having advanced colorectal neoplasia (ACN; colorectal cancer [CRC] or advanced precancerous polyp) on informed concordance and CRC screening decision-making outcomes.MethodsA total of 1,084 patients, aged 50 to 75 y, with an upcoming clinic appointment, due for CRC screening, and at average risk for CRC were randomized to view a decision aid (DA) about CRC screening with or without personalized ACN risk information. Providers were randomiz…
Comparing Clinical and Cytokine Profiling of Genital Inflammation as Predictors of HIV Acquisition in Women.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 42285049
BACKGROUND: Inflammation in the female genital tract is a key risk factor for HIV acquisition, but it remains unclear whether clinical or immunological measures best predict risk. We aimed to compare HIV acquisition among women with clinically and/or immunologically defined inflammation. SETTING: HIV-uninfected women enrolled in the CAPRISA 004 tenofovir gel randomized controlled trial in South Africa were followed for up to 34 months. METHODS: We analyzed data from 889 women, with cytokine measurements available f…
Pitavastatin effect on enterocyte injury markers in an antiretroviral therapy-treated HIV population.
AIDS (London, England) · 2026 · PMID 42357945
OBJECTIVE: To determine whether pitavastatin reduces enterocyte injury, assessed by intestinal fatty acid-binding protein (I-FABP), among antiretroviral therapy-treated people with HIV (PWH) enrolled in the REPRIEVE mechanistic substudy. DESIGN: Randomized, double-blind, placebo-controlled trial. METHODS: We analyzed fasting plasma I-FABP at entry and month 24 among participants randomized to pitavastatin 4 mg daily or placebo. Baseline characteristics were summarized across I-FABP quartiles. Associations between e…
Phase 3 Trial of Weekly Oral Islatravir-Lenacapavir for HIV-1 Treatment.
The New England journal of medicine · 2026 · PMID 42525925
BACKGROUND: Once-daily, single-tablet regimens have transformed care for persons living with human immunodeficiency virus type 1 (HIV-1); however, challenges to adherence continue to limit effective treatment. Long-acting oral-drug combinations could offer new options with less frequent dose administration. METHODS: We conducted a phase 3, double-blind, randomized, active-controlled, noninferiority trial in 12 countries to evaluate the efficacy and safety of a switch to once-weekly oral islatravir-lenacapavir (ISL/…
Initial HIV Therapy for Adults and Treatment-Associated Weight Gain: The Opti-DOR Randomized Clinical Trial.
JAMA · 2026 · PMID 42536019
IMPORTANCE: Antiretroviral therapy (ART), particularly regimens containing tenofovir alafenamide with dolutegravir or bictegravir, is associated with substantial weight gain, potentially exacerbating cardiometabolic risk in people with HIV. OBJECTIVE: To determine whether a regimen with doravirine, lamivudine, and tenofovir disoproxil fumarate results in less weight gain than a regimen with dolutegravir, emtricitabine, and tenofovir alafenamide while maintaining noninferior viral suppression. DESIGN, SETTING, AND P…
Safety And Adverse Effects115 records
Immunogenicity and safety of prophylactic HPV vaccines in people living with HIV: A systematic review and meta-analysis.
Human vaccines & immunotherapeutics · 2026 · PMID 42684271
Human papillomavirus (HPV) is a major global public health concern, causing genital warts and cancers of the cervix, anus, oropharynx, vulva, and penis. People living with HIV (PLWH) face a disproportionately elevated burden of HPV infection and HPV-related malignancies due to chronic immunosuppression. We conducted a systematic review and meta-analysis searching six databases from January 2006 to June 2026 without language restrictions. Twenty-five studies were included in the systematic review; 12 independent stu…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Efficacy of cannabinoids for insomnia and sleep disturbance: A systematic review and meta-analysis of randomized controlled trials.
Sleep medicine · 2026 · PMID 42574897
BACKGROUND: Insomnia is a common sleep disorder that presents with difficulty falling asleep or staying asleep. Standard hypnotics often lead to tolerance and dependency, prompting interest in cannabinoids as alternative sleep aids. This study evaluated the efficacy and safety of cannabinoids in improving sleep among adults with insomnia or poor sleep quality. METHODS: PubMed, EMBASE, Cochrane Library, Scopus, and Web of Science were searched from inception to January 2025 for randomized controlled trials (RCTs) co…
Nivolumab and cabozantinib in people with HIV and advanced solid tumors: a pilot trial and systematic review.
The oncologist · 2026 · PMID 42847673
BACKGROUND: People living with HIV (PWH) are underrepresented in immune checkpoint inhibitor (ICI) and targeted therapy trials, despite a growing burden of malignancies. Cabozantinib may remodel the tumor microenvironment by reducing immunosuppressive myeloid populations and enhancing cytotoxic T-cell infiltration, thereby augmenting antitumor immunity and providing a biologic rationale for combination with programmed cell death protein 1 (PD-1) blockade. However, prospective data on combined ICI and antiangiogenic…
Integrating hypertension care into the existing HIV services package in Botswana (InterCARE): a pair-matched, cluster-randomised, type 2 hybrid effectiveness-implementation trial.
The Lancet. Global health · 2026 · PMID 42586107
BACKGROUND: People with HIV have poor access to care for other chronic conditions despite the increasing disease burden and associated mortality. We evaluated the impact of integrated HIV and hypertension care on blood pressure control, electronic prescribing of antihypertensive medicines, and HIV viral suppression in Botswana. METHODS: We conducted a 24-month, pair-matched, cluster-randomised, type 2 hybrid effectiveness-implementation trial at 14 HIV clinics among adults aged 20-75 years with HIV and hypertension…
Pitavastatin effect on enterocyte injury markers in an antiretroviral therapy-treated HIV population.
AIDS (London, England) · 2026 · PMID 42357945
OBJECTIVE: To determine whether pitavastatin reduces enterocyte injury, assessed by intestinal fatty acid-binding protein (I-FABP), among antiretroviral therapy-treated people with HIV (PWH) enrolled in the REPRIEVE mechanistic substudy. DESIGN: Randomized, double-blind, placebo-controlled trial. METHODS: We analyzed fasting plasma I-FABP at entry and month 24 among participants randomized to pitavastatin 4 mg daily or placebo. Baseline characteristics were summarized across I-FABP quartiles. Associations between e…
Initial HIV Therapy for Adults and Treatment-Associated Weight Gain: The Opti-DOR Randomized Clinical Trial.
JAMA · 2026 · PMID 42536019
IMPORTANCE: Antiretroviral therapy (ART), particularly regimens containing tenofovir alafenamide with dolutegravir or bictegravir, is associated with substantial weight gain, potentially exacerbating cardiometabolic risk in people with HIV. OBJECTIVE: To determine whether a regimen with doravirine, lamivudine, and tenofovir disoproxil fumarate results in less weight gain than a regimen with dolutegravir, emtricitabine, and tenofovir alafenamide while maintaining noninferior viral suppression. DESIGN, SETTING, AND P…
Long-Acting HIV Therapy in African Adults with Adherence Challenges.
The New England journal of medicine · 2026 · PMID 42874104
BACKGROUND: In eastern and southern Africa, approximately 1 million people living with human immunodeficiency virus (HIV) and receiving oral therapy do not have viral suppression because of adherence challenges. METHODS: We conducted a phase 3b, open-label, randomized trial to compare long-acting injectable cabotegravir plus rilpivirine with oral dolutegravir-based therapy among adults with virally suppressed HIV type 1 (viral load, <200 copies per milliliter) and suboptimal adherence or care engagement. The partic…
Switch to injectable cabotegravir-rilpivirine given every 8 weeks in adolescents living with HIV with virological suppression in sub-Saharan Africa (LATA): a randomised, open-label, multicentre, 96-week non-inferiority trial.
Lancet (London, England) · 2026 · PMID 42753775
BACKGROUND: Adolescents living with HIV have poorer treatment outcomes than other age groups and might benefit from long-acting-injectable (LAI) antiretroviral therapy (ART). We evaluated efficacy and safety of LAI cabotegravir-rilpivirine compared with daily oral ART in adolescents living with HIV with virological suppression in Africa. METHODS: LATA, a randomised, open-label, multicentre, non-inferiority trial, recruited adolescents with HIV aged from 12 years to younger than 20 years from five clinics in Kenya, …
Immunogenicity and safety of high-dose versus standard-dose quadrivalent inactivated influenza vaccine in patients living with HIV: a randomized controlled trial.
Vaccine · 2026 · PMID 42753388
Influenza remains a major cause of morbidity in people living with HIV (PLWH), and despite recommendations for annual vaccination with the standard-dose (SD) quadrivalent inactivated influenza vaccine (IIV4), immune responses are often suboptimal in this population. To address this gap, we conducted a randomized, single-blinded, controlled trial to compare the immunogenicity and safety of the high-dose (HD) IIV4 (60 μg, Efluelda, Sanofi) with the SD IIV4 (15 μg, Vaxigrip Tetra, Sanofi). Vaccinations were administer…
Pathways of onward HIV disclosure in relationships among young people living with vertically acquired HIV receiving antiretroviral therapy: A qualitative analysis from the BREATHER Plus trial, South Africa.
Global public health · 2026 · PMID 42623024
For young people living with HIV (YPLHIV) navigating their status since birth, managing onward disclosure of a potentially stigmatising condition in relationships is challenging, and may or may not lead to social support, with implications for wellbeing. In a clinical trial setting in KwaZulu-Natal, South Africa, we investigate how young people living with vertically acquired HIV navigate onward disclosure. Data were from the qualitative component of the BREATHER Plus randomised controlled trial evaluating the effi…
Proof-of-Concept Phase 2a Trial of VH4524184: An Emerging Third-Generation Integrase Strand Transfer Inhibitor With an Enhanced Resistance Profile.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 42283218
BACKGROUND: VH4524184 (VH-184) is an emerging third-generation integrase strand transfer inhibitor (INSTI) with an enhanced in vitro resistance profile compared with second-generation INSTIs being developed as a long-acting antiretroviral therapy (ART) for human immunodeficiency virus type 1 (HIV-1). We present data from a proof-of-concept phase 2a trial of VH-184 in people with HIV-1. METHODS: This randomized, double-blind, placebo-controlled trial evaluated oral VH-184 monotherapy in adults naive to ART with HIV-…
Safety and pharmacokinetics of CL-197, a potent compound with low cytotoxicity against HIV-1: a randomized, double-blind, placebo-controlled, first-in-human phase 1 clinical trial.
Antimicrobial agents and chemotherapy · 2026 · PMID 42695945
HIV infection remains a critical global public health concern. A potential long-acting therapeutic agent, 4'-ethynyl-2-fluoroadenosine analog 1c (CL-197), was investigated in a first-in-human phase 1 clinical trial. This single-center, randomized, double-blind, dose-escalation, placebo-controlled study assessed the safety and pharmacokinetics (PKs) of five doses of CL-197 (1, 10, 30, 60, and 100 mg) in healthy adults aged 18-45 years. The 1 mg group was open-label (n = 4), while the other groups were randomized 4:1…
Randomized, placebo-controlled phase 3 trial evaluating safety, immunogenicity, and reactogenicity of RSVPreF3-Mat in high-risk pregnant women and their infants.
Human vaccines & immunotherapeutics · 2026 · PMID 41766205
Respiratory syncytial virus (RSV) causes respiratory illness among infants; maternal vaccination confers passive protection through placental antibody transfer. This phase 3, randomized, placebo-controlled trial evaluated safety, reactogenicity, and immunogenicity of RSV prefusion protein F3 maternal vaccine (RSVPreF3-Mat), administered at 240/7 to 360/7 weeks of gestation to high-risk pregnant women (women with obstetric complications and/or human immunodeficiency virus infection or in pregnant adolescents), and t…
Safety and immunogenicity of inactivated human Rotavirus vaccine in young children and infants: a randomized, placebo-controlled, double-blind, phase I clinical trial.
Nature communications · 2026 · PMID 42733081
Inactivated rotavirus vaccines (IRV) are an effective approach for providing protection against the virus. This double-blind, randomised, placebo-controlled, dose-escalation phase I trial evaluated the safety and immunogenicity of IRV in 288 healthy children aged 2-71 months without prior rotavirus vaccination or HIV infection. We stratified participants by age (7-71 months and 2-6 months) and schedule (2 or 3 doses), before randomising them 3:1 to receive one of three antigen doses (80, 160, or 320 ELISA Unit [EU]…
Fidelity of Implementation of Oral Pre-Exposure Prophylaxis for HIV in Public Family Planning Clinics in Kenya: Results From a Stepped-Wedge Cluster Randomized Trial.
Journal of the International AIDS Society · 2026 · PMID 42850961
INTRODUCTION: Integrating HIV pre-exposure prophylaxis (PrEP) into family planning (FP) services offers a strategic opportunity to reach women at risk of HIV acquisition. We assessed fidelity to core components of oral PrEP delivery in real-world FP clinics in Kenya. METHODS: Data are from the FP Plus Project, a stepped-wedge cluster-randomized trial integrating oral PrEP into 12 public FP clinics in Kisumu, Kenya, where trained FP healthcare providers delivered PrEP services within routine services. Standardized u…
An intravaginal ring for HIV pre-exposure prophylaxis: assessment of safety and pharmacokinetics in a randomized, placebo-controlled clinical trial.
Frontiers in cellular and infection microbiology · 2026 · PMID 42903070
INTRODUCTION: In Eastern and Southern Africa, 63% of new HIV infections occurred in women and girls, with adolescent girls and young women representing a particularly vulnerable subpopulation. Effective vaginal products for HIV prevention are desirable because they are underrepresented in the currently approved portfolio and have attributes motivating product use. In this trial, we evaluated an innovative intravaginal ring (pod-IVR) as a platform for HIV pre-exposure prophylaxis (PrEP). OBJECTIVE: To measure the sa…
Participant experiences of stopping ART as part of a clinical trial; findings from a qualitative study within the RIO trial in the United Kingdom.
HIV research & clinical practice · 2026 · PMID 42826224
INTRODUCTION: Evaluation of the efficacy of immunotherapeutic strategies aimed at achieving durable antiretroviral treatment (ART)-free control within a clinical trial relies on analytical treatment interruptions (ATIs). ATIs involve stopping ART to assess post-intervention efficacy with frequent viral load monitoring. These trials rely on participant commitment but also involve uncertainty about the timing and experience of viral rebound, transmission risk, and impacts on personal and sexual relationships. Underst…
Patient decision aids for pain medication management: A scoping review.
Patient education and counseling · 2026 · PMID 42607384
BACKGROUND: Medications are commonly used to manage pain; however, patients may find it challenging to weigh benefits and harms within the context of their own clinical circumstances, goals, and preferences. Patient Decision Aids (PtDAs) can improve knowledge and engagement in health decisions, yet the nature, content, and quality of PtDAs for pain medication management have not been evaluated. OBJECTIVE: This scoping review aimed to identify, describe, and appraise PtDAs for pain medication management, including t…
Weight gain in people with HIV in Africa and Asia: a review of causes, consequences, and management implications.
Current opinion in HIV and AIDS · 2026 · PMID 42817201
PURPOSE OF REVIEW: To examine weight gain epidemiology in people with HIV (PLWH) across Africa and Asia, focusing on data published in the preceding 18 months, and to identify clinical and programmatic implications, acknowledging that regionally derived evidence remains sparse. RECENT FINDINGS: New population-level data from East Africa demonstrate that the nutrition transition is accelerating faster than ART-related weight gain. Thus, HIV-negative individuals gained more weight than PLWH on ART over the transition…
Empiric tuberculosis treatment in hospitalised adults with advanced HIV disease in Africa: applying the therapeutic threshold to clinical practice.
The Lancet. Infectious diseases · 2026 · PMID 42508442
Hospitalised adults with advanced HIV disease in sub-Saharan Africa experience high mortality, with tuberculosis, often disseminated and undiagnosed, being a leading cause. Despite this, initiation of antituberculous therapy is frequently delayed pending diagnostic confirmation, which may be unavailable in this population. Evidence from recent trials and cohort studies suggests that even short delays in antituberculous therapy are associated with substantial increases in mortality, whereas empiric therapy might imp…
Lipid Nanoparticle-Mediated Antifungal and Immunomodulatory Therapy for Neuromycoses.
International journal of nanomedicine · 2026 · PMID 42891393
BACKGROUND: Neuromycoses, fungal infections affecting the central nervous system (CNS), cause approximately 112,000 deaths annually, representing 19% of AIDS-related deaths globally. Conventional antifungal drugs are limited by poor blood-brain barrier (BBB) penetration, systemic toxicity, and increasing drug resistance. Lipid nanoparticles (LNPs) have emerged as promising vehicles for enhancing antifungal efficacy while modulating immune responses. Thus, this comprehensive review synthesizes current knowledge on L…
Impact of CD4 T cell counts on the immunogenicity and safety of the recombinant zoster vaccine in people living with HIV.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 42710800
OBJECTIVES: People living with HIV (PLWH) are at increased risk for herpes zoster. This study aimed to evaluate and compare the immunogenicity and safety of the recombinant zoster vaccine (RZV) in PLWH across low and high CD4 counts, and in participants living without HIV (PLWoH). METHODS: In this non-randomized clinical trial, virologically suppressed PLWH receiving antiretroviral therapy and PLWoH received two doses of RZV. PLWH were stratified into low (<300 cells/μL) and high (≥300 cells/μL) CD4 groups. Anti-gl…
Neurocognitive Performance and Depressive Mood in People With HIV: The Role of Prescription Opioids Use.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41627899
BACKGROUND: The issue of potential adverse reactions or toxicities of pharmacotherapies used for chronic diseases in people with HIV is still to be clarified. METHODS: This study targeted potential effects on neurocognition and mood from prescription opioids, alone or in combination with other classes of drugs, using cross-sectional data from 400 participants in the multicenter CNS HIV Anti-Retroviral Therapy Effects Research study. RESULTS: We found that prescription opioid use alone was not associated with neuroc…
Impact of bictegravir/emtricitabine/tenofovir alafenamide on health-related quality of life and economic outcomes in HIV care: Substudy of the BIC-NOW clinical trial.
PloS one · 2025 · PMID 40982450
BACKGROUND: The BICNOW clinical trial evaluated the effectiveness, safety, satisfaction, adherence to treatment, and retention in the system of a rapid initiation strategy with bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) in naïve HIV-infected individuals. It also assessed the burden of this infection on individuals and healthcare systems using various instruments, participant questionnaires, and pharmacoeconomic evaluations of this antiretroviral therapy (ART). This substudy focused on changes in …
Treatments That Failed Clinical Trials61 records
Adenovirus type 5 vector-based COVID-19 vaccine does not increase the likelihood of HIV infection.
Vaccine · 2026 · PMID 41785679
BACKGROUND: There is a concern about the potential increased risk of acquiring HIV infection after vaccination with adenovirus type 5 (Ad5) vector-based vaccines. We aimed to investigate whether Ad5-nCoV increases the risk of HIV infection. METHODS: Between September 2020 and March 2021, a Phase 3 clinical trial was executed to evaluate the efficacy of Ad5-nCoV. This trial, employing a double-blind, randomized, and placebo-controlled design, enrolled 44,247 participants from 66 clinical sites spanning Argentina, Ch…
Comparison of the Hearing Benefits and User Satisfaction With Hearing Aids and Personal Sound Amplification Products: A Multicenter Prospective Randomized Crossover Trial.
Journal of Korean medical science · 2026 · PMID 42011002
BACKGROUND: While hearing aids (HAs) remain the primary intervention for hearing loss, their high cost creates barriers to access. Personal sound amplification products (PSAPs) are a more affordable alternative, but few studies have compared their efficacy to those of HAs. This multicenter, prospective, randomized, crossover trial was conducted to compare audiologic performance and user satisfaction between HAs and PSAPs to evaluate PSAP potential as alternatives for hearing rehabilitation. METHODS: A total of 73 p…
Fluconazole plus flucytosine versus fluconazole alone for adults with HIV-associated cryptococcal antigenaemia identified through screening: a multi-centre phase III randomised-controlled trial.
Trials · 2026 · PMID 41877274
BACKGROUND: Despite the expansion of antiretroviral treatment programmes, the incidence and mortality of HIV-associated cryptococcal meningitis remain high in Africa. Cryptococcal antigen (CrAg) in the blood precedes meningitis. CrAg screening of individuals with advanced HIV disease, combined with pre-emptive fluconazole treatment, reduces the risk of cryptococcal meningitis and associated mortality. However, mortality among individuals with antigenaemia treated with fluconazole is higher than that of CD4-matched …
LC16m8 for Pre-exposure Prophylaxis Against Mpox in a High-Risk Population: An Open-Label Randomized Trial.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 39982831
BACKGROUND: This randomized controlled trial provided LC16m8 pre-exposure prophylaxis to high-risk individuals to assess its efficacy for mpox prevention, safety, and immunogenicity. METHODS: This multicenter, randomized, open-label trial enrolled men and women aged ≥18 years at high risk of mpox. Participants were randomly assigned 1:1 to early- or late-vaccination groups. The primary endpoint was vaccine efficacy (VE) against mpox. Secondary endpoints included VE against severe mpox, symptoms, "take" incidence, a…
Comparable Inflammatory and Metabolic Outcomes After Switching to Bictegravir/Emtricitabine/Tenofovir Alafenamide Versus Continuing Dolutegravir/Lamivudine in Virologically Suppressed Adults With HIV (INSTINCT/GESIDA10918 Study).
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41070447
BACKGROUND: Dual antiretroviral therapy (ART) with dolutegravir/lamivudine (DTG/3TC) is widely used in virologically suppressed individuals. However, data remain limited on potential differential effects of ART regimens on mid-term systemic inflammation and metabolic health. We evaluated whether switching from DTG/3TC to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) modifies systemic inflammation or metabolic parameters. METHODS: INSTINCT was a phase IV, multicenter, open-label, randomized trial enr…
Efficacy and safety of the Chinese herbal medicine Yiaikang capsule in treating AIDS: a randomized, double-blind, controlled trial.
Journal of ethnopharmacology · 2026 · PMID 41967778
ETHNOPHARMACOLOGICAL RELEVANCE: The Shuyu pill is a traditional Chinese medicine (TCM) formula, used to treat Xu Lao for over 1800 years. Studies have reported the effectiveness of Yiaikang capsules (YAK), a modified form of Shuyu pills, in AIDS treatment. However, clinical evidence for the management of AIDS using YAK is lacking. We aimed to evaluate the efficacy and safety of YAK combined with antiretroviral therapy (ART) among people living with HIV infection. MATERIALS AND METHODS: We conducted a randomized, do…
Promoting shared decision-making in colorectal cancer screening in primary care: A cluster randomized controlled trial.
PloS one · 2026 · PMID 42263092
INTRODUCTION: In Switzerland, primary care physicians (PCP) prescribe colonoscopy for colorectal cancer (CRC) screening rather than offering a choice between colonoscopy and faecal occult blood test (FOBT). This study evaluated a training program promoting shared decision-making for CRC screening. METHODS: PCP from a research network were randomized 1:1 into intervention or control. The intervention group received study materials, patient decision aids, evidence summary, FOBT sample kit, and personalized feedback o…
Early antiretroviral therapy and long-term cancer risk in HIV: 9-year outcomes from the START randomized trial.
BMC cancer · 2026 · PMID 42251304
BACKGROUND: Antiretroviral therapy (ART) reduces cancer risk in people with HIV (PWH) but the long-term impact of immediate ART initiation on infection-related and infection-unrelated cancers remains unclear. METHODS: In the Strategic Timing of Antiretroviral Treatment (START) trial, 4684 ART-naïve adult PWH with CD4 + T-cell count above 500 cells/mm3 were randomized to immediate or deferred ART initiation arms (i.e., until CD4 + T-cells below 350 cells/mm3). In May 2015, unblinding revealed a 74% reduction in infe…
HIV Care Retention and Cost Analysis in Multi-Month ART Dispensing: A Randomized Controlled Trial in China.
Journal of the International AIDS Society · 2026 · PMID 42339560
INTRODUCTION: Multi-month dispensing (MMD), as a differentiated service delivery model, can reduce the frequency of clinic visits, waiting time and travel costs for clinically stable people living with HIV. This study aimed to evaluate the impact of 6-month MMD of antiretroviral therapy (ART) on retention and conduct a cost analysis in China. METHODS: We conducted a randomized, non-blind, non-inferiority study from December 2022 to March 2023 at The First Hospital of China Medical University. Eligible participants …
Weight gain, body composition, and metabolic parameters of dolutegravir-based antiretroviral therapy versus standard of care in children and adolescents: an ancillary analysis of the ODYSSEY trial.
The Lancet. Child & adolescent health · 2026 · PMID 41579881
BACKGROUND: ODYSSEY trial showed superior efficacy of dolutegravir-based antiretroviral therapy (ART) versus then-current, non-dolutegravir standard of care over 96 weeks in children and adolescents living with HIV. The aim of this ancillary analysis was to compare anthropometric and body composition outcomes, including weight, height, BMI-for-age Z score, weight-for-age and height-for-age Z scores (<14 kg), mid-upper-arm circumference (MUAC), waist circumference, hip circumference, and body fat percentage, as well…
Genotype distribution of human papillomavirus (HPV) types in oral gargle specimens among men living with HIV in Mexico, Brazil, and Puerto Rico: A cross-sectional study.
The Journal of infection · 2026 · PMID 42070588
OBJECTIVES: Assess the distribution of oral HPV genotypes and examine their associations with age and HIV-related factors among men living with HIV. METHODS: This cross-sectional study analyzed baseline data from a randomized, double-blinded, placebo-controlled Phase III trial ('ULACNet-201'; NCT04255849) assessing the 9vHPV vaccine's efficacy in PLWH. Participants included men aged 20-50 years from Brazil, Mexico, and Puerto Rico, on antiretroviral therapy for ≥6 months. Oral HPV genotypes were assessed using the …
Pitavastatin effect on enterocyte injury markers in an antiretroviral therapy-treated HIV population.
AIDS (London, England) · 2026 · PMID 42357945
OBJECTIVE: To determine whether pitavastatin reduces enterocyte injury, assessed by intestinal fatty acid-binding protein (I-FABP), among antiretroviral therapy-treated people with HIV (PWH) enrolled in the REPRIEVE mechanistic substudy. DESIGN: Randomized, double-blind, placebo-controlled trial. METHODS: We analyzed fasting plasma I-FABP at entry and month 24 among participants randomized to pitavastatin 4 mg daily or placebo. Baseline characteristics were summarized across I-FABP quartiles. Associations between e…
Effectiveness of behavioural tobacco cessation interventions with and without pharmacotherapy among people living with HIV in Viet Nam: a three-arm pragmatic randomised controlled trial.
The Lancet. Global health · 2026 · PMID 41713442
BACKGROUND: People living with HIV are two to three times more likely to smoke than the general population, resulting in higher risk for tobacco-related morbidity and mortality. Despite this growing burden of disease, there is little evidence for the long-term effectiveness of tobacco cessation interventions among people living with HIV, particularly in low-income and middle-income countries. We aimed to compare the effectiveness of three tobacco cessation interventions among people living with HIV. METHODS: We con…
Oral preexposure prophylaxis use and the risk of bacterial sexually transmitted infections and HIV among African women: A prospective observational cohort study.
PLoS medicine · 2026 · PMID 41802176
BACKGROUND: Oral preexposure prophylaxis (PrEP) effectively reduces HIV incidence when used with sufficient adherence, but does not protect against bacterial sexually transmitted infections (STIs). Several studies have documented high rates of bacterial STIs among individuals initiating and using PrEP. We evaluated the association between PrEP use and the risk of STI among African women accessing family planning clinics. METHODS AND FINDINGS: We conducted a prospective cohort study nested within a large pragmatic s…
Hypertension in a Randomized Trial of Dolutegravir- Versus Efavirenz-Based Antiretroviral Therapy in Pregnant and Postpartum Women with HIV.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41973953
INTRODUCTION: We performed an analysis of incident hypertension in a randomized trial comparing dolutegravir (DTG) + emtricitabine (F)/tenofovir alafenamide (TAF) versus DTG + F/tenofovir disoproxil fumarate (TDF) versus efavirenz (EFV)/F/TDF in pregnant and postpartum women with HIV. METHODS: Women were randomized at 14-28 weeks gestational age (GA) to start DTG + F/TAF, DTG + F/TDF, or EFV/F/TDF and followed through 50 weeks postpartum. The composite incident hypertension outcome was defined as initiation of anti…
A Community Located Insurance Navigation Intervention to Link Sexual and Gender Minorities in Status Neutral Care: Results From the Navigating Insurance Coverage Expansion Randomized Controlled Trial.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41181883
BACKGROUND: Black and Hispanic/Latino sexual gender minorities are disproportionately affected by HIV. Structural determinants of health, such as health insurance coverage, drive care engagement and improve HIV care outcomes. METHODS: Black and Hispanic/Latino sexual gender minorities and transgender persons ≥18 years of age, living in Chicago, IL, were enrolled and randomized to receive health insurance navigation (intervention) or standard of care. Primary and secondary outcomes were analyzed using 2-way continge…
Men's willingness to receive text messages and speak with an HIV counselor via the National HIV Hotline following HIV self-testing in Tanzania; a baseline cross- sectional analysis from a cluster -randomized controlled trial.
BMC public health · 2026 · PMID 41998582
BACKGROUND: Tanzania faces a significant burden of HIV, with challenges in reaching men and ensuring timely linkage to care. To address these issues, HIV self-testing (HIVST) has been implemented to increase HIV testing, and the National HIV Hotlines are being considered as a strategy to facilitate linkage to care. This study aimed to assess the willingness of Tanzanian men to receive support from use the National HIV Hotline via mobile phones for HIVST and linkage to care. This is the baseline cross-sectional anal…
Effects of an agricultural intervention on psychosocial health among pregnant and nonpregnant women with HIV in Kenya.
AIDS (London, England) · 2026 · PMID 41467698
OBJECTIVES: We examined whether effects of an agricultural livelihood intervention on food insecurity and psychosocial outcomes remained robust in pregnant compared to nonpregnant women living with HIV, and whether potentially negative associations between pregnancy and these outcomes were alleviated by the intervention. DESIGN: Secondary analysis of the Shamba Maisha cluster-randomized controlled trial ( N = 396 women; NCT02815579). The intervention included agribusiness training and supplies. METHODS: Food insecu…
Frailty phenotype transitions and functional improvements during a supervised exercise trial in older people with HIV: results from the HEALTH Trial.
Age and ageing · 2026 · PMID 42407092
BACKGROUND: Frailty and sarcopenia contribute to functional decline in older people with HIV (PWH), yet intervention data remain limited. We evaluated changes in frailty phenotype status, sarcopenia-related outcomes and functional performance during a supervised exercise trial and assessed associations between baseline frailty, study withdrawal and intervention response. METHODS: The High-Intensity Exercise to Attenuate Limitations and Train Habits in Older Adults with HIV (HEALTH) study randomised sedentary PWH ag…
Repeat Behavioral Counseling, With and Without Combination Nicotine Replacement Therapy, for Smoking Cessation Among People With HIV in South Africa.
AIDS and behavior · 2026 · PMID 41689618
Repeating an intervention strategy consistent with the chronic disease care model has been demonstrated to be efficacious in improving cessation outcomes among smokers. However, evidence is lacking for repeat treatment outcomes among people with HIV (PWH) who smoke in low-resource settings. We evaluated outcomes among participants (n = 384) who were provided a second round of treatment after initial treatment failure in a randomized controlled trial of behavioral counseling (BC) with or without combination nicotine…
Mediation Effects of Biobehavioral Factors in a Trial of Pharmacotherapy and Intensive Cessation Counseling for People with HIV Who Smoke Cigarettes in Nairobi, Kenya.
AIDS and behavior · 2026 · PMID 41369963
There is growing recognition of the important health risks of tobacco use in people with HIV (PWH). Multiple randomized controlled trials have tested cessation treatments in this population, but little is known about factors that mediate successful quitting. We conducted a randomized, placebo-controlled 2 × 2 factorial design trial of a behavioral intervention (Positively Smoke Free [PSF] one-on-one counseling) vs. brief advice to quit ± bupropion vs. placebo in PWH who smoked cigarettes in Nairobi, Kenya. Abstinen…
Impact of Anthelmintic Therapy for Invasive Helminth Infection on Microbial Translocation, Inflammation, and Immune Response among Ugandans Living with HIV: A Randomized Proof of Concept Study.
The American journal of tropical medicine and hygiene · 2025 · PMID 41130223
Microbial translocation drives chronic immune activation that is linked to HIV disease progression. Invasive parasitic gut nematodes induce microbial translocation and downregulate the expression of pro-inflammatory cytokines. We evaluated the impact of albendazole anthelmintic therapy on serum markers of microbial translocation and inflammation among helminth-infected Ugandans living with HIV. Participants were randomized to an immediate or delayed 400 mg of daily albendazole and followed for 1 month. Baseline sto…
Adapted Motivational Interviewing Reduces Substance Use and Sexual Risk Taking Among Partnered Sexual Minority Men Aged 18-35 Years: Results of the PARTNER Study.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41343494
BACKGROUND: The development of interventions addressing drug use and sexual HIV infection risk for emerging adult sexual minority men in primary relationships is a public health priority. This study evaluated the efficacy of PARTNER, a 4-session motivational interviewing intervention, to reduce cannabis and illicit drug use, increase preexposure prophylaxis (PrEP) uptake, and reduce HIV infection risk. SETTING: Staff at Hunter College in New York City, NY, administered study procedures between January 2018 and Febr…
Same-day initiation of tenofovir alafenamide-based pre-exposure prophylaxis with drug-level feedback for transgender women in Uganda.
AIDS (London, England) · 2026 · PMID 42657610
OBJECTIVE: To evaluate the feasibility and acceptability of same-day initiation of emtricitabine/tenofovir alafenamide (F/TAF) pre-exposure prophylaxis (PrEP) and test the impact of drug-level feedback on PrEP adherence among transgender women (TGW) in Uganda. DESIGN: Randomized controlled trial. METHODS: HIV-negative TGW were randomly assigned 1 : 1 to intervention (drug-level feedback with tailored adherence counseling) or standard-of-care (SOC), and followed quarterly for 12 months (November 2021-July 2023; NCT0…
Impact of Timing and Format of Patient Decision Aids on Involvement in Shared Decision-Making for Patients With Breast Cancer: The IMPACTT Randomized, Controlled Study.
Clinical breast cancer · 2026 · PMID 42531657
BACKGROUND: For people with breast cancer facing adjuvant treatment decisions, it is unclear whether providing a patient decision aid (PtDA) before versus during the consultation leads to greater involvement in shared decision-making (SDM). The overall aim was to evaluate the effect of a digital preconsult PtDA compared with an identical in-consult paper-based PtDA. PATIENTS AND METHODS: In this randomized controlled trial, patients with breast cancer eligible for adjuvant treatment were randomized to a digital PtD…
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