Núñez 2002.
Methods | A randomized, open‐label, pilot study in Hospital Carlos III in Madrid Span from March 1999 to January 2002 | |
Participants | Eligibility criteria: HIV‐infected antiretroviral‐naïve adults, aged above 18 years old with CD4 counts > 100 cells/mm3 and detectable plasma HIV RNA below 100,000 copies/mL, no major organ failure, use of standard of care prophylaxis for opportunistic infections, negative pregnancy test in women of child‐bearing age, and no current high alcohol intake or substance abuse. N = 67 (NVP = 36, EFV = 31). | |
Interventions | d4T and ddI with either NVP or EFV at the following doses: NVP 400 mg once a day, d4T 40 mg twice a day, ddI 400 mg once a day, and EFV 600 mg once a day. Follow‐up was for 48 weeks. | |
Outcomes | Primary: the proportion of individuals achieving plasma HIV RNA < 50 copies/mL and the proportion developing drug‐related toxicities, which caused cessation of the NNRTI. Secondary: mean changes in CD4+ lymphocyte counts, overall safety, degree of adherence, and adverse events. |
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Notes | All participants provided informed consent to participate in the trial. This trial is referred to as the SENC trial. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Trial authors provided no information on methods of sequence generation |
Allocation concealment (selection bias) | Unclear risk | The trial authors did not report this information. |
Blinding (performance bias and detection bias) All outcomes | High risk | Open‐label study. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | There was no missing outcome data. Three participants were lost to follow‐up right after enrolment. |
Selective reporting (reporting bias) | Low risk | The trial authors reported primary and secondary outcomes. |
Baseline data reported? | Low risk | The trial authors reported on age, gender, HIV transmission, plasma HIV RNA, absolute CD4 count, number of participants with AIDS, positive anti‐HCV antibody, positive HBsAg. |
Other bias | Low risk | This trial was not funded by industry. It was funded by the Asociacíon Investigacíon y Educación en SIDA (AIES) and Comunidad Autónoma de Madrid. |