Robert W. Shafer

ORCID: 0000-0003-2513-2643
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About
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Research Areas
  • HIV/AIDS drug development and treatment
  • HIV Research and Treatment
  • HIV/AIDS Research and Interventions
  • Hepatitis C virus research
  • Pneumocystis jirovecii pneumonia detection and treatment
  • Biochemical and Molecular Research
  • SARS-CoV-2 and COVID-19 Research
  • COVID-19 Clinical Research Studies
  • Hepatitis B Virus Studies
  • Long-Term Effects of COVID-19
  • Tuberculosis Research and Epidemiology
  • HIV-related health complications and treatments
  • Mycobacterium research and diagnosis
  • SARS-CoV-2 detection and testing
  • CRISPR and Genetic Engineering
  • Cytomegalovirus and herpesvirus research
  • Infectious Diseases and Tuberculosis
  • Viral gastroenteritis research and epidemiology
  • Viral Infections and Immunology Research
  • Bacteriophages and microbial interactions
  • COVID-19 and Mental Health
  • Computational Drug Discovery Methods
  • Topic Modeling
  • Genomics and Phylogenetic Studies
  • RNA and protein synthesis mechanisms

Stanford University
2016-2025

Stanford Medicine
2004-2025

Palo Alto University
2000-2024

National Institutes of Health
2016

University of New Mexico
2011

Gilead Sciences (United States)
2000-2010

KU Leuven
2003-2010

Hesco (United States)
2010

Environmental Protection Agency
2009

University College London
2006-2009

Florencia Pereyra Xiaoming Jia Paul J. McLaren Amalio Telenti Paul I. W. de Bakker and 95 more Bruce D. Walker Stephan Ripke Chanson J. Brumme Sara L. Pulit Mary Carrington Carl Kadie Jonathan M. Carlson David Heckerman Robert Graham Robert M. Plenge Steven G. Deeks Lauren Gianniny Gabriel Crawford Jordan Sullivan Elena González Leela Davies Amy L. Camargo Jamie Moore Nicole Beattie Supriya Gupta Andrew Crenshaw Noël P. Burtt Candace Guiducci Namrata Gupta Xiaojiang Gao Qi Ying Yuko Yuki Alicja Piechocka‐Trocha Emily Cutrell Rachel Rosenberg Kristin Moss Paul Lemay Jessica O'Leary Todd M. Schaefer Pranshu Verma Ildikó Tóth Brian L. Block B.M. Baker Alissa C. Rothchild Jeffrey Lian Jacqueline Proudfoot Donna Marie L. Alvino Seanna Vine Marylyn M. Addo Todd M. Allen Marcus Altfeld Matthew R. Henn Sylvie Le Gall Hendrik Streeck David W. Haas Daniel R. Kuritzkes Gregory K. Robbins Robert W. Shafer Roy M. Gulick Cecilia Shikuma Richard Haubrich Sharon A. Riddler Paul E. Sax Eric S. Daar Heather J. Ribaudo Brian K. Agan Shanu Agarwal Richard L Ahern Brady Allen Sherly Altidor Eric Lewin Altschuler Sujata Ambardar Kathryn Anastos Ben Anderson Val Anderson Ushan Andrady Diana Antoniskis David R. Bangsberg D Barbaro W W Barrie Jennifer Bartczak Simon Barton Patricia Basden Nesli Basgoz Suzane Bazner Nicholaos Bellos Anne M Benson Judith Berger Nicole F. Bernard Annette M Bernard Christopher Birch Stanley Bodner Robert Bolan Emilie T Boudreaux Meg Bradley J. Braun Jon E Brndjar Stephen J. Brown Katherine A. Brown Sheldon T. Brown

Getting HIV Under Control Approximately 1 in 300 people infected with are “controllers” who able to maintain long-term control of the virus without medication and do not progress AIDS. Uncovering genetic basis for this ability is great interest. Pereyra et al. (p. 1551 , published online 4 November; see Perspective by McMichael Jones ) now present genome-wide association results from patients enrolled International Controllers Study. The analysis compared controllers European,...

10.1126/science.1195271 article EN Science 2010-11-05

The HIV RT and Protease Sequence Database is an on-line relational database that catalogues evolutionary drug-related human immunodeficiency virus reverse transcriptase (RT) protease sequence variation (http://hivdb.stanford.edu). contains a compilation of nearly all published sequences including International Collaboration submissions (e.g., GenBank) in journal articles. Sequences are linked to data about the source sample anti-HIV drug treatment history individual from whom isolate was...

10.1093/nar/27.1.348 article EN Nucleic Acids Research 1999-01-01

Programs that monitor local, national, and regional levels of transmitted HIV-1 drug resistance inform treatment guidelines provide feedback on the success prevention programs. To accurately compare rates across geographic regions times, World Health Organization has recommended adoption a consensus genotypic definition resistance. In January 2007, we outlined criteria for developing list mutations drug-resistance surveillance compiled 80 RT protease meeting these (surveillance mutations;...

10.1371/journal.pone.0004724 article EN cc-by PLoS ONE 2009-03-06

Interpreting the results of plasma human immunodeficiency virus type 1 (HIV-1) genotypic drug-resistance tests is one most difficult tasks facing clinicians caring for HIV-1-infected patients. There are many mutations, and they arise in complex patterns that cause varying levels drug resistance. In addition, HIV-1 exists vivo as a population containing genomic variants. Genotypic-resistance testing detects mutations present common variants but may not detect minor Therefore, interpretation...

10.1086/503914 article EN Clinical Infectious Diseases 2006-05-02

In the United States there have been recent outbreaks of multidrug-resistant tuberculosis. These primarily involved persons infected with human immunodeficiency virus (HIV).

10.1056/nejm199304223281601 article EN New England Journal of Medicine 1993-04-22

The detection of mutant spectra within a population microorganisms is critical for the management drug-resistant infections. We performed ultra-deep pyrosequencing to detect minor sequence variants in HIV-1 protease and reverse transcriptase (RT) genes from clinical plasma samples. estimated empirical error rates four plasmid clones used them develop statistical approach distinguish authentic sequencing errors eight Ultra-deep detected an average 58 per sample compared with by conventional...

10.1101/gr.6468307 article EN cc-by-nc Genome Research 2007-06-28

<h2>Summary</h2><h3>Background</h3> Antiretroviral therapy (ART) is crucial for controlling HIV-1 infection through wide-scale treatment as prevention and pre-exposure prophylaxis (PrEP). Potent tenofovir disoproxil fumarate-containing regimens are increasingly used to treat prevent HIV, although few data exist frequency risk factors of acquired drug resistance in regions hardest hit by the HIV pandemic. We aimed do a global assessment after virological failure with first-line...

10.1016/s1473-3099(15)00536-8 article EN cc-by The Lancet Infectious Diseases 2016-01-29

Contemporary antiretroviral therapies (ART) and management strategies have diminished both human immunodeficiency virus (HIV) treatment failure the acquired resistance to drugs in resource-rich regions, but transmission of drug-resistant viruses has not similarly decreased. In low- middle-income ART roll-out improved outcomes, resulted increasing transmitted resistances. Our objective was review methods detect it, provide updated recommendations for testing monitoring drug HIV-infected...

10.1093/cid/ciy463 article EN cc-by Clinical Infectious Diseases 2018-05-28

Abstract There are many pharmacologic therapies that being used or considered for treatment of coronavirus disease 2019 (COVID-19), with rapidly changing efficacy and safety evidence from trials. The objective was to develop evidence-based, rapid, living guidelines intended support patients, clinicians, other healthcare professionals in their decisions about management patients COVID-19. In March 2020, the Infectious Diseases Society America (IDSA) formed a multidisciplinary guideline panel...

10.1093/cid/ciac724 article EN Clinical Infectious Diseases 2022-09-05

Among the 30 nonsynonymous nucleotide substitutions in Omicron S-gene are 13 that have only rarely been seen other SARS-CoV-2 sequences. These mutations cluster within three functionally important regions of at sites will likely impact (1) interactions between subunits Spike trimer and predisposition to shift from down up configurations, (2) with ACE2 receptors, (3) priming for membrane fusion. We show here that, based on both rarity these intrapatient sequencing reads patterns selection...

10.1093/molbev/msac061 article EN cc-by Molecular Biology and Evolution 2022-03-16

As novel SARS-CoV-2 variants with different patterns of spike protein mutations have emerged, the susceptibility these to neutralization by antibodies has been rapidly assessed. However, data are generated using approaches and scattered across publications making it difficult for be located synthesized. The Stanford Coronavirus Resistance Database (CoV-RDB; https://covdb.stanford.edu ) is designed house comprehensively curated published on neutralizing monoclonal (mAbs), convalescent plasma...

10.1371/journal.pone.0261045 article EN cc-by PLoS ONE 2022-03-09

Background The global prevalence of PASC is estimated to be present in 0·43 and based on the WHO estimation 470 million worldwide COVID-19 infections, corresponds around 200 people experiencing long COVID symptoms. Despite this, its clinical features are not well-defined. Methods We collected retrospective data from 140 patients with a post-COVID-19 clinic demographics, risk factors, illness severity (graded as one-mild five-severe), functional status, 29 symptoms principal component cluster...

10.3389/fneur.2023.1090747 article EN cc-by Frontiers in Neurology 2023-02-24

Importance There is an urgent need to identify treatments for postacute sequelae of SARS-CoV-2 infection (PASC). Objective To assess the efficacy a 15-day course nirmatrelvir-ritonavir in reducing severity select PASC symptoms. Design, Setting, and Participants This was 15-week blinded, placebo-controlled, randomized clinical trial conducted from November 2022 September 2023 at Stanford University (California). The participants were adults with moderate severe symptoms 3 months or longer...

10.1001/jamainternmed.2024.2007 article EN cc-by-nc-nd JAMA Internal Medicine 2024-06-07

The optimal sequencing of antiretroviral regimens for the treatment infection with human immunodeficiency virus type 1 (HIV-1) is unknown. We compared several different strategies.This multicenter, randomized, partially double-blind trial used a factorial design to compare pairs sequential three-drug regimens, starting regimen including zidovudine and lamivudine or didanosine stavudine in combination either nelfinavir efavirenz. primary end point was length time failure second regimen.A...

10.1056/nejmoa030264 article EN New England Journal of Medicine 2003-12-10
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