Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Considerations regarding antiretroviral chemoprophylaxis in MSM

Considerations regarding antiretroviral chemoprophylaxis in MSM REVIEW URRENT Considerations regarding antiretroviral PINION chemoprophylaxis in MSM I. Mary Poynten, Iryna Zablotska, and Andrew E. Grulich Purpose of review HIV infection among MSM remains a significant issue. Data relevant to MSM populations from animal models, pharmacokinetic studies and clinical trials are summarized and challenges and potential consequences of use of preexposure prophylaxis (PrEP) by MSM are discussed. Recent findings Rectal simian–human immunodeficiency virus transmission in macaque models can be prevented by intermittent PrEP dosing. The Preexposure Prophylaxis Initiative (iPrEx) study found that daily oral emtricitabine-tenofovir disoproxyl fumarate (TDF/FTC) decreased HIV infection by 44% among 2499 high- risk MSM. Men with detectable levels of TDF or FTC in plasma and peripheral blood mononuclear cells experienced more than 90% protective effect, emphasizing the importance of adherence. In iPrEX and other studies, PrEP was generally safe and well tolerated. However, it appears that TDF use is associated with a small but significant decrease in mean bone mineral density. No risk compensation has been demonstrated, but this remains an area of potential concern when PrEP is used outside the setting of a placebo-controlled trial. Numerous PrEP trials in MSM are currently underway. Summary Oral FTC/TDF is effective in preventing HIV infection http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Opinion in HIV and Aids Wolters Kluwer Health

Considerations regarding antiretroviral chemoprophylaxis in MSM

Current Opinion in HIV and Aids , Volume 7 (6) – Nov 1, 2012

Loading next page...
 
/lp/wolters-kluwer-health/considerations-regarding-antiretroviral-chemoprophylaxis-in-msm-JrybhECwmm

References (53)

Copyright
Copyright © Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.
ISSN
1746-630X
eISSN
1746-6318
DOI
10.1097/COH.0b013e3283582c71
pmid
22918448
Publisher site
See Article on Publisher Site

Abstract

REVIEW URRENT Considerations regarding antiretroviral PINION chemoprophylaxis in MSM I. Mary Poynten, Iryna Zablotska, and Andrew E. Grulich Purpose of review HIV infection among MSM remains a significant issue. Data relevant to MSM populations from animal models, pharmacokinetic studies and clinical trials are summarized and challenges and potential consequences of use of preexposure prophylaxis (PrEP) by MSM are discussed. Recent findings Rectal simian–human immunodeficiency virus transmission in macaque models can be prevented by intermittent PrEP dosing. The Preexposure Prophylaxis Initiative (iPrEx) study found that daily oral emtricitabine-tenofovir disoproxyl fumarate (TDF/FTC) decreased HIV infection by 44% among 2499 high- risk MSM. Men with detectable levels of TDF or FTC in plasma and peripheral blood mononuclear cells experienced more than 90% protective effect, emphasizing the importance of adherence. In iPrEX and other studies, PrEP was generally safe and well tolerated. However, it appears that TDF use is associated with a small but significant decrease in mean bone mineral density. No risk compensation has been demonstrated, but this remains an area of potential concern when PrEP is used outside the setting of a placebo-controlled trial. Numerous PrEP trials in MSM are currently underway. Summary Oral FTC/TDF is effective in preventing HIV infection

Journal

Current Opinion in HIV and AidsWolters Kluwer Health

Published: Nov 1, 2012

There are no references for this article.