HIV prevention: Opportunities and challenges

Academic Article

Abstract

  • Preexposure prophylaxis (PrEP) with tenofovir disoproxil fumarate (TDF)-based regimens has been shown to be effective in preventing acquisition of HIV infection, with protective efficacy being dependent on adherence to treatment. Data from the PROUD (Preexposure Option for Reducing HIV in the UK) and IPERGAY (Action to Pre vent Risk Exposure By and For Gay Men) studies, the latter of which employed event-driven PrEP, showed a high rate of protective efficacy of PrEP with TDF and emtricitabine among men who have sex with men. Data from the ASPIRE (A Study to Prevent Infection With a Ring for Extended Use) study of a dapivirine vaginal ring showed a moderate rate of protective efficacy among women older than 21 years. Ongoing investigations are examining long-acting PrEP modalities and combination PrEP and contraception products. This article summarizes a presentation by at the IAS–USA continuing education program, Improving the Management of HIV Disease, held in Washington, DC, in April 2016.
  • Authors

    Published In

    Author List

  • Marrazzo JM
  • Start Page

  • 123
  • End Page

  • 126
  • Volume

  • 24
  • Issue

  • 4