Impact of long-acting therapies on the global HIV epidemic.


Journal

AIDS (London, England)
ISSN: 1473-5571
Titre abrégé: AIDS
Pays: England
ID NLM: 8710219

Informations de publication

Date de publication:
15 12 2021
Historique:
entrez: 1 12 2021
pubmed: 2 12 2021
medline: 26 3 2022
Statut: ppublish

Résumé

Long-acting antiretroviral drugs have emerged as exciting treatment and preexposure prophylaxis (PrEP) options for people with HIV and at risk of HIV. Long-acting regimens may improve dosing convenience, tolerability and cost compared with current daily-based oral therapy. They can also circumvent stigma associated with oral therapy for both treatment and PrEP, thereby improving adherence and outcomes. Yet, multiple challenges remain, many specific to low-income and middle-income countries (LMICs), where the epidemic is most concentrated and HIV prevention and treatment options are limited. To optimize the use of long-acting formulations, key outstanding questions must be addressed. Uncertain costing, scale-up manufacturing, complex delivery systems and implementation challenges are potential barriers when considering the scalability of long-acting ARVs for global use.

Identifiants

pubmed: 34848580
doi: 10.1097/QAD.0000000000003102
pii: 00002030-202112152-00005
doi:

Substances chimiques

Anti-HIV Agents 0

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

S137-S143

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Nomathemba C Chandiwana (NC)

Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Celicia M Serenata (CM)

Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Andrew Owen (A)

Department of Molecular and Clinical Pharmacology.

Steve Rannard (S)

Department of Chemistry, Centre of Excellence in Long-acting Therapeutics (CELT), University of Liverpool, Liverpool, United Kingdom.

Carmen Pérez Casas (C)

Unitaid, Geneva, Switzerland.

Cherise Scott (C)

Unitaid, Geneva, Switzerland.

Andrew Hill (A)

Department of Translational Medicine, Liverpool University, Liverpool.

Polly Clayden (P)

HIV i-Base, London, United Kingdom.

Charles Flexner (C)

Divisions of Clinical Pharmacology and Infectious Diseases, School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

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