Interrogating the promise of long-acting HIV pre-exposure prophylaxis.

HIV prevention PrEP choice differentiated service delivery long-acting PrEP oral PrEP pre-exposure prophylaxis

Journal

Trends in molecular medicine
ISSN: 1471-499X
Titre abrégé: Trends Mol Med
Pays: England
ID NLM: 100966035

Informations de publication

Date de publication:
Feb 2023
Historique:
received: 10 10 2022
revised: 03 11 2022
accepted: 04 11 2022
pubmed: 27 11 2022
medline: 24 1 2023
entrez: 26 11 2022
Statut: ppublish

Résumé

Oral HIV pre-exposure prophylaxis (PrEP) is a well-established product that provides a safe and highly effective way for individuals to protect themselves against HIV infection. However, hopes of a significant reduction in HIV incidence have been disappointing because of low uptake, adherence challenges to a daily pill regimen, and consistently high discontinuation rates within 6 months of initiation. Long-acting agents have been long awaited for their potential to facilitate adherence and to offer a choice between PrEP products. As the first long-acting agents enter the market, with more poised to follow, questions around how to integrate long-acting agents into oral PrEP platforms, and what the potential advantages and pitfalls of this integration will be, now need to be considered.

Identifiants

pubmed: 36435632
pii: S1471-4914(22)00293-3
doi: 10.1016/j.molmed.2022.11.003
pii:
doi:

Substances chimiques

Anti-HIV Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

93-98

Informations de copyright

Copyright © 2022. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of interests L.G.B. receives honoraria for advisory roles at Gilead Science, ViiV Healthcare, and Merck Pty Ltd. C.P. declares no conflict of interest.

Auteurs

Carey Pike (C)

Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. Electronic address: Carey.Pike@hiv-research.org.za.

Linda-Gail Bekker (LG)

Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.

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Classifications MeSH