On-demand microbicide products: design matters.

On-demand microbicide products: design matters.
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DOI:
10.1007/s13346-017-0385-4
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发表时间:
2017-12
影响因子:
5.4
通讯作者:
Rohan LC
Rohan LC
中科院分区:
医学2区
文献类型:
--
作者:
Patel SK;Rohan LC

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性交(阴道和肛门)是艾滋病毒(人类免疫缺陷病毒)传播的主要方式。按需使用局部杀微生物剂(即在性行为之前或之后立即使用),可作为预防艾滋病毒性传播的有效工具包的一部分。预防产品的有效性与依从性呈正相关,这可能取决于用户对产品的接受程度。因此,开发有效且可接受的产品对于按需产品的成功至关重要。按需产品(如凝胶、电影和平板电脑)及其属性的可接受性受到多种用户特定因素的影响,这些因素包括行为、生活方式、社会经济和文化方面。此外,药物的理化性质、肛门直肠和阴道隔室的解剖和生理方面、与大规模生产和成本有关的问题都会影响产品开发。这些因素与用户偏好一起决定了有效、可接受和可行的按需产品的设计空间。在这篇综述中,我们总结了相互作用的因素,共同决定产品的选择和它的目标产品概况。
Sexual intercourse (vaginal and anal) is the predominant mode of HIV (human immune deficiency virus) transmission. Topical microbicides used in an on-demand format (i.e. immediately before or after sex), can be part of an effective tool kit utilized to prevent sexual transmission of HIV. The effectiveness of prevention products is positively correlated with adherence, which is likely to depend on user acceptability of the product. The development of an efficacious and acceptable product is therefore paramount for the success of an on-demand product. Acceptability of on-demand products (e.g. gels, films, and tablets) and their attributes is influenced by a multitude of user-specific factors that span behavioral, life-style, socio-economic, and cultural aspects. In addition, physicochemical properties of the drug, anatomical and physiological aspects of anorectal and vaginal compartments, issues relating to large-scale production and cost can impact product development. These factors together with user preferences determine the design space of an effective, acceptable, and feasible on-demand product. In this review, we summarize the interacting factors that together determine product choice and its target product profile.
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