Is preexposure prophylaxis ready for prime time use in HIV prevention research?

Is preexposure prophylaxis ready for prime time use in HIV prevention research?
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暴露前预防是否已准备好在艾滋病毒预防研究的黄金时段使用?

DOI:
10.1097/qad.0000000000000055
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发表时间:
2014
期刊:
AIDS (London, England)
影响因子:
--
通讯作者:
Macklin,Ruth
Macklin,Ruth
中科院分区:
--
文献类型:
--
作者:
Cowan,EthanA;Macklin,Ruth

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四项临床试验表明,抗逆转录病毒药物恩曲他滨/富马酸替诺福韦酯(TDF/FTC),通常用于感染者的治疗,可以提供保护免受艾滋病毒感染时,未感染的人每天在获得艾滋病毒的高风险[1-4]。这些暴露前预防(PrEP)研究的结果提示了一个问题,即如果还没有准备好,PrEP何时可以进入研究的黄金时期。其他作者已经解决了PrEP在临床护理中的伦理问题,但对PrEP在未来HIV预防研究中的作用的讨论有限[5-9]。我们认为,除非有特殊情况,PrEP已经准备好在未来的艾滋病毒预防研究试验中的“黄金时间”。我们支持这一结论,并提到艾滋病规划署/世卫组织关于艾滋病毒生物医学预防试验的道德指导文件-有益原则。
Four clinical trials have demonstrated that the antiretroviral drug emtricitabine/tenofovir disoproxil fumarate (TDF/FTC), normally reserved for treatment in infected persons, can provide protection from HIV when taken daily by uninfected individuals at high risk of acquiring HIV [1–4]. The results of these studies of preexposure prophylaxis (PrEP) prompt the question of when–if not already–PrEP will be ready for prime time in research. Other authors have addressed the ethics of PrEP in clinical care, but the discussion of PrEP’s role in future HIV prevention studies has been limited [5–9]. We contend that barring exceptional circumstances, PrEP is ready for ‘prime time’in future HIV prevention research trials. We support this conclusion with reference to the UNAIDS/WHO ethical guidance document for HIV biomedical prevention trials the principle of beneficence.
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