Evidence map›Paper›PMID 26471511›Full record

ReviewInfection2016

HIV pre-exposure prophylaxis (PrEP): a review of current knowledge of oral systemic HIV PrEP in humans.

Christoph D Spinner, Christoph Boesecke, Alexander Zink, Heiko Jessen, Hans-Jürgen Stellbrink, Jürgen Kurt Rockstroh, Stefan Esser

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05492565 (A Study to Evaluate Clinical Benefits and Drawbacks of Antiretroviral Drugs as Pre-exposure Prophylaxis to Prevent HIV Infection Under Real-life Conditions Among Persons Who Pursue High-risk Sexual Practices), which is not on this map. Cited by 141 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 8 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05492565 enrolling by invitationnot on this mapstarted 2020, after this paper: background citation

A Study to Evaluate Clinical Benefits and Drawbacks of Antiretroviral Drugs as Pre-exposure Prophylaxis to Prevent HIV Infection Under Real-life Conditions Among Persons Who Pursue High-risk Sexual Practices: The Seville HIV PrEP Cohort

Typeobservational_patient_registrySponsorHospitales Universitarios Virgen del RocíoRan2020 to 2030Enrolled500ConditionsHIV Infection Primary, Hepatitis, Viral, Human, Sexually Transmitted Infections, Excluding HIV and HepatitisArmsTenofovir Disoproxil Fumarate 300 MG Oral Tablet
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 8 syntheses or guidelines pooled it, 244 citations in OpenAlex.

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  15. Characterization of HIV Seroconverters in a TDF/FTC PrEP Study: HPTN 067/ADAPT.Journal of acquired immune deficiency syndromes (1999) · 2017
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  18. Towards Ending the HIV Epidemic: The Case for Incorporating PrEP Prescribing into Psychiatric Training.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
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81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Christoph D SpinnerDepartment of Medicine II, University Hospital Klinikum rechts der Isar der TUM, Ismaningerstr. 22, 81675, Munich, Germany. christoph.spinner@tum.de.
Christoph BoeseckeDepartment of Internal Medicine I, University Hospital Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Alexander ZinkDepartment of Dermatology and Allergology, University Hospital Klinikum rechts der Isar der TUM, Biedersteiner Str. 29, 80802, Munich, Germany.
Heiko JessenMedical Group Practice, Motzstr. 19, 10777, Berlin, Germany.
Hans-Jürgen StellbrinkICH Study Center, Grindelallee 25, 20146, Hamburg, Germany.
Jürgen Kurt RockstrohDepartment of Internal Medicine I, University Hospital Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Germany.
Stefan EsserDepartment of Dermatology, University of Duisburg-Essen, Hufelandstr. 55, 45122, Essen, Germany. stefan.esser@uk-essen.de.
German Center for Infection Research · DEInfektionsmedizinisches Centrum Hamburg · DEMSB Medical School Berlin · DEUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite established HIV prevention strategies and broadly available diagnostic strategies in developed western countries, rates of HIV new infections remain high. Alternative strategies for HIV prevention, particularly among men who have sex with men (MSM), are crucial. HIV pre-exposure prophylaxis (PrEP) has been discussed as one additional option that this review seeks to explore.

methodsAn online search identifying PrEP-relevant literature from 1st January 2010 to 1st August, 2015 was performed.

resultsThe iPrEx study, first published in 2010, demonstrated a reduction in relative risk (RRR) of HIV seroconversion of 44 % for continuous PrEP with tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) in MSM. The efficacy of PrEP has been confirmed for continuous PrEP in the PROUD study and for intermittent PrEP in the IPERGAY study (RRR = 86 % in both studies). The PrEP was well tolerated in all studies, and the evolution of HIV resistance has been low. Compensatory increased sexual risk behavior was not observed in recent studies. In contrast to the high efficacy of risk reduction for HIV transmission in MSM, the results of TDF PrEP and TDF/FTC PrEP studies using microbicidal agents or pills among heterosexual women were different (RRR 6-75 %).

conclusionsContinuous and intermittent PrEP demonstrated high efficacy in preventing HIV seroconversion, notably among MSM. PrEP was well tolerated. Adherence was critical for high efficacy in all studies. Further studies to evaluate implementation strategies and cost-effectiveness in different risk populations are needed as well as drug approval in Europe.

Indexed as

Administration, OralAnti-Retroviral AgentsHIV InfectionsHumansMedication AdherencePre-Exposure ProphylaxisTreatment OutcomeAnti-Retroviral AgentsHIVPre-exposure prophylaxisPrEPReview

Identifiers

PMID26471511
OpenAlexW2138391170

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.