Evidence map›Paper›PMID 32692109›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2020

Feasibility of Short-Term PrEP Uptake for Men Who Have Sex With Men With Episodic Periods of Increased HIV Risk.

James E Egan, Ken Ho, Ron Stall, Moe T Drucker, Ryan Tappin, Craig W Hendrix, Mark A Marzinke, Steven A Safren, Matthew J Mimiaga, Christina Psaros and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 40% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Destination-Specific and Home Environment Condom Norms Influence Sexual Behavior During Travel.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022
    Article
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

12 authors at 7 institutions in 1 country.

James E EganDepartment of Behavioral and Community Health Sciences, Graduate School for Public Health, University of Pittsburgh, Pittsburgh, PA.
Ken HoDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA.
Ron StallDepartment of Behavioral and Community Health Sciences, Graduate School for Public Health, University of Pittsburgh, Pittsburgh, PA.
Moe T DruckerFenway Health, Boston, MA.
Ryan TappinFenway Health, Boston, MA.
Craig W HendrixJohns Hopkins University School of Medicine, Baltimore, MD.
Mark A MarzinkeJohns Hopkins University School of Medicine, Baltimore, MD.
Steven A SafrenFenway Health, Boston, MA.
Matthew J MimiagaFenway Health, Boston, MA.
Christina PsarosDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA.
Steven ElsesserFenway Health, Boston, MA.
Kenneth H MayerFenway Health, Boston, MA.
Fenway Health · USUniversity of Pittsburgh · USBeth Israel Deaconess Medical Center · USJohns Hopkins Medicine · USJohns Hopkins University · USMassachusetts General Hospital · USUniversity of Miami · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Feasibility of Short-Term PrEP Uptake for MSM with Episodic High-Risk for HIVR34MH104083 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI EGAN, JAMES ERIN, MAYER, KENNETH H · 2015 to 2017
$742k
NIAID NIH HHS P30 AI060354NIAID NIH HHS P30 AI094189NIMH NIH HHS R34 MH104083
6 · The paper itself

Abstract

backgroundPre-exposure prophylaxis (PrEP) with emtricitabine/tenofovir disoproxil fumarate is efficacious in reducing HIV acquisition. For some gay, bisexual, and other men who have sex with men (MSM), daily ongoing PrEP may be unsuitable for use as a long-term prevention strategy because of episodic risk, cost issues, or concerns about the biological consequences of medication.

settingThis study evaluated the feasibility of short-term, fixed-interval episodic PrEP (Epi-PrEP) for use among vacationing MSM. We describe the feasibility of implementing a clinic-based Epi-PrEP pilot program for 48 MSM who reported occasional condomless sex and anticipated a defined high-risk time.

methodsThis was a nonrandomized naturalistic study of an observational clinical intervention. The primary outcome assessed was adherence, as measured by self-report and plasma tenofovir levels.

resultsOf 54 MSM who enrolled in the study, 48 completed the 3-month visit. The majority (93.7%) had tenofovir concentrations consistent with daily use on returning from vacation. Almost 3/4 reported condomless sex during vacation, and about 1/3 reported recreational drug use. During the 3-month follow-up, 1 participant had become HIV-infected because of a lapse in continued access to the PrEP after study. Although adverse events were common, none were serious. More than 70% of participants indicated an interest in daily ongoing PrEP use.

conclusionsEpi-PrEP was well tolerated by at risk MSM in this study, with high levels of medication adherence. Many participants felt the experience of initiating PrEP while on vacation could be a means for transition to long-term PrEP use.

Indexed as

HIV-1Homosexuality, MalePre-Exposure ProphylaxisAdultAnti-HIV AgentsDrug Administration ScheduleFeasibility StudiesHIV InfectionsHumansMaleMedication AdherenceRisk FactorsSafe SexSexual BehaviorAnti-HIV Agents

Identifiers

PMID32692109
PMCPMC7489298
OpenAlexW3017175684

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.