Evidence map›Paper›PMID 33040323›Full record

ReviewDrugs2020

Lamivudine/Tenofovir Disoproxil Fumarate is an Appropriate PrEP Regimen.

Andrew Mujugira, Jared M Baeten, Ioannis Hodges-Mameletzis, Jessica E Haberer

Open access · greenAbstract readReview
In one paragraph

Review in Drugs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 36% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Plants (Basel, Switzerland) · 2022
    Article
  8. 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

4 authors at 4 institutions in 3 countries.

Andrew MujugiraInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda. amujugira@idi.co.ug.ORCID http://orcid.org/0000-0001-6646-6733
Jared M BaetenDepartments of Global Health, Epidemiology and Medicine, University of Washington, Seattle, USA.
Ioannis Hodges-MameletzisDepartment of HIV/AIDS, World Health Organization, Geneva, Switzerland.
Jessica E HabererCenter for Global Health, Massachusetts General Hospital and Harvard Medical School, Boston, USA.
Harvard University · USInfectious Diseases Institute · UGUniversity of Washington · USWorld Health Organization · CH

Funding

Optimizing mHealth for adherence monitoring and interventionK24MH114732 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI HABERER, JESSICA ELIZABETH · 2017 to 2021
$800k
Transgender Men and HIV in Uganda: PrEP Uptake and PersistenceR34MH121084 · NIMH · INFECTIOUS DISEASES INSTITUTE · PI MUJUGIRA, ANDREW · 2019 to 2021
$584k
HIV Self Testing to Empower Prevention Choices in Sex WorkersK43TW010695 · FIC · INFECTIOUS DISEASES INSTITUTE · PI MUJUGIRA, ANDREW · 2017 to 2021
$530k
FIC NIH HHS K43 TW010695NIMH NIH HHS K24 MH114732NIMH NIH HHS R34 MH121084World Health Organization 001
6 · The paper itself

Abstract

Oral pre-exposure prophylaxis (PrEP) containing tenofovir disoproxil fumarate (TDF) co-formulated with emtricitabine (FTC) or lamivudine (3TC) is recommended as an additional prevention option for persons at substantial risk of HIV infection by both the World Health Organization (WHO) and the US President's Emergency Plan for AIDS Relief (PEPFAR). The WHO and PEPFAR consider 3TC clinically interchangeable with FTC for PrEP given comparable pharmacologic equivalence, resistance and toxicity patterns, and indirect clinical trial evidence from TDF-containing studies. Globally, FTC/TDF has been widely used in clinical trials, open-label extension studies and demonstration projects. Thus, most PrEP efficacy and safety data are based on FTC/TDF use in heterosexual women and men, men who have sex with men, and people who inject drugs. However, generic 3TC/TDF is less expensive than FTC/TDF, is already available in supply chains for HIV drugs, and has 60-70% of the global adult market share, making it particularly appealing in settings with limited availability or affordability of FTC/TDF. Compelling indirect evidence suggests that scaling up use of 3TC/TDF is potentially cost saving for HIV programs in settings where restricting drug choice to FTC/TDF would delay PrEP implementation. Guideline committees and public health decision-makers in countries should encourage flexibility in PrEP drug selection, support off-label use of 3TC/TDF, and approve use of generic formulations to decrease the cost of PrEP medications and accelerate PrEP delivery through the public and private sectors.

Indexed as

Administration, OralAnti-HIV AgentsHIV InfectionsHomosexualityHumansLamivudinePre-Exposure ProphylaxisTenofovirAnti-HIV AgentsLamivudineTenofovir

Identifiers

PMID33040323
PMCPMC7710557
OpenAlexW3091824448

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.