Evidence map›Paper›PMID 33542153›Full record

Trial reportSexually transmitted infections2022

Assessment of risk compensation following use of the dapivirine vaginal ring in southwestern Uganda.

Sylvia Kusemererwa, Andrew Abaasa, Anita Kabarambi, Martin Onyango, Joseph Okello Mugisha

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted infections, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01539226 (A Multi-Centre, Randomised, Double-Blind, Placebo-Controlled Safety and Efficacy Trial of a Dapivirine Vaginal Matrix Ring in Healthy HIV-Negative Women), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT01539226 nacompletednot on this map

A Multi-Centre, Randomised, Double-Blind, Placebo-Controlled Safety and Efficacy Trial of a Dapivirine Vaginal Matrix Ring in Healthy HIV-Negative Women

TypeinterventionalSponsorInternational Partnership for Microbicides, Inc.Ran2012 to 2016Enrolled1,959ConditionsHIV InfectionsArmsPlacebo Vaginal Ring, Dapivirine Vaginal Ring, 25 mg
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Risk Compensation in the Context of Sexually Transmitted Infections in Women Using the Dapivirine Vaginal Ring in Africa: A Scoping Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2025
    Article
  4. 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

5 authors.

Sylvia KusemererwaDepartment of HIV Interventions, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda sylvia.kusemererwa@mrcuganda.org.ORCID 0000-0002-1390-109X
Andrew AbaasaDepartment of Statistics, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.
Anita KabarambiDepartment of HIV Interventions, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.
Martin OnyangoDepartment of HIV Interventions, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.
Joseph Okello MugishaDepartment of HIV Interventions, MRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.

Funding

PEPFAR
6 · The paper itself

Abstract

objectivesParticipation in HIV prevention trials could trigger risk compensation among participants. We evaluated potential risk compensation following use of a vaginal ring microbicide by women in a phase III trial in southwestern Uganda.

methodsWe used markers of sexual risk behaviour documented on standardised questionnaires, tested for STIs at baseline and quarterly for 2 years. Risk compensation was defined as a significant increase (trend p<0.05) in the proportion of women reporting risky sexual behaviour or a diagnosed STI between baseline and end of follow-up.

resultsBetween September 2013 and December 2016, 197 women (active arm: n=132 and placebo: n=65) were enrolled at the Masaka site. There were decreases in all markers of sexual risk behaviour with statistically significant decreases in only the proportion of women reporting ≥2 sexual partners, p=0.026 and those diagnosed with TRIAL REGISTRATION NUMBER: NCT01539226.

Indexed as

AdultAnti-HIV AgentsContraceptive Devices, FemaleFemaleHIV InfectionsHumansPyrimidinesRisk FactorsSexual BehaviorYoung AdultAnti-HIV AgentsDapivirinePyrimidinesHIVsexual behaviourvaginal microbicideswomen

Identifiers

PMID33542153
PMCPMC8785055

What OpenQuestion holds

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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.