Evidence map›Paper›PMID 36252277›Full record

ReviewExpert opinion on drug delivery2022

Long-acting HIV pre-exposure prophylaxis (PrEP) approaches: recent advances, emerging technologies, and development challenges.

Vivek Agrahari, Sharon M Anderson, M Melissa Peet, Andrew P Wong, Onkar N Singh, Gustavo F Doncel, Meredith R Clark

Open access · greenAbstract readReview
In one paragraph

Review in Expert opinion on drug delivery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Preventing HIV in women in Africa.Nature medicine · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

7 authors at 1 institution in 1 country.

Vivek AgrahariCONRAD, Eastern Virginia Medical School, Norfolk, VA, USA.
Sharon M AndersonCONRAD, Eastern Virginia Medical School, Norfolk, VA, USA.
M Melissa PeetCONRAD, Eastern Virginia Medical School, Norfolk, VA, USA.
Andrew P WongCONRAD, Eastern Virginia Medical School, Norfolk, VA, USA.
Onkar N SinghCONRAD, Eastern Virginia Medical School, Norfolk, VA, USA.
Gustavo F DoncelCONRAD, Eastern Virginia Medical School, Norfolk, VA, USA.
Meredith R ClarkCONRAD, Eastern Virginia Medical School, Norfolk, VA, USA.
Eastern Virginia Medical School · US

Funding

Project Horizon: Hydrogel Injectable Depot System for Next-Generation Long-Acting HIV Prevention and ContraceptionR33AI142685 · NIAID · OLD DOMINION UNIVERSITY · PI CLARK, MEREDITH R · 2022 to 2023
$4.0M
NIAID NIH HHS R33 AI142685
6 · The paper itself

Abstract

introductionPoor or inconsistent adherence to daily oral pre-exposure prophylaxis (PrEP) has emerged as a key barrier to effective HIV prevention. The advent of potent long-acting (LA) antiretrovirals (ARVs) in conjunction with advances in controlled release technologies has enabled LA ARV drug delivery systems (DDS) capable of providing extended dosing intervals and overcome the challenge of suboptimal drug adherence with daily oral dosing. AREAS COVERED: This review discusses the current state of the LA PrEP field, recent advances, and emerging technologies, including ARV prodrug modifications and new DDS. Technological challenges, knowledge gaps, preclinical testing considerations, and future directions important in the context of clinical translation and implementation of LA HIV PrEP are discussed. EXPERT OPINION: The HIV prevention field is evolving faster than ever and the bar for developing next-generation LA HIV prevention options continues to rise. The requirements for viable LA PrEP products to be implemented in resource-limited settings are challenging, necessitating proactive consideration and product modifications during the design and testing of promising new candidates. If successfully translated, next-generation LA PrEP that are safe, affordable, highly effective, and accepted by both end-users and key stakeholders will offer significant potential to curb the HIV pandemic.

Indexed as

Acquired Immunodeficiency SyndromeAnti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisDrug Delivery SystemsHumansAnti-HIV AgentsAdherenceantiretroviraldrug delivery systemHIV preventionimplantsinjectablelong-actingmicrobicidenanoformulationsprodrug

Identifiers

PMID36252277
PMCPMC9639748
OpenAlexW4306639125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.