Evidence map›Paper›PMID 38494656›Full record

Trial reportJournal of the International AIDS Society2024

A conjoint experiment of three placebo rectal products used with receptive anal sex: results from MTN-035.

José Bauermeister, Willey Lin, Ryan Tingler, Albert Liu, Suwat Chariyalertsak, Craig Hoesley, Pedro Gonzales, Ken Ho, Noel Kayange, Thesla Palanee Phillips and 7 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the International AIDS Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. 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

17 authors at 12 institutions in 5 countries.

José BauermeisterUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-9276-2306
Willey LinUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ryan TinglerUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
Albert LiuBridge HIV at the San Francisco Department of Public Health, San Francisco, California, USA.ORCID 0000-0003-0320-823X
Suwat ChariyalertsakResearch Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.
Craig HoesleyUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
Pedro GonzalesIMPACTA, Asociación Civil Impacta Salud y Educación, San Miguel CRS, Lima, Perú.
Ken HoUniversity of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Noel KayangeBlantyre CRS, Johns Hopkins University Research Project, Blantyre, Malawi.
Thesla Palanee PhillipsWits Reproductive Health and HIV Institute, Johannesburg, South Africa.ORCID 0000-0002-0052-5830
Sherri JohnsonFHI 360, Durham, North Carolina, USA.
Elizabeth BrownStatistical Center for HIV/AIDS Research & Prevention, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.ORCID 0000-0003-4286-2111
Jillian ZemanekStatistical Center for HIV/AIDS Research & Prevention, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Cindy E JacobsonFHI 360, Durham, North Carolina, USA.
Gustavo F DoncelCONRAD, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Jeanna PiperDivision of AIDS, United States National Institute of Health, National Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA.
MTN-035 Protocol Team for the Microbicide Trials Network
University of Pennsylvania · USFamily Health International 360 · USFred Hutch Cancer Center · USAIDS United · USAsociación Civil Impacta Salud y Educación · PEChiang Mai University · THEastern Virginia Medical School · USJohns Hopkins University · USPerinatal HIV Research Unit · ZASan Francisco Department of Public Health · USUniversity of Alabama at Birmingham · USUniversity of Pittsburgh · US

Funding

SDMC: HPTN 084 Pregnancy SupplementUM1AI068617 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth Renata Brown, Deborah J Donnell · 2011 to 2026
$204.9M
Microbicide Trials NetworkUM1AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2011 to 2021
$175.0M
Statistical and Data Management Center (SDMC): Microbicide Trials NetworkUM1AI068615 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BROWN, ELIZABETH RENATA · 2011 to 2021
$66.5M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Immaculate Lillian Nankya · 1994 to 2026
$50.0M
The Malawi Clinical Trials UnitUM1AI069518 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JACKY M JENNINGS, TAHA E TAHA · 2012 to 2026
$43.8M
Wits HIV Research Group CLINICAL TRIAL UNIT (CTU) reapplicationUM1AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI REES, HELEN, SANNE, IAN MATTHIAS · 2012 to 2025
$31.8M
San Francisco Vaccine and Prevention UnitUM1AI069496 · NIAID · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI Susan Buchbinder, Diane V Havlir · 2012 to 2026
$30.5M
Laboratory Center (LC): Microbicide Trials NetworkUM1AI106707 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI MELLORS, JOHN W, ROHAN, LISA CENCIA · 2014 to 2021
$27.1M
Thailand HIV/AIDS and Infectious Disease Clinical Trials Unit (THAI CTU)UM1AI069399 · NIAID · CHIANG MAI UNIVERSITY · PI Kiat Ruxrungtham, Khuanchai Supparatpinyo · 2012 to 2026
$25.0M
Units for HIV/AIDS Clinical Trials NetworksU01AI069463 · NIAID · WITS HEALTH CONSORTIUM (PTY), LTD · PI SANNE, IAN MATTHIAS · 2007 to 2011
$24.2M
San Francisco Vaccine and Prevention UnitU01AI069496 · NIAID · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI BUCHBINDER, SUSAN · 2007 to 2011
$7.3M
NIAID NIH HHS P30 AI036219NIAID NIH HHS U01 AI069463NIAID NIH HHS U01 AI069496NIAID NIH HHS UM1 AI068615NIAID NIH HHS UM1 AI068617NIAID NIH HHS UM1 AI068633NIAID NIH HHS UM1 AI069399NIAID NIH HHS UM1 AI069463NIAID NIH HHS UM1 AI069496NIAID NIH HHS UM1 AI069518NIAID NIH HHS UM1 AI106707NIH HHSNIMH NIH HHS
6 · The paper itself

Abstract

introductionEnd-user perspectives are vital to the design of new biomedical HIV prevention products. Conjoint analysis can support the integration of end-user perspectives by examining their preferences of potential pre-exposure prophylaxis (PrEP) products. The Microbicides Trial Network (MTN) 035 protocol examined three placebo rectal dosage forms (insert, enema and suppository) that could deliver PrEP prior to receptive anal sex (RAS).

methodsBetween April 2019 and July 2020, we enrolled 217 HIV-negative, cisgender men who have sex with men (MSM; n = 172; 79.3%) and transgender people (n = 47; 20.7%) ages 18-35 into a randomized cross-over trial across Malawi, Peru, South Africa, Thailand and the United States. Participants used each product prior to RAS over 4-week periods. Participants completed a conjoint experiment where they selected between random profiles using seven features (dosage form, timing of use before sex, side effects, duration of protection, effectiveness, frequency of use and need for a prescription).

resultsEffectiveness was the strongest determinant of choice (30.4%), followed by modality (18.0%), potential side effects (17.2%), frequency of use (10.8%), duration of protection (10.4%), timing of use before sex (7.4%) and need for a prescription (5.9%). Relative utility scores indicated that the most desirable combination of attributes was a product with 95% efficacy, used 30 minutes before sex, offering a 3- to 5-day protection window, used weekly, having no side effects, in the form of an enema and available over-the-counter.

conclusionsChoice in next-generation PrEP products is highly desired by MSM and transgender people, as no one-size-fits-all approach satisfies all the preferences. MTN-035 participants weighed product features differently, recognizing the need for diverse, behaviourally congruent biomedical options that fit the needs of intended end-users.

Indexed as

Anti-Infective AgentsHIV InfectionsSexual and Gender MinoritiesAdolescentAdultFemaleHomosexuality, MaleHumansMaleSexual BehaviorUnited StatesYoung AdultAnti-Infective AgentsacceptabilityHIV preventionmen who have sex with menmicrobicidesPrEPtransgender

Identifiers

PMID38494656
PMCPMC10945032
OpenAlexW4392921987

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.