Evidence map›Paper›PMID 40267471›Full record

ArticleJMIR research protocols2025

Preventing Premature Pre-Exposure Prophylaxis Discontinuation and Sexually Transmitted Infections Among Men Who Have Sex With Men (Project PEACH): Protocol for a Prospective Cohort Study.

Amalia Aldredge, Derrius Carter, Candice A DeCree, Elliot V Gardner, Gina Bailey Herring, Oumaima Kaabi, Rebecca Moges-Banks, Rachel Valencia, Colleen Frances Kelley, Patrick Sean Sullivan

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05072093 (Parrying the Pitfalls of PrEP), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05072093 phase4completednot on this map

Parrying the Pitfalls of PrEP: Preventing Premature PrEP Discontinuation and STIs Among MSM

TypeinterventionalSponsorEmory UniversityRan2021 to 2025Enrolled240ConditionsHIV, STIArmsPrEP discontinuation intervention, Offering of on-demand oral PrEP, Offering of STI PEP, Injectable PrEP
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

10 authors.

Amalia AldredgeDivision of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, United States.ORCID 0000-0002-8044-4298
Derrius CarterDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0009-0001-9092-3954
Candice A DeCreeDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0009-0002-8741-5104
Elliot V GardnerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0009-0004-7558-196X
Gina Bailey HerringPonce de Leon Center, Grady Healthcare System, Atlanta, GA, United States.ORCID 0000-0002-2306-1194
Oumaima KaabiDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0009-0003-7995-0294
Rebecca Moges-BanksDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0009-0001-4489-8946
Rachel ValenciaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0002-9130-7176
Colleen Frances Kelley *Division of Infectious Diseases, Department of Medicine, Emory University, Atlanta, GA, United States.ORCID 0000-0001-5611-0119
Patrick Sean Sullivan *Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID 0000-0002-7728-0587

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Parrying the Pitfalls of PrEP: Preventing Premature PrEP Discontinuation and STIs among Young Black MSMR01MH122341 · NIMH · EMORY UNIVERSITY · PI KELLEY, COLLEEN F, SULLIVAN, PATRICK SEAN · 2020 to 2024
$3.7M
Emory Training Program in Translational Research to End the HIV EpidemicT32AI157855 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2021 to 2026
$2.8M
NIAID NIH HHS P30 AI050409NIAID NIH HHS T32 AI157855NIMH NIH HHS R01 MH122341
6 · The paper itself

Abstract

backgroundThere is an ongoing syndemic of HIV and sexually transmitted infections (STIs) in the United States, particularly among men who have sex with men (MSM). We have increasingly effective and diverse measures of prevention, including various types of pre-exposure prophylaxis (PrEP) for HIV prevention and doxycycline postexposure prophylaxis (doxyPEP) for STI prevention. As options expand, we need to understand how to use a combination of these strategies and other supports for MSM to best curb the syndemic.

objectiveWe designed a patient-preference trial to understand patient preferences for PrEP and doxyPEP, how preferences may change over time, and methods for preventing premature discontinuation of PrEP.

methodsWe enrolled HIV-negative MSM in metropolitan Atlanta, Georgia. Participants could elect to take PrEP (daily or on-demand), doxyPEP, both, or neither, along with app-based support to evaluate for risk factors of discontinuation or behavioral changes that might affect their choice of prevention methods. Participants were able to switch prevention methods at any time. Oral PrEP and doxyPEP users are currently being offered quarterly in-person or at-home HIV, syphilis, gonorrhea, and chlamydia testing along with opportunities for motivational interviewing.

resultsWe enrolled individuals from November 2021 to September 2023. Among 240 participants, the median age was 30 (IQR 25-35), 63% (n=150) self-identified as non-Hispanic Black, and 69% (n=166) were insured. Most participants (n=144, 60%) elected to take daily PrEP plus doxyPEP, with a smaller proportion taking on-demand PrEP plus doxyPEP (n=34, 14%) or daily PrEP without doxyPEP (n=33, 14%).

conclusionsWe designed an ongoing study to evaluate the preferences for PrEP and doxyPEP among MSM in metropolitan Atlanta. Enrollment was completed in 22 months and included a diverse cohort of MSM that will be followed longitudinally to evaluate prevention preferences over time. At baseline, most participants preferred to take a combination of daily PrEP and doxyPEP for HIV and STI prevention.

trial registrationClinicaltrials.gov NCT05072093; https://clinicaltrials.gov/study/NCT05072093. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/56096.

Indexed as

Homosexuality, MalePre-Exposure ProphylaxisSexually Transmitted DiseasesAdultDoxycyclineGeorgiaHIV InfectionsHumansMalePatient PreferencePost-Exposure ProphylaxisProspective StudiesSexual and Gender MinoritiesDoxycyclineapp-basedcohort studydoxyPEPHIVmen who have sex with menpatient preferencespre-exposure prophylaxisPrEPpreventionsexually transmitted infectionssyndemicUnited States

Identifiers

PMID40267471
PMCPMC12059491

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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.