Evidence map›Paper›PMID 42517223›Full record

ArticleAIDS (London, England)2026

Maternal and pregnancy outcomes in women offered daily oral preexposure prophylaxis during pregnancy and postpartum.

Benjamin H Chi, Deborah Kacanek, Emily Brown, K Rivet Amico, Sharon Huang, Teacler Nematadzira, Elizea Horne, Clemensia Nakabiito, Sharon K Mambiya, Violet Korutaro and 8 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Benjamin H ChiUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Deborah KacanekHarvard T. H. Chan School of Public Health, Boston, Massachusetts.
Emily BrownFHI 360, Durham, North Carolina.
K Rivet AmicoUniversity of Michigan, Ann Arbor, Michigan, USA.
Sharon HuangHarvard T. H. Chan School of Public Health, Boston, Massachusetts.
Teacler NematadziraUniversity of Zimbabwe, Harare, Zimbabwe.
Elizea HorneWits RHI, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Clemensia NakabiitoMakerere University-Johns Hopkins University, Kampala, Uganda.
Sharon K MambiyaCollege of Medicine-Johns Hopkins Research Project, Blantyre, Malawi.
Violet KorutaroBaylor College of Medicine Children's Foundation-Uganda, Kampala, Uganda.
Tichaona VhemboUniversity of Zimbabwe, Harare, Zimbabwe.
Michael WhittonFHI 360, Durham, North Carolina.
Benjamin JohnstonFrontier Science Foundation, Inc, Amherst, New York.
Olga VarechtchoukNational Institutes of Allergy and Infectious Diseases.
Hans SpiegelKelly Government Solutions, National Institute of Allergy and Infectious Diseases, Rockville, Maryland.
Peter L AndersonUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Lynda Stranix-ChibandaUniversity of Zimbabwe, Harare, Zimbabwe.
IMPAACT 2009 protocol team

Funding

LOC-IMPAACT Leadership GroupPharmacokinetics and Safety of Remdesivir for Treatment of COVID-19 in Pregnant Women in the USUM1AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI Jennifer Jao, Sharon A Nachman · 2011 to 2026
$278.1M
Statistical and Data Management Center-Pediatric,Adolescent, and Maternal CTGUM1AI068616 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Sean Scott Brummel, Marlene Ann Cooper · 2011 to 2026
$155.6M
UZ-UCSF CTUUM1AI069436 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ZVAVAHERA MIKE CHIRENJE, LYNDA STRANIX-CHIBANDA · 2012 to 2026
$75.9M
University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
UZ-UCSF Clinical Trials UnitU01AI069436 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHIRENJE, ZVAVAHERA MIKE · 2007 to 2011
$49.3M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
The Malawi Clinical Trials UnitUM1AI069518 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JACKY M JENNINGS, TAHA E TAHA · 2012 to 2026
$43.8M
The Johns Hopkins University - Uganda Clinical Trials UnitUM1AI069530 · NIAID · JOHNS HOPKINS UNIVERSITY · PI MARY Glenn Fowler, Philippa Musoke · 2012 to 2026
$34.8M
NIAID NIH HHS U01 AI069436NIAID NIH HHS UM1 AI068616NIAID NIH HHS UM1 AI068632NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069436NIAID NIH HHS UM1 AI069518NIAID NIH HHS UM1 AI069530NIAID NIH HHS UM1 AI106716NICHD NIH HHS HHSN275201800001CNICHD NIH HHS HHSN275201800001I
6 · The paper itself

Abstract

objectiveTo compare maternal safety and pregnancy outcomes among women who did and did not use daily oral emtricitabine-tenofovir disoproxil fumarate (FTC/TDF) for preexposure prophylaxis (PrEP) during pregnancy and postpartum.

designParallel cohort design, with follow-up from pregnancy to 6 months postpartum.

settingSeven research clinics in Malawi, South Africa, Uganda, and Zimbabwe.

participantsThree hundred fifty pregnant women aged 16-24 years at 32 weeks or less gestation, meeting local criteria for PrEP. At entry, PrEP initiators and decliners were enrolled 2 : 1. Participants could start or stop PrEP at any time.

main outcome measuresMaternal adverse events were defined as grade ≥3 signs, symptoms, and diagnoses, and grade ≥2 chemistry abnormalities according to Division of AIDS toxicity tables. Adverse pregnancy outcomes included fetal loss, preterm birth, and small-for-gestational-age.

resultsFrom March to December 2022, 350 eligible participants enrolled: 229 initiating and 121 declining PrEP at entry. Median duration of PrEP use was 34 weeks (interquartile range [IQR]: 16-40). Sixty maternal adverse events were reported over 230.3 person-years (incidence rate: 25.6, 95% confidence interval [95% CI]: 20.0-32.8). Although those on PrEP had higher rates of adverse events, this was not statistically significant (adjusted incidence rate ratio: 1.84, 95% CI: 0.53-6.30). Most frequent grade ≥3 adverse events were complications of pregnancy or delivery. Five (8%) were considered related to PrEP use. Among those with delivery information, 79 (24%) participants reported adverse pregnancy outcomes, with no differences between PrEP groups. No participants acquired HIV infections during follow-up.

conclusionDaily oral FTC-TDF remains a well tolerated and essential component of HIV prevention in pregnancy.

Indexed as

HIVpostpartumpreexposure prophylaxispregnancypreventionsafety

Identifiers

PMID42517223
PMCPMC13431001

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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.