Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available results

The original purpose of vaginally applied microbicides was to slow down the HIV epidemic among the population until an effective vaccination was developed. Nowadays, antiretrovirals applied in the form of gels or vaginal rings are considered most prominent in this field and are tested via vaginal or...

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Main Authors: Vysloužil Jakub, Kubová Kateřina, Tkadlečková Veronika Nováková, Vetchý David
Format: Article
Language:English
Published: Sciendo 2019-09-01
Series:Acta Pharmaceutica
Subjects:
Online Access:https://doi.org/10.2478/acph-2019-0030
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author Vysloužil Jakub
Kubová Kateřina
Tkadlečková Veronika Nováková
Vetchý David
author_facet Vysloužil Jakub
Kubová Kateřina
Tkadlečková Veronika Nováková
Vetchý David
author_sort Vysloužil Jakub
collection DOAJ
description The original purpose of vaginally applied microbicides was to slow down the HIV epidemic among the population until an effective vaccination was developed. Nowadays, antiretrovirals applied in the form of gels or vaginal rings are considered most prominent in this field and are tested via vaginal or, rarely, rectal applications in numerous clinical studies (9 different antiretroviral drugs in 33 clinical studies, especially in Africa). Only tenofovir (1 % gel) and dapivirine (25 mg in vaginal ring) progressed into the phase III clinical testing. Their efficiency depended on the user´s strict adherence to the application regimen (for tenofovir 54 %, for dapivirine 61 % in participants over 25 years of age). Despite this, they are expected to be important and effective tools of preventive medicine in the near future. This review summarizes the results obtained during long-term clinical testing (2005–2018) of antiretroviral drugs against vaginal and rectal transmission of HIV infection.
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spelling doaj-art-ab487a8c746c40b1b584b4b1dcf72d682025-02-02T23:02:22ZengSciendoActa Pharmaceutica1846-95582019-09-0169329731910.2478/acph-2019-0030acph-2019-0030Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available resultsVysloužil Jakub0Kubová Kateřina1Tkadlečková Veronika Nováková2Vetchý David3Department of Pharmaceutics, Faculty of Pharmacy, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech RepublicDepartment of Pharmaceutics, Faculty of Pharmacy, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech RepublicDepartment of Pharmaceutics, Faculty of Pharmacy, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech RepublicDepartment of Pharmaceutics, Faculty of Pharmacy, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech RepublicThe original purpose of vaginally applied microbicides was to slow down the HIV epidemic among the population until an effective vaccination was developed. Nowadays, antiretrovirals applied in the form of gels or vaginal rings are considered most prominent in this field and are tested via vaginal or, rarely, rectal applications in numerous clinical studies (9 different antiretroviral drugs in 33 clinical studies, especially in Africa). Only tenofovir (1 % gel) and dapivirine (25 mg in vaginal ring) progressed into the phase III clinical testing. Their efficiency depended on the user´s strict adherence to the application regimen (for tenofovir 54 %, for dapivirine 61 % in participants over 25 years of age). Despite this, they are expected to be important and effective tools of preventive medicine in the near future. This review summarizes the results obtained during long-term clinical testing (2005–2018) of antiretroviral drugs against vaginal and rectal transmission of HIV infection.https://doi.org/10.2478/acph-2019-0030hiv preventionmicrobicidesclinical trialsanti-retro viral drugs
spellingShingle Vysloužil Jakub
Kubová Kateřina
Tkadlečková Veronika Nováková
Vetchý David
Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available results
Acta Pharmaceutica
hiv prevention
microbicides
clinical trials
anti-retro viral drugs
title Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available results
title_full Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available results
title_fullStr Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available results
title_full_unstemmed Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available results
title_short Clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of HIV infection – a review of currently available results
title_sort clinical testing of antiretroviral drugs as future prevention against vaginal and rectal transmission of hiv infection a review of currently available results
topic hiv prevention
microbicides
clinical trials
anti-retro viral drugs
url https://doi.org/10.2478/acph-2019-0030
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AT tkadleckovaveronikanovakova clinicaltestingofantiretroviraldrugsasfuturepreventionagainstvaginalandrectaltransmissionofhivinfectionareviewofcurrentlyavailableresults
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