Ethical considerations in HIV cure research: points to consider.

Abstract:

PURPOSE OF REVIEW:Research directed toward an HIV cure presents ethical as well as scientific challenges. RECENT FINDINGS:International guidelines, regulations, and the medical literature provide helpful guidance on protecting research participants. SUMMARY:This review presents points to consider for researchers, sponsors, oversight committees, community advisory boards, and HIV advocates to help resolve ethical challenges that are particularly complex or difficult or that are not adequately addressed by current ethical guidelines. The points to consider are: collaborative partnership among international scientists from both the private and public sectors, as well as engagement of HIV-affected communities, social value, scientific validity, fair selection of participants and study sites, a favorable and acceptable risk-benefit balance, independent scientific and ethical review, informed and voluntary consent, and respect for enrolled patients and communities. To prevent therapeutic misconception, participants' comprehension of key features of the study may need to be assessed. Participants who suffer study-related adverse events should receive appropriate medical care and compensation. If interventions are shown capable of curing HIV, sponsors and international funding agencies should plan how to make them available and affordable in resource-poor countries.

journal_name

Curr Opin HIV AIDS

authors

Lo B,Grady C,Working Group on Ethics of the International AIDS Society.

doi

10.1097/COH.0b013e32835ea1c5

subject

Has Abstract

pub_date

2013-05-01 00:00:00

pages

243-9

issue

3

eissn

1746-630X

issn

1746-6318

journal_volume

8

pub_type

杂志文章,评审
  • Epidemiological challenges to the assessment of HIV burdens among key populations: respondent-driven sampling, time-location sampling and demographic and health surveys.

    abstract:PURPOSE OF REVIEW:Measuring the burden of HIV among key populations is subject to many challenges. Sufficient quantities of valid HIV prevalence and programme coverage data are required to effectively respond to the epidemic. RECENT FINDINGS:Ability to validate exposure to unprotected sex through the innovative use of...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000046

    authors: Sabin KM,Johnston LG

    更新日期:2014-03-01 00:00:00

  • HIV vaccine development at the turn of the 21st century.

    abstract:PURPOSE OF REVIEW:To review the status of HIV vaccine development RECENT FINDINGS:Since the discovery of HIV-1 in the early 1980s considerable effort has been exerted to develop a prophylactic vaccine, with relatively meagre results. The absence of natural immunity has proven to be a major stumbling block in identifyi...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32834ddc96

    authors: Girard MP,Plotkin SA

    更新日期:2012-01-01 00:00:00

  • Can the United States achieve 90-90-90?

    abstract:PURPOSE OF REVIEW:To summarize recent trends in knowledge of HIV status, care and viral suppression, and the status of implementation of relevant contextual requirements for the United States to achieve the 90-90-90 goals. Recently, the US government announced a plan to decrease HIV incidence by over 90% by 2030. Reach...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000578

    authors: Hall HI,Brooks JT,Mermin J

    更新日期:2019-11-01 00:00:00

  • Nonhuman primate models for the evaluation of HIV-1 preventive vaccine strategies: model parameter considerations and consequences.

    abstract:PURPOSE OF REVIEW:Nonhuman primate (NHP) models of AIDS are powerful systems for evaluating HIV vaccine approaches in vivo. Authentic features of HIV-1 transmission, dissemination, target cell tropism, and pathogenesis, and aspects of anti-HIV-1 immune responses, can be recapitulated in NHPs provided the appropriate, s...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000311

    authors: Del Prete GQ,Lifson JD,Keele BF

    更新日期:2016-11-01 00:00:00

  • Mental health and substance use in HIV-infected adolescents.

    abstract:PURPOSE OF REVIEW:Adolescents with HIV include both those infected perinatally and behaviourally. This population is confronted by normative challenges and HIV stressors as they move towards becoming increasingly independent adults. This review focuses on mental health and substance use in adolescents with HIV. These a...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000451

    authors: Evangeli M

    更新日期:2018-05-01 00:00:00

  • The role of family planning in elimination of new pediatric HIV infection.

    abstract:PURPOSE OF REVIEW:We reviewed recent literature on the role of family planning in eliminating new pediatric HIV infections. RECENT FINDINGS:Global commitments to eliminate new pediatric HIV infections recognize that preventing unintended pregnancies among women with HIV is essential to achieving this goal. However, su...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e3283632bd7

    authors: Wilcher R,Petruney T,Cates W

    更新日期:2013-09-01 00:00:00

  • Recent mobile health interventions to support medication adherence among HIV-positive MSM.

    abstract:PURPOSE OF REVIEW:We describe recent mobile health (mHealth) interventions supporting antiretroviral therapy (ART) medication adherence among HIV-positive MSM. RECENT FINDINGS:Keyword searches (1 January 2016-13 May 2017) identified 721 citations. Seven publications reporting on six studies met inclusion criteria. Fiv...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000401

    authors: Muessig KE,LeGrand S,Horvath KJ,Bauermeister JA,Hightow-Weidman LB

    更新日期:2017-09-01 00:00:00

  • Improvements in antiretroviral therapy outcomes over calendar time.

    abstract:PURPOSE OF REVIEW:The introduction of combination antiretroviral therapy (cART) led to substantial reductions in HIV-associated morbidity and mortality. However, the regimens in the early cART era were cumbersome and toxic. The introduction of new ART agents, fixed-dose combinations and novel strategies for cART delive...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e328329fc8d

    authors: Boyd MA

    更新日期:2009-05-01 00:00:00

  • A pièce de resistance: how HIV-1 escapes small molecule CCR5 inhibitors.

    abstract:PURPOSE OF REVIEW:Small molecule inhibitors targeting the CCR5 coreceptor represent a new class of drugs for treating HIV-1 infection. Maraviroc has received regulatory approvals, and vicriviroc is in phase 3 trials. Understanding how resistance to these drugs develops and is diagnosed is essential to guide clinical pr...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e3283223d46

    authors: Moore JP,Kuritzkes DR

    更新日期:2009-03-01 00:00:00

  • Repositioning HIV protease inhibitors as cancer therapeutics.

    abstract:PURPOSE OF REVIEW:Although designed to target only the HIV protease, HIV protease inhibitors induce toxicities in patients such as insulin resistance and lipodystrophy that suggest that protease inhibitors have other targets in mammalian cells. Akt controls insulin signaling and is an important target in cancer, but no...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e328313915d

    authors: Bernstein WB,Dennis PA

    更新日期:2008-11-01 00:00:00

  • Emerging HIV-1 drug resistance after roll-out of antiretroviral therapy in sub-Saharan Africa.

    abstract:PURPOSE OF REVIEW:This review provides an update of recent data on the development of HIV-1 drug resistance during treatment and its transmission in sub-Saharan Africa after the scale-up of antiretroviral therapy (ART). RECENT FINDINGS:Evidence is accumulating of a rising prevalence of transmitted HIV drug resistance ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32835b7f94

    authors: Hamers RL,Sigaloff KC,Kityo C,Mugyenyi P,de Wit TF

    更新日期:2013-01-01 00:00:00

  • Evolving clinical phenotypes in HIV-associated neurocognitive disorders.

    abstract:PURPOSE OF REVIEW:To describe the changes in the presentation of HIV-associated neurocognitive disorders (HAND) comparing the current combination antiretroviral therapy (cART) treatment era to the pre-cART era. RECENT FINDINGS:The frequency of the most severe stage of HAND, HIV-associated dementia (HAD), has decreased...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000102

    authors: Sacktor N,Robertson K

    更新日期:2014-11-01 00:00:00

  • Analysis of biomarker data: logs, odds ratios, and receiver operating characteristic curves.

    abstract:PURPOSE OF REVIEW:We discuss two data analysis issues for studies that use binary clinical outcomes (whether or not an event occurred): the choice of an appropriate scale and transformation when biomarkers are evaluated as explanatory factors in logistic regression and assessing the ability of biomarkers to improve pre...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32833ed742

    authors: Grund B,Sabin C

    更新日期:2010-11-01 00:00:00

  • Development of replication-competent viral vectors for HIV vaccine delivery.

    abstract:PURPOSE OF REVIEW:To briefly describe some of the replication-competent vectors being investigated for development of candidate HIV vaccines focusing primarily on technologies that have advanced to testing in macaques or have entered clinical trials. RECENT FINDINGS:Replication-competent viral vectors have advanced to...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e328363d389

    authors: Parks CL,Picker LJ,King CR

    更新日期:2013-09-01 00:00:00

  • Anal cancer screening in men who have sex with men.

    abstract:PURPOSE OF REVIEW:To determine whether current evidence and expert opinion support the routine use of anal cytology and high-resolution anoscopy in men who have sex with men. RECENT FINDINGS:Most recently published guidelines do not recommend routine anal cytology, but anal cancer is undoubtedly a serious and growing ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/coh.0b013e32831a6fe0

    authors: Fox P

    更新日期:2009-01-01 00:00:00

  • In-vitro and in-vivo models for hepatitis B cure research.

    abstract:PURPOSE OF REVIEW:Antiviral therapy for chronic hepatitis B infection is rarely curative, thus research in HBV cure strategies is a priority. Drug development and testing has been hampered by the lack of robust cell culture systems and small animal models. This review summarizes existing models for HBV cure research an...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0000000000000616

    authors: Allweiss L,Strick-Marchand H

    更新日期:2020-05-01 00:00:00

  • Antiretroviral drug concentrations in the male and female genital tract: implications for the sexual transmission of HIV.

    abstract:PURPOSE OF REVIEW:To summarize the recent literature (2008-2010) on antiretroviral (ARV) drug disposition into the male and female genital tract. RECENT FINDINGS:Recent studies have confirmed that penetration of antiretroviral agents into the male and female genital tracts are both drug and sex specific. Concentration...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32833a0b69

    authors: Taylor S,Davies S

    更新日期:2010-07-01 00:00:00

  • Multimorbidity patterns in people with HIV.

    abstract:PURPOSE OF REVIEW:With the progressive aging of populations of people with HIV (PWH), multimorbidity is increasing. Multimorbidity patterns, that is groups of comorbidities that are likely to co-occur, may suggest shared causes or common risk factors. We review the literature regarding multimorbidity patterns identifie...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0000000000000595

    authors: De Francesco D,Sabin CA,Reiss P

    更新日期:2020-03-01 00:00:00

  • Antiretroviral therapy adherence and retention in care in middle-income and low-income countries: current status of knowledge and research priorities.

    abstract:PURPOSE OF REVIEW:Adherence to combination antiretroviral therapy (cART) is one of the most important contributing factors to positive clinical outcomes in patients with HIV, and long-term retention of patients in low-income and middle-income countries is emerging as an important issue in rapidly expanding cART program...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e328333ad61

    authors: Nachega JB,Mills EJ,Schechter M

    更新日期:2010-01-01 00:00:00

  • HIV molecular epidemiology: transmission and adaptation to human populations.

    abstract:PURPOSE OF REVIEW:To provide an update on the origin of the HIV epidemic and insights into how the immune response is shaping virus evolution. RECENT FINDINGS:Characterization of archival samples showed that by the 1960s, HIV had already diverged within humans. It is now estimated that HIV has been in humans since at ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32832c0672

    authors: Woodman Z,Williamson C

    更新日期:2009-07-01 00:00:00

  • Genital reservoir: a barrier to functional cure?

    abstract:PURPOSE OF REVIEW:HIV functional cure requires the elimination or a major reduction of HIV reservoir pool including male and female genital HIV reservoirs. A comprehensive understanding of HIV dynamics in these compartments is mandatory. RECENT FINDINGS:Data from chronically HIV-infected therapy-naïve individuals or f...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000486

    authors: Gantner P,Ghosn J

    更新日期:2018-09-01 00:00:00

  • Low dead-space syringes for preventing HIV among people who inject drugs: promise and barriers.

    abstract:PURPOSE OF REVIEW:This review examines evidence regarding the differential effects of high dead-space syringes (HDSS) and low dead-space syringes (LDSS) on HIV transmission among people who inject drugs (PWID). It also identifies areas for additional research and examines potential barriers to interventions that promot...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e328354a276

    authors: Zule WA

    更新日期:2012-07-01 00:00:00

  • Role of immune activation in progression to AIDS.

    abstract:PURPOSE OF REVIEW:The purpose is to review recent insights into the impact of HIV-associated immune activation on AIDS and non-AIDS morbidity and mortality. RECENT FINDINGS:Immune activation has long been recognized as an important consequence of untreated HIV infection and predictor of AIDS progression, which decline...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000242

    authors: Utay NS,Hunt PW

    更新日期:2016-03-01 00:00:00

  • Mortal allies: human immunodeficiency virus and noncommunicable diseases.

    abstract:PURPOSE OF REVIEW:HIV-infected individuals have improved access to antiretroviral therapy. This has resulted in a shift in causes of mortality from infectious diseases to noncommunicable diseases including cardiovascular disease, chronic kidney disease (CKD) and malignancies. This review will look at the epidemiologica...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000342

    authors: Mayne ES,George JA

    更新日期:2017-03-01 00:00:00

  • Neurological disease: the effects of HIV and antiretroviral therapy and the implications for early antiretroviral therapy initiation.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to examine the literature regarding HIV-associated neurocognitive disorders, early HIV infection of the central nervous system (CNS), the role of the peripheral immune system in controlling HIV infection and disease within the brain and the potential role that early antir...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 社论,评审

    doi:10.1097/COH.0b013e32832dd0c2

    authors: Wright EJ

    更新日期:2009-09-01 00:00:00

  • Psychosocial, mental health, and behavioral issues of aging with HIV.

    abstract:PURPOSE OF REVIEW:People with HIV continue to live with the health consequences of an episodic illness that limits their ability to fully participate in society, particularly for the growing number of older people living with HIV. The present review describes the recent evidence exploring the psychosocial challenges fa...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000071

    authors: Rueda S,Law S,Rourke SB

    更新日期:2014-07-01 00:00:00

  • HIV-1 replicative fitness in elite controllers.

    abstract:PURPOSE OF REVIEW:Differential rates of disease progression are obviously multifactorial, but the virulence of the actual infecting virus is most frequently ignored as potential source of slow or rapid disease progression. In this review, the argument will be made that nearly all elite suppressors are infected by weak ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e3283454cf5

    authors: Lobritz MA,Lassen KG,Arts EJ

    更新日期:2011-05-01 00:00:00

  • Long-acting rilpivirine for HIV prevention.

    abstract:PURPOSE OF REVIEW:Long-acting injectable antiretroviral (ARV) formulations are being developed for the treatment and prevention of HIV infection. The purpose of this review is to summarize recent preclinical and clinical data on TMC278 (rilpivirine), a nonnucleoside reverse transcriptase inhibitor (NNRTI), that is bein...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000160

    authors: Jackson A,McGowan I

    更新日期:2015-07-01 00:00:00

  • Stopping HAART temporarily in the absence of virus rebound: exploring new HIV treatment options.

    abstract:PURPOSE OF REVIEW:To examine the literature in search of data supporting (stopping highly active antiretroviral therapy (HAART) temporarily in the absence of virus rebound) to expand HIV treatment options. RECENT FINDINGS:We proposed investigating HAART interruptions after the 'Berlin patient' had discontinued HAART w...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e328011aad6

    authors: Lori F,Foli A,Lisziewicz J

    更新日期:2007-01-01 00:00:00

  • The antibody response in HIV-1-infected donors.

    abstract:PURPOSE OF REVIEW:Although the goal of preventive HIV vaccine design is primarily the induction of broadly neutralizing antibodies (bNAbs), recent evidence suggests that a protective response will also benefit from Fc effector functions. Here, we provide an update on the antibody response to HIV infection, including bo...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000559

    authors: Richardson SI,Moore PL

    更新日期:2019-07-01 00:00:00