Prevention of HIV Transmission and the HPTN 052 Study.

Abstract:

:The HIV Prevention Trials Network 052 study (HPTN 052) was a clinical trial designed to determine whether early treatment for HIV infection prevented transmission of the virus in couples where one partner was infected with HIV and the other was not, referred to as HIV serodiscordant or serodifferent couples. The study enrolled 1,763 couples at 13 sites in 9 countries in Asia, Africa, and the Americas. HPTN 052 demonstrated a minimum of 96% reduction of HIV in heterosexual couples ascribed to antiretroviral treatment; early treatment of HIV significantly reduced other infections in the HIV-infected subjects. This study, in conjunction with similar research, led to significant changes in international HIV treatment guidelines and the concept of treatment as prevention (TasP). This article provides the scientific background and history of how HPTN 052 came into being, the challenges it faced, and the ultimate impact it had on the fields of HIV treatment and prevention.

journal_name

Annu Rev Med

authors

Cohen MS,Gamble T,McCauley M

doi

10.1146/annurev-med-110918-034551

subject

Has Abstract

pub_date

2020-01-27 00:00:00

pages

347-360

eissn

0066-4219

issn

1545-326X

journal_volume

71

pub_type

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