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Mitigation strategies to safely conduct HIV treatment research in the context of COVID-19.
Henderson, Merle; Fidler, Sarah; Mothe, Beatriz; Grinsztejn, Beatriz; Haire, Bridget; Collins, Simon; Lau, Jillian S Y; Luba, Maureen; Sanne, Ian; Tatoud, Roger; Deeks, Steve; Lewin, Sharon R.
  • Henderson M; Department of Infectious Disease, Imperial College London, London, UK.
  • Fidler S; Department of Infectious Disease, Imperial College London, London, UK.
  • Mothe B; IrsiCaixa AIDS Research Institute, HUGTIP, Badalona, Spain.
  • Grinsztejn B; Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
  • Haire B; Kirby Institute, Sydney, New South Wales, Australia.
  • Collins S; i-Base, London, UK.
  • Lau JSY; The Peter Doherty Institute for Infection and Immunity, The University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia.
  • Luba M; AVAC, Lilongwe, Malawi.
  • Sanne I; University of the Witwatersrand, Johannesburg, South Africa.
  • Tatoud R; International AIDS Society, Geneva, Switzerland.
  • Deeks S; University of California, San Francisco (UCSF), San Francisco, California, USA.
  • Lewin SR; The Peter Doherty Institute for Infection and Immunity, The University of Melbourne and Royal Melbourne Hospital, Melbourne, Victoria, Australia.
J Int AIDS Soc ; 25(2): e25882, 2022 02.
Article in English | MEDLINE | ID: covidwho-1669512
ABSTRACT

INTRODUCTION:

The International AIDS Society convened a multidisciplinary committee of experts in December 2020 to provide guidance and key considerations for the safe and ethical management of clinical trials involving people living with HIV (PLWH) during the SARS-CoV-2 pandemic. This consultation did not discuss guidance for the design of prevention studies for people at risk of HIV acquisition, nor for the programmatic delivery of antiretroviral therapy (ART).

DISCUSSION:

There is strong ambition to continue with HIV research from both PLWH and the research community despite the ongoing SARS-CoV-2 pandemic. How to do this safely and justly remains a critical debate. The SARS-CoV-2 pandemic continues to be highly dynamic. It is expected that with the emergence of effective SARS-CoV-2 prevention and treatment strategies, the risk to PLWH in clinical trials will decline over time. However, with the emergence of more contagious and potentially pathogenic SARS-CoV-2 variants, the effectiveness of current prevention and treatment strategies may be compromised. Uncertainty exists about how equally SARS-CoV-2 prevention and treatment strategies will be available globally, particularly for marginalized populations, many of whom are at high risk of reduced access to ART and/or HIV disease progression. All of these factors must be taken into account when deciding on the feasibility and safety of developing and implementing HIV research.

CONCLUSIONS:

It can be assumed for the foreseeable future that SARS-CoV-2 will persist and continue to pose challenges to conducting clinical research in PLWH. Guidelines regarding how best to implement HIV treatment studies will evolve accordingly. The risks and benefits of performing an HIV clinical trial must be carefully evaluated in the local context on an ongoing basis. With this document, we hope to provide a broad guidance that should remain viable and relevant even as the nature of the pandemic continues to develop.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Variants Limits: Humans Language: English Journal: J Int AIDS Soc Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2022 Document Type: Article Affiliation country: Jia2.25882

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Variants Limits: Humans Language: English Journal: J Int AIDS Soc Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2022 Document Type: Article Affiliation country: Jia2.25882