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Oh my god, this is fucking huge. It was huge when we developed a daily PrEP pill that could prevent you from catching HIV; this is a successful phase III trial of a PrEP shot that will only need to be given *twice a year*. Still needs a confirmatory Phase III, but holy fuck.
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100%. 0 seroconversions, n=2134. 0.0 per 100 person-years. p<0.0001. bsky.app/profile/raha...
0 seroconversions, N=2134, among sexually actively cisgender women in Uganda. Controls were other forms of PrEP (since placebo would be unethical): daily emtricitabine/tenofovir as Descovy had 39/2136, 2.02 per 100 person-years; as Truvada had 16/1068, 1.69 per 100.
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I KNOW. They were comparing against existing daily PrEP because placebo would be unethical and it outperformed CONSIDERABLY. 0.0/100. n=2134. Just, my god.
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(was part of the outperformance attributable to difficulty in adhering to a daily med? because that part alone seems huge!)
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That's definitely part of it, I'd guess! Perfect adherence is so hard!