July 14th, 2024

HIV breakthrough: Trial shows drug provides 100% protection

A trial in South Africa and Uganda revealed lenacapavir, a new PrEP drug given twice yearly, provided 100% protection against HIV in young women, outperforming daily options. The promising results may offer a more manageable prevention approach.

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HIV breakthrough: Trial shows drug provides 100% protection

A recent HIV breakthrough trial conducted in South Africa and Uganda demonstrated that a new pre-exposure prophylaxis drug, lenacapavir, administered twice yearly, provided 100% protection against HIV infection in young women. The trial compared the efficacy of lenacapavir with two other daily PrEP drugs. The results showed that none of the women who received lenacapavir contracted HIV, while a small percentage of those taking the other drugs did. This significant finding offers hope for a highly effective prevention tool to combat HIV infections, especially among young people who may find daily prevention methods challenging. The trial will now move into an 'open label' phase, offering participants the choice of PrEP they prefer. The drug's manufacturer plans to submit the results to regulators for approval, aiming to make the drug accessible and affordable globally. This breakthrough underscores the importance of continued research and innovation in the fight against HIV/AIDS.

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By @TaylorAlexander - 9 months
This is wonderful to hear! I’m transgender, polyamorous, and on PrEP. Often trans people didn’t get to have the sex they really wanted for a long time, and after coming out there is this sense of liberation and joy along with a new found appreciation for sex. I’ve heard it said that “sex is an adult form of play” and that’s how I see it. It’s extremely fun to get together with another consenting adult and explore what feels nice together. PrEP has already been a game changer for our sense of safety and possibility. It’s always reassuring when you meet someone, find mutual interest, and then when discussing safety you find you’re both on PrEP and get regularly tested. I’ve never had this experience before as for a long time I dated in serial monogamy and had one new partner every three or four years. With an expansion of sexual partnership opportunities I’m learning so much about the myriad ways I enjoy relating to others, and finding so much fulfillment in this part of my life. These medications are truly wonderful. We owe so much to those who came before us and lived their truths despite the risks, blazed the trail for people like myself and our community today, and lost their lives or loved ones as a result. We should never forget the fight it took to gain this recognition, or the people who resisted our right to freedom along the way.

I want to say also that I recognize this trial was largely among presumably heterosexual people in an HIV stricken region, but my experience is in the gay and trans community in the USA and I wanted to share a personal story of the value these drugs have had for us. My story will no doubt attract some weird comments, but I hope we all recognize the value of consenting adults making their own choices. We all deserve to find our joy, and I suspect most of us recognize the value of sex and pleasure in some form or another. I hope my story provides some insight in to what drugs like this can mean to communities around the world. Love to all people. <3

Edit: By the way here’s some book recommendations on polyamory. You too can find this joy if you’re in the right community and you develop the skills to handle things with maturity and respect, while identifying others who have done the same work. It’s been a ten year journey for me, but it has been well worth it. Books: “More Than Two, 2nd edition” (2nd edition is in preprint but recommended over the first) “Polysecure”, “Polywise”. Good luck exploring! Oh and finding a supporting therapist made all the difference for me in this journey too. That one is harder but see the directory on the Psychology Today website and take advantage of their filters.

By @morsch - 9 months
By @ChrisArchitect - 9 months
By @jl6 - 9 months
> It interferes with the HIV capsid, a protein shell that protects HIV’s genetic material and enzymes needed for replication.

Do I understand correctly that this means an individual HIV virus cannot replicate in the presence of the drug? I assume there must be more to it because otherwise this would be a cure?

By @bawolff - 9 months
So this is a drug (not a vaccine) that stays active for 6 months.

How does that work? Does it just stay in body forever without being filtrred by liver or kidneys?

By @ChrisMarshallNY - 9 months
Excellent news!

> In an ideal world, governments will be able to purchase this affordably and it will be offered to all who want it and need protection against HIV.

Well, since we don't live in an ideal world, we'll have to see what "not-ideal" looks like...

By @m3kw9 - 9 months
100% till it doesn't?
By @alfor - 9 months
Does it generate constant profit?

Maybe I am too cynical, but I don't expect the pharma industry to fix something that is good for the bottom line.

How much tri-therapy cost?