http://arabnews.com/lifestyle/food_health/article471167.ece

Pills prevent HIV in straight men and women
 
File picture shows Gilead Sciences Inc.'s Truvada pill in their lab in Foster 
City, California. The drug is already used to treat people with HIV. (AP)

By MIKE STOBBE | AP 

Published: Jul 13, 2011 13:13 Updated: Jul 13, 2011 19:36 

ATLANTA: Two new studies found that daily pills prevented infection with the 
AIDS virus in heterosexual men and women in Africa, bringing new hope for 
someday offering a medical shield against HIV infection.

"This is good news. This is a good day for HIV prevention," said Dr. Lynn 
Paxton of the US Centers for Disease Control and Prevention, who has 
coordinated the agency's research into HIV prevention.

Earlier this year, another study found the same pills did not prevent the AIDS 
virus among women in Kenya, Tanzania and South Africa. But researchers now say 
that study may have been flawed based on the success of the two studies 
announced Wednesday.

The first of the new studies, run by the CDC, involved more than 1,200 men and 
women in Botswana. About half got a daily pill, Truvada, an HIV treatment made 
by Gilead Sciences Inc. The other half got a fake pill.

An analysis of people who were believed to be regularly taking the pills found 
four of those on Truvada became infected with HIV, compared with 19 on the 
dummy pill. That means the real drug lowered the risk of infection by roughly 
78 percent, researchers said.

The second study was funded by the Bill & Melinda Gates Foundation and run by 
the University of Washington. It involved more than 4,700 heterosexual couples 
in Kenya and Uganda. In each couple, one partner had HIV and the other did not. 
The uninfected were given either daily placebos, Truvada pills, or another 
Gilead treatment, Viread.

The study found 13 HIV infections among those on Truvada, 18 in those on 
Viread, and 47 of those on dummy pills. So the medications reduced the risk of 
HIV infection by 62 percent to 73 percent, the researchers said.

An independent review panel on Sunday said the benefit was clear-cut and 
stopped giving placebos, instead offering the preventive pills. Essentially, 
they deemed it unethical to withhold the medications from people who had been 
on placebo, said Dr. Jared Baeten, the University of Washington researcher who 
co-chaired the study.

"Our results provide clear evidence that this works in heterosexuals," he said.

In both studies, participants also were offered counseling and free condoms, 
which may help explain the relatively low overall infection rate.

The studies were to be announced at an AIDS conference in Rome next week. But 
following the recommendation of the review panel to the University of 
Washington study, both the CDC and the Washington team made hasty decisions to 
release the results.

These are the third and fourth widely reported studies of AIDS prevention 
medications.

The first was announced last year. It was a study of Truvada in gay men in 
Peru, Ecuador, Brazil, South Africa, Thailand and the United States (San 
Francisco and Boston). The drug lowered the chances of infection by 44 percent, 
and by 73 percent or more among men who took their pills most faithfully.

Experts celebrated. The CDC gave advice to doctors on prescribing Truvada along 
with other prevention services for gay men, based on those encouraging results.

But momentum seemed to stall in April, when an interim analysis of the study of 
3,900 women in Kenya, Tanzania and South Africa did not show a benefit from 
taking Truvada.

Scientists are still piecing together why that study pointed to failure and the 
two latest indicate success. One theory is that the women in the earlier study 
did not take the medication as often as they should have, Paxton said.

Gilead Sciences of Foster City, California, is a major producer of AIDS drugs. 
On Tuesday, United Nations health officials announced the company had agreed to 
allow some of its drugs to be made by generic manufacturers, potentially 
increasing their availability in poor countries.


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