Vaginal rings releasing antiretrovirals – either alone or in combination with contraceptive progestins – are being developed for prevention of human immunodeficiency virus (HIV) transmission via vaginal sex.
Clare F. McCoy +9 more
doaj +1 more source
Correlates of Dapivirine Vaginal Ring Acceptance among Women Participating in an Open Label Extension Trial. [PDF]
MTN-025/HOPE was an open-label trial of the dapivirine vaginal ring conducted in four African countries between 2016 and 2018. Women were first offered one ring monthly (at baseline, months 1 and 2), thereafter, transitioned to a more applicable real-world dispensation schedule, - 3 rings quarterly (at months 3, 6 and 9).
Mirembe BG +17 more
europepmc +3 more sources
Promises and potential pitfalls of long-acting injectable pre-exposure prophylaxis
The number of products that can provide pre-exposure prophylaxis (PrEP) for HIV prevention is expanding, with three now approved in South Africa (oral Tenofovir-based PrEP, injectable Cabotegravir, and a Dapivirine-based vaginal ring) and more in the ...
Carey Pike +2 more
doaj +1 more source
Men's Sexual Experiences with the Dapivirine Vaginal Ring in Malawi, South Africa, Uganda and Zimbabwe. [PDF]
The dapivirine vaginal ring has been well-tolerated and shown to prevent HIV in clinical trials. The ring is female initiated, yet endorsement for use is sought from male partners in many relationships. In clinical studies, participants have expressed worries about men detecting rings during vaginal sex, which introduces concerns about product use ...
Montgomery ET +12 more
europepmc +4 more sources
Acceptability and use of a dapivirine vaginal ring in a phase III trial [PDF]
The MTN-020/ASPIRE trial evaluated the safety and effectiveness of the dapivirine vaginal ring for prevention of HIV-1 infection among African women. A nested qualitative component was conducted at six of 15 study sites in Uganda, Malawi, Zimbabwe and South Africa to evaluate acceptability of and adherence to the ring.Qualitative study participants (n =
Elizabeth T, Montgomery +15 more
openaire +4 more sources
Background HIV risk remains high among adolescent girls and young women (AGYW, ages 15–24) in Tanzania. Many AGYW experience stigma and provider bias at health facilities, deterring their use of HIV prevention services.
Julia Tubert +7 more
doaj +1 more source
Women's motivations for participating in the dapivirine vaginal ring open label extension study. [PDF]
Open-Label Extension (OLE) studies are important in the drug development process and are used to further support the licensing applications and regulatory approvals of products. We aimed to understand why women chose to join the HOPE OLE study - where women were offered the dapivirine vaginal ring after two pivotal trials were completed - through data ...
Naidoo K +5 more
europepmc +3 more sources
WHO guidance grounded in a comprehensive approach to sexual and reproductive health and human rights: topical pre-exposure prophylaxis [PDF]
Introduction: Two new microbicide products based on topical (vaginal) application of antiretroviral drugs – 1% tenofovir gel and the dapivirine ring – are currently in late-stage clinical testing, and results on their safety and effectiveness are ...
Elizabeth McGrory +13 more
core +8 more sources
Reasons for nonadherence to the dapivirine vaginal ring: narrative explanations of objective drug-level results. [PDF]
MTN-020/ASPIRE trial and IPM-027/Ring Study recently proved the dapivirine vaginal ring was safe and effective with consistent use. To optimize the ring's impact, the barriers and facilitators to ring adherence must be understood and addressed.Former ASPIRE participants were stratified by age group (18-21; 22-45) and randomly selected at seven sites in
Montgomery ET +11 more
europepmc +4 more sources
Physiologically‐based pharmacokinetic model of vaginally administered dapivirine ring and film formulations [PDF]
AimsA physiologically‐based pharmacokinetic (PBPK) model of the vaginal space was developed with the aim of predicting concentrations in the vaginal and cervical space. These predictions can be used to optimize the probability of success of vaginally administered dapivirine (DPV) for HIV prevention.
Katherine Kay +3 more
openaire +2 more sources

