Jump to content

Lenacapavir not quite 100% in MSM


rawfuckr

Recommended Posts

[think before following links] https://www.drugtopics.com/view/lenacapavir-for-prep-demonstrates-strong-efficacy-in-second-phase-3-trial

Had better hopes for lenacapavir in MSM group but 2 infections happened on the drug arm and adherence can't be questioned here (it's an injectable twice a year). 

Seems daily truvada/descovy is still closer to 100% than the injectables (apretude and lenacapavir) with good adherence. 

Link to comment
Share on other sites

3 hours ago, rawfuckr said:

[think before following links] [think before following links] https://www.drugtopics.com/view/lenacapavir-for-prep-demonstrates-strong-efficacy-in-second-phase-3-trial

Had better hopes for lenacapavir in MSM group but 2 infections happened on the drug arm and adherence can't be questioned here (it's an injectable twice a year). 

Seems daily truvada/descovy is still closer to 100% than the injectables (apretude and lenacapavir) with good adherence. 

It's not though. They showed a 96% risk reduction with the injectable. Truvada is more like 80-90% even with high (>80%) adherence (also see [think before following links] https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(22)00106-2/fulltext where the were 73 PrEP failures, they saw 93% risk reduction in their highest adherence group).

Recent review ([think before following links] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9096492/) still shows an infection rate of 9 per 1000 per person year with Truvada and high adherence.

Link to comment
Share on other sites

I'm talking about daily real adherence.  That study adds to the high adherence group people who were skipping doses here and there. 

With daily adherence truvada is north of 99% clearly. So if you are capable of taking a pill and a day you'll still be ahead efficacy wise from the injectables. 

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
×
×
  • Create New...

Important Information

By using this site, you agree to our Terms of Use, Privacy Policy, and Guidelines. We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.