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Anti-AIDS Gel Shows Promise in Early Trials—

By Randy Dotinga, HealthDay Reporter
KPHO Phoenix Channel 5
February 10, 2006
(mention of Project Inform in bold below)

FRIDAY, Feb. 10 (HealthDay News) -- Researchers are reporting some encouraging news on the HIV prevention front: Preliminary tests have found no safety problems with a vaginal gel designed to keep the AIDS virus at bay during intercourse.

The gel includes a dose of tenofovir, an AIDS drug normally given orally to people already infected with the virus. In recent years, scientists have been studying whether the antiviral drug can stop the virus from infecting people in the first place.

Study findings suggest that there's reason for hope, said Dr. Willard Cates, president of the non-profit Family Health Institute, whose parent organization helped support the new research. "It's past the first several hurdles, but there are major hurdles to go."

The search for an effective way to prevent HIV transmission other than abstinence or condoms is taking on greater urgency as an AIDS vaccine remains elusive. Researchers are also looking at giving tenofovir (also known by the brand name Viread) to uninfected men and women in pill form before sexual intercourse.

The researchers behind the new study recruited 84 women from Providence, R.I.; Philadelphia; and New York City. They ranged in age from 18 to 45, and 24 were infected with HIV.

The women tried the tenofovir gel for 14 days in a row to see if it caused any physical problems. According to the researchers, the women didn't experience any serious side effects, although some had itching and vaginal discharge.

The study results appear in the Feb. 28 issue of the journal AIDS.

The study wasn't designed to gauge whether the gel actually works; those tests will come later. But studies in monkeys suggest that the gel can prevent infection with simian immunodeficiency virus, which is similar to AIDS but only infects monkeys.

The drug works by stopping the AIDS virus from hijacking cells and using them to reproduce itself, said study lead author Dr. Kenneth Mayer, an infectious-disease physician at Brown University.

The idea behind the gel is that it would get tenofovir into cells in the vagina and protect them just like the oral version of the drug, he said.

The next study will look at women at higher risk of getting HIV and at the longer use of the product, Mayer said. "If the drug gets into the tissue and stays around for a while, maybe you don't have to take it right before you have sex. Maybe you could take it once a day," he said.

Cates said it might even be possible that women could wear some sort of vaginal ring containing the gel and let it stay in place for weeks.

But Mayer cautioned that any new treatment involving a tenofovir gel is far in the future because it will take at least three to five years to determine if it works. "This," he said, "is the first of many steps."

More information
Learn more about tenofovir from Project Inform (www.projectinform.org).

 

 
     
 

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