Drug concentrations in hair and dried blood spots as PrEP adherence metrics during pregnancy and postpartum

Linxuan Wu, John Kinuthia, Peter L Anderson, Jared M Baeten, Julia C Dettinger, Monica Gandhi, Laurén Gomez, Grace John-Stewart, Mary M Marwa, Nancy Ngumbau, Felix Otieno, Pascal Omondi, Ben Odhiambo, Salphine Watoyi, Jillian Pintye
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Abstract

We evaluated hair tenofovir (TFV) concentrations as an adherence metric for HIV pre-exposure prophylaxis (PrEP) during pregnancy and postpartum and compared hair levels with tenofovir-diphosphate (TFV-DP) levels in dried blood spots (DBS). Overall, 152 hair samples from 102 women and 36 hair-DBS paired samples from 29 women were collected from a subset of women in a cluster randomized trial. Having a partner known to be living with HIV was associated with higher hair TFV levels (p<0.001). Hair TFV concentrations were strongly correlated with DBS TFV-DP levels (r=0.76, p<0.001), indicating hair as promising cumulative adherence metric for perinatal PrEP assessment.
将毛发和干血斑中的药物浓度作为衡量孕期和产后是否坚持 PrEP 的指标
我们将头发中替诺福韦(TFV)的浓度作为孕期和产后艾滋病暴露前预防(PrEP)的依从性指标进行了评估,并将头发中的浓度与干血斑(DBS)中替诺福韦二磷酸酯(TFV-DP)的浓度进行了比较。在一项分组随机试验中,共收集了 102 名妇女的 152 份毛发样本和 29 名妇女的 36 份毛发-DBS 配对样本。已知感染艾滋病毒的伴侣与较高的毛发 TFV 水平有关(p<0.001)。毛发TFV浓度与DBS TFV-DP水平密切相关(r=0.76,p<0.001),这表明毛发是围产期PrEP评估很有希望的累积依从性指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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