Imperial College London
Alternate

ProfessorRobinShattock

Faculty of Medicine, Department of Infectious Disease

Chair in Mucosal Infection and Immunity
 
 
 
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Contact

 

+44 (0)20 7594 5206r.shattock

 
 
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Location

 

453Wright Fleming WingSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Nash:2020:10.1186/s13063-020-04760-x,
author = {Nash, S and Dietrich, J and Ssemata, AS and Herrera, C and O'Hagan, K and Else, L and Chiodi, F and Kelly, C and Shattock, R and Chirenje, M and Lebina, L and Khoo, S and Bekker, L-G and Weiss, HA and Gray, C and Stranix-Chibanda, L and Kaleebu, P and Seeley, J and Martinson, N and Fox, J and CHAPS, team},
doi = {10.1186/s13063-020-04760-x},
journal = {Trials},
title = {Combined HIV Adolescent Prevention Study (CHAPS): comparison of HIV pre-exposure prophylaxis regimens for adolescents in sub-Saharan Africa-study protocol for a mixed-methods study including a randomised controlled trial.},
url = {http://dx.doi.org/10.1186/s13063-020-04760-x},
volume = {21},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: HIV remains a major public health issue, especially in Eastern and Southern Africa. Pre-exposure prophylaxis is highly effective when adhered to, but its effectiveness is limited by cost, user acceptability and uptake. The cost of a non-inferiority phase III trial is likely to be prohibitive, and thus, it is essential to select the best possible drug, dose and schedule in advance. The aim of this study, the Combined HIV Adolescent PrEP and Prevention Study (CHAPS), is to investigate the drug, dose and schedule of pre-exposure prophylaxis (PrEP) required for the protection against HIV and the acceptability of PrEP amongst young people in sub-Saharan Africa, and hence to inform the choice of intervention for future phase III PrEP studies and to improve strategies for PrEP implementation. METHODS: We propose a mixed-methods study amongst young people aged 13-24 years. The first component consists of qualitative research to identify the barriers and motivators towards the uptake of PrEP amongst young people in South Africa, Uganda and Zimbabwe. The second component is a randomised clinical trial (ClinicalTrials.gov NCT03986970, June 2019) using a novel ex vivo HIV challenge method to investigate the optimal PrEP treatment (FTC-TDF vs FTC-TAF), dose and schedule. We will recruit 144 amongst HIV-negative uncircumcised men aged 13-24 years from voluntary male medical circumcision clinics in two sites (South Africa and Uganda) and randomise them into one of nine arms. One group will receive no PrEP prior to surgery; the other arms will receive either FTC-TDF or FTC-TAF, over 1 or 2 days, and with the final dose given either 6 or 20 h prior to surgery. We will conduct an ex vivo HIV challenge on their resected foreskin tissue. DISCUSSION: This study will provide both qualitative and quantitative results to help decide the optimum drug, dose and schedule for a future phase III trial of PrEP. The study will also provide crucial information
AU  - Nash,S
AU  - Dietrich,J
AU  - Ssemata,AS
AU  - Herrera,C
AU  - O'Hagan,K
AU  - Else,L
AU  - Chiodi,F
AU  - Kelly,C
AU  - Shattock,R
AU  - Chirenje,M
AU  - Lebina,L
AU  - Khoo,S
AU  - Bekker,L-G
AU  - Weiss,HA
AU  - Gray,C
AU  - Stranix-Chibanda,L
AU  - Kaleebu,P
AU  - Seeley,J
AU  - Martinson,N
AU  - Fox,J
AU  - CHAPS,team
DO  - 10.1186/s13063-020-04760-x
PY  - 2020///
SN  - 1745-6215
TI  - Combined HIV Adolescent Prevention Study (CHAPS): comparison of HIV pre-exposure prophylaxis regimens for adolescents in sub-Saharan Africa-study protocol for a mixed-methods study including a randomised controlled trial.
T2  - Trials
UR  - http://dx.doi.org/10.1186/s13063-020-04760-x
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33121503
UR  - http://hdl.handle.net/10044/1/83876
VL  - 21
ER  -
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