ASHM Report Back

Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.

Final day highlights

Posted by on in Uncategorised Posts
  • Font size: Larger Smaller
  • Hits: 1315
  • Print

It was the final day of this  truly wonderful global congress. 

Chloe Orkin of the Department of Infection and Immunity at the London Hospital co-chaired the opening session of the day and discussed some great advances in HIV research this year including:

. Phase 3 TDF v TAF trials

. Injectable PrEP

. ?generic 3TC/TDF

. New delivery methods

. New molecules

Sheena McCormack of the MRC clinical trials unit at University College London provided us with PrEP updates and effectiveness, highlighting:

. the overwhelming evidence of its efficacy

. Population effectiveness not compromised by resistance

Based on the evidence, she concluded that moving into the future, there will be more drug choices for PrEP, different regimen choices (episode driven) and a multitude of delivery methods (vaginal rings/injectables).

One of the day's most thought provoking presentations was delivered by Keith Rawlings from Gilead Sciences medical affairs. He reported that despite a steady increase in PrEP use since 2012, data showed there was a huge discrepancy in those who accessed it. He stayed that it was heavily weighted towards middle class caucasian MSM.

This was despite an increased lifetime risk of HIV acquisition of:

. 1:20 for African American males

. 1:48 for African American women

. 1:48 Hispanic males


 And when broken down further:

. 1:2 African American MSM

. 1:4 Hispanic MSM

as compared to 1:11 in Caucasian MSM

FTC/TDF for PrEP has been disproportionately low in the higher risk populations in the USA.

It was recommended that to effectively decrease new HIV infections, messaging and services need to be more focused on those populations with the greatest disease burden. 

It's been an incredible 4 days here in Glasgow which has sadly come to an end. I look forward with great anticipation to the next Glasgow HIV Drug Therapy Congress 2018 and anticipate further advances will continue globally in HIV management thanks to the many innovative and brilliant researchers working in the field.

  • No comments made yet. Be the first to submit a comment

Leave your comment

Guest Wednesday, 27 October 2021
Twitter response: "To protect our users from spam and other malicious activity, this account is temporarily locked. Please log in to to unlock your account."