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. Author manuscript; available in PMC: 2010 May 26.
Published in final edited form as: Clin Infect Dis. 2009 Mar 15;48(6):806–815. doi: 10.1086/597095

Table 1.

Input Data Values for Analysis of PrEP

Variable Baseline
Value
Range
Evaluated
Source
Initial cohort
    Mean age (SD) 34 (9.4) 20 – 34 [40]
    % male 100 --- Assumption
    Average HIV incidence (per 100 person-years) 1.6 0.1 – 3.1 [29]
    Incidence distribution by age (per 100 PY) [29]
      < 18 years 2.1 0.1 – 4.1
      18 – 25 years 2.1 0.1 – 4.1
      26 – 30 years 1.9 0.1 – 3.8
      31 – 35 years 1.8 0.1 – 3.6
      36 – 40 years 1.1 0.07 – 2.1
      41 – 45 years 0.8 0.05 – 1.7
      > 45 years 1.5 0.09 – 2.9
Viral load distribution if infected (%) [30]
      > 30,000 copies/ml 25.73 ---
      10,001 – 30,000 copies/ml 25.02 ---
      3,001 – 10,000 copies/ml 25.21 ---
      500 – 3,000 copies/ml 16.33 ---
      < 500 copies/ml 7.71
PrEP efficacya (%) 50 10 – 90 [31]
Efficacy of antiretroviral therapy without history of PrEP: % HIV RNA suppressed to <400
copies/ml (increase in CD4 cells/µl)b
% HIV RNA suppressed to
<400 copies/mlc
Increase in
CD4 cells/µl c
Source
    1. TDF/FTC + EFV 81 190 [32]
    2. ATV/r + 2NRTIs 70 110 [33]
    3. LPV/r + 2NRTIs 58 121 [33]
    4. RAL + OBR 65 (24 weeks) 102 (24 weeks) [34]
    5. 50% ENF + OBR; 50%
     MVC + OBR +/− ENFd
40 (24 weeks) 117 (24 weeks) [35, 36]
    6. OBR 12 45 [35]
Monthly Costs (2006 US$) Baseline
Value
Range
evaluated
Source
    Antiretroviral therapy [37]
  TDF/FTC + EFV 1,139 ---
  ATV/r + 2NRTIs 1,741 ---
  LPV/r + 2NRTIs 1,748 ---
  RAL + OBR 2,209 ---
  50% ENF + OBR; 50% MVC + OBR +/− ENF 3,338 ---
  OBR 1,549 ---
    PrEP (TDF/FTC) 753 101 – 753 [3739]

PrEP = pre-exposure prophylaxis; SD = standard deviation; TDF = tenofovir; FTC = emtricitabine; EFV = efavirenz; ATV/r = ritonavir-boosted atazanavir; LPV/r = ritonavir-boosted lopinavir; RAL = raltegravir; OBR = optimized background regimen; ENF = enfuvirtide; MVC = maraviroc

a

PrEP efficacy is modeled as a net percent reduction in the monthly incidence of HIV infection, accounting for both the chemoprophylactic effect of PrEP and the potential offset of behavioral disinhibition.

b

Values reported in the table reflect values found in the original source papers. In some instances, results reported by authors on an “intention-to-treat” basis were adjusted to reflect an “as-treated” basis before being used in the model.

c

Values are reported at 48 weeks unless otherwise specified.

d

Values reported for this regimen are weighted averages of the values found in the two original source papers.