Table 2.
Antiretroviral resistance in PrEP trials demonstrating efficacy of PrEP for HIV prevention
| # of HIV seroconverters assigned FTC/TDF or TDF PrEP with HIV resistance | Comparison: # of HIV infections averted in the PrEP trial (# of infections in placebo arm minus # of infections in FTC/TDF PrEP arm) | ||
|---|---|---|---|
| Individuals with seronegative acute HIV infection at enrollment | Individuals who acquired HIV after enrollment | ||
| iPrEx | 2/2 | 0/36 | 28 |
| Partners PrEP | 2/8 | 0/30 | 74 |
| TDF2 | 1/1 | 0/10 | 16 |
Footnote: In iPrEx, the 2 subjects with seronegative acute HIV infection at the time of PrEP initiation both developed M184I/V mutations, conferring resistance to FTC. In Partners PrEP, of 8 subjects with seronegative acute HIV infection at the time of PrEP initiation, 2 developed antiretroviral resistance: one K65R substitution (conferring resistance to TDF) and one M184V substitution. In TDF2, 1 subject, also with seronegative acute HIV infection at the time of randomization to the FTC/TDF PrEP arm, developed both the K65R and M184V substitutions.