Table 3.
Drug Concentrations and HIV incidence in iPrEx OLE by subgroup.
| Drug Level by Dried Blood Spot | Gender | Person Years | Percent of FU | Number HIV+ | Rate HIV/100 PY | Rate Ratio Off-PrEP Ref | P Value | Rate Ratio BLQ Ref | P Value |
|---|---|---|---|---|---|---|---|---|---|
| Off PrEP | MSM | 447 | 12 | 2.68 (1.56–5.03) | Reference | ||||
| TGW | 53 | 1 | 1.90 (0.11–8.35) | Reference | |||||
| BLQ | MSM | 326 | 24 | 17 | 5.21 (3.28–8.77) | 1.94 (0.94–4.17) | 0.08 | Reference | |
| TGW | 58 | 29 | 1 | 1.72 (0.10–7.56) | 0.91 (0.04–22.86) | 0.94 | Reference | ||
| <2 Pills/Week | MSM | 324 | 24 | 8 | 2.47 (1.26–5.55) | 0.92 (0.36–2.23) | 0.86 | 0.49 (0.20–1.04) | 0.06 |
| TGW | 76 | 38 | 1 | 1.31 (0.07–5.79) | 0.69 (0.03–17.50) | 0.80 | 0.39 (0.02–19.08) | 0.84 | |
| 2–3 Pills/Week | MSM | 156 | 12 | 1 | 0.64 (0.04–2.83) | 0.24 (0.01–1.22) | 0.09 | 0.12 (0.01–0.56) | 0.0037 |
| TGW | 24 | 12 | 0 | 0.00 (0.00–7.80) | 0.00 (0.00–13.03) | 0.39 | 0.00 (0.00–14.16) | 0.41 | |
| 4–6 Pills/Week | MSM | 288 | 22 | 0 | 0.00 (0.00–0.67) | 0.00 (0.00–0.27) | <0.001 | 0.00 (0.00–0.13) | <0.0001 |
| TGW | 28 | 14 | 0 | 0.00 (0.00–6.84) | 0.00 (0.00–10.93) | 0.36 | 0.00 (0.00–12.08) | 0.38 | |
| Daily | MSM | 176 | 13 | 0 | 0.00 (0.00–1.09) | 0.00 (0.00–0.44) | 0.00 | 0.00 (0.00–0.22) | <0.0001 |
| TGW | 5 | 3 | 0 | 0.00 (0.00–35.18) | 0.00 (0.00–56.25) | 0.66 | 0.00 (0.00–62.16) | 0.67 | |
| Missing | MSM | 62 | 5 | 0 | 0.00 (0.00–3.08) | 0.00 (0.00–1.25) | 0.08 | 0.00 (0.00–0.63) | 0.01 |
| TGW | 9 | 4 | 0 | 0.00 (0.00–21.47) | 0.00 (0.00–34.33) | 0.58 | 0.00 (0.00–37.93) | 0.59 | |
| If 4–6 and Daily were combined | |||||||||
| ≥4 Pills/Week | MSM | 463 | 35 | 0 | 0.00 (0.00–0.41) | 0.00 (0.00–0.17) | <0.001 | 0.00 (0.00–0.08) | <0.0001 |
| TGW | 34 | 17 | 0 | 0.00 (0.00–5.73) | 0.00 (0.00–9.16) | 0.32 | 0.00 (0.00–10.12) | 0.34 | |
Abbreviations: FU is Followup. BLQ is below limit of quantitation. MSM is men who have sex with men. TGW is trans/women identified participants, or MSM who report use of feminizing hormones.