Bone Changes With Long-Acting Cabotegravir or Tenofovir Disoproxil Fumarate/Emtricitabine for HIV Prevention in Cisgender Men and Transgender Women: HPTN 083.

Brown, Todd T; Arao, Robert F; Warsi, Maryam; Phanuphak, Nittaya; Vasconcelos, Ricardo; Oyedele, Temitope; Sullivan, Philip A; Hanscom, Brett et al. · Clin Infect Dis · 2025

rct · Level I

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Abstract

In a randomized clinical trial, pre-exposure prophylaxis (PrEP) with long-acting cabotegravir (CAB-LA) had a better bone safety profile than tenofovir disoproxil fumarate-emtricitabine (TDF-FTC) over 105 weeks. For individuals with low bone mineral density or other fracture risk factors, CAB-LA PrEP should be considered over TDF-based PrEP. Clinical Trials Registration.  clinicaltrials.gov (NCT02720094).

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