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. 2024 Mar 1;51(3):135-138.
doi: 10.1097/OLQ.0000000000001907. Epub 2023 Dec 6.

Ethical Considerations in Implementing Doxycycline Postexposure Prophylaxis for the Prevention of Bacterial Sexually Transmitted Infections

Affiliations

Ethical Considerations in Implementing Doxycycline Postexposure Prophylaxis for the Prevention of Bacterial Sexually Transmitted Infections

Jeremy Sugarman et al. Sex Transm Dis. .
No abstract available

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Conflict of interest statement

Conflict of Interest and Sources of Funding: J.S. is a member of Merck KGaA's Ethics Advisory Panel and Stem Cell Research Oversight Committee, a member of IQVIA's Ethics Advisory Panel, and a member of Aspen Neurosciences' Clinical Advisory Panel He was previously a member of a Merck Data Monitoring Committee and a consultant to Biogen. None of these activities are related to the material discussed in this manuscript. Fenway Health is a subrecipient of a grant to Mpact: Global Action for Gay Men's Health and Rights from Glaxo Smith Kline for a research project on knowledge of and attitudes toward hepatitis A and B vaccination among gay and bisexual men and transgender people in the United States and Mexico. S.C. is the principal investigator of this project. S.C. is on the Patient Advocate Steering Committee for Prostate Cancer Clinical Trials for Janssen Global Services representing gay and bisexual men and transgender women. None of these activities are related to the material discussed in this article. C.C. has served as an advisory board member to Gilead Sciences, Merck, and Viiv and an expert witness for Gilead Sciences. None of these activities are related to the material discussed in this article. Stephanie E. Cohen has received laboratory support from Cepheid and Hologic and medication donation from Mayne Pharma, to support the conduct of the DoxyPEP study. A.F.L. has received laboratory support from Cepheid and Hologic and medication donation from Mayne Pharma, to support the conduct of the DoxyPEP study. She has received grant support from Gilead, Merck, and Viiv to UCSF, unrelated to this work. Fenway Health is the recipient of funding from the Centers for Disease Control and Prevention through a subcontract with National Association of County and City Health Officials to assess the roll-out of DoxyPEP. K.H.M. is the subcontract principal investigator. Fenway Health has also received unrestricted research grants from Gilead Sciences and Merck, Inc., and K.H.M. is the principal investigator for those grants. K.H.M. is on scientific advisory boards for Gilead Sciences and Merck, Inc., focusing on HIV prevention. H.A.T.'s effort is funded by the National Institutes of Health Clinical Center, Department of Bioethics.

Figures

Figure.
Figure.
Categories of Ethics Concerns about doxycycline PEP.

References

    1. O’Byrne P, Orser L, Kroch A. Rates of sexually transmitted infections are rising. BMJ. 2023; 381:p1492. - PubMed
    1. Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2021. Available at: https://www.cdc.gov/std/statistics/2021/default.htm. Accessed October 19, 2023.
    1. World Health Organization. Sexually transmitted infections (STIs). Available at: https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-in.... Accessed October 19, 2023.
    1. Molina JM, Charreau I, Chidiac C, et al. Post-exposure prophylaxis with doxycycline to prevent sexually transmitted infections in men who have sex with men: an open-label randomised substudy of the ANRS IPERGAY trial. Lancet Infect Dis. 2018;18(3):308–317. - PubMed
    1. Luetkemeyer AF, Donnell D, Dombrowski JC, et al. Postexposure doxycycline to prevent bacterial sexually transmitted infections. N Engl J Med. 2023;388(14):1296–1306. - PMC - PubMed

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