HIV Pre-Exposure Prophylaxis (PrEP)—A Quantitative Ethics Appraisal
2011

Ethics in HIV Pre-Exposure Prophylaxis Trials

Sample size: 11 publication Evidence: moderate

Author Information

Author(s): Kokolo Madzouka B., Fergusson Dean A., Cameron D. William

Primary Institution: Ottawa Hospital Research Institute, Clinical Epidemiology Programme, Ottawa, Ontario, Canada

Hypothesis

How well are ethics considerations reported in HIV pre-exposure prophylaxis (PrEP) study documents?

Conclusion

The study found that, on average, 58% of ethics items were reported in PrEP study documents, indicating significant room for improvement.

Supporting Evidence

  • 58% of ethics items were reported on average across the studies.
  • Social value considerations were the least reported at 43%.
  • Informed consent and favorable risk-benefit ratio were the most reported at 75%.

Takeaway

This study looked at how well researchers talk about ethics when doing HIV prevention trials, and found that they could do a better job at it.

Methodology

A systematic quantitative ethics appraisal was conducted using a checklist of 101 evidence-based ethics items across 11 PrEP study documents.

Potential Biases

Potential bias due to the limited range of documents analyzed and the varying stages of document revisions.

Limitations

The checklist was developed without extensive expert consultation, and the analysis did not evaluate the actual conduct of the trials.

Participant Demographics

The trials included diverse populations such as heterosexual couples, women, and men who have sex with men across various countries.

Digital Object Identifier (DOI)

10.1371/journal.pone.0022497

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