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Health, Treatments and Research

HEALTH AND TREATMENTS

NAPWA has an impressive record in treatments advocacy working in the area of drug access and clinical trials. However, we recognise that health is more than drug treatment, so the Health, Treatments and Research Unit works in partnership with healthcare professionals, researchers, government and the pharmaceutical industry to ensure that a broad view of health and well-being is reflected at all levels of health service delivery.

The Treataware project provides HIV education to positive people around the country. Treataware produces treatment information roadshows and community discussion forums, a range of fact sheets and works with the Australasian Society for HIV Medicine (ASHMAustralasian Society for HIV Medicine. The peak Australasian organisation representing the medical and health sector in HIV/AIDS and related areas. ) to provide education courses for community workers and the pharmaceutical industry. The project facilitates a national network of treatment and support officers and hosts a user-friendly website at www.napwa.org.au which incorporates an HIV clinicalPertaining to or founded on observation and treatment of participants, as distinguished from theoretical or basic science. trials database – detailing current trials running in Australia – and a guide on how to maintain good health while managing HIV.

RESEARCH

NAPWA is an active participant in research of various kinds. It has strong involvement in clinical research and has a close relationship with the National Centre in HIV EpidemiologyThe branch of medical science that deals with the study of incidence and distribution and control of a disease in a population. and Clinical Research (NCHECRNational Centre in HIV Epidemiology and Clinical Research. Based at the University of NSW in Sydney, NCHECR is one of Australia's leading medical research centres and is recognised internationally as a leader in the field of research into HIV/AIDS and viral hepatitis. ). It also actively engages in social research and works closely with the National Centre in HIV Social Research (NCHSRNational Centre in HIV Social Research. Located at the University of NSW in Sydney, NCHSR conducts research which describes and analyses the social understandings, meanings and practices of peoples, institutions and communities in relation to HIV, Hepatitis C and other communicable diseases.) and the Australian Research Centre in Sex, Health and Society (ARCSHSAustralian Research Centre in Sex, Health and Society, part of La Trobe University in Melbourne. For further information see http://www.latrobe.edu.au/arcshs/.). NAPWA aims to influence the national HIV research agenda and to foster community-based research.

NAPWA's policy on research

Policy paper • Sean Slavin • 22 September 2011

NAPWA regularly receives requests to endorse or support research in the area of HIV. Such support may take the form of active involvement as an investigatorA medical researcher in charge of carrying out a clinical trialA clinical trial is a research study to answer specific questions about vaccines or new therapies or new ways of using known treatments. Clinical trials are used to determine whether new drugs or treatments are both safe and effective. Carefully conducted clinical trials are the fastest and safest way to find treatments that work in people. Trials are in four phases: Phase I tests a new drug or treatment in a small group; Phase II expands the study to a larger group of people; Phase III expands the study to an even larger group of people; and Phase IV takes place after the drug or treatment has been licensed and marketed. 's protocolA study plan on which all clinical trials are based. The plan is carefully designed to safeguard the health of the participants as well as answer specific research questions. A protocol describes what types of people may participate in the trial; the schedule of tests, procedures, medications, and dosages; and the length of the study. While in a clinical trial, participants following a protocol are seen regularly by the research staff to monitor their health and to determine the safety and effectiveness of their treatment ., help in designing a research project or simply assistance with recruitment. NAPWA recognises the importance of research to improving the health and well-being of PLHIVPerson (or people) Living with HIV. This term is now preferred over the older PLWHA. and in most cases is willing to provide support where it is able. read more »

HPV vaccine also works for men

Positive Living article • Adrian Ogier • 3 September 2010
symptoms, illnesses and opportunistic infections

The quadrivalent human papillomavirus (HPV) vaccine (Gardasil) prevents infection and disease in men, according to data presented by Dr Heiko Jessen from Berlin.

In fact, the efficacy(Of a drug or treatment). The maximum ability of a drug or treatment to produce a result regardless of dosage. A drug passes efficacy trials if it is effective at the dose tested and against the illness for which it is prescribed. In the standard procedure, Phase IIA smaller clinical trial designed to establish whether a drug is effective. Phase II studies are conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks. If there is evidence that the drug is effective, a Phase III study is undertaken, with a larger number of participaants, to confirm this. clinical trials gauge efficacy, and Phase IIIA large clinical trial designed to establish whether a drug is effective and safe enough for widespread use. Phase III studies include expanded controlled and uncontrolled trials after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug and provide and adequate basis for physician labeling. trials confirm it. data was so good that the US Food and Drug AdministrationThe U.S. Department of Health and Human Services agency responsible for ensuring the safety and effectiveness(Of a drug or treatment). The maximum ability of a drug or treatment to produce a result regardless of dosage. A drug passes efficacy trials if it is effective at the dose tested and against the illness for which it is prescribed. In the standard procedure, Phase II clinical trials gauge efficacy, and Phase III trials confirm it. of all drugs, biologics, vaccines, and medical devices, including those used in the diagnosis, treatment, and prevention of HIV infection, AIDS, and AIDS-related opportunistic infections. The FDAThe U.S. Department of Health and Human Services agency responsible for ensuring the safety and effectiveness of all drugs, biologics, vaccines, and medical devices, including those used in the diagnosis, treatment, and prevention of HIV infection, AIDS, and AIDS-related opportunistic infections. The FDA also works with the blood banking industry to safeguard the nation's blood supply. The Australian equivalent is the Therapeutic Goods Administration (TGA). also works with the blood banking industry to safeguard the nation's blood supply. The Australian equivalent is the Therapeutic Goods Administration (TGA[Therapeutic Goods Administration] The federal government body that approves drugs and treatments before they can be prescribed.). stopped the trial early so that men in the placeboA dummy medical treatment, designed to have no pharmacological effect, administered to the control groupA group of patients in a clinical trial who do not receive the drug or treatment being investigated, for the purpose of comparison with those who do. Participants in the control group of a clinical trial are either given standard treatment (excluding the drug being studied) or a placebo. of a clinicalPertaining to or founded on observation and treatment of participants, as distinguished from theoretical or basic science. trial. group could get the vaccine. read more »

New drug effect on inflammation

Positive Living article • Adrian Ogier • 3 September 2010
Treating HIV

TBR-652, an experimental(Of a drug) Not licensed for use in humans, or as a treatment for a particular condition. Experimental drugs are studied in clinical trials to determine their safety and efficacy(Of a drug or treatment). The maximum ability of a drug or treatment to produce a result regardless of dosage. A drug passes efficacy trials if it is effective at the dose tested and against the illness for which it is prescribed. In the standard procedure, Phase II clinical trials gauge efficacy, and Phase III trials confirm it., and are sometimes made available via Special Access Schemes prior to their approval. antiretroviralA medication or other substance which is active against retroviruses such as HIV., seems to have dual benefits – inhibiting HIV and reducing inflammation.

Delegates to the conference heard that this is because the drug blocks two receptors on the surface of cells: CCR5 – used by HIV; and CCR2 – used by a protein associated with inflammation. read more »

News from IAS 2010

Positive Living article • Adrian Ogier • 2 September 2010

Adrian Ogier gives a round up of treatments news from the Vienna Conference. read more »

Clinical Trial Action Group Public Submissions

Submission • Scott Lockhart • 12 March 2010

NAPWA recently contributed to the Clinical TrialA clinicalPertaining to or founded on observation and treatment of participants, as distinguished from theoretical or basic science. trial is a research study to answer specific questions about vaccines or new therapies or new ways of using known treatments. Clinical trials are used to determine whether new drugs or treatments are both safe and effective. Carefully conducted clinical trials are the fastest and safest way to find treatments that work in people. Trials are in four phases: Phase IA clinical trial designed to establish whether an experimental drug is safe for humans to take. Phase I studies determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and look for early evidence of effectiveness; these studies may include either people with HIV, HIV-negative volunteers, or both tests a new drug or treatment in a small group; Phase IIA smaller clinical trial designed to establish whether a drug is effective. Phase II studies are conducted to evaluate the effectiveness of the drug for a particular indication or indications in patients with the disease or condition under study and to determine the common short-term side effects and risks. If there is evidence that the drug is effective, a Phase III study is undertaken, with a larger number of participaants, to confirm this. expands the study to a larger group of people; Phase IIIA large clinical trial designed to establish whether a drug is effective and safe enough for widespread use. Phase III studies include expanded controlled and uncontrolled trials after preliminary evidence suggesting effectiveness of the drug has been obtained, and are intended to gather additional information to evaluate the overall benefit-risk relationship of the drug and provide and adequate basis for physician labeling. expands the study to an even larger group of people; and Phase IVPost-marketing studies to delineate additional information including the drug's risks, benefits, and optimal use. takes place after the drug or treatment has been licensed and marketed. Action Group. NAPWA has been closely engaged in clinicalPertaining to or founded on observation and treatment of participants, as distinguished from theoretical or basic science. trials involving PLHIVPerson (or people) Living with HIV. This term is now preferred over the older PLWHA. throughout its history. read more »

New three-in-one treatment available in 2010

Treating HIV

From 1 January 2010 and for the cost of a single PBS[Pharmaceutical Benefits Scheme[Pharmaceutical Benefits Scheme] The federal government program which subsidises medication costs in Australia. Anti-HIV drugs are part of a special part of the PBS called Section 100 (S100) which is used for expensive, highly specialised drugs.] The federal government program which subsidises medication costs in Australia. Anti-HIV drugs are part of a special part of the PBS called Section 100 (S100) which is used for expensive, highly specialised drugs. script, Australians will be able to access Atripla, the first HIV medication to combine three treatments in a single once-a-day tablet. read more »

HIV Seroconversion Study 2007 - 9

Scott Lockhart • 19 October 2009

The Seroconversion Study collects both quantitative and qualitative data from mainly homosexual men who have recently been diagnosed with HIV. Men are referred to the online questionaire through clinics and HIV organisations providing services to men who are newly diagnosed. Men completing the online questionaire volunteer for the more extended depth interview. read more »

New treatment for HIV-associated facial wasting

Media release • 1 September 2009

Today’s PBS[Pharmaceutical Benefits Scheme[Pharmaceutical Benefits Scheme] The federal government program which subsidises medication costs in Australia. Anti-HIV drugs are part of a special part of the PBS called Section 100 (S100) which is used for expensive, highly specialised drugs.] The federal government program which subsidises medication costs in Australia. Anti-HIV drugs are part of a special part of the PBS called Section 100 (S100) which is used for expensive, highly specialised drugs. listing of a treatment for HIV-associated facial wasting will provide substantial improvements in quality of life for people living with HIV, the National Association of People Living with HIV/AIDS (NAPWA) has said. read more »

Viracept (Nelfinavir) being withdrawn in Australia

Story • Jo Watson • 12 June 2007

Following consultation with the Therapeutic Goods Administration, Roche Pharmaceuticals is undertaking a sponsor initiated recall of all batches and presentations of Viracept (Nelfinavir). read more »

Advice on T-20 and international travel

Story • Paul Kidd • 1 September 2006

Following the recent terrorist alert in the UK, new rules prevent passengers on many international flights carrying liquids in their hand luggage. Read this article for advice on travelling with T-20 under the new rules. read more »

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HIV Clinical Trials update

Recently updated entries from the NAPWA Clinical Trials database.