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New Directions In STD Treatment - University of Hawaii

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Rates <strong>of</strong> Transmission <strong>of</strong> HSV-2 to Susceptible Partners<br />

is Reduced with Once-Daily Suppressive Therapy<br />

• 1484 heterosexual couples<br />

randomly assigned to take 500 mg<br />

<strong>of</strong> valacyclovir or placebo once<br />

daily for 8 months<br />

• Serum samples collected monthly<br />

from susceptible partners for HSV<br />

analysis<br />

• The valacyclovir group showed<br />

• decreased transmission<br />

• lower frequency <strong>of</strong> shedding<br />

• fewer copies <strong>of</strong> HSV-2 DNA<br />

when shedding occurred<br />

Percent Transmission<br />

4<br />

3.5<br />

3<br />

2.5<br />

2<br />

1.5<br />

1<br />

0.5<br />

0<br />

1.9%<br />

Valacyclovir<br />

Group<br />

(N=743)<br />

3.6%<br />

Control<br />

Group<br />

(N=741)<br />

Corey et al, NEJM 2004; 350:11-20

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