New Contraceptive For Women Protects Against HIV As Well As Unwanted Pregnancies

New Contraceptive For Women Protects Against HIV As Well As Unwanted Pregnancies

A new contraceptive designed especially for women will protect not only against pregnancies, but also HIV.

Scientists have created the device, which lasts for up to three months, to deliver contraceptive medication and drugs that protect against HIV and herpes.

Developed by biomedical engineer Patrick Kiser from America's Northwestern University, the gadget has been billed as a "significant advance" in drug delivery technology.

Open Image Modal

The tool delivers controlled doses of the drugs tenofovir, a antiretroviral medication, and contraceptive levonorgestrel for 90 days.

Details of the device have been published in the online journal Public Library Of Science ONE.

Story continues below the slideshow:

Contraception Myths Explained
Myth(01 of14)
Open Image Modal
1 in 2 women believe that all types of contraception require you to do something regularly to be effective (credit:Alamy)
Fact(02 of14)
Open Image Modal
"Some long acting reversible contraceptives (LARCs) such as the implant or intrauterine contraceptives do not require regular administration in order to be effective."- Dr Diana Mansour, Consultant in Community Gynaecology and Reproductive Health Care and Head of Sexual Health Services, Newcastle Hospitals Community Health (credit:Alamy)
Myth(03 of14)
Open Image Modal
Almost 1 in 5 women don’t realise they can get pregnant if they miss a pill (credit:Alamy)
Fact(04 of14)
Open Image Modal
"Missing a pill can significantly impact the risk of becoming pregnant particularly if you have unprotected sex around the time of the hormone free interval. If you do miss a pill, follow the instructions on your packet of pills."- Dr Diana Mansour, Consultant in Community Gynaecology and Reproductive Health Care and Head of Sexual Health Services, Newcastle Hospitals Community Health (credit:Alamy)
Myth(05 of14)
Open Image Modal
"Around 1 in 4 women believe that long acting reversible contraception (LARCs) are permanent and irreversible contraception solutions." (credit:Alamy)
Fact(06 of14)
Open Image Modal
"Long acting reversible contraceptives (LARCs) are not permanent forms of contraception and are reversible. For example once an implant, intrauterine device (IUD) or intrauterine system (IUS) is removed, there is no evidence to suggest a delay in the woman's fertility return."- Dr Diana Mansour, Consultant in Community Gynaecology and Reproductive Health Care and Head of Sexual Health Services, Newcastle Hospitals Community Health (credit:Alamy)
Myth(07 of14)
Open Image Modal
Nearly 1 in 5 women believe that all contraception requires a monthly visit to their Healthcare professional (HCP) (credit:Alamy)
Fact(08 of14)
Open Image Modal
"That's not the case - for example following the fitting of an intrauterine contraceptive, women should return to their healthcare professional for a check at about 6 weeks and then they don't need to make another appointment until it needs changing."- Dr Diana Mansour, Consultant in Community Gynaecology and Reproductive Health Care and Head of Sexual Health Services, Newcastle Hospitals Community Health (credit:Alamy)
Myth(09 of14)
Open Image Modal
More than half (58%; 2,451 out of 4,199) of women think that long term contraceptives should not be used if you may suddenly decide you want to try to have a baby. (credit:Alamy)
Fact(10 of14)
Open Image Modal
"Long acting reversible contraceptives (LARCs) are not permanent forms of contraception and are reversible. There is no evidence of delay in return of fertility when an implant, intrauterine device (IUD) or intrauterine system (IUS) is removed. There could be a delay of up to one year in the return of fertility after a woman stops having the contraceptive injection."- Dr Diana Mansour, Consultant in Community Gynaecology and Reproductive Health Care and Head of Sexual Health Services, Newcastle Hospitals Community Health (credit:Alamy)
Myth(11 of14)
Open Image Modal
Almost a third of women (31%; 1,309 out of 4,199) think that contraceptive pills have the highest rate of efficacy when compared to other methods. (credit:Alamy)
Fact(12 of14)
Open Image Modal
"This is not true. The most effective methods of contraception, based on 'typical-use' are the contraceptive implant, intrauterine contraceptives and male and female sterilisation with less than 1 woman in 100 becoming pregnant using these methods. "'Typical-use' refers to how effective a contraceptive method is for the average person who does not always use the method correctly or consistently. For example, women who use oral contraceptives perfectly will experience almost complete protection against pregnancy. "However, in the real world, some women may forget to take a pill every single day, and pregnancies can and do occur to women who miss one or more pills during a cycle. So, while oral contraceptives have a perfect-use effectiveness rate of over 99%, their typical-use effectiveness is closer to 91%."- Dr Diana Mansour, Consultant in Community Gynaecology and Reproductive Health Care and Head of Sexual Health Services, Newcastle Hospitals Community Health (credit:Alamy)
Myth(13 of14)
Open Image Modal
Nearly 1 in 5 women think that long term methods all need surgical insertion into the uterus. (credit:Alamy)
Fact(14 of14)
Open Image Modal
"The intrauterine system (IUS) and intrauterine device (IUD) are inserted into the uterus. Injectable contraceptives are however given by injection either into the large muscle in the bottom or in the upper arm and the contraceptive implant is fitted just under the skin on the inside of the upper arm."- Dr Diana Mansour, Consultant in Community Gynaecology and Reproductive Health Care and Head of Sexual Health Services, Newcastle Hospitals Community Health (credit:Alamy)

Mr Kiser and his team explain how they developed the tool so that it could deliver fixed doses of the drugs over a prolonged period.

"The differences between the two drugs are huge, which presented us with a design challenge," Mr Kiser said.

"Tenofovir is highly water soluble while levonorgestrel is highly water insoluble. And the daily dose is different: the ring delivers about 10 milligrams of tenofovir and only 10 micrograms of levonorgestrel. Our scientific hurdle was finding a way to manufacture a dual-purpose ring that got the device into the clinic."

Tenofovir inhibits HIV and HSV-2 (herpes simplex virus-2) replication in susceptible cells, the researchers said.

Antiretroviral drugs can prevent HIV infection, but existing methods for delivering the drug fall short, they said. Pills must be taken daily and require high doses.

But the new device, which is inserted into a woman's vagina, has been engineered with specific diffusion rates so the drugs in the ring are released into the body at the desired rate.

"I suspect women will use the ring primarily for contraception, but they also will benefit from protection against sexually transmitted diseases," Mr Kiser said.

"And for women in the developing world in particular, unwanted pregnancy can have significant health, economic and cultural consequences. We want to motivate women to use this ring.

"This system represents a significant advance in vaginal drug delivery technology and is the first in a new class of long-acting multi-purpose prevention drug delivery systems."

The device is currently being manufactured and is yet to be tested in women.

Meanwhile, researchers have claimed they have successfully genetically engineered the immune cells of HIV positive patients to resist infection.

The study, in the New England Journal of Medicine, suggests that in the future patients may be able to control the virus without antiretroviral drugs.

The researchers from the University of Pennsylvania gave gene therapy to 12 HIV positive patients who were participating in a clinical trial.

"This study shows that we can safely and effectively engineer an HIV patient's own T cells to mimic a naturally occurring resistance to the virus, infuse those engineered cells, have them persist in the body, and potentially keep viral loads at bay without the use of drugs," said senior author Carl June.

"This reinforces our belief that modified T cells are the key that could eliminate the need for lifelong ADT (antiretroviral drug therapy) and potentially lead to functionally curative approaches for HIV/AIDS."

Mr June and his colleagues modified the T cells in the patients to mimic the CCR5-delta-32 mutation - a rare mutation that provides a natural resistance to the virus.

By inducing the mutations the scientists successfully rendered the patients' cells resistant to infection. Six were taken off antiretroviral therapy for up to 12 weeks, beginning four weeks after infusion, while six patients remained on treatment.