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Hutchinson Center team played key role in scientific breakthrough of the year

January 12, 2012

By Colleen Steelquist, Hutchinson Center Science Editor

The Hutchinson Center’s Statistical Center for HIV/AIDS Research & Prevention played a major behind-the-scenes role in the HIV prevention study that Science magazine recently chose as its scientific breakthrough of the year for 2011.

Last May, the HIV Prevention Trials Network study, known as HPTN 052, showed that the early use of antiretroviral drugs reduced heterosexual HIV transmission to uninfected sexual partners by 96 percent. More than 1,700 couples in which one partner is HIV positive and the other is HIV negative from nine countries on four continents participated in the study.

The Center’s Dr. Ying Chen was the lead statistician for the study and the second author of the paper, both led by Dr. Myron Cohen of the University of North Carolina at Chapel Hill. Drs. Thomas Fleming and Lei Wang also contributed.

Our HPTN 052 team helped design the study and develop its blueprint with the principal investigators. They worked with an independent data and safety monitoring board as it reviewed the study’s safety and efficacy data twice yearly. Since the study began participant enrollment in 2005, the team processed almost 518,000 forms containing the study volunteers’ medical data, conducted the interim analysis and provided all of the statistical support for the paper.

This data crunching, attention-to-detail role gets little fanfare but is crucial to forming accurate conclusions and study results. And when time is precious and the stakes are as high as preventing AIDS, their commitment is critical.

“In combination with other promising clinical trials, the results have galvanized efforts to end the world’s AIDS epidemic in a way that would have been inconceivable even a year ago,” wrote Dr. Bruce Alberts, editor-in-chief of Science, in his Dec. 23 editorial about the breakthrough.

“This is not to say that we can abandon the search for an AIDS vaccine. Nor will profound change come overnight from the promise of using treatment as prevention. But for its role in making success conceivable, we have chosen the results of this trial as our breakthrough of the year.

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