Trial Outcomes & Findings for Safety and Acceptability Study of Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet and Rectally-Applied Tenofovir Reduced-Glycerin 1% Gel (NCT NCT01687218)

NCT ID: NCT01687218

Last Updated: 2021-06-24

Results Overview

Compare the safety profiles of daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel. Analysis of the primary endpoint of grade 2 or higher AEs was performed on only the evaluable participants based on the principle of intent-to-treat (ITT) whereby participants who were randomized were included in the analysis regardless of whether or not they received product in a given period (i.e, were lost to follow-up, or terminated early and/or were on a product hold).

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

195 participants

Primary outcome timeframe

27 weeks (three 8-week product use periods with 1-week washout periods between them)

Results posted on

2021-06-24

Participant Flow

HIV-uninfected males or transgender females who were 18 years of age or older who practice receptive anal intercourse were recruited from September 2013 through November 2014 from 8 sites in Peru, Puerto Rico, South Africa, Thailand and USA.

349 persons were screened and 154 were excluded for various reasons. The study enrolled 195 participants, 187 of whom are evaluable. Evaluable participants are those participants who were enrolled and not replaced, or were the final enrolled replacement participant for another enrolled participant who met the criteria for replacement.

Participant milestones

Participant milestones
Measure
Group 1
Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 2
Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 3
Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 4
Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 5
Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 6
Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks);followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Overall Study
STARTED
33
32
31
34
33
32
Overall Study
COMPLETED
30
29
30
32
32
32
Overall Study
NOT COMPLETED
3
3
1
2
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1
Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 2
Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 3
Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 4
Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 5
Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 6
Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks);followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Overall Study
Withdrawal by Subject
2
3
0
1
1
0
Overall Study
Relocated, no follow-up planned
1
0
1
1
0
0

Baseline Characteristics

Safety and Acceptability Study of Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet and Rectally-Applied Tenofovir Reduced-Glycerin 1% Gel

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=33 Participants
Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 2
n=32 Participants
Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 3
n=31 Participants
Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 4
n=34 Participants
Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 5
n=33 Participants
Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks); followed by Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Group 6
n=32 Participants
Receptive Anal Intercourse Associated Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks);followed by Daily Rectally-Applied Tenofovir Reduced Glycerin 1% Gel (8 weeks); followed by Daily Oral Emtricitabine/Tenofovir Disoproxil Fumarate Tablet (8 weeks) Oral FTC/TDF (Daily Emtricitabine/Tenofovir Disoproxil fumarate Tablet) Rectal Daily TFV RG 1% gel (Rectally applied Tenofovir Reduced Glycerin 1% Gel) Rectal RAI-associated TFV RG 1% gel (Receptive Anal Intercourse Associated rectally applied Tenofovir Reduced Glycerin 1% Gel)
Total
n=195 Participants
Total of all reporting groups
Age, Continuous
30.9 years
STANDARD_DEVIATION 8.5 • n=5 Participants
30.4 years
STANDARD_DEVIATION 10.6 • n=7 Participants
32.4 years
STANDARD_DEVIATION 9.2 • n=5 Participants
29.6 years
STANDARD_DEVIATION 8.9 • n=4 Participants
32.2 years
STANDARD_DEVIATION 10.6 • n=21 Participants
31.4 years
STANDARD_DEVIATION 7.8 • n=10 Participants
31.1 years
STANDARD_DEVIATION 9.3 • n=115 Participants
Age, Customized
Under 20
2 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
2 participants
n=10 Participants
10 participants
n=115 Participants
Age, Customized
20-24
7 participants
n=5 Participants
7 participants
n=7 Participants
6 participants
n=5 Participants
12 participants
n=4 Participants
7 participants
n=21 Participants
5 participants
n=10 Participants
44 participants
n=115 Participants
Age, Customized
25-29
7 participants
n=5 Participants
11 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
7 participants
n=21 Participants
6 participants
n=10 Participants
43 participants
n=115 Participants
Age, Customized
30-34
6 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
7 participants
n=4 Participants
7 participants
n=21 Participants
10 participants
n=10 Participants
40 participants
n=115 Participants
Age, Customized
35-39
6 participants
n=5 Participants
4 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
2 participants
n=21 Participants
4 participants
n=10 Participants
20 participants
n=115 Participants
Age, Customized
40-44
4 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
3 participants
n=4 Participants
3 participants
n=21 Participants
2 participants
n=10 Participants
19 participants
n=115 Participants
Age, Customized
45-49
0 participants
n=5 Participants
0 participants
n=7 Participants
4 participants
n=5 Participants
2 participants
n=4 Participants
2 participants
n=21 Participants
3 participants
n=10 Participants
11 participants
n=115 Participants
Age, Customized
50+
1 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
3 participants
n=21 Participants
0 participants
n=10 Participants
8 participants
n=115 Participants
Sex/Gender, Customized
Man
21 participants
n=5 Participants
21 participants
n=7 Participants
22 participants
n=5 Participants
27 participants
n=4 Participants
26 participants
n=21 Participants
24 participants
n=10 Participants
141 participants
n=115 Participants
Sex/Gender, Customized
Woman
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
1 participants
n=21 Participants
1 participants
n=10 Participants
4 participants
n=115 Participants
Sex/Gender, Customized
Transgender/Transwoman
4 participants
n=5 Participants
6 participants
n=7 Participants
2 participants
n=5 Participants
3 participants
n=4 Participants
3 participants
n=21 Participants
1 participants
n=10 Participants
19 participants
n=115 Participants
Sex/Gender, Customized
Other
5 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
3 participants
n=4 Participants
3 participants
n=21 Participants
6 participants
n=10 Participants
27 participants
n=115 Participants
Sex/Gender, Customized
Refuse to answer
2 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
3 participants
n=115 Participants
Hispanic Origin
Yes
10 participants
n=5 Participants
9 participants
n=7 Participants
8 participants
n=5 Participants
8 participants
n=4 Participants
12 participants
n=21 Participants
8 participants
n=10 Participants
55 participants
n=115 Participants
Hispanic Origin
No
23 participants
n=5 Participants
23 participants
n=7 Participants
23 participants
n=5 Participants
26 participants
n=4 Participants
21 participants
n=21 Participants
24 participants
n=10 Participants
140 participants
n=115 Participants
Highest Level of Education
no schooling
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Highest Level of Education
primary school, not complete
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
1 participants
n=115 Participants
Highest Level of Education
primary school, complete
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
2 participants
n=115 Participants
Highest Level of Education
secondary school, not complete
2 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
3 participants
n=21 Participants
1 participants
n=10 Participants
9 participants
n=115 Participants
Highest Level of Education
secondary school, complete
2 participants
n=5 Participants
5 participants
n=7 Participants
6 participants
n=5 Participants
4 participants
n=4 Participants
4 participants
n=21 Participants
6 participants
n=10 Participants
27 participants
n=115 Participants
Highest Level of Education
attended college or university
29 participants
n=5 Participants
26 participants
n=7 Participants
23 participants
n=5 Participants
28 participants
n=4 Participants
26 participants
n=21 Participants
24 participants
n=10 Participants
156 participants
n=115 Participants
Sexual Orientation (CASI)
Gay/Homosexual
27 participants
n=5 Participants
26 participants
n=7 Participants
27 participants
n=5 Participants
32 participants
n=4 Participants
28 participants
n=21 Participants
31 participants
n=10 Participants
171 participants
n=115 Participants
Sexual Orientation (CASI)
Bisexual
3 participants
n=5 Participants
3 participants
n=7 Participants
3 participants
n=5 Participants
0 participants
n=4 Participants
3 participants
n=21 Participants
1 participants
n=10 Participants
13 participants
n=115 Participants
Sexual Orientation (CASI)
Straight/Heterosexual
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
3 participants
n=115 Participants
Sexual Orientation (CASI)
Other
1 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
0 participants
n=10 Participants
5 participants
n=115 Participants
Sexual Orientation (CASI)
Refuse to answer
1 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
2 participants
n=115 Participants
Nationality
Puerto Rico
1 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
1 participants
n=10 Participants
7 participants
n=115 Participants
Nationality
Peru
7 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
7 participants
n=21 Participants
6 participants
n=10 Participants
38 participants
n=115 Participants
Nationality
South Africa
3 participants
n=5 Participants
3 participants
n=7 Participants
3 participants
n=5 Participants
3 participants
n=4 Participants
3 participants
n=21 Participants
3 participants
n=10 Participants
18 participants
n=115 Participants
Nationality
Thailand
9 participants
n=5 Participants
9 participants
n=7 Participants
9 participants
n=5 Participants
9 participants
n=4 Participants
9 participants
n=21 Participants
9 participants
n=10 Participants
54 participants
n=115 Participants
Nationality
U.S.A.
13 participants
n=5 Participants
13 participants
n=7 Participants
12 participants
n=5 Participants
15 participants
n=4 Participants
12 participants
n=21 Participants
13 participants
n=10 Participants
78 participants
n=115 Participants
Race - Puerto Rico
White
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
0 participants
n=10 Participants
2 participants
n=115 Participants
Race - Puerto Rico
Asian
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - Puerto Rico
Mixed
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
2 participants
n=115 Participants
Race - Puerto Rico
Black
0 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
2 participants
n=115 Participants
Race - Puerto Rico
Indigenous
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - Puerto Rico
Other
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
1 participants
n=115 Participants
Race - Peru
White
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
1 participants
n=115 Participants
Race - Peru
Asian
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - Peru
Mixed
6 participants
n=5 Participants
3 participants
n=7 Participants
3 participants
n=5 Participants
4 participants
n=4 Participants
3 participants
n=21 Participants
5 participants
n=10 Participants
24 participants
n=115 Participants
Race - Peru
Black
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - Peru
Indigenous
1 participants
n=5 Participants
3 participants
n=7 Participants
3 participants
n=5 Participants
1 participants
n=4 Participants
4 participants
n=21 Participants
1 participants
n=10 Participants
13 participants
n=115 Participants
Race - Peru
Other
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - South Africa
Other African tribe
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
2 participants
n=115 Participants
Race - South Africa
White
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - South Africa
Zulu
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - South Africa
Xhosa
3 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
2 participants
n=4 Participants
3 participants
n=21 Participants
1 participants
n=10 Participants
14 participants
n=115 Participants
Race - South Africa
Indian
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - South Africa
Colored
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
1 participants
n=10 Participants
1 participants
n=115 Participants
Race - South Africa
Other
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
1 participants
n=115 Participants
Race - Thailand
Indian
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - Thailand
Mixed
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - Thailand
Thai
9 participants
n=5 Participants
9 participants
n=7 Participants
9 participants
n=5 Participants
9 participants
n=4 Participants
9 participants
n=21 Participants
9 participants
n=10 Participants
54 participants
n=115 Participants
Race - Thailand
Chinese
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - Thailand
Other
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - U.S.A.
White
12 participants
n=5 Participants
11 participants
n=7 Participants
10 participants
n=5 Participants
12 participants
n=4 Participants
6 participants
n=21 Participants
10 participants
n=10 Participants
61 participants
n=115 Participants
Race - U.S.A.
Asian
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
2 participants
n=10 Participants
4 participants
n=115 Participants
Race - U.S.A.
Mixed
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
0 participants
n=10 Participants
2 participants
n=115 Participants
Race - U.S.A.
Black/African-American
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
3 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
3 participants
n=115 Participants
Race - U.S.A.
American Indian/Alaska Native
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - U.S.A.
Native-Hawaiian or other Pacific Islander
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
0 participants
n=10 Participants
0 participants
n=115 Participants
Race - U.S.A.
Other
1 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
1 participants
n=10 Participants
8 participants
n=115 Participants

PRIMARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Among the 187 evaluable participants. One participant was terminated before the Initiate Period visit of his/her Period 3 (Oral Tablet regimen period). Thus, this participant is removed from the analysis of the oral period regimen.

Compare the safety profiles of daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel. Analysis of the primary endpoint of grade 2 or higher AEs was performed on only the evaluable participants based on the principle of intent-to-treat (ITT) whereby participants who were randomized were included in the analysis regardless of whether or not they received product in a given period (i.e, were lost to follow-up, or terminated early and/or were on a product hold).

Outcome measures

Outcome measures
Measure
Product 1
n=186 Participants
Oral (Daily FTC/TDF)
Product 2
n=187 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=187 Participants
Rectal (RAI-associated TFV RG 1% gel)
Safety: Grade 2 or Higher Adverse Events
64 participants
61 participants
56 participants

PRIMARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: All primary analyses are based on the data from evaluable participants. Evaluable participants are those participants who were enrolled and not replaced, or were the final enrolled replacement participant for another enrolled participant who met the criteria for replacement.

To evaluate and compare acceptability of daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel. Consistent with the acceptability endpoint of liking the product, a variable was created by combining from Section H. Liking the Product of the MTN-017 Follow-up Behavioral Questionnaire question 1A and question 1BC. Categories 1 and 2 were combined and categories 3 and 4 were combined to create a dichotomous variable.

Outcome measures

Outcome measures
Measure
Product 1
n=179 Participants
Oral (Daily FTC/TDF)
Product 2
n=181 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=183 Participants
Rectal (RAI-associated TFV RG 1% gel)
Acceptability: Participant Self-report of Liking the Product. H1-Overall How do You Feel About the Product You Used Recently?
Disliked Very Much/A Little
16 participants
47 participants
38 participants
Acceptability: Participant Self-report of Liking the Product. H1-Overall How do You Feel About the Product You Used Recently?
Liked Very Much/A Little
163 participants
134 participants
145 participants

PRIMARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: All primary analyses are based on the data from evaluable participants. Evaluable participants are those participants who were enrolled and not replaced, or were the final enrolled replacement participant for another enrolled participant who met the criteria for replacement.

To evaluate and compare acceptability of daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel. Consistent with the acceptability endpoint of ease of use, a variable was created to compare regimens. This variable combines questions 1A and 1BC from Section I. Ease of Use of the MTN-017 Follow-up Behavioral Questionnaire. Categories 1 and 2 were combined and categories 3 and 4 were combined to create dichotomous variables.

Outcome measures

Outcome measures
Measure
Product 1
n=183 Participants
Oral (Daily FTC/TDF)
Product 2
n=184 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=183 Participants
Rectal (RAI-associated TFV RG 1% gel)
Acceptability: Participant Self-report of Ease of Use. I1-Overall How Easy or Difficult Was it to Use the Product?
Very Difficult/Difficult
14 participants
24 participants
18 participants
Acceptability: Participant Self-report of Ease of Use. I1-Overall How Easy or Difficult Was it to Use the Product?
Very Easy/Easy
169 participants
160 participants
165 participants

PRIMARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: All primary analyses are based on the data from evaluable participants. Evaluable participants are those participants who were enrolled and not replaced, or were the final enrolled replacement participant for another enrolled participant who met the criteria for replacement.

To evaluate and compare acceptability of daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel. Consistent with the acceptability endpoint of likelihood to use product in the future, a variable was created by combining Section N. Likelihood to Use Product in the Future of the MTN-017 Follow-up Behavioral Questionnaire questions 1A, 1B, and 1C. Categories 1 and 2 were combined and categories 3 and 4 were combined to create a dichotomous variable.

Outcome measures

Outcome measures
Measure
Product 1
n=183 Participants
Oral (Daily FTC/TDF)
Product 2
n=184 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=176 Participants
Rectal (RAI-associated TFV RG 1% gel)
Acceptability: Participant Self-report of Likelihood of Product Use if Shown to be Effective. N1-If This Product Provides Some Protection How Likely Would You be to Take it?
Very Unlikely/Unlikely
24 participants
52 participants
31 participants
Acceptability: Participant Self-report of Likelihood of Product Use if Shown to be Effective. N1-If This Product Provides Some Protection How Likely Would You be to Take it?
Very Likely/Likely
159 participants
132 participants
145 participants

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Participant periods with tenofovir concentrations (log10 ng/mL) in blood plasma among evaluable participants.

Compare tenofovir concentrations in blood plasma among daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel groups.

Outcome measures

Outcome measures
Measure
Product 1
n=184 Participants
Oral (Daily FTC/TDF)
Product 2
n=184 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=183 Participants
Rectal (RAI-associated TFV RG 1% gel)
Pharmacokinetics: Tenofovir (TFV) Concentrations (log10 ng/mL) in Blood Plasma
Mid-Period TFV Concentration
1.85 log10 ng/mL
Standard Deviation 0.59
0.42 log10 ng/mL
Standard Deviation 0.83
-0.01 log10 ng/mL
Standard Deviation 0.89
Pharmacokinetics: Tenofovir (TFV) Concentrations (log10 ng/mL) in Blood Plasma
End Period TFV Concentration
1.77 log10 ng/mL
Standard Deviation 0.71
0.37 log10 ng/mL
Standard Deviation 0.84
-0.02 log10 ng/mL
Standard Deviation 0.92

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Participant end periods with tenofovir concentrations (log10 ng/mg) in rectal tissue among evaluable participants.

Compare end period tenofovir concentrations in rectal tissue among daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel groups.

Outcome measures

Outcome measures
Measure
Product 1
n=36 Participants
Oral (Daily FTC/TDF)
Product 2
n=36 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=36 Participants
Rectal (RAI-associated TFV RG 1% gel)
Pharmacokinetics: End Period Tenofovir (TFV) Concentrations (log10 ng/mg) in Rectal Tissue
0.18 log10 ng/mg
Standard Deviation 0.51
0.84 log10 ng/mg
Standard Deviation 0.50
0.02 log10 ng/mg
Standard Deviation 0.87

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Participant periods with tenofovir concentrations (log10 ng/mg) in rectal sponge specimens among evaluable participants.

Compare tenofovir concentrations in rectal sponge specimens among daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel groups.

Outcome measures

Outcome measures
Measure
Product 1
n=186 Participants
Oral (Daily FTC/TDF)
Product 2
n=183 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=184 Participants
Rectal (RAI-associated TFV RG 1% gel)
Pharmacokinetics: Tenofovir (TFV) Concentrations (log10 ng/mg) in Rectal Sponge
Initiate Period TFV Concentration
-1.53 log10 ng/mg
Standard Deviation 1.20
-1.65 log10 ng/mg
Standard Deviation 1.12
-1.29 log10 ng/mg
Standard Deviation 1.42
Pharmacokinetics: Tenofovir (TFV) Concentrations (log10 ng/mg) in Rectal Sponge
Mid-Period TFV Concentration
0.71 log10 ng/mg
Standard Deviation 1.22
0.97 log10 ng/mg
Standard Deviation 1.64
-0.03 log10 ng/mg
Standard Deviation 1.54
Pharmacokinetics: Tenofovir (TFV) Concentrations (log10 ng/mg) in Rectal Sponge
End Period TFV Concentration
0.66 log10 ng/mg
Standard Deviation 1.31
1.00 log10 ng/mg
Standard Deviation 1.42
0.01 log10 ng/mg
Standard Deviation 1.67

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Participant periods with emtricitabine (FTC) concentrations (log10 ng/mL) in blood plasma among evaluable participants.

Compare emtricitabine concentrations in blood plasma among daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel groups.

Outcome measures

Outcome measures
Measure
Product 1
n=184 Participants
Oral (Daily FTC/TDF)
Product 2
n=184 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=183 Participants
Rectal (RAI-associated TFV RG 1% gel)
Pharmacokinetics: Emtricitabine (FTC) Concentrations (log10 ng/mL) in Blood Plasma
Mid-Period FTC Concentration
2.34 log10 ng/mL
Standard Deviation 0.82
-0.35 log10 ng/mL
Standard Deviation 1.00
-0.37 log10 ng/mL
Standard Deviation 0.98
Pharmacokinetics: Emtricitabine (FTC) Concentrations (log10 ng/mL) in Blood Plasma
End Period FTC Concentration
2.25 log10 ng/mL
Standard Deviation 0.96
-0.37 log10 ng/mL
Standard Deviation 0.98
-0.33 log10 ng/mL
Standard Deviation 1.06

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Participant end periods with emtricitabine (FTC) concentrations (log10 ng/mg) in rectal tissue among evaluable participants.

Compare end period emtricitabine concentrations in rectal tissue among daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel groups.

Outcome measures

Outcome measures
Measure
Product 1
n=36 Participants
Oral (Daily FTC/TDF)
Product 2
n=36 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=36 Participants
Rectal (RAI-associated TFV RG 1% gel)
Pharmacokinetics: End Period Emtricitabine (FTC) Concentrations (log10 ng/mg) in Rectal Tissue
-0.35 log10 ng/mg
Standard Deviation 0.33
-1.26 log10 ng/mg
Standard Deviation 0.00
-1.26 log10 ng/mg
Standard Deviation 0.00

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Participant periods with emtricitabine (FTC) concentrations (log10 ng/mg) in rectal sponge specimens among evaluable participants.

Compare emtricitabine concentrations in rectal sponge among daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel groups.

Outcome measures

Outcome measures
Measure
Product 1
n=186 Participants
Oral (Daily FTC/TDF)
Product 2
n=183 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=184 Participants
Rectal (RAI-associated TFV RG 1% gel)
Pharmacokinetics: Emtricitabine (FTC) Concentrations (log10 ng/mg) in Rectal Sponge
Initiate Period FTC Concentration
-1.75 log10 ng/mg
Standard Deviation 0.80
-1.76 log10 ng/mg
Standard Deviation 0.73
-1.57 log10 ng/mg
Standard Deviation 1.00
Pharmacokinetics: Emtricitabine (FTC) Concentrations (log10 ng/mg) in Rectal Sponge
Mid-Period FTC Concentration
0.31 log10 ng/mg
Standard Deviation 1.14
-1.76 log10 ng/mg
Standard Deviation 0.76
-1.67 log10 ng/mg
Standard Deviation 0.91
Pharmacokinetics: Emtricitabine (FTC) Concentrations (log10 ng/mg) in Rectal Sponge
End Period FTC Concentration
0.14 log10 ng/mg
Standard Deviation 1.30
-1.80 log10 ng/mg
Standard Deviation 0.69
-1.69 log10 ng/mg
Standard Deviation 0.87

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Participant end periods with tenofovir-diphosphate (TFV-DP) concentrations (log10 ng/mg) in rectal tissue among evaluable participants.

Compare end period tenofovir-diphosphate (TFV-DP) concentrations in rectal tissue among daily FTC/TDF tablet, daily TFV RG 1% gel, and RAI-associated TFV RG 1% gel groups.

Outcome measures

Outcome measures
Measure
Product 1
n=36 Participants
Oral (Daily FTC/TDF)
Product 2
n=36 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=36 Participants
Rectal (RAI-associated TFV RG 1% gel)
Pharmacokinetics: End Period Tenofovir-Diphosphate (TFV-DP) Concentrations (log10 ng/mg) in Rectal Tissue
1.52 log10 ng/mg
Standard Deviation 0.50
2.06 log10 ng/mg
Standard Deviation 0.52
1.54 log10 ng/mg
Standard Deviation 0.92

SECONDARY outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

Population: Evaluable participants with Final Converged Rates of prescribed doses.

Compare percentage of prescribed doses taken orally or administered rectally in an 8-week period based on the Final Converged Rates. Final Converged Rates were measured first via self-report through Short Message Service (SMS). The clinic staff also reported the most likely number of doses taken. Finally, the MTN Behavioral Research Working Group (BRWG) provided the final estimate of the number of doses taken for each participant for each period based on self-report, staff estimates and PK testing results. Note that these final judgement data are missing if PK results are missing.

Outcome measures

Outcome measures
Measure
Product 1
n=185 Participants
Oral (Daily FTC/TDF)
Product 2
n=184 Participants
Rectal (Daily TFV RG 1% gel)
Product 3
n=183 Participants
Rectal (RAI-associated TFV RG 1% gel)
Adherence: Percentage of Prescribed Doses Taken Orally or Administered Rectally in an 8-week Period
At or Greater than 80%
173 Participants
153 Participants
170 Participants
Adherence: Percentage of Prescribed Doses Taken Orally or Administered Rectally in an 8-week Period
Less Than 80%
12 Participants
31 Participants
13 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

To characterize pharmacodynamic responses following oral and rectal exposure to antiretroviral drugs

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

To characterize changes in mucosal immunity between baseline and the end of the daily FTC/TDF and TFV RG 1% gel product use

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

To assess correlation of PK with adherence measures

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

To identify factors associated with product adherence and whether they differ by product used (FTC/TDF or TFV RG 1% gel) or regimen (daily use or RAI-associated use)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

To examine whether sexual activity or condom use varies by product used

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

To determine the level of sharing of study products with non-participants and to assess with whom products are shared

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 27 weeks (three 8-week product use periods with 1-week washout periods between them)

To determine the prevalence of behavioral practices associated with anal intercourse that may affect microbicide use

Outcome measures

Outcome data not reported

Adverse Events

Product 1

Serious events: 1 serious events
Other events: 85 other events
Deaths: 0 deaths

Product 2

Serious events: 2 serious events
Other events: 103 other events
Deaths: 0 deaths

Product 3

Serious events: 0 serious events
Other events: 87 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Product 1
n=192 participants at risk
Oral (Daily FTC/TDF)
Product 2
n=192 participants at risk
Rectal (Daily TFV RG 1% gel)
Product 3
n=191 participants at risk
Rectal (RAI-associated TFV RG 1% gel)
Surgical and medical procedures
Hospitalisation
0.00%
0/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.52%
1/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.00%
0/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Infections and infestations
Appendicitis
0.00%
0/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.52%
1/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.00%
0/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Psychiatric disorders
Suicide attempt
0.52%
1/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.00%
0/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.00%
0/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.

Other adverse events

Other adverse events
Measure
Product 1
n=192 participants at risk
Oral (Daily FTC/TDF)
Product 2
n=192 participants at risk
Rectal (Daily TFV RG 1% gel)
Product 3
n=191 participants at risk
Rectal (RAI-associated TFV RG 1% gel)
Gastrointestinal disorders
Abdominal distension
2.1%
4/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.0%
2/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.1%
6/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Abdominal pain
4.2%
8/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
2.6%
5/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.7%
7/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Anal fissure
0.52%
1/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.6%
7/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.7%
7/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Anorectal discomfort
0.00%
0/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.1%
6/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.6%
3/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Defaecation urgency
1.0%
2/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
8.3%
16/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
5.8%
11/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Diarrhoea
7.3%
14/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
11.5%
22/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
7.9%
15/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Dyspepsia
3.6%
7/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.6%
3/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.00%
0/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Flatulence
6.2%
12/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
12.0%
23/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
7.3%
14/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Gastrointestinal mucosa hyperaemia
0.52%
1/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.1%
6/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.0%
2/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Nausea
7.8%
15/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
2.1%
4/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.0%
2/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Proctalgia
1.6%
3/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.6%
7/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
2.1%
4/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Rectal haemorrhage
2.1%
4/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
4.7%
9/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
2.6%
5/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Rectal tenesmus
0.00%
0/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.6%
7/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.6%
3/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Gastrointestinal disorders
Vomiting
3.1%
6/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
2.1%
4/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.52%
1/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
General disorders
Fatigue
3.1%
6/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
0.52%
1/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.0%
2/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Infections and infestations
Nasopharyngitis
6.2%
12/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
5.2%
10/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
10.5%
20/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Infections and infestations
Proctitis chlamydial
4.7%
9/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
4.2%
8/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
6.8%
13/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Infections and infestations
Proctitis gonococcal
2.6%
5/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.6%
3/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.1%
6/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Infections and infestations
Upper respiratory tract infection
2.6%
5/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
5.2%
10/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
5.8%
11/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Infections and infestations
Viral upper respiratory tract infection
3.6%
7/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
5.7%
11/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
5.2%
10/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Nervous system disorders
Dizziness
4.7%
9/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
1.6%
3/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.1%
6/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Nervous system disorders
Headache
8.9%
17/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
4.7%
9/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.7%
7/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
1.6%
3/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
3.1%
6/192 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.
2.6%
5/191 • 27 weeks (three 8-week product use periods with 1-week washout periods between them)
AEs are reported throughout follow-up. AEs are assigned to a regimen based on the reported or derived onset date being on or after the first visit of the regimen and before the start of the next regimen.

Additional Information

Ross D. Cranston, MD, FRCP

Division of Infectious Diseases - UPMC

Phone: 412-383-2054

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place