Effects of the Anti-HIV Pill Truvada on Gene Transcription in the Gastrointestinal Tract of HIV-uninfected Individuals

NCT ID: NCT02621242

Last Updated: 2024-07-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

9 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-12-31

Study Completion Date

2017-12-31

Brief Summary

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As explained in detail in a recently published hypothesis article (Hladik F. A new hypothesis on HIV cure. F1000Research, 4:77 (2015)), the investigators hypothesize that NRTI drugs may reduce the likelihood of HIV eradication by promoting the survival of cells with integrated provirus. In this study, the investigators will test whether daily oral use of two NTRI drugs, tenofovir and emtricitabine (Truvada Pill), induces changes in the upper and lower gut mucosa that are congruent with supporting this hypothesis.

Detailed Description

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Conditions

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HIV

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cohort

All subjects will undergo all procedures

Upper endoscopy

Intervention Type PROCEDURE

Upper endoscopy with biopsies

Anoscopy

Intervention Type PROCEDURE

Anoscopy with biopsies

Truvada

Intervention Type DRUG

Truvada (tenofovir/emtricitabine) daily as HIV pre-exposure prophylaxis. This medication will not be provided by the study.

Interventions

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Upper endoscopy

Upper endoscopy with biopsies

Intervention Type PROCEDURE

Anoscopy

Anoscopy with biopsies

Intervention Type PROCEDURE

Truvada

Truvada (tenofovir/emtricitabine) daily as HIV pre-exposure prophylaxis. This medication will not be provided by the study.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* • HIV-negative

* Male gender at birth
* Age ≥18 years old
* Intent to initiate PrEP in the next 1-2 months.
* Willingness and ability to provide informed consent for study participation
* Willingness to undergo all required study procedures

Exclusion Criteria

* Creatinine clearance \< 60mL/min
* Platelet count below the normal reference
* Coagulation (PT/PTT) tests above the normal reference
* Any prior use of PrEP
* Use of PEP within 30 days prior to study entry
* Receipt of

* anti-coagulant medications (e.g. warfarin). Aspirin is allowable.
* Systemic corticosteroid medications
* Non-steroidal anti-inflammatory drug (NSAID) use \>2 days/week
* Signs or symptoms of acute HIV infection within 14 days of study entry
* No availability of another person who will drive participant home on days of entry and follow-up procedures.
* Plan to leave the Seattle area in the subsequent 2.5 months
* Any condition or substance use that, in the opinion of the study investigator, would interfere with study participation.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Joanne Stekler, MD MPH

Associate Professor, Division of Allergy & Infectious Diseases

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joanne Stekler, MD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Harborview Medical Center

Seattle, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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49167

Identifier Type: -

Identifier Source: org_study_id

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