Trial Outcomes & Findings for Bone Health in Aging HIV Infected Women (NCT NCT02815566)

NCT ID: NCT02815566

Last Updated: 2024-12-19

Results Overview

The outcome measures presented are descriptive as enrollment in the clinical trial did not reach the target number of subjects needed to achieve target power and was insufficient to produce statistically reliable results. There are limited results at the week 48 timepoint due to the COVID pandemic.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

34 participants

Primary outcome timeframe

Baseline, 48 weeks and 96 weeks

Results posted on

2024-12-19

Participant Flow

Participant milestones

Participant milestones
Measure
Immediate Switch
Open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for 96 weeks tenofovir-alafenamide-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Delayed Switch
Open-label tenofovir (300mg)-emtricitabine (200mg) tablet once daily by mouth for 48 weeks followed by open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for an additional 48 weeks tenofovir-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Overall Study
STARTED
19
15
Overall Study
COMPLETED
17
13
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Immediate Switch
Open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for 96 weeks tenofovir-alafenamide-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Delayed Switch
Open-label tenofovir (300mg)-emtricitabine (200mg) tablet once daily by mouth for 48 weeks followed by open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for an additional 48 weeks tenofovir-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Overall Study
Adverse Event
1
1
Overall Study
Withdrawal by Subject
1
0
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

Bone Health in Aging HIV Infected Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Immediate Switch
n=19 Participants
Open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for 96 weeks tenofovir-alafenamide-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Delayed Switch
n=15 Participants
Open-label tenofovir (300mg)-emtricitabine (200mg) tablet once daily by mouth for 48 weeks followed by open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for an additional 48 weeks tenofovir-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Total
n=34 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=5 Participants
15 Participants
n=7 Participants
34 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
52.0 years
STANDARD_DEVIATION 3.1 • n=5 Participants
48.8 years
STANDARD_DEVIATION 2.9 • n=7 Participants
50.6 years
STANDARD_DEVIATION 3.3 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
15 Participants
n=7 Participants
34 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
Canada
13 Participants
n=5 Participants
11 Participants
n=7 Participants
24 Participants
n=5 Participants
Region of Enrollment
Italy
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 48 weeks and 96 weeks

Population: Thirty-four women enrolled: 19 in the immediate and 15 in the delayed switch arm between Sept 2017 and April 2019; 30 completed the 96-week protocol. The study closed to follow up March 2021. Two participants in the delayed arm inadvertently switched to TAF at baseline and one participant in the delayed arm remained on TDF for the entire 96 weeks.

The outcome measures presented are descriptive as enrollment in the clinical trial did not reach the target number of subjects needed to achieve target power and was insufficient to produce statistically reliable results. There are limited results at the week 48 timepoint due to the COVID pandemic.

Outcome measures

Outcome measures
Measure
Immediate Switch
n=19 Participants
Open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for 96 weeks tenofovir-alafenamide-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Delayed Switch
n=15 Participants
Open-label tenofovir (300mg)-emtricitabine (200mg) tablet once daily by mouth for 48 weeks followed by open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for an additional 48 weeks tenofovir-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Percent Change in Bone Mineral Density From Baseline at the Lumbar Spine
48 weeks
1.97 Percent Change
Interval -1.15 to 5.49
-2.32 Percent Change
Interval -5.11 to 0.19
Percent Change in Bone Mineral Density From Baseline at the Lumbar Spine
96 weeks
2.33 Percent Change
Interval 0.0 to 4.51
0.7 Percent Change
Interval -3.19 to 2.47

SECONDARY outcome

Timeframe: Baseline, 48 weeks and 96 weeks

Population: Thirty-four women enrolled: 19 in the immediate and 15 in the delayed switch arm between Sept 2017 and April 2019; 30 completed the 96-week protocol. The study closed to follow up March 2021. Two participants in the delayed arm inadvertently switched to TAF at baseline and one participant in the delayed arm remained on TDF for the entire 96 weeks.

The outcome measures presented are descriptive as enrollment in the clinical trial did not reach the target number of subjects needed to achieve target power and was insufficient to produce statistically reliable results. There are limited results at the week 48 timepoint due to the COVID pandemic.

Outcome measures

Outcome measures
Measure
Immediate Switch
n=19 Participants
Open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for 96 weeks tenofovir-alafenamide-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Delayed Switch
n=15 Participants
Open-label tenofovir (300mg)-emtricitabine (200mg) tablet once daily by mouth for 48 weeks followed by open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for an additional 48 weeks tenofovir-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
% Change in Bone Mineral Density From Baseline at the Femoral Neck
48 weeks
1.46 Percent Change
Interval -2.95 to 3.18
0.22 Percent Change
Interval -2.83 to 3.64
% Change in Bone Mineral Density From Baseline at the Femoral Neck
96 weeks
2.33 Percent Change
Interval 0.0 to 4.51
0.70 Percent Change
Interval -3.19 to 2.47

Adverse Events

Immediate Switch

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

Delayed Switch

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

Delayed Switch

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

Serious adverse events

Serious adverse events
Measure
Immediate Switch
n=19 participants at risk
Open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for 96 weeks tenofovir-alafenamide-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Delayed Switch
n=15 participants at risk
Open-label tenofovir (300mg)-emtricitabine (200mg) tablet once daily by mouth for 48 weeks and tenofovir-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Delayed Switch
n=15 participants at risk
Open label tenofovir-alafenamide (25/10mg)-emtricitabine (200mg) tablet once daily by mouth for an additional 48 weeks. tenofovir-emtricitabine: comparison of tenofovir-emtricitabine and tenofovir-alafenamide-emtricitabine on bone mineral density
Cardiac disorders
Myocardial Infarction
5.3%
1/19 • Number of events 1 • 96 Weeks
Any grade 3 or 4 AE and all fractures that occurred from screening to the end of the study (Week 96 or Early Termination) was captured and recorded.
0.00%
0/15 • 96 Weeks
Any grade 3 or 4 AE and all fractures that occurred from screening to the end of the study (Week 96 or Early Termination) was captured and recorded.
0.00%
0/15 • 96 Weeks
Any grade 3 or 4 AE and all fractures that occurred from screening to the end of the study (Week 96 or Early Termination) was captured and recorded.
Nervous system disorders
HIV Encephalitis
5.3%
1/19 • Number of events 1 • 96 Weeks
Any grade 3 or 4 AE and all fractures that occurred from screening to the end of the study (Week 96 or Early Termination) was captured and recorded.
0.00%
0/15 • 96 Weeks
Any grade 3 or 4 AE and all fractures that occurred from screening to the end of the study (Week 96 or Early Termination) was captured and recorded.
0.00%
0/15 • 96 Weeks
Any grade 3 or 4 AE and all fractures that occurred from screening to the end of the study (Week 96 or Early Termination) was captured and recorded.

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sharon Walmsley

University Health Network

Phone: 416-340-3871

Results disclosure agreements

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