Trial Outcomes & Findings for Assessment of a New "Boosting" Strategy for HIV Pre-exposure Prophylaxis in Healthy Volunteers (NCT NCT03202511)

NCT ID: NCT03202511

Last Updated: 2021-05-07

Results Overview

The geometric mean ratio (GMR) of the plasma TFV area under the curve (AUC) comparing the test phase (T) to control phase (C) was assessed. PK samples were collected from 0 to 72 hours post-dose.

Recruitment status

COMPLETED

Study phase

EARLY_PHASE1

Target enrollment

15 participants

Primary outcome timeframe

The first 72 hours of each phase.

Results posted on

2021-05-07

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment TDF/FTC+PRO Dose First, Then Control TDF/FTC
Participants received the treatment phase of 600/400 mg oral TDF/FTC along with a 2 gram oral PRO on day 1, 2-week washout, then the control phase of 600/400 mg oral TDF/FTC on day 1 followed by 300/200 mg oral TDF/FTC on days 2 and 3.
Control TDF/FTC First, Then Treatment TDF/FTC+PRO Dose
Participants received the control phase of 600/400 mg oral TDF/FTC on day 1 followed by 300/200 mg oral TDF/FTC on days 2 and 3, 2-week washout, then the treatment phase of 600/400 mg oral TDF/FTC along with a 2 gram oral PRO on day 1.
Overall Study
STARTED
8
7
Overall Study
COMPLETED
7
7
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment TDF/FTC+PRO Dose First, Then Control TDF/FTC
Participants received the treatment phase of 600/400 mg oral TDF/FTC along with a 2 gram oral PRO on day 1, 2-week washout, then the control phase of 600/400 mg oral TDF/FTC on day 1 followed by 300/200 mg oral TDF/FTC on days 2 and 3.
Control TDF/FTC First, Then Treatment TDF/FTC+PRO Dose
Participants received the control phase of 600/400 mg oral TDF/FTC on day 1 followed by 300/200 mg oral TDF/FTC on days 2 and 3, 2-week washout, then the treatment phase of 600/400 mg oral TDF/FTC along with a 2 gram oral PRO on day 1.
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Assessment of a New "Boosting" Strategy for HIV Pre-exposure Prophylaxis in Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=15 Participants
All participants received control and/or treatment phase The control phase will consist of subjects taking 600/400 mg oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) on day 1 (2 tablets) followed by 300/200 mg (1 tablet) doses on days 2 and 3. The treatment phase will consist of subjects taking 600/400 mg oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) (2 tablets) along with a 2 gram oral probenecid (PRO) dose (4 tablets, 500 mg each) on day 1.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
26 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
15 Participants
n=5 Participants

PRIMARY outcome

Timeframe: The first 72 hours of each phase.

Population: Primary result was performed for geometric mean ratio of treatment phase to control phase.

The geometric mean ratio (GMR) of the plasma TFV area under the curve (AUC) comparing the test phase (T) to control phase (C) was assessed. PK samples were collected from 0 to 72 hours post-dose.

Outcome measures

Outcome measures
Measure
Treatment Phase
n=14 Participants
The treatment phase will consist of subjects taking 600/400 mg oral TDF/FTC along with a 2 gram oral PRO dose on day 1.
Control Phase
n=14 Participants
The control phase will consist of subjects taking 600/400 mg oral TDF/FTC on day 1 followed by 300/200 mg TDF/FTC on days 2 and 3.
Plasma TFV AUC0-INF GMR
8.75 ng*h/mL
Interval 8.66 to 8.84
8.27 ng*h/mL
Interval 8.18 to 8.36

PRIMARY outcome

Timeframe: The first 72 hours of each phase.

The geometric mean ratio (GMR) of the PBMC TFV-DP area under the curve (AUC) comparing the test phase (T) to control phase (C) was assessed. PK samples were collected from 0 to 72 hours post-dose.

Outcome measures

Outcome measures
Measure
Treatment Phase
n=14 Participants
The treatment phase will consist of subjects taking 600/400 mg oral TDF/FTC along with a 2 gram oral PRO dose on day 1.
Control Phase
n=14 Participants
The control phase will consist of subjects taking 600/400 mg oral TDF/FTC on day 1 followed by 300/200 mg TDF/FTC on days 2 and 3.
PBMC TFV-DP AUC GMR
7.12 fmol*h/10^6cells
Interval 6.96 to 7.29
7.38 fmol*h/10^6cells
Interval 7.22 to 7.54

Adverse Events

Control Phase

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

Treatment Phase

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Control Phase
n=14 participants at risk
The control phase consisted of subjects taking 600/400 mg oral TDF/FTC on day 1 followed by 300/200 mg TDF/FTC on days 2 and 3.
Treatment Phase
n=15 participants at risk
The treatment phase consisted of subjects taking 600/400 mg oral TDF/FTC followed by 2 gram oral PRO on day 1.
Gastrointestinal disorders
Nausea, vomiting, or GERD
14.3%
2/14 • Number of events 2 • Adverse events were collected over 1 year during study conduction.
All adverse events reported from participant were included and graded for severity by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Adverse events were reviewed per patient by treatment and was not separated individually.
53.3%
8/15 • Number of events 8 • Adverse events were collected over 1 year during study conduction.
All adverse events reported from participant were included and graded for severity by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Adverse events were reviewed per patient by treatment and was not separated individually.
Nervous system disorders
Headache or loss of appetite
14.3%
2/14 • Number of events 2 • Adverse events were collected over 1 year during study conduction.
All adverse events reported from participant were included and graded for severity by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Adverse events were reviewed per patient by treatment and was not separated individually.
33.3%
5/15 • Number of events 5 • Adverse events were collected over 1 year during study conduction.
All adverse events reported from participant were included and graded for severity by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Adverse events were reviewed per patient by treatment and was not separated individually.
Blood and lymphatic system disorders
Nose bleed
0.00%
0/14 • Adverse events were collected over 1 year during study conduction.
All adverse events reported from participant were included and graded for severity by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Adverse events were reviewed per patient by treatment and was not separated individually.
6.7%
1/15 • Number of events 1 • Adverse events were collected over 1 year during study conduction.
All adverse events reported from participant were included and graded for severity by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE). Adverse events were reviewed per patient by treatment and was not separated individually.

Additional Information

Dr. Zeruesenay Desta

Division of Clinical Pharmacology, School of Medicine, Indiana University

Phone: 317-274-2823

Results disclosure agreements

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