About this trial
To evaluate adherence to a single dual-prevention pill (DPP) compared with a two-pill regimen (2PR) for pre-exposure prophylaxis (PrEP) and pregnancy prevention in women without HIV.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 16 through 39 years old (inclusive) at Screening.
Adults must be able and willing to provide informed consent. Adolescents (16- and 17-year-olds) will be consented according to applicable local guidelines, by obtaining participant assent and where applicable parental or guardian permission.
Able and willing to provide adequate locator information.
Able and willing to comply with all study procedures.
Disqualifiers
Intolerance, adverse reaction, or laboratory abnormality associated with PrEP use in the past.
Unable to become pregnant e.g., had a tubal ligation or hysterectomy or otherwise lacks a uterus, or is currently using another form of contraception.
Medically ineligible for combined hormonal contraception and specifically COCs per World Health Organization (WHO) medical eligibility criteria for contraceptive use or similar local medical eligibility guidelines (e.g., Centers for Disease Control and Prevention eligibility criteria).
Medically ineligible for PrEP based on WHO and/or local guidelines.
Trial design
Crossover
Treatments tested in this trial
DPP
DrugDaily, single, co-formulated, FTC/TDF + combined ethinyl estradiol/levonorgestrel oral contraceptive pill
2PR
DrugDaily, two-pill regimen of oral FTC/TDF and ethinyl estradiol/levonorgestrel oral contraceptive pill
Free Choice
DrugChoice of either DPP or 2PR
Treatment groups
Trial outcomes
Primary outcomes
PrEP adherence to DPP during randomized crossover period 1
Intraerythrocytic Tenofovir Diphosphate (TFV-DP) concentrations in dried blood spot (DBS)
PrEP adherence to 2PR during randomized crossover period 1
Intraerythrocytic TFV-DP concentrations in DBS
PrEP adherence to DPP during randomized crossover period 2
Intraerythrocytic TFV-DP concentrations in DBS
PrEP adherence to 2PR during randomized crossover period 2
Intraerythrocytic TFV-DP concentrations in DBS
Secondary outcomes
PrEP adherence to DPP during Choice period
TFV-DP concentrations in DBS
PrEP adherence to 2PR during Choice period
TFV-DP concentrations in DBS
PrEP adherence to DPP during Choice period
Self-reported adherence
PrEP adherence to 2PR during Choice period
Self-reported adherence
Sponsors and contacts
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HIV Prevention Trials Network
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: