About this trial
The purpose of this study is to evaluate the efficacy, acceptability, and safety of a simplified event-driven pre-exposure prophylaxis of HIV based on oral TAF/FTC in HIV-uninfected cisgender men who have sex with men (MSM).
Primary objective: To assess the efficacy of emtricitabine 200 mg + tenofovir alafenamide 25 mg (F/TAF), taken 2 to 24 hours before sexual intercourse followed by a second dose 24 hours after the first intake, in reducing the risk of HIV acquisition in MSM relative to the background HIV incidence rate.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Male at birth age ≥ 18 years old
Reporting having sex with men
Negative 4th generation HIV-1 and HIV-2 test
Reporting condomless anal sex with men not more often than two days during the previous month and able to plan their sexual activity
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
TDF/FTC 300mg/200mg fixed-dose combination tablets
DrugEvent-driven dosing regimen
TAF/FTC 25mg/200mg fixed-dose combination tablets
DrugEvent-driven dosing regimen.
Treatment groups
Trial outcomes
Primary outcomes
Efficacy of F/TAF
Number of HIV infections defined by the presence of HIV ribonucleic acid (RNA) in plasma through study completion (an average of two years) in the event-driven F/TAF arm.
Secondary outcomes
Efficacy of F/TDF
Number of HIV infections defined by the presence of HIV ribonucleic acid (RNA) in plasma through study completion (an average of two years) in the event-driven F/TDF arm.
Acceptability of F/TAF versus F/TDF
Satisfaction score assessed by a self-administrated study medication satisfaction questionnaire.
Safety of F/TAF versus F/TDF
1. Numbers of participants experiencing, through study completion (an average of 2 years): * at least one Grade 3 or 4 treatment-related adverse event as graded using the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events \[Corrected Version 2.1 July 2017\], * at least one serious adverse event as graded using the same tables. 2. Change from baseline in estimated glomerular filtration rate at 1, 2, and 3 years. 3. Change from baseline in body weight at 1, 2, and 3 years.
Sponsors and contacts
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ANRS, Emerging Infectious Diseases
Lead sponsor
Chiang Mai University, Thailand
Collaborator
Ministry of Health, Thailand
Collaborator
Assistance Publique - Hôpitaux de Paris
Collaborator
Gilead Sciences
Collaborator