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Pharmacology of Tenofovir Disoproxil Fumarate-Emtricitabine (TDF-FTC) Pre-exposure Prophylaxis in Kenyan Cisgender Wome

Phase 2
Conditions
HIV/AIDS
Registration Number
PACTR202311518894272
Lead Sponsor
niversity of Washington
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Other
Sex
Female
Target Recruitment
72
Inclusion Criteria

Inclusion criteria for the pregnant cohort

-Age =18 and =30 years

-HIV uninfected

-Has an active smart phone

-Normal renal function (GFR >60ml/min)

-Hepatitis B surface Ag negative

-High risk for HIV

-Pregnant at 13-26 weeks of gestation

-Willing to use DOT and come to clinic daily for DOT PrEP for 8 weeks

-Willing to have home visits/video streaming if clinic visit not feasible

Inclusion criteria for the non- pregnant cohort

-Age =18 and =30 years
-HIV uninfected
-Has an active smart phone
-Normal renal function (GFR >60ml/min)
-Hepatitis B surface Ag negative
-Low risk for HIV
-Not pregnant or breastfeeding
-Willing to be randomized to non-daily PrEP and come to clinic frequently for DOT PrEP
-Willing to have home visits/video streaming if clinic visit not feasible

Exclusion Criteria

Exclusion criteria for pregnant women

-Inability to give informed consent
-HIV positive test at screening or suspected acute HIV infection in the opinion of the clinician
-Concomitant medications taken within 30 days of enrollment: aminoglycosides, ganciclovir/valganciclovir, chronic high-dose acyclovir/valacyclovir (>800mg acyclovir or > 500mg valacyclovir for >7 days), cyclosporine, amphotericin B, foscarnet, and cidofovir, and products with same or similar active ingredients as the study medications including TAF®, ATRIPLA®, COMPLERA®, EMTRIVA®, VIREAD®; or drugs containing lamivudine or adefovir, which are close analogs of FTC and tenofovir, respectively.
-Current or past use of PrEP (pre-exposure prophylaxis)
-Not willing to have home visit
-Sickle cell anemia, chronic bleeding, blood transfusion within the past 120 days (excluding for chronic illness) or other blood dyscrasias
-Fetus has a known or suspected major congenital anomaly defined by fetal ultrasound.

Exclusion criteria for non-pregnant women

-Inability to give informed consent
-HIV positive test at screening or suspected acute HIV infection in the opinion of the clinician
-Concomitant medications taken within 30 days of enrollment: aminoglycosides, ganciclovir/valganciclovir, chronic high-dose acyclovir/valacyclovir (>800mg acyclovir or > 500mg valacyclovir for >7 days), cyclosporine, amphotericin B, foscarnet, and cidofovir, and products with same or similar active ingredients as the study medications including TAF®, ATRIPLA®, COMPLERA®, EMTRIVA®, VIREAD®; or drugs containing lamivudine or adefovir, which are close analogs of FTC and tenofovir, respectively.
-Current or past use of PrEP (pre-exposure prophylaxis)
-pregnancy/plan to become pregnant in the next 6 months/unwillingness to use birth control

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

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