Status:

COMPLETED

The Tolerability of, and Adherence to, Dolutegravir With Co-formulated Tenofovir-emtricitabine for HIV Non-occupational Post-exposure Prophylaxis

Lead Sponsor:

Andrew Carr

Collaborating Sponsors:

ViiV Healthcare Australia Pty. Ltd

Conditions:

Human Immunodeficiency Virus

Eligibility:

MALE

18+ years

Phase:

PHASE4

Brief Summary

This study aims to describe the proportion of participants with non-occupational post-exposure prophylaxis (NPEP) failure, defined as NPEP non-completion (including loss to follow-up) at week 4 or pri...

Eligibility Criteria

Inclusion

  • Man who has sex with men
  • Age at least 18 years
  • Potential HIV exposure following:
  • receptive anal intercourse with a source known to be HIV-infected; or
  • receptive anal intercourse with a source of unknown HIV status; or
  • insertive anal intercourse with a source known to be HIV-infected
  • Able to provide written, informed consent
  • Able to commit to the study visits

Exclusion

  • Non-sexual exposure
  • Exposure occurring during sex between a man and a woman
  • HIV infection diagnosed on baseline testing (antibody, Western blot, proviral DNA) including indeterminate serology consistent with possible primary HIV infection
  • Use of any medication contra-indicated with DTG, FTC or TDF
  • Use of any medication that effects the concentration of dolutegravir and / or concomitant drug including: oxcarbazepine, phenytoin, phenobarbital, carbamazepine, rifampicin, metformin or St. John's wort (St John's wort can be stopped for the 28-day period of NPEP).
  • History or presence of allergy to DTG, FTC, TDF or their components
  • Alanine aminotransferase (ALT) ≥5 times the upper limit of the reference range or ALT ≥3 times and bilirubin ≥1.5 times the upper limit of the reference range
  • Unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminaemia, oesophageal or gastric varices, or persistent jaundice) or known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones)
  • Severe hepatic impairment (Class C) as determined by Child-Pugh classification
  • Serum estimated Glomerular Filtration Rate (eGFR) \<60 mL/min/BSAc
  • Current therapy for hepatitis B infection
  • Serological evidence of chronic/active hepatitis B
  • Previous OPEP/NPEP containing DTG
  • A participant with a history or current evidence of any condition, therapy, or laboratory abnormality, or other circumstance that might confound the results of the study, or interfere with the participant's participation for the full duration of the study
  • Unable to complete study procedures

Key Trial Info

Start Date :

August 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2016

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT02211690

Start Date

August 1 2014

End Date

February 1 2016

Last Update

May 27 2016

Active Locations (5)

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Page 1 of 2 (5 locations)

1

St Vincent's Hospital Centre for Applied Medical Research

Darlinghurst, New South Wales, Australia, 2010

2

Sydney Sexual Health Centre

Sydney, New South Wales, Australia, 2000

3

Clinic 16, Royal North Shore Hospital

Sydney, New South Wales, Australia, 2065

4

Melbourne Sexual Health Centre

Carlton, Victoria, Australia, 3053

The Tolerability of, and Adherence to, Dolutegravir With Co-formulated Tenofovir-emtricitabine for HIV Non-occupational Post-exposure Prophylaxis | DecenTrialz