Clinical trial

Effects of the Anti-HIV Pill Truvada on Gene Transcription in the Gastrointestinal Tract of HIV-uninfected Individuals

Name
49167
Description
As explained in detail in a recently published hypothesis article (Hladik F. A new hypothesis on HIV cure. F1000Research, 4:77 (2015)), the investigators hypothesize that NRTI drugs may reduce the likelihood of HIV eradication by promoting the survival of cells with integrated provirus. In this study, the investigators will test whether daily oral use of two NTRI drugs, tenofovir and emtricitabine (Truvada Pill), induces changes in the upper and lower gut mucosa that are congruent with supporting this hypothesis.
Trial arms
Trial start
2015-12-01
Estimated PCD
2017-12-01
Trial end
2017-12-01
Status
Completed
Treatment
Upper endoscopy
Upper endoscopy with biopsies
Arms:
Cohort
Anoscopy
Anoscopy with biopsies
Arms:
Cohort
Truvada
Truvada (tenofovir/emtricitabine) daily as HIV pre-exposure prophylaxis. This medication will not be provided by the study.
Arms:
Cohort
Size
9
Primary endpoint
Interleukin-10 (IL-10) and mitochondrially encoded ATP synthase 6 (MT-ATP6) mRNA copy numbers.
2-3 months after initiating HIV Pre-exposure prophylaxis
Global transcriptome analysis
2-3 months after initiating HIV Pre-exposure prophylaxis
Eligibility criteria
Inclusion Criteria: * • HIV-negative * Male gender at birth * Age ≥18 years old * Intent to initiate PrEP in the next 1-2 months. * Willingness and ability to provide informed consent for study participation * Willingness to undergo all required study procedures Exclusion Criteria: * Creatinine clearance \< 60mL/min * Platelet count below the normal reference * Coagulation (PT/PTT) tests above the normal reference * Any prior use of PrEP * Use of PEP within 30 days prior to study entry * Receipt of * anti-coagulant medications (e.g. warfarin). Aspirin is allowable. * Systemic corticosteroid medications * Non-steroidal anti-inflammatory drug (NSAID) use \>2 days/week * Signs or symptoms of acute HIV infection within 14 days of study entry * No availability of another person who will drive participant home on days of entry and follow-up procedures. * Plan to leave the Seattle area in the subsequent 2.5 months * Any condition or substance use that, in the opinion of the study investigator, would interfere with study participation.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'BASIC_SCIENCE', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 9, 'type': 'ACTUAL'}}
Updated at
2023-03-24

1 organization

1 product

1 indication

Product
Truvada
Indication
HIV