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    Clinical Trial Results:
    Tenofovir DP concentrations in seminal cells and semen quality in HIV-1 infected patients receiving a TAF containing regimen

    Summary
    EudraCT number
    2016-001371-69
    Trial protocol
    ES  
    Global end of trial date
    19 Oct 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Dec 2023
    First version publication date
    21 Dec 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    EVITAs
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia
    Sponsor organisation address
    Ctra. de Canyet s/n, Badalona, Spain, 08916
    Public contact
    Antonio Navarro, Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la, +34 675335888, anavarro@irsicaixa.es
    Scientific contact
    Antonio Navarro, Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la, +34 675335888, anavarro@irsicaixa.es
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    16 Aug 2017
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    19 Oct 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate intracellular concentrations of tenofovir diphosphate (TFV-DP) in seminal mononuclear (SMC) cells of HIV-1 infected men receiving ART with TAF/FTC/EVG/COBI.
    Protection of trial subjects
    Although assessed treatment is approved and is used in routine care, the sponsor contracted an insurance as a mandatory aspect defined in the legal framework of the country site due a different procedures performed during the clinical trial out of routine clinical practice.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    18 Jul 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 15
    Worldwide total number of subjects
    15
    EEA total number of subjects
    15
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    15
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Subjects who met inclusion criteria and accepted to sign the informed consent to participate will be cited for a screening visit. A total of 15 HIV-infected patients were selected at the screening phase.

    Pre-assignment
    Screening details
    15 patients were screened

    Pre-assignment period milestones
    Number of subjects started
    15
    Number of subjects completed
    15

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    EVG/c/FTC/TAF
    Arm description
    Elvitgeravir boosted with cobicistat and Tenofovir alafenamide (TAF) and emtricitabine (FTC) co-formulated as single tablet and administered orally once daily
    Arm type
    Experimental

    Investigational medicinal product name
    Elvitegravir, cobicistat, Emtricitabine and tenofovir alafenamide fumarate
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    elvitegravir 150 mg, cobicistat 150 mg, Emtricitabine 200 mg, tenofovir alafenamide fumarate 10 mg once daily.

    Number of subjects in period 1
    EVG/c/FTC/TAF
    Started
    15
    Completed
    14
    Not completed
    1
         Lost to follow-up
    1

    Baseline characteristics

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    End points

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    End points reporting groups
    Reporting group title
    EVG/c/FTC/TAF
    Reporting group description
    Elvitgeravir boosted with cobicistat and Tenofovir alafenamide (TAF) and emtricitabine (FTC) co-formulated as single tablet and administered orally once daily

    Primary: Tenofovir alafenamide fumarate concentration in seminal plasma

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    End point title
    Tenofovir alafenamide fumarate concentration in seminal plasma [1]
    End point description
    End point type
    Primary
    End point timeframe
    12 weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Data reported has been a descriptive analysis
    End point values
    EVG/c/FTC/TAF
    Number of subjects analysed
    14
    Units: ng/ml
        median (inter-quartile range (Q1-Q3))
    110 (73 to 336)
    No statistical analyses for this end point

    Primary: Tenofovir alafenamide fumarate concentration in blood plasma

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    End point title
    Tenofovir alafenamide fumarate concentration in blood plasma [2]
    End point description
    End point type
    Primary
    End point timeframe
    12 weeks
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Data reported has been a descriptive analysis
    End point values
    EVG/c/FTC/TAF
    Number of subjects analysed
    14
    Units: ng/ml
        median (inter-quartile range (Q1-Q3))
    9.17 (4.6 to 14.9)
    No statistical analyses for this end point

    Primary: tenofovir diphosphate (tenofovir alafenamide fumarate) concentration in peripheral blood mononuclear cells

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    End point title
    tenofovir diphosphate (tenofovir alafenamide fumarate) concentration in peripheral blood mononuclear cells [3]
    End point description
    End point type
    Primary
    End point timeframe
    12 weeks
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Data reported has been a descriptive analysis
    End point values
    EVG/c/FTC/TAF
    Number of subjects analysed
    14
    Units: fmol/106 cells
        median (inter-quartile range (Q1-Q3))
    637.29 (213.65 to 1154.36)
    No statistical analyses for this end point

    Primary: tenofovir diphosphate (tenofovir alafenamide fumarate) concentration in seminal mononuclear cells

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    End point title
    tenofovir diphosphate (tenofovir alafenamide fumarate) concentration in seminal mononuclear cells [4]
    End point description
    End point type
    Primary
    End point timeframe
    12 weeks
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Data reported has been a descriptive analysis
    End point values
    EVG/c/FTC/TAF
    Number of subjects analysed
    14
    Units: fmol/106 cells
        median (inter-quartile range (Q1-Q3))
    27.55 (10.4 to 468.88)
    No statistical analyses for this end point

    Primary: Tenofovir alafenamide fumarate seminal plasma/blood plasma concentration ratio

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    End point title
    Tenofovir alafenamide fumarate seminal plasma/blood plasma concentration ratio [5]
    End point description
    End point type
    Primary
    End point timeframe
    12 week
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Data reported has been a descriptive analysis
    End point values
    EVG/c/FTC/TAF
    Number of subjects analysed
    14
    Units: ratio
        median (inter-quartile range (Q1-Q3))
    11.96 (7.92 to 51.16)
    No statistical analyses for this end point

    Primary: tenofovir diphosphate seminal mononuclear cells/ peripheral blood mononuclear cells concentration ratio

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    End point title
    tenofovir diphosphate seminal mononuclear cells/ peripheral blood mononuclear cells concentration ratio [6]
    End point description
    End point type
    Primary
    End point timeframe
    12 weeks
    Notes
    [6] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Data reported has been a descriptive analysis
    End point values
    EVG/c/FTC/TAF
    Number of subjects analysed
    14
    Units: ratio
        median (inter-quartile range (Q1-Q3))
    0.06 (0.01 to 0.41)
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    14 weeks
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Frequency threshold for reporting non-serious adverse events: 1%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: Non-serious adverse event were reported during the 16 weeks of follow up

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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