Study of Lenacapavir and Emtricitabine/Tenofovir Disoproxil Fumarate (F/TDF) in Prevention of HIV in Cisgender Women in the United States (HPTN 102)

Phase
Recruitment status
Active, not recruiting
Participants
Lead sponsor
Gilead Sciences
Start date
Number of sites

Summary
The goal of this clinical study is to look at how lenacapavir (LEN) passes through the body and to assess the safety of LEN and emtricitabine/tenofovir disoproxil fumarate (F/TDF) for prevention of HIV in the cisgender women in the US. The primary objectives of this study are: 1) to characterize the pharmacokinetics (PK) of LEN in United States (US) cisgender women; 2) to evaluate the safety of LEN and F/TDF for pre-exposure prophylaxis (PrEP) in US cisgender women; and 3) to evaluate the general acceptability of LEN injections and oral F/TDF in US cisgender women.
Acronym
Short title
Study of Lenacapavir and Emtricitabine/Tenofovir Disoproxil Fumarate (F/TDF) in Prevention of HIV in Cisgender Women in the United States (HPTN 102)
Official title
A Phase 2, Open-label, Multicenter, Randomized Study to Evaluate the Pharmacokinetics, Safety, and Acceptability of Twice Yearly Long-acting Subcutaneous Lenacapavir for Pre-Exposure Prophylaxis in Cisgender Women in the United States

Control arm
Registry reports results
Listing at source
Recruitment status
Active, not recruiting
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Actual participants
Participants
Participant count basis
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Gilead Sciences
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Prevention
Masking
No masking
Sources for study design

  1. Pharmacokinetic (PK) Parameter: Ctrough for Lenacapavir (LEN) at the End of Week 26

    Timeframe: Week 26

    Ctrough is defined as the concentration at the end of the dosing interval.

  2. PK Parameter: Ctrough for LEN at the End of Week 52

    Timeframe: Week 52

    Ctrough is defined as the concentration at the end of the dosing interval.

  3. Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)

    Timeframe: First dose date up to 30 days post last dose at Week 78

  4. Percentage of Participants Experiencing Treatment-emergent Clinical Laboratory Abnormalities

    Timeframe: First dose date up to 30 days post last dose at Week 78

  5. General Acceptability of LEN and F/TDF as PrEP as Assessed by Percentage of Participants with Acceptability Questionnaire Responses

    Timeframe: Up to Week 52

    To assess the acceptability of the study drug, participants will complete the questionnaire including a question on general acceptability of the assigned study drug on an ordinal 5-category scale with a response of: Completely unacceptable, Unacceptable, No opinion, Acceptable, or Completely acceptable.

  6. Satisfaction With Use of LEN and F/TDF as PrEP as Assessed by Percentage of Participants with Satisfaction Questionnaire Responses

    Timeframe: Up to Week 52

    To assess the satisfaction with use of the study drug, participants will complete the questionnaire including a question on satisfaction with use of the assigned study drug on an ordinal 5-category scale with a response of: Very satisfied, Satisfied, Neutral, Dissatisfied, or Very dissatisfied.

  7. Willingness to Use LEN and F/TDF as PrEP as Assessed by Percentage of Participants with Willingness to Use Questionnaire Responses

    Timeframe: Up to Week 52

    To assess the willingness to use the study drug, participants will complete the questionnaire including a question on willingness to use the assigned study drug on an ordinal 5-category scale with a response of: Definitely Yes, Probably yes, Not sure/undecided, Probably No, or Definitely No.

  1. Number of Participants with Adherence to LEN, as Assessed by on-time LEN Injections Received

    Timeframe: Up to Week 26

  2. Number of Participants with Adherence to F/TDF, as Assessed by Adherence Levels Based on Tenofovir diphosphate (TFV-DP) Concentrations in Dried Blood Spot (DBS)

    Timeframe: Up to Week 78

Sources for outcomes

Sex
Female
Age groups
Adults, Older adults
Minimum age
18 Years
Healthy volunteers
Yes

Key Inclusion Criteria:

  • Report at least 1 episode of condomless vaginal or anal sex with a cisgender man in the 12 months before enrollment.

  • Hepatitis B virus (HBV) surface antigen (HBsAg) negative.

  • Self-report one or more of the following in the past 12 months (except for incarceration, which could have occurred in the past 5 years):

    1) Noninjection recreational drug use (ecstasy, cocaine, crack cocaine, methamphetamine, ketamine, 3,4-methylenedioxy-methamphetamine, or prescription drugs apart from those prescribed by a licensed provider); 2) Alcohol dependence (defined as Cut Down, Annoyed, Guilty, and Eye Opener score of 2); binge-drinking, defined as 4 or more drinks at a time; 3) History of STIs, such as gonorrhea, chlamydia, or syphilis; 4) Exchange of sex for commodities, such as drugs, money, or shelter; 5) Incarceration (jail or prison > 24 hours within the past 5 years); 6) Two or more sexual partners who were assigned male at birth; 7) Sexual partner assigned male at birth with history of either injection or noninjection recreational drug use, sexually transmitted infections (STIs), human immunodeficiency virus (HIV) diagnosis or unknown HIV status, additional sex partners during the course of his sexual relationship with the individual, or incarceration (jail or prison > 24 hours within the past 5 years)

  • Negative local rapid HIV-1/2 antibody (Ab)/antigen (Ag) test, central HIV-1/2 Ab/Ag, and HIV-1 RNA quantitative nucleic acid amplification testing (NAAT).

  • Estimated glomerular filtration rate (GFR) at least 60 mL/min at screening according to the Cockcroft-Gault formula for creatinine clearance (CLcr).

Key Exclusion Criteria:

  • Self-reported history of previous positive results on an HIV test.
  • One or more reactive or positive HIV test result at screening or enrollment, even if HIV infection is not confirmed.
  • Past or current participation in HIV vaccine or HIV broadly neutralizing antibody study unless individual provides documentation of receipt of placebo (ie, not active product).
  • Prior use of long-acting systemic pre-exposure prophylaxis (PrEP) (including cabotegravir (CAB) or islatravir studies).
  • Acute viral hepatitis A or acute or chronic hepatitis B or C infection.
  • Severe hepatic impairment or a history of or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, variceal bleeding, etc).

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Sources for eligibility

  • UAB, 1917 Research ClinicBirmingham, United States
  • UCSD Antiviral Research Center (AVRC)San Diego, United States
  • George Washington University Medical Faculty AssociatesWashington D.C., United States
  • Ponce de Leon Center Clinical Research SiteAtlanta, United States
  • Fenway HealthBoston, United States
  • Rutgers New Jesey Medical School - Clinical Research CenterNewark, United States
  • Cornell Clinical Trials Unit, New York Presbyterian Hospital - Weill Cornell MedicineNew York, United States
  • Harlem Prevention Center CRSNew York, United States
  • ICAP at Columbia University - Bronx Prevention CenterThe Bronx, United States
  • NC TraCS Institute - CTRC; University of North Carolina at Chapel HillChapel Hill, United States
  • Penn Prevention Research UnitPhiladelphia, United States
Sources for sites

Sources for references

Related records

Drugs (3)

Collaborators (1)

Lead sponsors (1)