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Antiretroviral Combination

Estradiol + Biktarvy for Trans Women Living with HIV (T-DDI Trial)

Phase 4
Recruiting
Led By Mona Loutfy, MD, MPH
Research Sponsored by Maple Leaf Research
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up months 1, 2 & 6
Awards & highlights

T-DDI Trial Summary

This trial will investigate the effects of feminizing hormones on antiretroviral therapy for trans women with HIV, and vice versa, to help improve ART adherence and usage.

Who is the study for?
This trial is for trans women living with HIV who are on feminizing hormone therapy and antiretroviral therapy (ART). They must be virally suppressed, willing to adjust their medication schedules, and take a specific ART regimen (B/F/TAF) for the study duration. Participants need to be adults with no relevant ART drug resistance.Check my eligibility
What is being tested?
The study investigates how common feminizing hormones used by trans women interact with the HIV treatment B/F/TAF. It compares blood levels of these drugs in trans women taking both treatments against cisgender women on HIV treatment and trans women not infected by HIV.See study design
What are the potential side effects?
While specific side effects aren't listed here, potential risks may include changes in hormone levels or interactions affecting the effectiveness of either the hormone therapy or HIV medications.

T-DDI Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~months 1, 2 & 6
This trial's timeline: 3 weeks for screening, Varies for treatment, and months 1, 2 & 6 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
2h PBMC and DBS TFV-DP and FTC-TP concentrations.
4 hour serum concentration (C4h) of estradiol
BIC, FTC, and TAF area under the curve (AUC) plasma concentrations.
+5 more
Secondary outcome measures
ART adherence using theMedication Adherence Self-Reported Inventory (MASRI)
Baseline estradiol C4h serum concentration and comparison to month 2
Baseline estradiol pre-dose serum concentration (Cmin) and comparison to month 2
+7 more
Other outcome measures
Basic sociodemographic variables
Clinical variables
FHT regimens
+2 more

T-DDI Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: Investigational Population (Group 1) - Trans women living with HIVExperimental Treatment2 Interventions
Trans women living with HIV, taking: Biktarvy Oral 17(Beta)-Estradiol
Group II: Comparator Population (Group 3) - Trans Women Living without HIVActive Control1 Intervention
Trans women living without HIV, taking: -Oral 17(Beta)-Estradiol
Group III: Comparator Population (Group 2) - Cis Women Living with HIVActive Control1 Intervention
Cis women living with HIV, taking: -Biktarvy
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Estradiol Tablets
2019
Completed Early Phase 1
~10

Find a Location

Who is running the clinical trial?

Maple Leaf ResearchLead Sponsor
3 Previous Clinical Trials
206 Total Patients Enrolled
Mona Loutfy, MD, MPHPrincipal InvestigatorMaple Leaf Research
1 Previous Clinical Trials
16 Total Patients Enrolled

Media Library

Biktarvy 50/200/25 Tab (Antiretroviral Combination) Clinical Trial Eligibility Overview. Trial Name: NCT05663892 — Phase 4
HIV (Human Immunodeficiency Virus) Research Study Groups: Comparator Population (Group 3) - Trans Women Living without HIV, Investigational Population (Group 1) - Trans women living with HIV, Comparator Population (Group 2) - Cis Women Living with HIV
HIV (Human Immunodeficiency Virus) Clinical Trial 2023: Biktarvy 50/200/25 Tab Highlights & Side Effects. Trial Name: NCT05663892 — Phase 4
Biktarvy 50/200/25 Tab (Antiretroviral Combination) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05663892 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has the FDA authorized Investigational Population (Group 1) - Trans women living with HIV?

"The safety of Investigational Population (Group 1) - Trans women living with HIV was rated 3 on a scale from 1 to 3, as the drug is already approved and this trial is in Phase 4."

Answered by AI

Are recruitment efforts still ongoing for this experiment?

"Affirmative. Clinicaltrials.gov has information which attests to this trial's active recruitment of 45 individuals from one medical centre, with the original post date being November 23rd 2022 and its most recent update occurring on December 15th 2022."

Answered by AI

How many individuals are actively engaged in the experiment?

"Affirmative. Clinicaltrials.gov displays that the trial, which was initially uploaded on November 23rd 2022 is still enrolling patients. 45 participants must be enrolled from one medical site and this data has been recently updated on December 15th 2022."

Answered by AI

What goals is this trial aiming to accomplish?

"The primary goal of this medical trial is to gauge the BIC, FTC, and TAF maximum plasma concentrations within two months. Secondary objectives include comparing Baseline estradiol C4h serum concentration between Groups 1 and 3 as well as gauging their proportion that satisfies a target value; similarly assessing the change in total testosterone concentrations from baseline to Month 2 among those who switched to B/F/TAF versus those who did not switch; finally measuring satisfaction with feminizing hormone therapy via FEM-SQ questionnaire scores for all participants across both groups (0-85 importance score, 18-90 satisfaction score)."

Answered by AI
~7 spots leftby Aug 2024