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Botswana Tenofovir Oral HIV Prophylaxis Trial

This study has been terminated.
Study NCT00111150.   Last updated on March 16, 2007.   Information provided by Centers for Disease Control and Prevention

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Descriptive Information Fields
Brief Title  Botswana Tenofovir Oral HIV Prophylaxis Trial
Official Title  Study of the Safety and Efficacy of Daily Tenofovir Disoproxil Fumarate for the Prevention of HIV Infection in Heterosexually Active Young Adults in Botswana
Brief Summary

This study will test whether taking a pill of tenofovir (an antiretroviral medicine) is safe for sexually-active young adults in Botswana without HIV infection and whether it will reduce their risk of getting an HIV infection.

Detailed Description

Twelve hundred healthy, sexually active women and men, 18-29 years old, without HIV infection will be enrolled in Francistown and Gaborone, Botswana. They will be provided with free male and female condoms, repeated individualized risk-reduction counseling, diagnosis and treatment of sexually transmitted diseases, and women will be provided with a choice of effective family planning methods. In addition, volunteers will be randomized to receive either Tenofovir or a placebo pill to take once a day. Volunteers will be seen monthly for at least 12 months to monitor for side effects and toxicities and to test their HIV status. Persons who become HIV infected during the trial will receive ongoing supportive counseling, CD4 and viral load monitoring, education about HIV infection/disease, and access to HIV care including free antiretrovirals when clinically indicated. Volunteer safety will be monitored by a local ethics committee, Centers for Disease Control Institutional Review Board (CDC IRB) and an independent data safety and monitoring board.

Study Phase Phase II, Phase III
Study Type  Interventional
Study Design  Prevention, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
Primary Outcome Measure  Adverse drug reactions in the tenofovir and placebo arms
HIV incidence in the tenofovir and placebo arms
Secondary Outcome Measure  Changes in levels of unprotected sex during the trial
Adherence to medication
Antiretroviral (ARV) resistance patterns in seroconverters
Viral set point in seroconverters
Condition  HIV Infection
Intervention  Drug: Tenofovir Disoproxil Fumarate 300 mg daily
MEDLINE PMIDs
Links fact sheet on Botswana and Thailand Tenofovir trials This link exits the ClinicalTrials.gov site
Recruitment Information Fields
Recruitment Status  Terminated
Enrollment  1200
Start Date  September 2005
Completion Date March 2007
Eligibility Criteria 

Inclusion Criteria:

  • citizen of Botswana 18-29 years old
  • sexually active
  • HIV uninfected
  • Hepatitis B and C uninfected
  • Calculated creatinine clearance >= 60 mL/min
  • hemoglobin >= 8 gm/dL
  • ALT and AST <= 2x ULN
  • total bilirubin <= 1.5 mg/dL
  • total serum amylase <= 1.5x ULN
  • Serum phosphorus >= 2.2 mg/dL
  • willing to use effective contraception
  • living within 1 hours travel of study clinic
  • pass comprehension test
  • willing and able to give informed consent

Exclusion Criteria:

  • history of significant renal or bone disease
  • any chronic illness requiring ongoing prescription medication
  • pregnant or breastfeeding
  • planning to move away from site in the next year
  • participating in another HIV prevention or vaccine safety trial
  • any other clinical condition or prior therapy that, in the opinion of the study physician, would make the volunteer unsuitable for the study or unable to comply with the dosing requirements
Gender Both
Ages 18 Years to 29 Years
Accepts Healthy Volunteers Yes
Contacts ††
Location Countries  United States,   Botswana
Administrative Information Fields
NCT ID  NCT00111150
Organization ID CDC-NCHSTP-4321
Secondary IDs †† BOTUSA MB04
Study Sponsor  Centers for Disease Control and Prevention
Collaborators †† Botswana Ministry of Health
Gilead Sciences
Investigators 
Study Chair:     Dawn K Smith, MD, MS, MPH     CDC and BOTUSA    
Study Chair:     Lynn A Paxton, MD, MPH     Centers for Disease Control and Prevention    
Information Provided By Centers for Disease Control and Prevention
Verification Date March 2007
First Received Date  May 17, 2005
Last Updated Date March 16, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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