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NCT05243602: BFTAF

BFTAF Elderly Switch Study

Completed Phase 4 Last updated 8 May 2024
What this trial tests

Phase 4 trial testing Switch to B/F/TAF in HIV-1-infection in 520 participants. Completed in 18 March 2024.

Timeline
1 February 2022
Primary endpoint
11 April 2023
18 March 2024

Quick facts

Lead sponsorUniversity of Nairobi
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment520
Start date1 February 2022
Primary completion11 April 2023
Estimated completion18 March 2024
Sites2 locations across Kenya

Drugs / interventions tested

Conditions studied

Sponsor

University of Nairobi

Who can join

60 and older, any sex, with HIV-1-infection. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

BACKGROUND: Current Kenya National Anti-retroviral (ARV) Guidelines and World Health Organization (WHO) Guidelines recommend first-line therapy of tenofovir disoproxil fumarate (TDF), lamivudine (3TC) and dolutegravir (DTG) for adult people living with HIV (PLHIV). This regimen has limitations, particularly for the aging PLHIV who are more likely to have pre-existing comorbidities and higher risk of developing comorbidities, including osteopenia, osteoporosis, and renal insufficiency. Abacavir, the preferred alternative nucleoside reverse transcriptase inhibitor (NRTI) in Kenya, is associated with increased cardiovascular risk that also limits its use in elderly populations. B/F/TAF is highly efficacious, well tolerated, co-formulated in a small pill, and does not have the same bone, renal or cardiovascular risks associated with currently recommended regimens in Kenya. We are not aware of any clinical trial to date that has been fully powered to compare ARV regimens for the increasing population of elderly PLHIV. BROAD OBJECTIVE: We will compare the efficacy, safety, and impact on bone mineral density of switching to B/F/TAF to that of remaining on current ARV regimen in a population of elderly patients (60 years old or greater) with no prior confirmed treatment failure in Kenya.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. High rates of kidney impairment among older people (≥ 60 years) living with HIV on first-line antiretroviral therapy at screening for a clinical trial in Kenya.
    Penner J, Ombajo LA, Otieno D, Nkuranga J, et al · · 2023 · cited 7× · PMID 37352206 · DOI 10.1371/journal.pone.0285787
  2. First-Line Switch to B/F/TAF for Treatment of HIV in Older Adults ≥60 Years in Kenya (the B/F/TAF-Elderly Study).
    Ombajo LA, Penner J, Nkuranga J, Omodi V, et al · · 2025 · PMID 41280315 · DOI 10.1093/ofid/ofaf653

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Other recruiting trials for HIV-1-infection

Currently open trials in the same condition.

Other University of Nairobi trials

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing