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NCT05326971: TENENTOX

The Effect Tenofovir Disoproxil Fumarate (TDF) and Tenofovir Alafenamide (TAF) on Small Intestine Gut Wall

Status unknown Phase 4 Last updated 27 March 2023
What this trial tests

Phase 4 trial testing gastroscopy in HIV Infections in 24 participants. Status unknown.

Timeline
19 January 2023
Primary endpoint
1 June 2025
1 June 2025

Quick facts

Lead sponsorJussi Sutinen
PhasePhase 4
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment24
Start date19 January 2023
Primary completion1 June 2025
Estimated completion1 June 2025
Sites1 location across Finland

Drugs / interventions tested

Conditions studied

Sponsor

Jussi Sutinen

Who can join

Adults 20 to 80, any sex, with HIV Infections or Weight Gain. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Several studies among people living with HIV (PLWH) have shown more weight gain with tenofovir alafenamide (TAF) than with tenofovir disoproxil fumarate (TDF). This difference could be due to weight increasing effect of TAF and / or weight decreasing effect of TDF. When TDF is ingested, it gets absorbed in the beginning of the small intestine. TDF is processed into free tenofovir (TFV) within the enterocytes, whereas TAF is not. The effect of TFV on enterocytes is not known, but in kidney tubular cells TFV seems to damage mitochondria and that seems lead to TDF-associated kidney toxicity. In the present cross sectional study the investigators hypothesize that TDF but not TAF causes damage in the small intestine gut wall and that may lead to poorer absorption of nutrients and opposing effects on body weigh. Twelve stable PLWH who have been treated with TDF for at least past 6 months and 12 PLWH who have similarly been treated with TAF for at least past 6 months will be recruited. The participants will have a gastroscopy done with biopsies taken from the small intestine. These biopsies will be examined for mitochondrial damage and other potential pathological findings. In addition, blood concentrations of several nutrients absorbed from the same part of the small intestine as TDF and blood concentrations of some markers of intestinal damage will be measured.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Effect of 2 Forms of Tenofovir on Duodenal Enterocytes-A Hypothesis for Different Effect of Tenofovir Disoproxil Fumarate and Tenofovir Alafenamide on Body Weight and Plasma Lipids.
    Kauppinen KJ, Aho I, Sjöblom N, Tynninen O, et al · · 2025 · cited 4× · PMID 39039812 · DOI 10.1093/cid/ciae374

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Other trials of gastroscopy

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