ClinicalTrials.gg
RecruitingNCT05813964SimpPrEPUpdated Sep 2, 2026

Efficacy, Acceptability and Safety of Event-driven HIV PrEP Using TAF/FTC in MSM in Thailand and France.

A Phase 3 interventional study of TDF/FTC 300mg/200mg fixed-dose combination tablets and TAF/FTC 25mg/200mg fixed-dose combination tablets in HIV/AIDS, sponsored by ANRS, Emerging Infectious Diseases. Recruiting at 6 sites in 2 countries. Open to male participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by ANRS, Emerging Infectious Diseases · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2024; still recruiting 2 years 5 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
524
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 10 studies in Acquired Immunodeficiency Syndrome by ANRS, Emerging Infectious Diseases — 3 open to participants now, 3 under way, 1 of them phase 3. Acquired Immunodeficiency Syndrome · ANRS, Emerging Infectious Diseases.

Started
2024
with 2 others
Phase 3
2 of 10
1 open now
Registered
8th of 10
by date

Among the 10 studies in Acquired Immunodeficiency Syndrome by ANRS, Emerging Infectious Diseases, this one is one of 3 that started in 2024, is one of 2 in phase 3, and was the 8th registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

3 of the 10 studies in Acquired Immunodeficiency Syndrome by ANRS, Emerging Infectious Diseases are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

This study: 18 Years and older · male · healthy volunteers too.

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02

Study summary

The purpose of this study is to evaluate the efficacy, acceptability, and safety of a simplified event-driven pre-exposure prophylaxis of HIV based on oral TAF/FTC in HIV-uninfected cisgender men who have sex with men (MSM).

Primary objective: To assess the efficacy of emtricitabine 200 mg + tenofovir alafenamide 25 mg (F/TAF), taken 2 to 24 hours before sexual intercourse followed by a second dose 24 hours after the first intake, in reducing the risk of HIV acquisition in MSM relative to the background HIV incidence rate.

Read the detailed description

The study will enroll HIV-uninfected MSM at risk for acquiring HIV infection. Participants will be enrolled over 2 years and followed up until the closure of the clinical study. Therefore, the follow up duration will be up to 3 years for first enrollees and up to1 year for the last enrollee. The study will be implemented in Thailand (60% of participants) and France (40%).

Participants will be randomly assigned to one of two regimens:

  • Experimental Arm (F/TAF): one tablet of the fixed-dose combination of emtricitabine (FTC) 200 mg + tenofovir alafenamide (TAF) 25mg, 2 to 24 hours before sexual intercourse followed by a second tablet 24 hours after the first intake.
  • Control Arm (F/TDF): two tablets of the fixed-dose combination of emtricitabine (FTC) 200 mg + tenofovir disoproxil fumarate (TDF) 300 mg, 2 to 24 hours before sexual intercourse followed by a third tablet 24 hours after the first drug intake and a fourth tablet 24 hours later.

Participants will attend up to 15 study visits throughout the study. Visits may include physical examinations, blood collection, urine collection, and swabs collection (oral and rectal). At the end of their study participation, all participants will be transitioned to locally available HIV prevention services, including PrEP.

03

Conditions studied

  • HIV/AIDS

Keywords

  • PrEP exposure prophylaxis (PrEP)
  • On-demand
  • Event-driven
  • TAF
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  • Male at birth age ≥ 18 years old
  • Reporting having sex with men
  • Negative 4th generation -1 and HIV-2 test
  • Reporting condomless anal sex with men not more often than two days during the previous month and able to plan their sexual activity
  • Risk of HIV acquisition based on self-report of at least one of the following behaviors during the 6 months before enrollment: condomless anal sex with at least 2 different sexual partners, sexually transmitted infection (rectal chlamydia and/or rectal gonorrhea and/or syphilis), provided or received money goods or favor in exchange of sex, binge drinking or use of non-injectable recreational drugs.
  • Consenting to participate and agreeing to follow the clinical trial procedures, including adherence to study visits every 3 months
  • In France: Person affiliated with or benefiting from a social security system (article L1121-11of the public health code in France)
  • May be either PrEP-naïve or PrEP-experienced, but must not have used any long-acting PrEP product in the past 2 years.

Non-inclusion criteria:

  • Symptoms and/or clinical signs consistent with an acute HIV infection
  • Women and trans women
  • Taking feminizing hormone therapy
  • Positive HIV test result at screening or enrollment even if HIV infection is not confirmed
  • Positive surface antigen test
  • or AST > 4
  • Estimated \< 60mL/min/1.73m²
  • History of chronic kidney disease, osteoporosis, osteopenia or pathological fracture not related to trauma
  • to the study products F/TDF or F/TAF
  • Past or concurrent participation in a HIV vaccine trial or concurrent participation in another clinical trial without the agreement of the principal investigators of the two trials
  • Use of intravenous drugs within the last 12 months
  • Person under legal guardianship
  • Not likely to comply with the clinical trial procedures or with any condition incompatible with study participation, upon the investigator's judgement.
  • Ongoing Post-Exposure Prophylaxis (PEP) for HIV
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
524 participants (estimated)

Study arms

  • Active comparator
    Event-driven PrEP with TDF/FTC

    Participants randomly assigned to the event-driven TDF/FTC arm will be instructed to take a loading dose of two single tablets containing coformulated TDF/FTC (300/200mg) 2 to 24 hours before sexual intercourse, followed by a third pill 24 hours after the first drug intake and a fourth pill 24 hours later. In case of daily sexual intercourses, they will be instructed to take one pill per day until the last sexual intercourse, then to take the two post-exposure pills.

    Drug: TDF/FTC 300mg/200mg fixed-dose combination tablets

  • Experimental
    Event-driven PrEP with TAF/FTC

    Participants randomly assigned to the event-driven TAF/FTC arm will be instructed to take one single tablet containing coformulated TAF/FTC (25/200mg) with or without food 2 to 24 hours before sexual intercourse followed by a second pill 24 hours after the first drug intake. In case of daily sexual intercourses, they will be instructed to take one pill per day until the last sexual intercourse and then a last pill 24 hours later.

    Drug: TAF/FTC 25mg/200mg fixed-dose combination tablets

Interventions

  • DrugTDF/FTC 300mg/200mg fixed-dose combination tablets

    Event-driven dosing regimen

    Also known as: Truvada

  • DrugTAF/FTC 25mg/200mg fixed-dose combination tablets

    Drug page: Emtricitabine tenofovir alafenamide

    Event-driven dosing regimen.

    Also known as: Descovy

06

What researchers measure

Primary outcomes

  1. Efficacy of F/TAF

    Number of HIV infections defined by the presence of HIV ribonucleic acid (RNA) in plasma through study completion (an average of two years) in the event-driven F/TAF arm.

    Time frame: All along the study

Secondary outcomes

  1. Efficacy of F/TDF

    Number of HIV infections defined by the presence of HIV ribonucleic acid (RNA) in plasma through study completion (an average of two years) in the event-driven F/TDF arm.

    Time frame: All along the study

  2. Acceptability of F/TAF versus F/TDF

    Satisfaction score assessed by a self-administrated study medication satisfaction questionnaire.

    Time frame: At 1 and at 2 years of follow up.

  3. Safety of F/TAF versus F/TDF

    1. Numbers of participants experiencing, through study completion (an average of 2 years): * at least one Grade 3 or 4 treatment-related adverse event as graded using the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events \[Corrected Version 2.1 July 2017\], * at least one serious adverse event as graded using the same tables. 2. Change from baseline in estimated glomerular filtration rate at 1, 2, and 3 years. 3. Change from baseline in body weight at 1, 2, and 3 years.

    Time frame: All along the study

07

Study locations

6 of 6 sites recruiting
  • St Louis Hospital
    Paris, 75010, France
    Recruiting
  • AP-HP - Hospital Lariboisière
    Paris, France
    Recruiting
  • Thai Red Cross AIDS and Infectious Diseases Research Centre
    Bangkok, Bangkok 10330, Thailand
    Recruiting
    • Opass Opass PUTCHAROEN, MDD, MSc · Contact+66 22516711
    • Anchalee AVIHINGSANON, MD, PhD · Contactanchaleea2009@gmail.com · +66 868128889
  • Lampang Hospital
    Lampang, Changwat Lampang 52000, Thailand
    Recruiting
  • MPLUS Clinic
    Chiang Mai, Chiang Mai 50100, Thailand
    Recruiting
  • STIs Clinic of the Office of Disease Prevention and Control Region 1
    Chiang Mai, Chiang Mai 50100, Thailand
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2024 (actual). Primary completion is estimated for Dec 2027, 42 months after the start.

Of 31 non-industry phase 3 interventional studies under Acquired Immunodeficiency Syndrome, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 51. This study's planned 42 months is above that.

Counting every sponsor, half of 65 studies reached it within 26 months; a quarter within 19 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 2, 2023
First posted
Apr 14, 2023
StartActual
Jun 5, 2024
Primary completionEst.
Dec 31, 2027
CompletionEst.
May 31, 2028
Last update
Sep 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05813964
Collaborators
Chiang Mai University, Thailand, Ministry of Health, Thailand, Assistance Publique - Hôpitaux de Paris, Gilead Sciences
Responsible party
Sponsor
First posted
Apr 14, 2023
Start date
Jun 5, 2024
Primary completion
Dec 31, 2027 (estimated)
Completion
May 31, 2028 (estimated)
Last update
Sep 2, 2026

Study contacts

Geoffroy LIEGEON, MD, PhD
Contact
geoffroy.liegeon@aphp.fr
+33 142494991
Gonzague JOURDAIN, MD, PhD
Contact
gonzague.jourdain@cmu.ac.th
: +66 8 1883 0065
Geoffroy LIEGEON
study director · Infectious Diseases Department, Saint-Louis Hospital, Paris, France
Sumet ONGWANDEE, MD
study director · National Health Security Office (NHSO), Bangkok, Thailand

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Emtricitabine tenofovir alafenamide

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