ClinicalTrials.gg
CompletedNCT05993767UNIVERSAL1Updated Mar 4, 2026

UNIVERSAL 1: Pharmacokinetic Study of a Novel DTG/FTC/TAF Dose Ratio for Children

A Phase 2 interventional study of dolutegravir (DTG)/emtricitabine (FTC)/tenofovir alafenamide (TAF) regimen and Dolutegravir (DTG)/ Emtricitabine (FTC)/tenofovir alafenamide (TAF) in HIV Infection, sponsored by PENTA Foundation. Completed at 3 sites in 2 countries. Open to participants aged 28 Days to 10 Years. Per ClinicalTrials.gov, last updated 2026-03-04.

Sponsored by PENTA Foundation · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
53
Allocation
Not applicable
Ages
28 Days to 10 Years
Sex
All
01

Study summary

This study aims to find out whether treating children living with HIV with three anti-HIV medicines, dolutegravir (DTG), emtricitabine (FTC) and tenofovir alafenamide (TAF), with a novel dose ratio will achieve adequate drug concentrations and is safe. The optimal DTG/FTC/TAF dose ratio will be used for the development of a fixed-dose combination dispersible tablet.

Read the detailed description

Dolutegravir (DTG), Emtricitabine (FTC) and Tenofovir alafenamide (TAF) are anti-HIV medicines. DTG works very well, can be taken once-daily and has few side effects. In international treatment guidelines, DTG is one of the most recommended medicines for adults and young people. Emtricitabine is also one of the preferred medicines in anti-HIV treatment for adults and children. Tenofovir alafenamide (TAF) is not yet recommended in children \<25 kg, however TAF could potentially be used safely and effectively in children.

Combining DTG, FTC and TAF in a specific dose ratio may offer treatment that is safe and effective. If so, a combination dispersible tablet containing these three medicines can be developed and this will allow the same HIV medicines to be used across children and adults.

This study will include 50 children aged 28 days to less than 10 years old who are living with HIV. All participants will receive the same treatment with DTG, FTC and TAF. Subjects will receive DTG 10 mg dispersible tablets and FTC/TAF 15/1.88 mg dispersible tablets or DTG 50 mg film coated tablets and FTC/TAF 200/25 mg film coated tablets depending on weight band. All children in the study will have clinical assessments. Blood tests will be performed to make sure that the medicines are safe and, at some visits, participants and carers will also be asked to answer some questions on taking medicine and how medicine tastes. All children will be followed up for 24 weeks.

02

Conditions studied

  • HIV Infection

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03

In context

HIV Infections

4,734 studies on the registry are indexed under HIV Infections; 244 are open to participants now.

This study's enrollment of 53 is below the median of 80 across 3,489 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

PENTA Foundation is the lead sponsor of 22 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
28 Days to 10 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age between 28 days and 10 years old
  • Weighing 3 to \<25 kg
  • Confirmed -1 infection (local, molecular methods)
  • A parent or legal guardian is willing and able to give on behalf of the child as per national legislation and willing to adhere to the protocol
  • Participant is willing to give informed assent if the trial site clinician deems them old enough and able to understand the age-appropriate information about participation in the study
  • Girls who have reached menarche must have a negative pregnancy test at screening
  • Subject is willing to start DTG/FTC/TAF regimen in the novel dose ratio for HIV treatment
  • Subjects already on a DTG-based ART regimen should be virologically suppressed at screening

Exclusion criteria

Exclusion Criteria:

  • Age between 28 days and 10 years old
  • Weighing 3 to \<25 kg
  • Confirmed -1 infection (local, molecular methods)
  • A parent or legal guardian is willing and able to give on behalf of the child as per national legislation and willing to adhere to the protocol
  • Participant is willing to give informed assent if the trial site clinician deems them old enough and able to understand the age-appropriate information about participation in the study
  • Girls who have reached menarche must have a negative pregnancy test at screening
  • Subject is willing to start DTG/FTC/TAF regimen in the novel dose ratio for HIV treatment
  • Subjects already on a DTG-based ART regimen should be virologically suppressed at screening
  • History or presence of known allergy to DTG, FTC or TAF
  • (ALT) ≥5 times the (ULN), OR ALT ≥3xULN AND ≥2xULN
  • Patients with severe hepatic impairment or unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminaemia, oesophageal or gastric varices, or persistent jaundice), known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones)
  • Current or anticipated need for TB therapy during the study
  • Use of rifampicin-based therapy within 4 weeks before start trial
  • Presence of comedication known to interact with trial medications
  • Known resistance to INSTI or NRTI
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
53 participants (actual)

Study arms

  • Experimental
    dolutegravir (DTG)/emtricitabine (FTC)/tenofovir alafenamide (TAF) regimen

    Switch or start dolutegravir (DTG)/emtricitabine (FTC)/tenofovir alafenamide (TAF) regimen with a novel dose ratio for HIV treatment. Subjects will receive DTG 10 mg dispersible tablets and FTC/TAF 15/1.88 mg dispersible tablets or DTG 50 mg film coated tablets and FTC/TAF 200/25 mg film coated tablets depending on weight band

    Drug: dolutegravir (DTG)/emtricitabine (FTC)/tenofovir alafenamide (TAF) regimen · Drug: Dolutegravir (DTG)/ Emtricitabine (FTC)/tenofovir alafenamide (TAF)

Interventions

  • Drugdolutegravir (DTG)/emtricitabine (FTC)/tenofovir alafenamide (TAF) regimen

    Switch or start dolutegravir (DTG)/emtricitabine (FTC)/tenofovir alafenamide (TAF) regimen with a novel dose ratio for HIV treatment

  • DrugDolutegravir (DTG)/ Emtricitabine (FTC)/tenofovir alafenamide (TAF)

    Drug pages: Dolutegravir · Emtricitabine · Tenofovir alafenamide

    Single arm

06

What researchers measure

Primary outcomes

  1. Primary endpoints for DTG:

    \- Geometric mean Ctrough concentration

    Time frame: From enrollment to the end of treatment at 24 weeks

  2. Primary endpoints for DTG:

    Percentage of individual Ctrough concentrations below the 90% effective concentration (EC90) (0.32 mg/L)

    Time frame: From enrollment to the end of treatment at 24 weeks

  3. Primary endpoints for DTG:

    \- Geometric mean DTG Ctrough, Cmax, and AUC

    Time frame: From enrollment to the end of treatment at 24 weeks

  4. Primary safety endpoints

    \- Occurrence of serious adverse events

    Time frame: From enrollment to the end of treatment at 24 weeks

  5. Primary safety endpoints

    \- Occurrence of new clinical and laboratory grade 3 and 4 adverse events

    Time frame: From enrollment to the end of treatment at 24 weeks

  6. Primary safety endpoints

    Occurrence of adverse events (of any grade) leading to treatment modification

    Time frame: From enrollment to the end of treatment at 24 weeks

  7. Primary endpoints for FTC/TAF:

    \- Geometric mean Ctrough, Cmax, and AUC

    Time frame: From enrollment to the end of treatment at 24 weeks

  8. Primary endpoints for FTC/TAF:

    Intracellular tenofovir diphosphate (TDP) levels at 24 hours acquired through dried blood spot analysis

    Time frame: From enrollment to the end of treatment at 24 weeks

Secondary outcomes

  1. Efficacy endpoints

    \- Viral load (VL) \<400 c/ml at 24 weeks

    Time frame: From enrollment to the end of treatment at 24 weeks

  2. Efficacy endpoints

    Occurrence of new or recurrent WHO clinical stage 3 or 4 event

    Time frame: From enrollment to the end of treatment at 24 weeks

07

Study locations

3 sites
  • Baylor College of Medicine Children's Foundation
    Kampala, Uganda
  • Joint Research Centre
    Kampala, Uganda
  • University of Zimbabwe Clinical Research Centre
    Harare, Zimbabwe
08

References and documents

Individual participant data

Plan to share: No — IPD will be supporting a generic company dossier subject to FDA evaluation

No publications or documents are linked to this record.

09

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

Ran from Dec 2024 to primary completion in Jun 2025, 6 months.

Of 65 non-industry phase 2 interventional studies under HIV Infections, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 74. This study's 6 months is below that.

Counting every sponsor, half of 99 studies reached it within 31 months; a quarter within 17 and three quarters within 58.

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

Registered
Aug 1, 2023
First posted
Aug 15, 2023
StartActual
Dec 11, 2024
Primary completionActual
Jun 30, 2025
CompletionActual
Jan 20, 2026
Last update
Mar 4, 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 Mar 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05993767
Lead sponsor
PENTA Foundation
Collaborators
Radboud University Medical Center, Baylor College of Medicine, Clinton Health Access Initiative Inc., University of Zimbabwe, Chiang Mai University, Joint Clinical Research Center
Responsible party
Sponsor
First posted
Aug 15, 2023
Start date
Dec 11, 2024
Primary completion
Jun 30, 2025
Completion
Jan 20, 2026
Last update
Mar 4, 2026

Oversight

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

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Dolutegravir · Emtricitabine · Tenofovir alafenamide

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