ClinicalTrials.gg
Not yet recruitingNCT07288190Updated Feb 19, 2026

Phase 2b, Open Label, Multisite, Randomized Crossover Study of DPP Versus 2PR

A Phase 2 interventional study of DPP and 2PR in Pregnancy and HIV Infections, sponsored by HIV Prevention Trials Network. Not yet recruiting at 3 sites in 3 countries. Open to female participants aged 16 Years to 39 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-19.

Sponsored by HIV Prevention Trials Network · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
16 Years to 39 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 13 studies in HIV Infections by HIV Prevention Trials Network — 3 open to participants now, 3 under way, 1 of them phase 3. HIV Infections · HIV Prevention Trials Network.

Planned enrollment
8th of 11
300 · median 447
Started
2026
with 1 other
Phase 2
2 of 13
1 open now
Registered
13th of 13
by date

Among the 13 studies in HIV Infections by HIV Prevention Trials Network, this one is the 8th largest by planned enrollment of the 11 interventional ones, is one of 2 that started in 2026, is one of 2 in phase 2, and was the 13th registered.

By phase

13 studies; the count open now beside each. This study's row is marked.

No phase7 · 1 open
Observational2 · 0 open
Phase 2this study2 · 1 open
Phase 32 · 1 open

By the year they started

First in 2002; this study’s year is marked. 2 started in 2026.

Size and results

Median enrollment 447 across the 11 interventional studies, 1,585 across the 2 observational. Of the 10 that completed or were terminated, 3 (30%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 13 studies in HIV Infections by HIV Prevention Trials Network, or all of them as a file.
02

Study summary

To evaluate adherence to a single dual-prevention pill (DPP) compared with a two-pill regimen (2PR) for pre-exposure prophylaxis (PrEP) and pregnancy prevention in women without HIV.

Read the detailed description

To evaluate adherence to a single DPP consisting of co-formulated Tenofovir Disoproxil Fumarate and Emtricitabine (FTC/TDF) plus combined ethinyl estradiol/levonorgestrel oral contraceptive (COC), compared with a two-pill regimen (2PR) consisting of daily oral FTC/TDF pill and combined COC pill, for pre-exposure prophylaxis PrEP and pregnancy prevention in women without HIV.

03

Conditions studied

  • Pregnancy
  • HIV Infections

Browse trials for

Keywords

  • Pre-exposure Prophylaxis (PrEP)
  • Contraception
  • Dual Prevention Pill (DPP)
  • Pregnancy Prevention
04

Who can participate

Ages eligible
16 Years to 39 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

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 16 through 39 years old (inclusive) at Screening.
  • Adults must be able and willing to provide . Adolescents (16- and 17-year-olds) will be consented according to applicable local guidelines, by obtaining participant assent and where applicable parental or guardian permission.
  • Able and willing to provide adequate locator information.
  • Able and willing to comply with all study procedures.
  • Must be post-menarche and pre-menopausal and could potentially become pregnant.
  • Sexually active, defined as having had penile-vaginal sex within the 3 months before Screening (per self-report)
  • Negative pregnancy test at Screening and Enrollment.
  • Does not intend to become pregnant within the next 12 months.
  • Willing to use COCs for at least 48 weeks as their method of .
  • negative at Screening and Enrollment.
  • Willing to use oral PrEP for at least 48 weeks.
  • (HBV) surface antigen (HbsAg) negative per blood test at Screening.
  • (HCV) negative at Screening.
  • Normal estimated (eCrCl) ≥ 60 ml/min per blood test at Screening.

Exclusion criteria

Exclusion Criteria:

  • Intolerance, adverse reaction, or laboratory abnormality associated with PrEP use in the past.
  • Unable to become pregnant e.g., had a tubal ligation or hysterectomy or otherwise lacks a uterus, or is currently using another form of .
  • Medically ineligible for combined hormonal contraception and specifically COCs per World Health Organization (WHO) medical eligibility criteria for contraceptive use or similar local medical eligibility guidelines (e.g., Centers for Disease Control and Prevention eligibility criteria).
  • Medically ineligible for PrEP based on WHO and/or local guidelines.
  • Using or planning to use another pregnancy prevention product other than oral contraception (condoms are permitted) during the next 48 weeks.
  • Using or planning to use another prevention product other than condoms during the next 48 weeks.
  • Any other condition the clinician feels would jeopardize the health and wellbeing of the participant
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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Experimental
    DPP/2PR/Choice

    Daily DPP for 12 weeks followed by daily 2PR for 12 weeks followed by 24 weeks of Choice

    Drug: DPP · Drug: 2PR · Drug: Free Choice

  • Experimental
    2PR/DPP/Choice

    Daily 2PR for 12 weeks followed by daily DPP for 12 weeks followed by 24 weeks of Choice

    Drug: DPP · Drug: 2PR · Drug: Free Choice

Interventions

  • DrugDPP

    Daily, single, co-formulated, FTC/TDF + combined ethinyl estradiol/levonorgestrel oral contraceptive pill

  • Drug2PR

    Daily, two-pill regimen of oral FTC/TDF and ethinyl estradiol/levonorgestrel oral contraceptive pill

  • DrugFree Choice

    Choice of either DPP or 2PR

06

What researchers measure

Primary outcomes

  1. PrEP adherence to DPP during randomized crossover period 1

    Intraerythrocytic Tenofovir Diphosphate (TFV-DP) concentrations in dried blood spot (DBS)

    Time frame: Week 12

  2. PrEP adherence to 2PR during randomized crossover period 1

    Intraerythrocytic TFV-DP concentrations in DBS

    Time frame: Week 12

  3. PrEP adherence to DPP during randomized crossover period 2

    Intraerythrocytic TFV-DP concentrations in DBS

    Time frame: Week 24

  4. PrEP adherence to 2PR during randomized crossover period 2

    Intraerythrocytic TFV-DP concentrations in DBS

    Time frame: Week 24

Secondary outcomes

  1. PrEP adherence to DPP during Choice period

    TFV-DP concentrations in DBS

    Time frame: Week 48

  2. PrEP adherence to 2PR during Choice period

    TFV-DP concentrations in DBS

    Time frame: Week 48

  3. PrEP adherence to DPP during Choice period

    Self-reported adherence

    Time frame: Week 48

  4. PrEP adherence to 2PR during Choice period

    Self-reported adherence

    Time frame: Week 48

  5. Acceptability of DPP during crossover period

    Answers to acceptability questionnaire based on overall acceptability measure as well as a range of acceptability dimensions (e.g., product size, color, dosing, etc.)

    Time frame: Week 24

  6. Acceptability of 2PR during crossover period

    Answers to acceptability questionnaire based on overall acceptability measure as well as a range of acceptability dimensions (e.g., product size, color, dosing, etc.)

    Time frame: Week 24

  7. Acceptability of DPP during Choice period

    Answers to acceptability questionnaire based on overall acceptability measure as well as a range of acceptability dimensions (e.g., product size, color, dosing, etc.)

    Time frame: Week 48

  8. Acceptability of 2PR during Choice period

    Acceptability of 2PR based on answers to acceptability questionnaire based on overall acceptability measure as well as a range of acceptability dimensions (e.g., product size, color, dosing, etc.)

    Time frame: Week 48

  9. Preference for DPP

    Preference of DPP at enrollment

    Time frame: Day 0

  10. Preference for DPP

    Preference of DPP at completion of the crossover phase of the study

    Time frame: Week 24

  11. Preference for 2PR

    Preference of 2PR at enrollment

    Time frame: Day 0

  12. Preference for 2PR

    Preference of 2PR at completion of the crossover phase of the study

    Time frame: Week 24

  13. PrEP persistence on DPP during the Choice period

    Proportion of participants still using their chosen regimen at end of the Choice period

    Time frame: Week 48

  14. PrEP persistence on 2PR during the Choice period

    Proportion of participants still using their chosen regimen at end of the Choice period

    Time frame: Week 48

  15. Overall tolerability of DPP

    Tolerability

    Time frame: Week 48

  16. Overall tolerability of 2PR

    Tolerability

    Time frame: Week 48

  17. Tolerability of DPP during the crossover period

    Tolerability

    Time frame: Week 24

  18. Tolerability of 2PR during the crossover period

    Tolerability

    Time frame: Week 24

  19. Tolerability of DPP during the Choice period

    Tolerability

    Time frame: Week 48

  20. Tolerability of 2PR during the Choice period

    Tolerability

    Time frame: Week 48

  21. Overall side effects of DPP

    Grade 2+ Adverse Events (AE)

    Time frame: Week 48

  22. Overall side effects of 2PR

    Grade 2+ AE

    Time frame: Week 48

  23. Side effects of DPP during the crossover period

    Grade 2+ AE

    Time frame: Week 24

  24. Side effects of 2PR during the crossover period

    Grade 2+ AE

    Time frame: Week 24

  25. Side effects of DPP during the Choice period

    Grade 2+ AE

    Time frame: Week 48

  26. Side effects of 2PR during the Choice period

    Grade 2+ AE

    Time frame: Week 48

  27. Overall unintended IPV of DPP

    Intimate Partner Violence (IPV)

    Time frame: Week 48

  28. Overall unintended IPV of 2PR

    IPV

    Time frame: Week48

  29. Unintended IPV of DPP during the crossover period

    IPV

    Time frame: Week 24

  30. Unintended IPV of 2PR during the crossover period

    IPV

    Time frame: Week 24

  31. Unintended IPV of DPP during the Choice period

    IPV

    Time frame: Week 48

  32. Unintended IPV of 2PR during the Choice period

    IPV

    Time frame: Week 48

  33. Overall unintended pregnancy of DPP

    Pregnancy

    Time frame: Week 48

  34. Overall unintended pregnancy of 2PR

    Pregnancy

    Time frame: Week 48

  35. Unintended pregnancy of DPP during the crossover period

    Pregnancy

    Time frame: Week 24

  36. Unintended pregnancy of 2PR during the crossover period

    Pregnancy

    Time frame: Week 24

  37. Compare unintended pregnancy of DPP during the Choice period

    Pregnancy

    Time frame: Week 48

  38. Compare unintended pregnancy of 2PR during the Choice period

    Pregnancy

    Time frame: Week 48

  39. Overall unintended HIV incidence of DPP

    HIV incidence

    Time frame: Week 48

  40. Overall unintended HIV incidence of 2PR

    HIV incidence

    Time frame: Week 48

  41. Unintended HIV incidence of DPP during the crossover period

    HIV incidence

    Time frame: Week 24

  42. Unintended HIV incidence of 2PR during the crossover period

    HIV incidence

    Time frame: Week 24

  43. Unintended HIV incidence of DPP during the Choice period

    HIV incidence

    Time frame: Week 48

  44. Unintended HIV incidence of 2PR during the Choice period

    HIV incidence

    Time frame: Week 48

07

Study locations

3 sites
08

References and documents

Individual participant data

Plan to share: Yes — For studies within two years of primary objective(s) publication, de-identified individual participant data that underlie results in a publication will be provided upon request. For studies more than two years from the primary objective(s) publication, de-identified datasets will be available upon request (Public Use Datasets).

Supporting information: Study protocol, Statistical analysis plan

Time frame: Investigators may request de-identified datasets in order to duplicate published results, as required by specific journals. Otherwise, de-identified datasets will be made available upon request, two years following publication of the primary results manuscript.

Access criteria: Researchers aiming to duplicate published results or who provide a methodologically sound proposal for use of the data may submit a request for access to data that has informed published results by sending an email to HPTN-Data-Access@scharp.org. To access available de-identified datasets, investigators must complete the request form on the Atlas website. Researchers of approved requests will need to sign an HIV Prevention Trials Network (HPTN) Data Use Agreement before receiving the data and agree to use the provided acknowledgement statement.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07288190
Lead sponsor
HIV Prevention Trials Network
Responsible party
Sponsor
First posted
Dec 17, 2025
Start date
May 15, 2026 (estimated)
Primary completion
May 15, 2028 (estimated)
Completion
May 15, 2028 (estimated)
Last update
Feb 19, 2026

Study contacts

Scott Rose
Contact
srose@fhi360.org
919-321-3530
Michelle Robinson
Contact
mrobinson@fhi360.org
919-321-3585
Lisa Haddad, MD
study chair · Population Council
Harriet Nuwagaba-Biribonwoha, MD
study chair · ICAP at Columbia University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion