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UNIVERSAL1: Pharmacokinetic study of a novel DTG/FTC/TAF dose ratio for children

Pharmacokinetic study of an optimized dose ratio of dolutegravir/emtricitabine/tenofovir alafenamide fumarate: expediting a UNIVERSAL first line regimen for all children living with HIV in Africa

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
PACTR
Registry ID
PACTR202412742953806
Enrollment
50
Registered
2024-12-23
Start date
2024-11-30
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV/AIDS

Interventions

DTG FTC TAF and TFV

Sponsors

Fondazione Penta ETS
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Age between 28 days to =10 years old - Weighing =3 to <25 kg - Confirmed HIV-1 infection (local, molecular methods) - A parent or legal guardian is willing and able to give informed consent 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 antiretroviral therapy (ART) regimen should be virologically suppressed, or within 6 months after start treatment, at screening

Exclusion criteria

Exclusion criteria: - History or presence of known allergy to DTG, FTC or TAF - Alanine aminotransferase (ALT) =5 times the upper limit of normal (ULN), OR ALT =3xULN AND bilirubin =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 for INSTI or NRTI for naïve patients (see appendix V) - Clinician concern for significant poor adherence in the past

Design outcomes

Primary

MeasureTime frame
To evaluate the pharmacokinetics and short-term safety of DTG and FTC/TAF administered to children living with HIV using a novel dose ratio

Secondary

MeasureTime frame
To evaluate the short-term efficacy of DTG and FTC/TAF formulations in children using a novel dose ratio

Countries

Uganda, Zimbabwe

Contacts

Public ContactAlessandra Nardone

Fondazione Penta ETS

alessandra.nardone@pentafoundation.org+390497169822

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026