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Trial · NCT00448669

Botswana TDF/FTC Oral HIV Prophylaxis Trial

NCT00448669, Phase 2, Phase 3, Completed, Centers for Disease Control and Prevention; results first posted 2020-02-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Botswana TDF/FTC Oral HIV Prophylaxis Trial. Trials, record NCT00448669. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00448669

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Botswana TDF/FTC Oral HIV Prophylaxis Trial
NCT number
NCT00448669
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
1,219 participants, actual
Lead sponsor
Centers for Disease Control and Prevention
Conditions
HIV Infections
Interventions
Tenofovir Disoproxil Fumarate 300 mg + Emtricitabine 200 mg, Placebo Oral Tablet
First posted
2007-03-19
Last updated
2020-02-05
Results first posted
2020-02-05
Limitations and caveats
The rates of study completion were lower than predicted because more participants withdrew from the study, mostly due to relocation or conflicting obligations.Findings may not be generalizable to other populations.

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Adverse Drug Reactions in the Tenofovir/Emtricitabine and Placebo ArmsMonthly, for up to 3 years
Study visits were scheduled every 30 days until completion of the study, and participants were instructed to return to the clinic for evaluation in the event of an illness. Participants reported any adverse effects at monthly visits and interim visits.
PrimaryHIV Incidence in the Tenofovir/Emtricitabine and Placebo ArmsMonthly, for up to 3 years
Study visits were scheduled every 30 days until completion of the study and during monthly study visits, we performed testing for HIV infection. At completion of the study, we tested all participants for HIV infection, using an enzyme-linked immunosorbent assay (ELISA).The primary efficacy end point was the difference in the rates of HIV infection between participants assigned to receive TDF-FTC and those assigned to receive placebo. The initial efficacy analysis included all study participants who were randomly assigned to receive a study medication (intention-to-treat cohort).
SecondaryChanges in Condom Use During Study: Number of Participants With >=1 Condomless Sex Acts12 months
We assessed condom use of the enrolled participants by face-to-face interviews (at baseline and monthly thereafter) and provided a comprehensive package of HIV prevention services, including individualized counseling on risk reduction, free male and female condoms, and screening for sexually transmitted infections followed, if applicable, by partner notification and treatment.
SecondaryRates of Adherence to Study Medication36 months
The rates of adherence to study medication by treatment arm was assessed over the entire course of the study. This comparison was done by assessing the percentage of pills taken by participants within each study arm. The difference between the 2 arms was compared with a Fisher' exact test.
SecondaryAntiretroviral (ARV) Resistance Patterns in SeroconvertersAt time HIV infection diagnosed,1 month post-time of HIV infection diagnosis, and 6 months post-time of HIV infection diagnosisParticipants who seroconverted had blood samples taken at the time of infection and at one month and six months post seroconversion to detect any HIV resistance mutations.
SecondaryCD4 Evaluation After HIV Seroconversion1-year post seroconversion
Study medication was stopped when HIV infected was diagnosed. Seroconvertors were referred for clinical care and followed an additional year with scheduled quarterly CD4+ cell count assessments. A model-estimated geometric mean of the CD4+ cell counts by each treatment group was evaluated.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Adverse Drug Reactions in the Tenofovir/Emtricitabine and Placebo ArmsMonthly, for up to 3 yearspercentage of participants with AENUMBER
PRIMARYHIV Incidence in the Tenofovir/Emtricitabine and Placebo ArmsMonthly, for up to 3 yearsOf the 1219, 3 were excluded from analysis because HIV-infected at the time of enrollment.infections/100 person-yearsNUMBER
SECONDARYChanges in Condom Use During Study: Number of Participants With >=1 Condomless Sex Acts12 monthsOf 1219, 19 excluded (3 HIV-infected at enrollment, 16 never started drug). Of the 1200, 24 reported no sex during study. Remaining total 1176 with \>=1 sex act included in analysis.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYRates of Adherence to Study Medication36 monthsPercentage of pills takenMEAN
SECONDARYAntiretroviral (ARV) Resistance Patterns in SeroconvertersAt time HIV infection diagnosed,1 month post-time of HIV infection diagnosis, and 6 months post-time of HIV infection diagnosisParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYCD4 Evaluation After HIV Seroconversion1-year post seroconversioncells/microliterGEOMETRIC_MEAN

Results by group36

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Adverse Drug Reactions in the Tenofovir/Emtricitabine and Placebo ArmsTDF-FTC, Condoms, Risk Counseling91.2percentage of participants with AE
Percentage of Participants With Adverse Drug Reactions in the Tenofovir/Emtricitabine and Placebo ArmsPlacebo, Condoms, Risk Counseling88.2percentage of participants with AE
HIV Incidence in the Tenofovir/Emtricitabine and Placebo ArmsTDF-FTC, Condoms, Risk Counseling1.2infections/100 person-years
HIV Incidence in the Tenofovir/Emtricitabine and Placebo ArmsPlacebo, Condoms, Risk Counseling3.1infections/100 person-years
Changes in Condom Use During Study: Number of Participants With >=1 Condomless Sex ActsTDF-FTC, Condoms, Risk CounselingBaseline124Participants
Changes in Condom Use During Study: Number of Participants With >=1 Condomless Sex ActsPlacebo, Condoms, Risk CounselingBaseline113Participants
Changes in Condom Use During Study: Number of Participants With >=1 Condomless Sex ActsTDF-FTC, Condoms, Risk CounselingMonth 194Participants
Changes in Condom Use During Study: Number of Participants With >=1 Condomless Sex ActsPlacebo, Condoms, Risk CounselingMonth 186Participants
Changes in Condom Use During Study: Number of Participants With >=1 Condomless Sex ActsTDF-FTC, Condoms, Risk CounselingMonth 297Participants
Changes in Condom Use During Study: Number of Participants With >=1 Condomless Sex ActsPlacebo, Condoms, Risk CounselingMonth 290Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTDF-FTC, Condoms, Risk Counseling611
Overall StudySTARTEDPlacebo, Condoms, Risk Counseling608
Overall StudyCOMPLETEDTDF-FTC, Condoms, Risk Counseling393
Overall StudyCOMPLETEDPlacebo, Condoms, Risk Counseling410
Overall StudyNOT COMPLETEDTDF-FTC, Condoms, Risk Counseling218
Overall StudyNOT COMPLETEDPlacebo, Condoms, Risk Counseling198

Adverse events192

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbnormal MensesReproductive system and breast disordersTDF-FTC, Condoms, Risk Counseling5461168
otherAbnormal MensesReproductive system and breast disordersPlacebo, Condoms, Risk Counseling6460879
otherAbscessSkin and subcutaneous tissue disordersTDF-FTC, Condoms, Risk Counseling1361113
otherAbscessSkin and subcutaneous tissue disordersPlacebo, Condoms, Risk Counseling1760818
otherAcneSkin and subcutaneous tissue disordersTDF-FTC, Condoms, Risk Counseling1161111
otherAcneSkin and subcutaneous tissue disordersPlacebo, Condoms, Risk Counseling56085
otherAllergy, unspecifiedGeneral disordersTDF-FTC, Condoms, Risk Counseling96119
otherAllergy, unspecifiedGeneral disordersPlacebo, Condoms, Risk Counseling66086
otherAnorexiaGastrointestinal disordersTDF-FTC, Condoms, Risk Counseling1761117
otherAnorexiaGastrointestinal disordersPlacebo, Condoms, Risk Counseling1560816

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTDF-FTC, Condoms, Risk Counseling
Total, all-cause mortalityPlacebo, Condoms, Risk Counseling
Total, other adverse eventsTDF-FTC, Condoms, Risk Counseling557611
Total, other adverse eventsPlacebo, Condoms, Risk Counseling536608
Total, serious adverse eventsTDF-FTC, Condoms, Risk Counseling42611
Total, serious adverse eventsPlacebo, Condoms, Risk Counseling44608

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
22784038RESULTPubMed
24361682BACKGROUNDPubMed
24625530BACKGROUNDPubMed
24714095BACKGROUNDPubMed
25186785BACKGROUNDPubMed
26767149BACKGROUNDPubMed
27509251RESULTPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
TDF-FTC, Condoms, Risk Counseling vs Placebo, Condoms, Risk Counseling: Antiretroviral (ARV) Resistance Patterns in SeroconvertersTrial comparisons
TDF-FTC, Condoms, Risk Counseling vs Placebo, Condoms, Risk Counseling: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00448669

GET https://conductscience.org/api/trials/v1/NCT00448669/results?page=2