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Recruiting Phase 2

Dolutegravir Versus Dolutegravir in Combination With Tenofovir for the Treatment of HTLV-1 Infection

About this study

This phase 2b, open-label, randomized controlled trial evaluates the efficacy and safety of dolutegravir (DTG) alone versus dolutegravir combined with tenofovir disoproxil fumarate (TDF) in individuals with HTLV-1 infection and associated clinical manifestations. The primary objective is to compare changes in HTLV-1 proviral load at 24 and 48 weeks. Secondary outcomes include clinical, functional, immunological, and quality-of-life measures.

Condition
HTLV-1 Infection, HTLV I Associated Myelopathies, HTLV I Associated T Cell Leukemia Lymphoma, Neuritis
Tested
Combination of Dolutegravir + Tenofovir DF for treatment of HTLV-1 infection, Dolutegravir (DTG)
Sponsor
Carlos Brites

Who can join

Age
18 years and older
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 6

  • Minimum age: 18 years
  • Study condition: HTLV-1 Infection, HTLV I Associated Myelopathies, HTLV I Associated T Cell Leukemia Lymphoma, Neuritis
  • Age equal or higher than 18 years
  • Confirmed HTLV-1 infection
  • Clinical manifestation atributable to HTLV-1
  • Ability to provide written informed consent

Exclusion 9

  • Active HIV, HCV (RNA+), or HBV (HBsAg+) infection
  • Active tuberculosis
  • Recent corticosteroid use
  • Renal impairment (CrCl \<50 mL/min)
  • Autoimmune diseases
  • Wheelchair-bound individuals
  • Active malignancy (except ATLL)
  • Substance abuse interfering with adherence
  • Any condition compromising safety

Where

1 site, 1 recruiting

Hospital Universitário Professor Edgard Santos

Salvador, Estado de Bahia, Brazil

Recruiting

Contact

Potential match only. Final eligibility is determined by the study team.