Can a Once-Daily HIV pill with food match Twice-Daily dosing during TB treatment?
NCT ID NCT03731559
First seen Sep 17, 2026 · Last updated Sep 18, 2026 · Updated 1 time
Summary
Researchers are testing two ways to give the HIV drug dolutegravir to people who also have tuberculosis and are taking rifampin-based TB therapy. Rifampin can lower dolutegravir levels in the body, so the trial compares taking 50 mg once daily with food against taking 50 mg twice daily. The goal is to see which approach keeps HIV levels suppressed and how the drug moves through the body. Participants are adults with both HIV and TB who have not yet started HIV treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dolutegravir, an HIV drug, taken once daily with food or twice daily
- What this could lead to
- If the once-daily-with-food approach works, it could simplify HIV treatment for people who also take rifampin-based TB therapy, making it easier to stick with both treatments.
- What could go wrong
- This is a small Phase 2 trial in Thai patients, so the results may not apply to everyone. The once-daily dose might not control HIV as well as the twice-daily dose, and food could affect the drug in unexpected ways.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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123 people
The number who actually took part.
- Started
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Jun 2019
- Finished
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Jun 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. documented HIV positive 2. Aged \>18 years 3. ARV naïve (previous exposure to ARV for \< 2 weeks) 4. Any CD4 cell count 5. ALT \<5 times ULN 6. estimated GFR\>60 ml/min/1.73m2 7. Hemoglobin \>7 mg/L 8. TB is diagnosed and there is a plan to receive stable doses of RIF containing anti-TB therapy for at least another 4 week period after initiation of ART 9. No other active OI (CDC class C event) except oral candidiasis or disseminated MAC 10. Body weight \>40kg 11. Able to provide written informed consent Exclusion Criteria: 1. Have documented history of HIV treatment failure or HIV mutation to NRTI, NNRTI, and/or INIs 2. Have previously treated for tuberculosis 3. Currently using immunosuppressive agents. 4. Currently using any prohibited medications that can affect the pharmacokinetics of the study drug such as phenobarbital, and carbamazepine 5. Currently using alcohol or illicit substances that may affect the conduct of the trial as per the opinion of the site Principal Investigator 6. Unlikely to be able to remain in the follow-up period as defined by the protocol 7. Patients with proven or suspected acute hepatitis. Patients with chronic viral hepatitis are eligible provided ALT, AST \< 5 x ULN. 8. Have Karnofsky performance score \<30% 9. Have TB meningitis, bone/joints (due to prolonged use of anti-TB drug) 10. Pregnant or breastfeeding
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Bamrasnaradura Infectious Diseases Institute
Nonthaburi, Changwat Nonthaburi, 11000, Thailand
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Bhumibol Adulyadej Hospital
Bangkok, Bangkok, 10220, Thailand
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Chest Division, Faculty of Medicine, Chulalongkorn University
Bangkok, 10330, Thailand
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HIV-NAT, Thai Red Cross - AIDS Research Centre
Bangkok, 10330, Thailand
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Infectious Disease Buddhachinaraj Phitsanulok Hospital
Phitsanulok, Changwat Phitsanulok, 65000, Thailand
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Infectious Disease Chiangrai Prachanukroh Hospital
Chiang Rai, Chiangrai, 57000, Thailand
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Infectious Disease Chonburi Hospital
Chon Buri, Changwat Chon Buri, 20000, Thailand
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Infectious Disease Taksin Hospital
Bangkok, Bangkok, 10600, Thailand
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Infectious Disease, Chulalongkorn University
Bangkok, Bangkok, 10330, Thailand
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Klang Hospital
Bangkok, Bangkok, 10100, Thailand
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