Evidence map›Paper›PMID 40632108›Full record

Trial reportJournal of the Pediatric Infectious Diseases Society2025

Longitudinal Evaluation of Bone Safety in Children and Adolescents With HIV-1 Starting Tenofovir Alafenamide-Containing Antiretroviral Therapy.

Eva Natukunda, Aditya H Gaur, Jaime Gerardo Deville, Pope Kosalaraksa, Renate Strehlau, Elizabeth Castaño, Afaaf Liberty, Susanne Crowe, Ramesh Palaparthy, Vinicius Adriano Vieira and 3 more

2 registry-linked trialsAbstract readClinical Trial, Phase IIIClinical Trial, Phase II
In one paragraph

Trial report in Journal of the Pediatric Infectious Diseases Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01854775 phase2 / phase3completednot on this map

A Phase 2/3, Open-Label Study of the Pharmacokinetics, Safety, and Antiviral Activity of the Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (E/C/F/TAF) Single Tablet Regimen (STR) in HIV-1 Infected Antiretroviral Treatment-Naive Adolescents and Virologically Suppressed Children

TypeinterventionalSponsorGilead SciencesRan2013 to 2025Enrolled129ConditionsAcquired Immune Deficiency Syndrome (AIDS), HIV InfectionsArmsE/C/F/TAF, E/C/F/TAF (Low Dose)
NCT02285114 phase2 / phase3completednot on this map

A Phase 2/3, Open-Label, Multi-Cohort Switch Study to Evaluate Emtricitabine/Tenofovir Alafenamide (F/TAF) in HIV-1 Infected Children and Adolescents Virologically Suppressed on a 2-NRTI-Containing Regimen

TypeinterventionalSponsorGilead SciencesRan2015 to 2024Enrolled41ConditionsHIV-1ArmsF/TAF, 3rd ARV agent, Boosted PIs
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Eva NatukundaDepartment of Pediatrics, Joint Clinical Research Centre, Kampala, Uganda.ORCID 0000-0002-2944-5412
Aditya H GaurDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, TN, United States.ORCID 0000-0002-6639-5231
Jaime Gerardo DevilleMattel Children's Hospital, University of California, Los Angeles, Los Angeles, CA, United States.
Pope KosalaraksaFaculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID 0000-0003-4450-2398
Renate StrehlauVIDA Nkanyezi Research Unit, Department of Paediatrics, University of the Witwatersrand, Johannesburg, South Africa.
Elizabeth CastañoDepartment of Medicine, Hospital del Niño, Panama City, Panama.
Afaaf LibertyPerinatal HIV Research Unit, Chris Hani Baragwanath Hospital, Johannesburg, South Africa.
Susanne CroweBiostatistics, Clinical Data Science, Gilead Sciences, Inc., Foster City, CA, United States.
Ramesh PalaparthyClinical Pharmacology, Gilead Sciences, Inc., Foster City, CA, United States.
Vinicius Adriano VieiraVirology Clinical Development, Gilead Sciences, Inc., Foster City, CA, United States.ORCID 0000-0002-4901-0424
Kathryn KerseyClinical Development, Gilead Sciences, Inc., Foster City, CA, United States.
Natella RakhmaninaDivision of Infectious Diseases, Children's National Hospital, Washington, DC, United States.ORCID 0000-0002-2246-4581
Catherine M GordonSection on Adolescent Bone Health and Body Composition, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, United States.

Funding

University of California, San Diego Clinical Trial UnitUM1AI069536 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STEPHEN A SPECTOR · 2012 to 2026
$34.0M
Gilead Sciences, Inc. (Foster City, CA)NIAID NIH HHS UM1 AI069536
6 · The paper itself

Abstract

backgroundAdult participants taking tenofovir alafenamide (TAF) in clinical trials had a better bone safety profile than those taking tenofovir disoproxil fumarate. Herein, we report medium- to long-term effects of TAF-containing regimens on bone health in children and adolescents with human immunodeficiency virus (HIV).

methodsThis post hoc pooled analysis of data from 2 phase 2/3 clinical studies (NCT01854775 and NCT02285114) evaluated the pharmacokinetics, safety, and efficacy of TAF-based regimens in children and adolescents with HIV-1. Participants were categorized into group 1 (aged 12 to < 18 years, weighing ≥ 35 kg), group 2 (aged 6 to < 12 years, weighing ≥ 25 kg), and group 3 (aged ≥ 2 years, weighing 14 to < 25 kg). Evaluations included virologic suppression, height Z-score, Tanner stage, bone mineral density (BMD) of the spine and total body less head (TBLH; absolute and height-for-age Z-score adjusted [HAZ-adjusted] for both), bone serum markers, bone-related adverse events, and pharmacokinetic assessments.

resultsOverall, 169 participants were enrolled and treated (78, 61, and 30 in groups 1, 2, and 3, respectively). Median (range) exposure to study drug was 320.3 (8.3-492.3), 290.1 (24.0-393.9), and 168.3 (9.0-193.0) weeks in groups 1, 2, and 3, respectively. Virologic suppression (HIV-1 RNA < 50 copies/mL) rates were high across all groups. Spine and TBLH absolute BMD increased over time in all groups, and spine and TBLH HAZ-adjusted BMD Z-scores increased or remained stable in all groups. There were no significant changes in bone serum markers, and no treatment-related fractures or bone-related adverse events.

conclusionsTAF-based regimens demonstrated acceptable medium- to long-term bone safety in children and adolescents with HIV.

Indexed as

AdenineAnti-HIV AgentsBone DensityHIV InfectionsTenofovirAdolescentAlanineChildFemaleHIV-1HumansLongitudinal StudiesMaleAdenineAlanineAnti-HIV AgentsTenofovirtenofovir alafenamideantiretroviral therapybone healthHuman immunodeficiency viruspediatrictenofovir alafenamide

Identifiers

PMID40632108
PMCPMC12343092

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.