Clinical Trials

Several clinical trials are evaluating tenofovir alafenamide for indications including HIV-1 infection, integrase strand transfer inhibitor-associated metabolic alterations, and safety, adherence, and satisfaction during regimen switch therapy. Spanning Phase 2 through Phase 4 studies as well as prospective observational evaluations, recruitment statuses range from active recruitment to not yet recruiting. These studies are sponsored by a diverse array of federal institutions, pharmaceutical leaders, and hospital-affiliated research organizations.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05652478 Not yet recruiting
Healthy Volunteer|Weight Gain|Metabolic Effects|Integrase Strand Transfer Inhibitors
National Institute of Allergy and Infectious Diseases (NIAID)|National Institutes of Health Clinical Center (CC)
2024-05-15 Phase 2
NCT06104306 Recruiting
HIV-1-infection
Gilead Sciences
2023-12-13 Phase 4
NCT05583006 Recruiting
Patient Satisfaction|Drug Adherence|Efficacy Self|Safety Issues
Taichung Veterans General Hospital|Institute of Adherence to Medication
2023-11-06 --

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Tenofovir alafenamide hemifumarate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tenofovir alafenamide is an orally bioavailable prodrug that is intracellularly metabolized to active tenofovir diphosphate, which selectively competes with natural deoxyadenosine 5'-triphosphate for incorporation into viral DNA and inhibits HIV-1 reverse transcriptase via obligate chain termination. This precise block in viral nucleic acid synthesis halts intracellular viral replication, providing the biochemical foundation for viral load suppression in HIV-1 infection and informing clinical investigations into antiretroviral efficacy, safety, and metabolic outcomes.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.