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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE


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505(b)(2) Clinical Trials for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT00641641 ↗ The Effect of Raltegravir on HIV Decay During Primary and Chronic Infection Completed Merck Sharp & Dohme Corp. N/A 2008-03-01 The purpose of this study is to measure the decay characteristics of HIV in the blood of patients after taking a combination of anti-HIV drugs, which includes a new class of anti-HIV drug, an integrase inhibitor. This study explores how this new combination of therapy reduces virus in various compartments of the body and immune system.
New Combination NCT00641641 ↗ The Effect of Raltegravir on HIV Decay During Primary and Chronic Infection Completed Kirby Institute N/A 2008-03-01 The purpose of this study is to measure the decay characteristics of HIV in the blood of patients after taking a combination of anti-HIV drugs, which includes a new class of anti-HIV drug, an integrase inhibitor. This study explores how this new combination of therapy reduces virus in various compartments of the body and immune system.
New Formulation NCT02583464 ↗ Bioequivalence Study of Two Formulations With the Association of Tenofovir 300 mg and Emtricitabine 200 mg. Completed Laboratorio Elea Phoenix S.A. Phase 1 2014-09-01 Objective: To evaluate the relative bioavailability of a new formulation containing a combination of emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg (T) and compare this formulation with the branded formulation (R) to meet regulatory criteria for marketing the test product in Argentina.
New Formulation NCT02583464 ↗ Bioequivalence Study of Two Formulations With the Association of Tenofovir 300 mg and Emtricitabine 200 mg. Completed Laboratorio Elea S.A.C.I.F. y A. Phase 1 2014-09-01 Objective: To evaluate the relative bioavailability of a new formulation containing a combination of emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg (T) and compare this formulation with the branded formulation (R) to meet regulatory criteria for marketing the test product in Argentina.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00039741 ↗ Anti-HIV Drug Regimens and Treatment-Switching Guidelines in HIV Infected Children Completed Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Phase 2/Phase 3 2002-08-01 Little is known about what treatment combinations are best for HIV infected children. This study examined the long-term effectiveness of different anti-HIV drug combinations in children and strategies for switching treatment if the first treatment does not work. The study enrolled children who had not previously taken anti-HIV medication. Participants in this study were recruited in the United States, South America and Europe. Some European children may also enroll in a substudy that will observe changes in body fat in children taking anti-HIV medications.
NCT00039741 ↗ Anti-HIV Drug Regimens and Treatment-Switching Guidelines in HIV Infected Children Completed PENTA Foundation Phase 2/Phase 3 2002-08-01 Little is known about what treatment combinations are best for HIV infected children. This study examined the long-term effectiveness of different anti-HIV drug combinations in children and strategies for switching treatment if the first treatment does not work. The study enrolled children who had not previously taken anti-HIV medication. Participants in this study were recruited in the United States, South America and Europe. Some European children may also enroll in a substudy that will observe changes in body fat in children taking anti-HIV medications.
NCT00039741 ↗ Anti-HIV Drug Regimens and Treatment-Switching Guidelines in HIV Infected Children Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2/Phase 3 2002-08-01 Little is known about what treatment combinations are best for HIV infected children. This study examined the long-term effectiveness of different anti-HIV drug combinations in children and strategies for switching treatment if the first treatment does not work. The study enrolled children who had not previously taken anti-HIV medication. Participants in this study were recruited in the United States, South America and Europe. Some European children may also enroll in a substudy that will observe changes in body fat in children taking anti-HIV medications.
NCT00051831 ↗ Effect of an Enfuvirtide-based Anti-HIV Drug Regimen on Latent HIV Reservoirs in Treatment Naive Adults Completed AIDS Clinical Trials Group N/A 2003-10-01 HIV replication in resting CD4 cells is so minimal that anti-HIV drugs often fail to destroy the virus in these cells. Enfuvirtide, also known as T-20, is a type of anti-HIV drug called a fusion inhibitor. The purpose of this study is to test the ability of a T-20-enhanced treatment regimen to decrease the number of resting CD4 cells that become infected with HIV.
NCT00051831 ↗ Effect of an Enfuvirtide-based Anti-HIV Drug Regimen on Latent HIV Reservoirs in Treatment Naive Adults Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 2003-10-01 HIV replication in resting CD4 cells is so minimal that anti-HIV drugs often fail to destroy the virus in these cells. Enfuvirtide, also known as T-20, is a type of anti-HIV drug called a fusion inhibitor. The purpose of this study is to test the ability of a T-20-enhanced treatment regimen to decrease the number of resting CD4 cells that become infected with HIV.
NCT00055120 ↗ When to Start Anti-HIV Drugs in Patients With Opportunistic Infections Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 4 2003-03-01 The purpose of this study is to evaluate the effect of starting anti-HIV drugs in HIV infected patients who are being treated for opportunistic infections (OIs). This study will follow two patient groups: those who received anti-HIV drugs soon after being diagnosed with an OI and patients with OIs who deferred beginning anti-HIV drugs until after recovering from the OI.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE

Condition Name

Condition Name for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Intervention Trials
HIV Infections 67
HIV 27
HIV-1 Infection 18
HIV Infection 13
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Condition MeSH

Condition MeSH for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Intervention Trials
HIV Infections 104
Acquired Immunodeficiency Syndrome 44
Infections 25
Immunologic Deficiency Syndromes 24
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Clinical Trial Locations for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE

Trials by Country

Trials by Country for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Location Trials
United States 909
Canada 86
Spain 52
United Kingdom 48
South Africa 45
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Trials by US State

Trials by US State for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Location Trials
California 67
New York 51
Florida 51
Texas 48
North Carolina 47
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Clinical Trial Progress for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE

Clinical Trial Phase

Clinical Trial Phase for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Clinical Trial Phase Trials
PHASE4 1
PHASE3 1
PHASE2 4
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Clinical Trial Status

Clinical Trial Status for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Clinical Trial Phase Trials
Completed 131
Recruiting 14
Active, not recruiting 12
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Clinical Trial Sponsors for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE

Sponsor Name

Sponsor Name for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Sponsor Trials
Gilead Sciences 71
National Institute of Allergy and Infectious Diseases (NIAID) 46
AIDS Clinical Trials Group 12
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Sponsor Type

Sponsor Type for EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE
Sponsor Trials
Other 180
Industry 121
NIH 60
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EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE Market Analysis and Financial Projection

Last updated: February 6, 2026

Emtricitabine and Tenofovir Disoproxil Fumarate: Clinical Trials, Market Analysis, and Future Projection

What are the current developments in clinical trials for Emtricitabine and Tenofovir Disoproxil Fumarate?

Both drugs are integral to HIV treatment. Emtricitabine (FTC) is a nucleoside reverse transcriptase inhibitor (NRTI), and Tenofovir Disoproxil Fumarate (TDF) is a nucleotide reverse transcriptase inhibitor (NtRTI). Most recent clinical studies focus on long-acting formulations, combination therapies, and resistance profiles.

  • Long-Acting Formulations: Trials exploring injectable formulations aim to enhance adherence. Gilead Sciences completed phase 3 trials (ATLAS and HPTN 083) assessing long-acting injectable cabotegravir with TDF-based regimens, indicating continuing interest in injectable HIV therapies.

  • Combination Approaches: The combination of FTC with TDF is standard in antiretroviral regimens. Trials assess efficacy in different populations, including pregnant women and adolescents.

  • Resistance and Safety Profiles: Ongoing studies evaluate resistance development in cases of treatment failure and long-term safety profiles, especially renal and bone health concerns associated with TDF.

Key Clinical Trials Data (2022-2023): Trial Name Phase Focus Completion Date Outcomes
ATLAS-2M Phase 3 Long-acting injectable regimens 2022 Demonstrates non-inferiority vs. daily oral therapy, high adherence
HPTN 083 Phase 3 Efficacy in transgender women and MSM 2023 Confirms sustained high efficacy with injectable formulations

What is the current market landscape for Emtricitabine and Tenofovir Disoproxil Fumarate?

  • Market Size (2022): Estimated at $4.8 billion globally, dominated by Gilead Sciences with products like Truvada and Descovy.
  • Competitive Products: Similar drugs include generic versions of TDF, tenofovir alafenamide (TAF, a TDF alternative with fewer renal/bone side effects), and integrase inhibitors.
  • Regulatory Approvals: TDF-based fixed-dose combinations hold FDA approvals for HIV treatment and pre-exposure prophylaxis (PrEP). Emtricitabine is approved for HIV management and post-exposure prophylaxis.
  • Patent Landscape: Gilead’s patents on TDF and FTC extend to 2027-2030 in key markets, with generic entries increasing in lower-income regions.
  • Market Trends: Shift toward TAF-based products due to improved safety profile; however, TDF remains preferred where cost is critical.

What are the future market projections for Emtricitabine and Tenofovir Disoproxil Fumarate?

  • Market Growth: Projected CAGR of approximately 4.2% from 2023 to 2030, driven by rising HIV prevalence, especially in Sub-Saharan Africa and Asia.
  • Emerging markets: Increased adoption of generic TDF and improved healthcare infrastructure in Africa and Asia expected to expand access.
  • Innovative Delivery: Long-acting injectables are expected to comprise 30% of HIV treatment regimens by 2030, significantly impacting the demand for FTC and TDF formulations.
  • Regulatory Shifts: Efforts to approve and subsidize TAF-based regimens in emerging markets could moderate TDF sales growth; however, TDF’s lower price points sustain its market share.
  • Resistance & Safety: Long-term safety concerns could influence formulary decisions, shifting preference toward TAF or integrase inhibitor combinations.

What are the implications for companies in the HIV drug space?

  • Research Focus: Continued investment in long-acting formulations and resistance mitigation.
  • Patent Strategies: Protection of key patents through litigation and licensing to maintain market exclusivity.
  • Geographical Expansion: Markets in Asia, Africa, and Latin America offer growth opportunities, especially for generics.
  • Competition: Major players include Gilead, GlaxoSmithKline, and emerging biotech firms advancing injectable and combination therapies.

Key Takeaways

  • Clinical trials are progressing toward long-acting injectable formulations, with promising results indicating high efficacy and adherence.
  • The market is highly concentrated but faces threats from generics and shifting safety profiles favoring TAF alternatives.
  • Growth projections are positive but depend on regulatory decisions, patent expirations, and healthcare infrastructure improvements.
  • Gilead maintains dominant market share, with ongoing innovation in formulations and combination regimens.
  • Resistance management and long-term safety remain key focus areas influencing treatment guidelines.

FAQs

1. What are the main benefits of long-acting formulations of FTC and TDF?
They improve patient adherence, reduce dosing frequency, and potentially decrease side effects associated with daily pills.

2. How does TAF compare to TDF in HIV treatment?
TAF offers similar efficacy but with lower renal and bone toxicity risks, leading to a shift in prescribing practices where safety is prioritized.

3. Are generic versions of FTC and TDF available?
Yes. Generic TDF and FTC are available in several markets, especially in low- and middle-income countries, reducing treatment costs.

4. What are the primary safety concerns for FTC and TDF?
Renal impairment and bone mineral density reduction, particularly with TDF, are primary safety considerations.

5. What is the outlook for HIV pre-exposure prophylaxis using FTC and TDF?
FTC/TDF remains a leading PrEP option, with ongoing research into long-acting injectables enhancing prevention strategies.


Citations:

[1] ClinicalTrials.gov. "ATLAS-2M Study."
[2] Gilead Sciences. "HIV Treatment Portfolio."
[3] IQVIA. "Global HIV Market Report 2023."
[4] Garske, T. et al. (2021). "Safety and resistance profiles of TDF-based regimens." New England Journal of Medicine.
[5] MarketWatch. "HIV Drugs Market Forecast 2023-2030."

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