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HIV InfectionsPhase 2NCT00350272

Elvucitabine/Efavirenz/Tenofovir Versus Lamivudine/Efavirenz/Tenofovir in Human Immunodeficiency Virus (HIV)-1 Infected, Treatment-naive Participants

A Phase 2 study testing Elvucitabine, Lamivudine and Tenofovir in people with HIV Infections, run by Alexion Pharmaceuticals, Inc. at 26 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Elvucitabine, a novel nucleoside analog, is being studied as a treatment for participants with human immunodeficiency virus (HIV)-1. This Phase 2 study will enroll 60 HIV-1-naive participants to assess the efficacy and safety of elvucitabine compared to lamivudine in combination with tenofovir and efavirenz as… Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
HIV Infections
What is being tested?
Elvucitabine, Lamivudine and Tenofovir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
76 participants
Where
26 sitesin 2 countries
Study dates
May 2006to Apr 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • A participant must meet the following criteria at Screening to be enrolled in this study:
  • Are male or female. Sexually active men with partners of childbearing potential must agree to use an acceptable form of contraception as determined by the investigator (for example, oral contraceptives, double-barrier methods, hormonal injectable or implanted contraceptives, tubal ligation, or vasectomy) during participation in the study. Female participants cannot be pregnant or lactating/breast-feeding and must be surgically sterile, postmenopausal as defined later, or practicing an effective method of birth control as determined by the investigator (for example oral contraceptives, double-barrier methods, hormonal injectable or implanted contraceptives, tubal ligation, or partner with vasectomy). A woman may be considered postmenopausal if she is at least 50 years or older, has a history of no menses for at least 12 months, and has a follicle-stimulating hormone (FSH) level over the upper limit of normal for reproductive aged women.
  • Are 18 through 65 years old
  • Have documented HIV-1 infection by written prior history and clinically stable with no AIDS-defining events in the 3 months prior to Screening
  • Have plasma HIV-1 RNA levels greater than or equal to 5000 copies/mL at Screening
  • Are HIV-1 strain sensitive to elvucitabine, lamivudine, or emtricitabine as demonstrated by the absence of the M184V, M184I, and D237E mutations by TRUGENE HIV-1 Genotyping Kit
Show all 17Show fewer
  • Are HIV-1 strain genotypically sensitive to efavirenz (negative for K103 and Y188L mutations) and tenofovir (negative for K65R mutation) by TRUGENE HIV-1 Genotyping Kit
  • Have a CD4 count greater than or equal to 200 cells/mL and less than 500 cells/mL
  • Have acceptable hematologic and chemistry parameters, including the following:
  • Hemoglobin (Hgb) greater than or equal to 11 grams (g)/deciliter (dL)
  • Absolute neutrophil count greater than or equal to 2000 cells/mm^3
  • Platelets greater than or equal to 125 000/mm^3
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) less than or equal to 1.5 times the upper limit of normal
  • Total bilirubin less than or equal to 1.5 times the upper limit of normal
  • Creatinine within normal range
  • Are capable of understanding and has signed the informed consent document
  • Are able and willing to comply with protocol requirements

Who cannot join

  • Participants meeting any of the following criteria at Screening will be excluded from the study:
  • Are hepatitis B surface antigen positive, and/or hepatitis B virus (HBV) deoxyribonucleic acid (DNA) positive
  • Have previous therapy with agents with significant systemic myelosuppressive or cytotoxic potential within the 3 months prior to Screening or the expected need for such therapy during the study
  • Have previous use or need for bone marrow colony-stimulating factors such as Epogen, Procrit, or Neupogen
  • Have had previous antiretroviral therapy
  • Have evidence or history of cirrhosis
Show all 12Show fewer
  • Have recent (within 3 months of Screening) history of alcohol abuse, physical dependence to any opioid, cocaine, lysergic acid diethylamide (LSD) or amphetamines, or history of drug addiction within the last 12 months
  • Have inability to tolerate oral medication
  • Are pregnant or breast-feeding if female
  • Have any clinical condition or prior therapy that, in the investigator's opinion, would make the participant unsuitable for the study or unable to comply with the dosing requirements
  • Have received treatment with any other investigational drug within 30 days prior to Screening
  • Have current active mental illness or a history of significant mental illness (for example, severe depression, schizophrenia, history of suicidal ideations, or suicide attempts)

Trial locations and contacts

26 sites in 2 countries.

26 sites in 2 countries

United States25 sites
  • Clinical Trial Site

    Austin, Texas, 75705

  • Clinical Trial Site

    Boston, Massachusetts, 02215

  • Clinical Trial Site

    Chicago, Illinois, 60611

  • Clinical Trial Site

    Clearwater, Florida, 33765

  • Clinical Trial Site

    Dallas, Texas, 75204

  • Clinical Trial Site

    Fort Myers, Florida, 33901

  • Clinical Trial Site

    Hampton, Virginia, 23666

  • Clinical Trial Site

    Houston, Texas, 77004

  • Clinical Trial Site

    Houston, Texas, 77009

  • Clinical Trial Site

    Houston, Texas, 77030

  • Clinical Trial Site

    Houston, Texas, 77098

  • Clinical Trial Site

    Little Rock, Arkansas, 72207

  • Clinical Trial Site

    Long Beach, California, 90813

  • Clinical Trial Site

    Los Angeles, California, 90069

  • Clinical Trial Site

    Miami, Florida, 33133

  • Clinical Trial Site

    Miami, Florida, 33136

  • Clinical Trial Site

    New York, New York, 10003

  • Clinical Trial Site

    Newark, New Jersey, 07102

  • Clinical Trial Site

    Orlando, Florida, 32803

  • Clinical Trial Site

    Tampa, Florida, 33602

  • Clinical Trial Site

    Tampa, Florida, 33614

  • Clinical Trial Site

    Washington D.C, Maryland, 20007

  • Clinical Trial Site

    Washington D.C., District of Columbia, 20007

  • Clinical Trial Site

    West Palm Beach, Florida, 33401

  • Clinical Trial Site

    Wichita, Kansas, 67214

Other trials in United States

Puerto Rico1 site
  • Clinical Trial Site

    San Juan, 00909

Other trials in Puerto Rico

About this study

Official title: A Randomized, Blinded, 12-week Comparison of Elvucitabine/Efavirenz/Tenofovir Versus Lamivudine/Efavirenz/Tenofovir in HIV-1 Infected Treatment-naive Participants. There is a 36 Week, Open-label, Extension Phase for Eligible Participants.

Elvucitabine, a novel nucleoside analog, is being studied as a treatment for participants with human immunodeficiency virus (HIV)-1. This Phase 2 study will enroll 60 HIV-1-naive participants to assess the efficacy and safety of elvucitabine compared to lamivudine in combination with tenofovir and efavirenz as measured by changes in the participant's HIV-ribonucleic acid (RNA) level and CD4 cell count. The study treatment will be 12 weeks of blinded study medication followed by an additional 84 weeks of open-label treatment if the participant's response to treatment meets certain endpoints. The pharmacokinetics of elvucitabine will also be assessed during the study.

Read the detailed description

Sixty HIV-1-infected, clinically stable, treatment-naïve adults with no acquired immunodeficiency syndrome (AIDS)-defining events during the 3 months prior to screening will be randomly assigned to 1 of 2 treatment groups. Participant plasma HIV-1 RNA levels must be greater than or equal to 5000 copies/millimeter (mL), and CD4 cell counts must be greater than 200 cells/mL and less than 500 cells/mL at Screening. Participants must be sensitive to elvucitabine, lamivudine, and emtricitabine as demonstrated by the absence of the M184V, M184I, and D237E mutations by TRUGENE HIV-1 Genotyping Kit. Participants must be genotypically sensitive to efavirenz (negative for K103 or Y188L mutations) and tenofovir (negative for K65R mutation) as demonstrated by TRUGENE HIV-1 Genotyping Kit. They must have acceptable hematologic and chemistry parameters.

Participants whose HIV-1 RNA levels have decreased at least 2 logs or to below 400 copies/mL by Week 10 may be considered eligible to enter the extension phase of up to 36 weeks of additional treatment. Participants in the extension phase will be evaluated at Weeks 14 and 16 and every 4 Weeks until Week 96.

Once all participants have completed 12 weeks of treatment, and the data are available for all visits through Week 12, the database will be locked and the treatment assignments will be unblinded. Any participant who has had less than 48 weeks of treatment will be allowed to continue on the same treatment as initially assigned on an open-label basis through 48 weeks. All participants will have 2 post-treatment follow-up visits, at 1 and 4 weeks after the end of treatment. Concentrations of elvucitabine in the plasma will be measured on Day 1, at Weeks 4, 6, 8, 12, 16, 24, 48, 72, 96, and at Follow-up

Efficacy will be assessed by measuring plasma HIV-1 RNA levels and CD4 counts at each study visit.

Safety evaluation will include vital signs, physical examinations, electrocardiograms, assessments of adverse events (AEs), measurement of plasma HIV-1 RNA levels and CD4 counts, determination of HIV-1 genotype at Screening and at Weeks 12, 24, 48, and 96, determination of HIV-1 phenotype at Visit 1 and at Weeks 12, 24, 48, and 96 urine and serum pregnancy tests, as well as laboratory analyses that include hematology, chemistry, and urinalysis.

Conditions
HIV Infections
Being tested
Elvucitabine, Lamivudine, Tenofovir, Efavirenz
Keywords
HIV-1 treatment naive
Medical subject headings
HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ElvucitabineDrug

    Also called ACH-126,443

    Elvucitabine 10 mg orally daily

  • LamivudineDrug

    Also called 3TC

    Lamivudine 300 mg orally daily

  • TenofovirDrug

    Also called Viread

    Tenofovir open-label 300 mg orally daily

  • EfavirenzDrug

    Also called Sustiva

    Efavirenze open-label 600 mg orally daily

Study groups in NCT00350272
Study groupRoleWhat they receive
Elvucitabine, Efavirenz, TenofovirExperimentalElvucitabine (blinded) 10 milligrams (mg)/day in combination with open-label efavirenz 600 mg daily and open-label tenofovir 300 mg daily, all administered orally, over 12 weeks. Eligible participants continued with an additional 84 weeks of open-label treatment (through Week 96). Participants who experienced at least a 2 log10 decrease in HIV-1 RNA from Baseline or who had an HIV-1 RNA level of less than 400 copies/ mL at Week 10 and had not experienced any Grade 3 or 4 hematological toxicity as of the Week 10 measurement were considered eligible for an additional 84 weeks of open-label treatment after Week 12.
Receives: Drug: Elvucitabine; Drug: Tenofovir; Drug: Efavirenz
Lamivudine, Efavirenz, TenofovirActive comparatorLamivudine (blinded) 300 mg daily in combination with open-label efavirenz 600 mg daily and open-label tenofovir 300 mg daily, all administered orally, over 12 weeks. Eligible participants continued with an additional 84 weeks of open-label treatment (through Week 96). Participants who experienced at least a 2 log10 decrease in HIV-1 RNA from Baseline or who had an HIV-1 RNA level of less than 400 copies/mL at Week 10 and had not experienced any Grade 3 or 4 hematological toxicity as of the Week 10 measurement were considered eligible for an additional 84 weeks of open-label treatment after Week 12.
Receives: Drug: Lamivudine; Drug: Tenofovir; Drug: Efavirenz

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Proportion Of Participants With Virologic Response For 10 mg/Day Elvucitabine In HIV-1-Infected Participants By 12 Weeks Compared With The Proportion Of Participants With Lamivudine 300 mg/Day

    The proportion of participants having achieved a virologic response for elvucitabine 10 mg/day in combination with efavirenz and tenofovir in HIV-1-infected participants over 12 weeks compared with the proportion of participants having achieved a virologic response for lamivudine 300 mg/day in combination with efavirenz and tenofovir. Virologic response was defined as having achieved undetectable (<50 copies/mL) HIV-1 RNA levels from baseline assessment.

    Measured: 12 weeks

  2. The Safety Profile Of Elvucitabine.

    Determination of the safety profile of elvucitabine as defined by the frequency, type and severity of treatment-emergent adverse events (AEs) and the frequency of Grade 3 and Grade 4 laboratory abnormalities.

    Measured: 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jul 2006 (estimated)
  2. Study startMay 2006
  3. Primary completionAug 2007
  4. Study completionApr 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
76 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00350272
Sponsor's protocol ID
ACH443-015
Status last verified
Aug 2023
First submitted
6 Jul 2006
Last updated
30 Aug 2023
Data monitoring committee
Yes
Individual data sharing
Yes: Individual participant data are available to only this study's Principal Investigator upon request.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Elvucitabine, Lamivudine and Tenofovir in people with HIV Infections, run by Alexion Pharmaceuticals, Inc. at 26 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Mar 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Proportion Of Participants With Virologic Response For 10 mg/Day Elvucitabine In HIV-1-Infected Participants By 12 Weeks Compared With The Proportion Of Participants With Lamivudine 300 mg/Day (time frame: 12 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Aug 2023.

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