HIV InfectionsPhase 2NCT00445146
Safety of EVG+RTV Administered With Other Antiretroviral Agents for the Treatment of HIV-1 Infection
A Phase 2 study testing EVG, RTV and ARV regimen in people with HIV Infections, run by Gilead Sciences at 48 sites in 2 countries.
Trial summary
The main objective of this study is to observe the long-term safety of elvitegravir (EVG) boosted with ritonavir (RTV) in combination with other antiretroviral (ARV) agents in participants who have completed a prior EVG+RTV treatment study. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- HIV Infections
- What is being tested?
- EVG, RTV and ARV regimen
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 192 participants
- Where
- 48 sitesin 2 countries
- Study dates
- Feb 2007to Mar 2015
- 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Completion of a prior EVG+RTV treatment study without treatment-limiting toxicity.
- Males and females of childbearing potential must agree to utilize effective contraception methods.
- Ability to understand and sign a written informed consent form.
Who cannot join
- Females who are pregnant or breastfeeding.
- Participation in any other clinical trial without prior approval from the Sponsor.
- Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the subject unsuitable for the study.
- Subjects receiving ongoing therapy with contraindicated drugs.
Trial locations and contacts
48 sites in 2 countries.
48 sites in 2 countries
United States47 sites
Study site
Albany, New York, 12208
Study site
Annandale, Virginia, 22003
Study site
Atlantis, Florida, 33462
Study site
Baltimore, Maryland, 21205
Study site
Beverly Hills, California, 90211
Study site
Boston, Massachusetts, 02215
Study site
Chicago, Illinois, 60657
Study site
Costa Mesa, California, 92626
Study site
Dallas, Texas, 75204
Study site
Decatur, Georgia, 30033
Study site
Durham, North Carolina, 27110
Study site
Fort Lauderdale, Florida, 33308
Study site
Fountain Valley, California, 92708
Study site
Henderson, Nevada, 89074
Study site
Hershey, Pennsylvania, 17033
Study site
Hillsborough, New Jersey, 08844
Study site
Houston, Texas, 77030
Study site
Huntersville, North Carolina, 28078
Study site
Little Rock, Arkansas, 72207
Study site
Long Beach, California, 90813
Study site
Los Angeles, California, 90033
Study site
Macon, Georgia, 31201
Study site
Manhasset, New York, 11030
Study site
Manors, Florida, 33305
Study site
Memphis, Tennessee, 38105
Study site
Miami, Florida, 33136
Study site
New York, New York, 10016
Study site
Newport Beach, California, 92663
Study site
North Miami Beach, Florida, 33169
Study site
North Palm Beach, Florida, 33408
Study site
Norwalk, Connecticut, 06851
Study site
Orlando, Florida, 32803
Study site
Palo Alto, California, 94305
Study site
Pheonix, Arizona, 85006
Study site
Philadelphia, Pennsylvania, 19107
Study site
Saint Louis, Michigan, 63108
Study site
San Diego, California, 92103
Study site
San Francisco, California, 94110
Study site
Santa Fe, New Mexico, 87505
Study site
Sarasota, Florida, 34239
Study site
Seattle, Washington, 98101
Study site
Stony Brook, New York, 11794
Study site
Tacoma, Washington, 98405
Study site
Tampa, Florida, 33602
Study site
The Bronx, New York, 11030
Study site
Washington D.C., District of Columbia, 20037
Study site
West Springfield, Massachusetts, 01107
About this study
Official title: A Phase 2, Open-Label, Multicenter Study of the Safety of Ritonavir-Boosted GS-9137 (GS-9137/r) Administered in Combination With Other Antiretroviral Agents for the Treatment of HIV-1 Infected Subjects
The main objective of this study is to observe the long-term safety of elvitegravir (EVG) boosted with ritonavir (RTV) in combination with other antiretroviral (ARV) agents in participants who have completed a prior EVG+RTV treatment study.
- Conditions
- HIV Infections
- Being tested
- EVG, RTV, ARV regimen
- Keywords
- Phase 2, Open-label, Rollover, Integrase Inhibitor, Antiretroviral Agents, Highly Active Antiretroviral Activity, HAART, HIV, HIV-1, AIDS virus, Human Immunodeficiency Virus, Acquired Immune Deficiency Syndrome Virus, treatment experienced
- Medical subject headings
- HIV Infections, Acquired Immunodeficiency Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EVGDrug
Also called Vitekta®, GS-9137
Elvitegravir (EVG) tablet administered orally once daily with food
RTVDrug
Also called Norvir®
Ritonavir (RTV; /r) 100 mg capsule administered orally once daily with food
ARV regimenDrug
The components of the ARV regimen will be selected by the investigator without input from the sponsor. The antiretroviral regimen must consist of at least 2 agents, not including the non-nucleoside reverse transcriptase inhibitors (NNRTIs) efavirenz, nevirapine, or delavirdine; the protease inhibitors saquinavir, nelfinavir, or indinavir; or investigational agents (without sponsor approval).
| Study group | Role | What they receive |
|---|---|---|
| EVG+RTV | Experimental | EVG 85 mg or 150 mg + RTV + ARV regimen
Participants receiving lopinavir/ritonavir (LPV/r) or atazanavir/ritonavir (ATV/r) as part of their ARV regimen will receive EVG 85 mg and all other participants will receive EVG 150 mg.
Some participants may receive EVG 300 mg during the course of protocol amendment 2. Receives: Drug: EVG; Drug: RTV; Drug: ARV regimen |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Experiencing Any Treatment-Emergent Study Dug-Related Adverse Event
Measured: Up to Week 408 plus 30 days
Secondary outcomes (15)
Percentage of Participants Experiencing Treatment-Emergent Adverse Events
Adverse events (AEs) occurring during treatment and for 30 days following the last dose of study drug were summarized across the participant population. A participant was counted once if they had a qualifying event.
Measured: Up to Week 408 plus 30 days
Percentage of Participants Experiencing Any Treatment-Emergent Laboratory Abnormality
Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. The most severe graded abnormality from all tests was counted for each participant.
Measured: Up to Week 408 plus 30 days
Percentage of Participants Experiencing Any Marked Treatment-Emergent Laboratory Abnormality
A 'marked abnormality' was defined as a shift from grade 0 (or missing) at baseline to at least grade 3 postbaseline; or grade 1 at baseline to grade 4 postbaseline.
Measured: Up to Week 408 plus 30 days
Hemoglobin at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Red Blood Cell (RBC) Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
White Blood Cell (WBC) Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Platelet Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Alkaline Phosphatase at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Alanine Aminotransferase (ALT) at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Aspartate Aminotransferase (AST) at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
HIV-1 RNA at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Baseline and at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Baseline and at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
CD4 Cell Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Measured: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Incidence of Mortality
The percentage of participants who died was summarized.
Measured: Up to Week 408 plus 30 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Mar 2007 (estimated)
- Study startFeb 2007
- Primary completionMar 2015
- Study completionMar 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 192 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Martin Rhee, MD, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00445146
- Sponsor's protocol ID
- GS-US-183-0130
- Status last verified
- Mar 2016
- First submitted
- 28 Feb 2007
- Last updated
- 25 Apr 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Apr 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Open-Label, Multicenter Study of the Safety of Ritonavir-Boosted GS-9137 (GS-9137/r) Administered in Combination With Other Antiretroviral Agents for the Treatment of HIV-1 Infected Subjects
- ClinicalTrials.gov ID
- NCT00445146
- Acronym / sponsor ID
- GS-US-183-0130
- Conditions
- HIV Infections
- Keywords
- Phase 2, Open-label, Rollover, Integrase Inhibitor, Antiretroviral Agents, Highly Active Antiretroviral Activity, HAART, HIV, HIV-1, AIDS virus, Human Immunodeficiency Virus
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 192 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Feb 2007
- Primary completion
- Mar 2015 (actual)
- Study completion
- Mar 2015 (actual)
- First posted
- 8 Mar 2007 (estimated)
- Results
- Posted 25 Apr 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of this study is to observe the long-term safety of elvitegravir (EVG) boosted with ritonavir (RTV) in combination with other antiretroviral (ARV) agents in participants who have completed a prior EVG+RTV treatment study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| EVG+RTV | Experimental | Drug: EVG, Drug: RTV, Drug: ARV regimenEVG 85 mg or 150 mg + RTV + ARV regimen Participants receiving lopinavir/ritonavir (LPV/r) or atazanavir/ritonavir (ATV/r) as part of their ARV regimen will receive EVG 85 mg and all other participants will receive EVG 150 mg. Some participants may receive EVG 300 mg during the course of protocol amendment 2. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (3 listed)
- Completion of a prior EVG+RTV treatment study without treatment-limiting toxicity.
- Males and females of childbearing potential must agree to utilize effective contraception methods.
- Ability to understand and sign a written informed consent form.
Key exclusion criteria (4 listed)
- Females who are pregnant or breastfeeding.
- Participation in any other clinical trial without prior approval from the Sponsor.
- Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the subject unsuitable for the study.
- Subjects receiving ongoing therapy with contraindicated drugs.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EVGAlso: Vitekta®, GS-9137Elvitegravir (EVG) tablet administered orally once daily with food | Drug | EVG+RTV |
| RTVAlso: Norvir®Ritonavir (RTV; /r) 100 mg capsule administered orally once daily with food | Drug | EVG+RTV |
| ARV regimenThe components of the ARV regimen will be selected by the investigator without input from the sponsor. The antiretroviral regimen must consist of at least 2 agents, not including the non-nucleoside reverse transcriptase inhibitors (NNRTIs) efavirenz, nevirapine, or delavirdine; the protease inhibitors saquinavir, nelfinavir, or indinavir; or investigational agents (without sponsor approval). | Drug | EVG+RTV |
Primary outcome
Percentage of Participants Experiencing Any Treatment-Emergent Study Dug-Related Adverse Event
Time frame: Up to Week 408 plus 30 days
15 secondary outcomes
Percentage of Participants Experiencing Treatment-Emergent Adverse Events
Time frame: Up to Week 408 plus 30 days
Percentage of Participants Experiencing Any Treatment-Emergent Laboratory Abnormality
Time frame: Up to Week 408 plus 30 days
Percentage of Participants Experiencing Any Marked Treatment-Emergent Laboratory Abnormality
Time frame: Up to Week 408 plus 30 days
Hemoglobin at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Red Blood Cell (RBC) Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
White Blood Cell (WBC) Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Platelet Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Alkaline Phosphatase at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Alanine Aminotransferase (ALT) at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Aspartate Aminotransferase (AST) at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
HIV-1 RNA at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Baseline and at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Baseline and at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
CD4 Cell Count at Baseline and Change From Baseline at Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Time frame: Baseline; Weeks 24, 48, 96, 144, 192, 240, 288, 336, and 384
Incidence of Mortality
Time frame: Up to Week 408 plus 30 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Apr 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Martin Rhee, MD study director
Gilead Sciences
48 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing EVG, RTV and ARV regimen in people with HIV Infections, run by Gilead Sciences at 48 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 3 inclusion and 4 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 25 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 48 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 25 Apr 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?
Percentage of Participants Experiencing Any Treatment-Emergent Study Dug-Related Adverse Event (time frame: Up to Week 408 plus 30 days). 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 25 Apr 2016.