HIV InfectionsPhase 4INTENSENCT00487188
A Study to Evaluate the Safety and Efficacy of Adding Enfuvirtide to Oral Highly Active Antiretroviral Therapy (HAART) in Human Immunodeficiency Virus (HIV) Patients With Prior Treatment Experience
A Phase 4 study testing Enfuvirtide and Highly active antiretroviral treatment (HAART) in people with HIV Infections, run by Hoffmann-La Roche at 39 sites in 10 countries.
Trial summary
To assess the efficacy of enfuvirtide (Fuzeon) added to HAART compared to treatment with HAART alone in achieving and maintaining viral load suppression. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HIV Infections
- What is being tested?
- Enfuvirtide and Highly active antiretroviral treatment (HAART)
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 47 participants
- Where
- 39 sitesin 10 countries
- Study dates
- Nov 2005to Apr 2008
- Phase
- Phase 4
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- HIV-1 infected adults >=18 years of age;
- currently on antiretroviral (ARV) therapy;
- previously treated with 2 or 3 different antiretroviral classes;
- HIV-1 Ribonucleic acid (RNA) >=1,000 copies/mL;
- Cluster differentiation antigen four (CD4) lymphocyte count >=200 cells/mm^3;
- females of childbearing potential must be willing to use a reliable form of effective barrier contraception for the duration of the study and for 30 days after the last dose of study drug.
Who cannot join
- history of prior use of enfuvirtide or T-1249;
- women who are pregnant, breastfeeding or planning to become pregnant during the study;
- active, untreated opportunistic infection;
- patients on treatment interruption, or patients interrupting ARV therapy within 4 weeks of screening or during the screening period for reasons either than toxicity management.
Trial locations and contacts
39 sites in 10 countries.
39 sites in 10 countries
Spain14 sites
Study site
Barcelona, 08026
Study site
Barcelona, 08036
Study site
Barcelona, 08370
Study site
Barcelona, 08901
Study site
Cadiz, 11009
Study site
Córdoba, 14004
Study site
Donostia / San Sebastian, 20014
Study site
Huelva, 21005
Study site
Madrid, 28034
Study site
Madrid, 28041
Study site
Madrid, 28046
Study site
Málaga, 29010
Study site
Seville, 41013
Study site
Valencia, 46014
Italy7 sites
Study site
Bagno a Ripoli, 50011
Study site
Bari, 70100
Study site
Brescia, 25123
Study site
Milan, 20127
Study site
Milan, 20157
Study site
Roma, 00149
Study site
Roma, 00185
France5 sites
Study site
Le Kremlin-Bicêtre, 94275
Study site
Nantes, 44035
Study site
Paris, 75018
Study site
Poitiers, 86021
Study site
Villeneuve-sur-Lot, 47307
Germany4 sites
Study site
Berlin, 12157
Study site
Bonn, 53127
Study site
Erlangen, 91054
Study site
Frankfurt am Main, 60596
United States3 sites
Study site
Austin, Texas, 78705
Study site
Cleveland, Ohio, 44109
Study site
Dallas, Texas, 75246
Netherlands2 sites
Study site
Amsterdam, 1105 AZ
Study site
Tilburg, 5022 GC
About this study
Official title: Phase IIIb/IV Randomized, Controlled Study Evaluating an Intensification Treatment Strategy of Adding Enfuvirtide (ENF) to an Oral Highly Active AntiRetroviral Therapy (HAART) in Treatment Experienced Patients
To assess the efficacy of enfuvirtide (Fuzeon) added to HAART compared to treatment with HAART alone in achieving and maintaining viral load suppression.
Read the detailed description
This study consisted of two phases. In the Induction phase patients were randomized at Baseline 1 (BL1) in a 1:2 ratio to receive:
- I1: HAART or
- I2: Enfuvirtide (90 mg twice a day) + HAART.
Participants who achieved viral suppression < 50 copies/mL by week 24, confirmed by week 28 or earlier, qualified to enter the Maintenance Phase which started at Baseline 2 (BL2), four weeks after confirmation of response. The Maintenance Phase consisted of three treatment groups:
- M1: HAART continued (patients from I1)
Patients on ENF+HAART (I2) were re-randomized (at a 1:1 ratio) at BL2 to:
- M2: Enfuvirtide stopped and HAART continued
- M3: Enfuvirtide + HAART continued.
The duration of the Maintenance Phase was from BL2 up to 48 weeks after BL1. BL2 could start at the earliest at Week 12 and at the latest Week 32.
- Conditions
- HIV Infections
- Being tested
- Enfuvirtide, Highly active antiretroviral treatment (HAART)
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EnfuvirtideDrug
Also called Fuzeon
90 mg subcutaneous injection twice a day
Highly active antiretroviral treatment (HAART)Drug
An oral HAART regimen of 3-5 antiretrovirals was chosen by the physician and patient, based on the patient's prior treatment history and genotypic antiretroviral resistance testing.
| Study group | Role | What they receive |
|---|---|---|
| ENF + HAART | Experimental | Participants received Enfuvirtide (ENF) 90 mg administered by subcutaneous injection twice a day for up to 48 weeks in addition to an oral highly active antiretroviral treatment (HAART) regimen for up to 48 weeks. Receives: Drug: Enfuvirtide; Drug: Highly active antiretroviral treatment (HAART) |
| HAART | Active comparator | Participants received an oral highly active antiretroviral treatment (HAART) regimen, consisting of 3-5 antivirals for up to 48 weeks. Receives: Drug: Highly active antiretroviral treatment (HAART) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Viral Suppression: HIV-1 RNA < 50 Copies/mL During the Induction Phase
Participants whose viral load achieved suppression (HIV-1 RNA < 50 copies/mL) at Week 24 at the latest, confirmed at Week 28 (2 consecutive assessments ≥ 28 days apart) were defined as responders. Patients who discontinued the study or did not respond to assigned treatment by week 28 were considered as non-responders.
Measured: From Baseline 1 to Week 28
Secondary outcomes (13)
Time to Achieving HIV-1 RNA < 50 Copies/mL During the Induction Phase
The time to achieving HIV-1 RNA <50 copies/mL was counted from Baseline 1 until the first of the two consecutive <50 copies/mL measurements.
Patients who discontinued from the study or patients who did not have confirmed virological response by week 28 were classed as non-responders and censored at Week 24.
Measured: Baseline 1 until Week 28.
Number of Participants With Viral Suppression HIV-1 RNA < 400 Copies/mL During the Induction Phase
Participants whose viral load achieved suppression (HIV-1 RNA < 400 copies/mL) by Week 24 at the latest, confirmed at Week 28 (2 consecutive assessments ≥ 28 days apart) were defined as responders. Patients who discontinued the study or did not respond to assigned treatment by Week 28 were considered as non-responders.
Measured: From Baseline 1 to Week 28
Change From Baseline to Week 24 in Viral Load
Change from Baseline in log10 HIV-1 RNA at Week 24. Least squares means were calculated from an analysis of covariance (ANCOVA) model with treatment, a flag variable "removed ENF at re-randomization" and Baseline viral load as independent variables.
Measured: Baseline and Week 24
Change From Baseline to Week 24 in Cluster Differentiation Antigen Four Positive (CD4+) Cell Counts
Change from Baseline in CD4+ Cell Counts at Week 24. Least squares means were calculated from an ANCOVA model with treatment as an independent variable.
Measured: Baseline and Week 24
Percentage of Induction Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks
The percentage of participants from the Induction Phase who maintained HIV-1 RNA < 50 Copies/mL at Week 48. Patients who discontinued from the study, rebounded to ≥ 50 copies/mL (i.e., had two consecutive readings ≥ 50 copies/mL), had missing data or had virological failure by Week 48 were classed as non-responders.
Measured: Week 48
Percentage of Maintenance Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks
The percentage of participants from the Maintenance Phase who maintained HIV-1 RNA < 50 copies/mL at Week 48. Patients who discontinued from the study, rebounded to ≥ 50 copies/mL (i.e., had two consecutive readings ≥ 50 copies/mL), had missing data or had virological failure by Week 48 were classed as non-responders.
Measured: Week 48
Change From Baseline to Week 48 in Cluster Differentiation Antigen Four Positive (CD4) Cell Counts
Change from Baseline in CD4 Cell Counts at Week 48. Least squares means were calculated from an ANCOVA model with treatment and baseline CD4 count as independent variables.
Measured: Baseline 1 and Week 48
Time to Loss of Viral Response During the Maintenance Phase
The time to loss of viral response (defined as HIV-1 RNA <50 copies/mL) was counted from Baseline 2 until the first of two consecutive ≥50 copies/mL measurements.
Only patients who were qualified for entering the Maintenance Phase were included in the analysis.
Measured: From Baseline 2 to Week 48.
Time to Virological Failure During the Maintenance Phase
Time to virological failure (defined as HIV-1 RNA ≥ 400 copies/mL) was counted from Baseline 2 until the first of the two consecutive ≥400 copies/mL measurements.
Only patients who were qualified for entering the Maintenance Phase were included in the analyses.
Measured: From Baseline 2 to Week 48.
Number of Participants With Virological Failure During the Maintenance Phase
Virological failure was defined by 2 consecutive HIV-1 RNA values ≥ 400 copies/mL during the Maintenance Phase.
Measured: From Baseline 2 to Week 48.
Percentage of Participants Maintaining CD4+ Count During the Maintenance Phase
Maintenance of CD4+ count defined as having greater than or equal to 200 cells/mm^3 at Baseline 2 (BL2) and greater than or equal to 200 cells/mm^3 at Week 48.
Measured: Baseline 2 to Week 48.
Percentage of Participants With Improvement in CD4+ Count During the Maintenance Phase
Improvement of CD4+ count defined as having from 100 to less than 200 CD4+ cells/mm^3 at Baseline 2 (BL2) and greater than or equal to 200 cells/mm^3 at Week 48.
Measured: Baseline 2 to Week 48.
Number of Participants With Adverse Events (AEs) During the Induction Phase
A serious AE (SAE) is an event which: results in death, is life-threatening, disabling or incapacitating; is a congenital anomaly in the offspring of a patient who received study drug; requires or prolongs inpatient hospitalization; jeopardizes the patient or require medical or surgical intervention to prevent one of the outcomes above; any Grade 4 laboratory value considered by the investigator clinically significant or that requires an action; any injection site reaction that meets SAE criteria above. Non-serious AEs reported include pneumonia and non-serious AEs that led to discontinuation.
Measured: Start of the study treatment until the end of the Induction Phase (Week 12 to Week 32)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2007 (estimated)
- Study startNov 2005
- Primary completionNov 2007
- Study completionApr 2008
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 47 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00487188
- Sponsor's protocol ID
- MV18406
- Acronym
- INTENSE
- Status last verified
- Jul 2015
- First submitted
- 14 Jun 2007
- Last updated
- 13 Aug 2015
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Clotet B, Capetti A, Soto-Ramirez LE, Gatell JM, Rowell L, Salgo M, Schapiro JM. A randomized, controlled study evaluating an induction treatment strategy in which enfuvirtide was added to an oral, highly active antiretroviral therapy regimen in treatment-experienced patients: the INTENSE study. J Antimicrob Chemother. 2008 Dec;62(6):1374-8. doi: 10.1093/jac/dkn377. Epub 2008 Sep 8.
PubMed 18782780
Study at a glance
From the registry record, last updated by the sponsor on 13 Aug 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase IIIb/IV Randomized, Controlled Study Evaluating an Intensification Treatment Strategy of Adding Enfuvirtide (ENF) to an Oral Highly Active AntiRetroviral Therapy (HAART) in Treatment Experienced Patients
- ClinicalTrials.gov ID
- NCT00487188
- Acronym / sponsor ID
- INTENSE / MV18406
- Conditions
- HIV Infections
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 47 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Nov 2005
- Primary completion
- Nov 2007 (actual)
- Study completion
- Apr 2008 (actual)
- First posted
- 15 Jun 2007 (estimated)
- Results
- Posted 2 Sep 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess the efficacy of enfuvirtide (Fuzeon) added to HAART compared to treatment with HAART alone in achieving and maintaining viral load suppression.
Detailed description
This study consisted of two phases. In the Induction phase patients were randomized at Baseline 1 (BL1) in a 1:2 ratio to receive:
- I1: HAART or
- I2: Enfuvirtide (90 mg twice a day) + HAART.
Participants who achieved viral suppression < 50 copies/mL by week 24, confirmed by week 28 or earlier, qualified to enter the Maintenance Phase which started at Baseline 2 (BL2), four weeks after confirmation of response. The Maintenance Phase consisted of three treatment groups:
- M1: HAART continued (patients from I1)
Patients on ENF+HAART (I2) were re-randomized (at a 1:1 ratio) at BL2 to:
- M2: Enfuvirtide stopped and HAART continued
- M3: Enfuvirtide + HAART continued.
The duration of the Maintenance Phase was from BL2 up to 48 weeks after BL1. BL2 could start at the earliest at Week 12 and at the latest Week 32.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ENF + HAART | Experimental | Drug: Enfuvirtide, Drug: Highly active antiretroviral treatment (HAART)Participants received Enfuvirtide (ENF) 90 mg administered by subcutaneous injection twice a day for up to 48 weeks in addition to an oral highly active antiretroviral treatment (HAART) regimen for up to 48 weeks. |
| HAART | Active comparator | Drug: Highly active antiretroviral treatment (HAART)Participants received an oral highly active antiretroviral treatment (HAART) regimen, consisting of 3-5 antivirals for up to 48 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- HIV-1 infected adults >=18 years of age;
- currently on antiretroviral (ARV) therapy;
- previously treated with 2 or 3 different antiretroviral classes;
- HIV-1 Ribonucleic acid (RNA) >=1,000 copies/mL;
- Cluster differentiation antigen four (CD4) lymphocyte count >=200 cells/mm^3;
Key exclusion criteria (4 listed)
- history of prior use of enfuvirtide or T-1249;
- women who are pregnant, breastfeeding or planning to become pregnant during the study;
- active, untreated opportunistic infection;
- patients on treatment interruption, or patients interrupting ARV therapy within 4 weeks of screening or during the screening period for reasons either than toxicity management.
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 |
|---|---|---|
| EnfuvirtideAlso: Fuzeon90 mg subcutaneous injection twice a day | Drug | ENF + HAART |
| Highly active antiretroviral treatment (HAART)An oral HAART regimen of 3-5 antiretrovirals was chosen by the physician and patient, based on the patient's prior treatment history and genotypic antiretroviral resistance testing. | Drug | ENF + HAART, HAART |
Primary outcome
Number of Participants With Viral Suppression: HIV-1 RNA < 50 Copies/mL During the Induction Phase
Time frame: From Baseline 1 to Week 28
Participants whose viral load achieved suppression (HIV-1 RNA < 50 copies/mL) at Week 24 at the latest, confirmed at Week 28 (2 consecutive assessments ≥ 28 days apart) were defined as responders. Patients who discontinued the study or did not respond to assigned treatment by week 28 were considered as non-responders.
13 secondary outcomes
Time to Achieving HIV-1 RNA < 50 Copies/mL During the Induction Phase
Time frame: Baseline 1 until Week 28.
Number of Participants With Viral Suppression HIV-1 RNA < 400 Copies/mL During the Induction Phase
Time frame: From Baseline 1 to Week 28
Change From Baseline to Week 24 in Viral Load
Time frame: Baseline and Week 24
Change From Baseline to Week 24 in Cluster Differentiation Antigen Four Positive (CD4+) Cell Counts
Time frame: Baseline and Week 24
Percentage of Induction Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks
Time frame: Week 48
Percentage of Maintenance Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks
Time frame: Week 48
Change From Baseline to Week 48 in Cluster Differentiation Antigen Four Positive (CD4) Cell Counts
Time frame: Baseline 1 and Week 48
Time to Loss of Viral Response During the Maintenance Phase
Time frame: From Baseline 2 to Week 48.
Time to Virological Failure During the Maintenance Phase
Time frame: From Baseline 2 to Week 48.
Number of Participants With Virological Failure During the Maintenance Phase
Time frame: From Baseline 2 to Week 48.
Percentage of Participants Maintaining CD4+ Count During the Maintenance Phase
Time frame: Baseline 2 to Week 48.
Percentage of Participants With Improvement in CD4+ Count During the Maintenance Phase
Time frame: Baseline 2 to Week 48.
Number of Participants With Adverse Events (AEs) During the Induction Phase
Time frame: Start of the study treatment until the end of the Induction Phase (Week 12 to Week 32)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Aug 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 18782780Clotet B, Capetti A, Soto-Ramirez LE, Gatell JM, Rowell L, Salgo M, Schapiro JM. A randomized, controlled study evaluating an induction treatment strategy in which enfuvirtide was added to an oral, highly active antiretroviral therapy regimen in treatment-experienced patients: the INTENSE study. J Antimicrob Chemother. 2008 Dec;62(6):1374-8. doi: 10.1093/jac/dkn377. Epub 2008 Sep 8.
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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.
Clinical Trials study director
Hoffmann-La Roche
39 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Enfuvirtide and Highly active antiretroviral treatment (HAART) in people with HIV Infections, run by Hoffmann-La Roche at 39 sites in 10 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 6 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 13 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 39 sites in Spain, Italy, France, Germany, United States and 5 more countries. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 2 Sep 2011). 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?
Number of Participants With Viral Suppression: HIV-1 RNA < 50 Copies/mL During the Induction Phase (time frame: From Baseline 1 to Week 28). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00487188, which also lists 1 linked publication.
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 13 Aug 2015.