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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.

Completed

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

Official record
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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)
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

Other trials in Spain

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

Other trials in Italy

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

Other trials in France

Germany4 sites
  • Study site

    Berlin, 12157

  • Study site

    Bonn, 53127

  • Study site

    Erlangen, 91054

  • Study site

    Frankfurt am Main, 60596

Other trials in Germany

United States3 sites
  • Study site

    Austin, Texas, 78705

  • Study site

    Cleveland, Ohio, 44109

  • Study site

    Dallas, Texas, 75246

Other trials in United States

Netherlands2 sites
  • Study site

    Amsterdam, 1105 AZ

  • Study site

    Tilburg, 5022 GC

Other trials in Netherlands

Canada1 site
  • Study site

    Vancouver, British Columbia, V6Z 2C7

Other trials in Canada

Israel1 site
  • Study site

    Ramat Gan, 52662

Other trials in Israel

Mexico1 site
  • Study site

    Mexico City, 14000

Other trials in Mexico

Switzerland1 site
  • Study site

    Zurich, 8091

Other trials in Switzerland

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 groups in NCT00487188
Study groupRoleWhat they receive
ENF + HAARTExperimentalParticipants 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)
HAARTActive comparatorParticipants 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.

  1. 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)
  1. 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.

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  1. First posted15 Jun 2007 (estimated)
  2. Study startNov 2005
  3. Primary completionNov 2007
  4. Study completionApr 2008

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
47 participants (actual)
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

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

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.

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