HIV-1Phase 2NCT00824421
A Study Of Different Doses Of UK-453, 061 Plus Truvada Compared To Efavirenz Plus Truvada In Patients Who Have Not Been Previously Treated For HIV-1
A Phase 2 study testing UK-453, 061 and EFV +TVA in people with HIV-1, run by Pfizer at 31 sites in 9 countries.
Trial summary
This is a 96 week study to determine if UK- 453,061 in combination with Truvada is as efficacious, safe and tolerable as efavirenz in combination with Truvada in HIV-1 infected patients who have not been previously treated with antiretroviral drugs. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HIV-1
- What is being tested?
- UK-453, 061 and EFV +TVA
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 195 participants
- Where
- 31 sitesin 9 countries
- Study dates
- Feb 2009to Oct 2011
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female at least 18 years of age available for a follow-up period of at least 96 weeks.
- HIV 1 RNA viral load of greater then 1,000 copies/mL
- Negative urine pregnancy test.
Who cannot join
- Suspected or documented active, untreated HIV-1 related opportunist infection or other condition requiring acute therapy at the time of randomization.
- Subjects with acute Hepatitis B and/or C within 30 days of randomization.
- Absolute CD4 count <200 cells/mm3.
Trial locations and contacts
31 sites in 9 countries.
31 sites in 9 countries
South Africa7 sites
Pfizer Investigational Site
Cape Town, Western Cape, 7925
Pfizer Investigational Site
Durban, KwaZulu-Natal, 4001
Pfizer Investigational Site
Johannesburg, Gauteng, 2193
Pfizer Investigational Site
Namakgale, Limpopo, 1391
Pfizer Investigational Site
Pretoria, Gauteng, 0083
Pfizer Investigational Site
Pretoria, 0083
Pfizer Investigational Site
Soweto, Gauteng, 2013
United Kingdom7 sites
Pfizer Investigational Site
Brighton, BN2 1ES
Pfizer Investigational Site
Crumpsall, Greater Manchester, M8 5RB
Pfizer Investigational Site
Edinburgh, EH3 9HA
Pfizer Investigational Site
Edinburgh, EH4 2XU
Pfizer Investigational Site
London, NW3 2QG
Pfizer Investigational Site
London, SW10 9NH
Pfizer Investigational Site
London, W2 1NY
Poland4 sites
Pfizer Investigational Site
Bydgoszcz, 85-030
Pfizer Investigational Site
Gdansk, 80-214
Pfizer Investigational Site
Lodz, 91-347
Pfizer Investigational Site
Warsaw, 01-201
Canada3 sites
Pfizer Investigational Site
Montreal, Quebec, H2L 4P9
Pfizer Investigational Site
Montreal, Quebec, H2L 5B1
Pfizer Investigational Site
Toronto, Ontario, M5B 1L6
Italy3 sites
Pfizer Investigational Site
Milan, 20127
Pfizer Investigational Site
Milan, 20142
Pfizer Investigational Site
Torino, 10149
Switzerland3 sites
Pfizer Investigational Site
Ch-8091 Zurich
Pfizer Investigational Site
Lugano, 6903
Pfizer Investigational Site
Sankt Gallen, 9007
Australia2 sites
Pfizer Investigational Site
Darlinghurst, New South Wales, 2010
Pfizer Investigational Site
Melbourne, Victoria, 3004
About this study
Official title: A Phase 2B Multicenter, Randomized, Double-Blind, Comparative Trial Of UK-453,061, In Combination With Tenofovir Df And Emtricitabine Versus Efavirenz In Combination With Tenofovir DF And Emtricitabine For The Treatment Of Antiretroviral-Naive HIV-1 Infected Subjects
This is a 96 week study to determine if UK- 453,061 in combination with Truvada is as efficacious, safe and tolerable as efavirenz in combination with Truvada in HIV-1 infected patients who have not been previously treated with antiretroviral drugs.
- Conditions
- HIV-1
- Being tested
- UK-453, 061, EFV +TVA
- Keywords
- HIV-1. Treatment Naive, HIV Infections, 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.
UK-453, 061Drug
UK-453,061 500 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 mg tablets PO QD.
UK-453, 061Drug
UK-453,061 750 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 mg tablets PO QD.
EFV +TVADrug
Efavirenz 600 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 tablets mg PO QD.
| Study group | Role | What they receive |
|---|---|---|
| UK- 453,061 Dose One | Experimental | UK 453,061 Dose One plus Truvada Receives: Drug: UK-453, 061 |
| UK-453,061 Dose Two | Experimental | UK 453,061 Dose Two plus Truvada Receives: Drug: UK-453, 061 |
| Efavirenz + Truvada | Active comparator | Efavirenz + Truvada Receives: Drug: EFV +TVA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Less Than 50 Copies Per Milliliter (Copies/mL) of Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) at Week 48
Plasma HIV-1 RNA level was determined by validated Roche Amplicor HIV-1 Monitor standard assay.
Measured: Week 48
Secondary outcomes (15)
Percentage of Participants With Less Than 50 Copies/mL of HIV-1 RNA at Week 24 and 96
Plasma HIV-1 RNA level was determined by validated Roche Amplicor HIV-1 Monitor standard assay.
Measured: Week 24, 96
Percentage of Participants With Less Than 400 Copies/mL of HIV-1 RNA at Week 24, 48 and 96
Plasma HIV-1 RNA level was determined by validated Roche Amplicor HIV-1 Monitor standard assay.
Measured: Week 24, 48, 96
Change From Baseline in Log 10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96
For the log 10 scale, all the HIV-1 RNA levels were log 10 transformed prior to the average calculations. Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.
Measured: Baseline, Week 24, 48, 96
Time-Averaged Difference (TAD) in Log 10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96
TAD was calculated as area under the curve of HIV-1 RNA levels (log10 copies/mL) from baseline to the time point of interest divided by time period in weeks minus baseline HIV-1 RNA level (log10 copies/mL). Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.
Measured: Baseline up to Week 24, 48, 96
Percentage of Participants With Response as Determined Using the Time-to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96
TLOVR50 response is compliment to TLOVR50 failure. TLOVR50 failure based on observed HIV-1 RNA levels and failure events (death; permanent discontinuation of drug; lost to follow-up; met treatment failure [TF] criteria). TF: an increase to at least 3 times baseline plasma HIV-1 RNA level at Week 2 or thereafter; failure to achieve HIV-1 RNA level <50 copies/mL at Week 24; starting at Week 2, an increase in HIV-1 RNA level to detectable levels (>50 copies/mL). TF criteria's defined above were confirmed by second measurement at least 14 days after first. In 'TLOVR50', '50' denotes the lower limit of quantification (LLOQ) of assay (which is 50 copies/mL). Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.
Measured: Week 24, 48, 96
Change From Baseline in Cluster of Differentiation (CD4+) Absolute Cell Count at Week 24, 48 and 96
Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.
Measured: Baseline, Week 24, 48, 96
Change From Baseline in Cluster of Differentiation (CD4+) Percentage Cell Count at Week 24, 48 and 96
Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.
Measured: Baseline, Week 24, 48, 96
Number of Participants With NRTI and NNRTI Resistance-Associated Mutations (RAMs) at Time of Treatment Failure Through Week 24, 48 and 96
Phenotypic resistance and genotypic resistance was assessed for all participants at Day 1 predose, and was evaluated for nucleotide reverse transcriptase inhibitors (NRTIs), and non-NRTIs (NNRTIs) resistance-associated mutations at time of treatment failure using Monogram GenoSeq and/or PhenoSenseGT assays. This was then repeated for all participants with HIV-1 viral load more than 500 copies/mL at treatment failure, up to Week 96.
Measured: Day 1 (pre-dose) through Week 24, 48, 96
Number of Participants With Laboratory Test Abnormalities
Laboratory analysis included hematology, blood chemistry, serum and urine pregnancy test, hepatitis testing and urinalysis. Laboratory values that met the criteria of the Division of Acquired Immuno Deficiency Syndrome (DAIDS) grade 1 (mild, symptoms causing no or minimal interference with usual social and functional activities) or greater were considered as abnormal.
Measured: Baseline up to Week 96 or early termination
Population Pharmacokinetic (PK) of Lersivirine
Data for this outcome measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the participant flow and baseline characteristics modules.
Measured: Week 2, 4, 8, 12, 16, 24, 32, 40, 48
Lersivirine Success Percentage With Reference to Median Minimum Observed Plasma Concentration (Cmin)
Simple quartile exposure analysis of success rate (viral load <50 copies/mL) versus median Cmin assesses the exposure response relationship. Percentage of participants with HIV-1 RNA level <50 copies/mL at median Cmin quartile were planned to be reported.
Measured: Week 2, 4, 8, 12, 16, 24, 32, 40, 48
Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours (AUC[0-24]) of Lersivirine
AUC (0-24)= Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose (0-24). Only participants from Lersivirine treatment arms were planned to be analyzed for Pharmacokinetic (PK) sub-study.
Measured: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hours (hrs) post-dose on Week 4
Maximum Observed Plasma Concentration (Cmax) of Lersivirine
Measured: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hrs post-dose on Week 4
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Lersivirine
Measured: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hrs post-dose on Week 4
Plasma Concentration of Lersivirine at 24 Hour
The observed plasma concentration at 24 hours post-dose (C 24h).
Measured: 24 hrs post-dose on Week 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jan 2009 (estimated)
- Study startFeb 2009
- Primary completionOct 2011
- Study completionOct 2011
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-1Studies of the same condition, open and under way.
- More trials run by PfizerThe 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 195 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00824421
- Sponsor's protocol ID
- A5271015
- Status last verified
- Nov 2011
- First submitted
- 15 Jan 2009
- Last updated
- 24 Jan 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 24 Jan 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2B Multicenter, Randomized, Double-Blind, Comparative Trial Of UK-453,061, In Combination With Tenofovir Df And Emtricitabine Versus Efavirenz In Combination With Tenofovir DF And Emtricitabine For The Treatment Of Antiretroviral-Naive HIV-1 Infected Subjects
- ClinicalTrials.gov ID
- NCT00824421
- Acronym / sponsor ID
- A5271015
- Conditions
- HIV-1
- Keywords
- HIV-1. Treatment Naive, HIV Infections, treatment naive
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 195 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Feb 2009
- Primary completion
- Oct 2011 (actual)
- Study completion
- Oct 2011 (actual)
- First posted
- 16 Jan 2009 (estimated)
- Results
- Posted 24 Jan 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a 96 week study to determine if UK- 453,061 in combination with Truvada is as efficacious, safe and tolerable as efavirenz in combination with Truvada in HIV-1 infected patients who have not been previously treated with antiretroviral drugs.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| UK- 453,061 Dose One | Experimental | Drug: UK-453, 061UK 453,061 Dose One plus Truvada |
| UK-453,061 Dose Two | Experimental | Drug: UK-453, 061UK 453,061 Dose Two plus Truvada |
| Efavirenz + Truvada | Active comparator | Drug: EFV +TVAEfavirenz + Truvada |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male or female at least 18 years of age available for a follow-up period of at least 96 weeks.
- HIV 1 RNA viral load of greater then 1,000 copies/mL
- Negative urine pregnancy test.
Key exclusion criteria (3 listed)
- Suspected or documented active, untreated HIV-1 related opportunist infection or other condition requiring acute therapy at the time of randomization.
- Subjects with acute Hepatitis B and/or C within 30 days of randomization.
- Absolute CD4 count <200 cells/mm3.
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 |
|---|---|---|
| UK-453, 061UK-453,061 500 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 mg tablets PO QD. | Drug | UK- 453,061 Dose One |
| UK-453, 061UK-453,061 750 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 mg tablets PO QD. | Drug | UK-453,061 Dose Two |
| EFV +TVAEfavirenz 600 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 tablets mg PO QD. | Drug | Efavirenz + Truvada |
Primary outcome
Percentage of Participants With Less Than 50 Copies Per Milliliter (Copies/mL) of Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) at Week 48
Time frame: Week 48
Plasma HIV-1 RNA level was determined by validated Roche Amplicor HIV-1 Monitor standard assay.
15 secondary outcomes
Percentage of Participants With Less Than 50 Copies/mL of HIV-1 RNA at Week 24 and 96
Time frame: Week 24, 96
Percentage of Participants With Less Than 400 Copies/mL of HIV-1 RNA at Week 24, 48 and 96
Time frame: Week 24, 48, 96
Change From Baseline in Log 10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96
Time frame: Baseline, Week 24, 48, 96
Time-Averaged Difference (TAD) in Log 10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96
Time frame: Baseline up to Week 24, 48, 96
Percentage of Participants With Response as Determined Using the Time-to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96
Time frame: Week 24, 48, 96
Change From Baseline in Cluster of Differentiation (CD4+) Absolute Cell Count at Week 24, 48 and 96
Time frame: Baseline, Week 24, 48, 96
Change From Baseline in Cluster of Differentiation (CD4+) Percentage Cell Count at Week 24, 48 and 96
Time frame: Baseline, Week 24, 48, 96
Number of Participants With NRTI and NNRTI Resistance-Associated Mutations (RAMs) at Time of Treatment Failure Through Week 24, 48 and 96
Time frame: Day 1 (pre-dose) through Week 24, 48, 96
Number of Participants With Laboratory Test Abnormalities
Time frame: Baseline up to Week 96 or early termination
Population Pharmacokinetic (PK) of Lersivirine
Time frame: Week 2, 4, 8, 12, 16, 24, 32, 40, 48
Lersivirine Success Percentage With Reference to Median Minimum Observed Plasma Concentration (Cmin)
Time frame: Week 2, 4, 8, 12, 16, 24, 32, 40, 48
Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours (AUC[0-24]) of Lersivirine
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hours (hrs) post-dose on Week 4
Maximum Observed Plasma Concentration (Cmax) of Lersivirine
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hrs post-dose on Week 4
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Lersivirine
Time frame: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hrs post-dose on Week 4
Plasma Concentration of Lersivirine at 24 Hour
Time frame: 24 hrs post-dose on Week 4
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jan 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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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.
Pfizer CT.gov Call Center study director
Pfizer
31 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing UK-453, 061 and EFV +TVA in people with HIV-1, run by Pfizer at 31 sites in 9 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 3 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 24 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 sites in South Africa, United Kingdom, Poland, Canada, Italy and 4 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 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 24 Jan 2014). 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 With Less Than 50 Copies Per Milliliter (Copies/mL) of Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) at Week 48 (time frame: Week 48). 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 24 Jan 2014.