HIVPhase 3NCT01106586
Study to Evaluate the Safety and Efficacy of Stribild Versus Ritonavir-Boosted Atazanavir Plus Truvada in Human Immunodeficiency Virus, Type 1 (HIV-1) Infected, Antiretroviral Treatment-Naive Adults
A Phase 3 study testing Stribild, ATV and Ritonavir in people with HIV and HIV Infections, run by Gilead Sciences at 146 sites in 17 countries.
Trial summary
To evaluate the safety and efficacy of Stribild®, a single tablet regimen (STR) containing fixed doses of elvitegravir (EVG)/cobicistat (COBI [GS-9350])/emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) versus ritonavir-boosted atazanavir (ATV/r) plus the standard of care nucleoside reverse transcriptase… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HIV, HIV Infections
- What is being tested?
- Stribild, ATV and Ritonavir
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 708 participants
- Where
- 146 sitesin 17 countries
- Study dates
- Apr 2010to Sep 2014
- Phase
- Phase 3
- 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
- Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
- Plasma HIV-1 RNA levels ≥ 5,000 copies/mL at screening
- No prior use of any approved or investigational antiretroviral drug for any length of time
- Screening genotype report must show sensitivity to FTC, TDF, and ATV
- Normal electrocardiogram (ECG)
- Adequate renal function (estimated glomerular filtration rate ≥ 70 mL/min according to the Cockcroft Gault formula)
Show all 13Show fewer
- Hepatic transaminases (aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5 x the upper limit of the normal range (ULN)
- Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin
- Adequate hematologic function
- Serum amylase ≤ 5 x ULN
- Males and Females of childbearing potential must agree to utilize highly effective contraception methods from screening throughout the duration of study treatment and for 30 days following the last dose of study drug
- Age ≥ 18 years
- Life expectancy ≥ 1 year
Who cannot join
- A new acquired immunodeficiency syndrome (AIDS)-defining condition diagnosed within the 30 days prior to screening
- Receiving drug treatment for hepatitis C, or anticipated to receive treatment for hepatitis C
- Subjects experiencing decompensated cirrhosis
- Females who are breastfeeding
- Positive serum pregnancy test (female of childbearing potential)
- Implanted defibrillator or pacemaker
Show all 12Show fewer
- Current alcohol or substance use judged by the Investigator to potentially interfere with subject study compliance
- History of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, noninvasive cutaneous squamous carcinoma
- Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
- Medications contraindicated for use with EVG, COBI, FTC, TDF, ATV, or ritonavir or subjects with any known allergies to the excipients of Stribild tablets, Truvada tablets, ATV capsules or ritonavir tablets
- Participation in any other clinical trial without prior approval
- Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the subject unsuitable for the study or unable to comply with the dosing requirements
Trial locations and contacts
146 sites in 17 countries.
146 sites in 17 countries
United States86 sites
Summa Health System
Akron, Ohio, 44304
Upstate ID Association
Albany, New York, 12208
Albany Medical College
Albany, New York, 12209
Clinical Alliance for Research & Education, Infectious Diseases (CARE-ID)
Annandale, Virginia, 22003
AIDS Research Consortium of Atlanta
Atlanta, Georgia, 30308
Infectious Disease Solutions, PC
Atlanta, Georgia, 30309
Be Well Medical Center
Berkley, Michigan, 48072
AHF Research Center
Beverly Hills, California, 90211
STAR Health Care Center (SUNY Downstate)
Brooklyn, New York, 11203
Carolinas Medical Center-Myers Park
Charlotte, North Carolina, 28207
Ruth M. Rothstein CORE Center
Chicago, Illinois, 60612
Howard Brown Health Center
Chicago, Illinois, 60613
University of South Carolina
Columbia, South Carolina, 29203
CSI Clinical Trials, Inc.
Costa Mesa, California, 92626
Nicholaos C. Bellos, MD, PA (Southwest Infectious Disease Clinical Research, Inc.)
Dallas, Texas, 75204
Trinity Health and Wellness Center/AIDS Arms, Inc.
Dallas, Texas, 75208
Apex Research, LLC
Denver, California, 80209
National Jewish Health
Denver, Colorado, 80206
Henry Ford Health System
Detroit, Michigan, 48202
Duke University Medical Center
Durham, North Carolina, 27710
Therafirst Medical Center
Fort Lauderdale, Florida, 33308
Broward Health/Comprehensive Care Center
Fort Lauderdale, Florida, 33311
Gary J. Richmond,M.D., P.A.
Fort Lauderdale, Florida, 33316
Tarrant County Infectious Disease Associates
Fort Worth, Texas, 76104
Midway Immunology and Research Center
Ft. Pierce, Florida, 34982
East Carolina University
Greenville, North Carolina, 27834
Garcia's Family Health Group
Harlingen, Texas, 78550
Kaiser Permanente Hospital
Hayward, California, 94545
ID Care
Hillsborough, New Jersey, 08844
Leahi Hospital
Honolulu, Hawaii, 96816
Dr. Joseph C. Gathe MD (Therapeutic Concepts, PA)
Houston, Texas, 77004
Gordon E. Crofoot MD PA
Houston, Texas, 77098
Research Access Network
Houston, Texas, 77098
Rosedale Infectious Diseases
Huntersville, North Carolina, 28078
Health for Life Clinic PLLC
Little Rock, Arkansas, 72207
Living Hope Clinical Foundation
Long Beach, California, 90813
DCOL Center for Clinical Research
Longview, Texas, 75605
Kaiser Permanente
Los Angeles, California, 90027
Los Angeles Gay and Lesbian Center DBA Jeffrey Goodman Special Care Clinic
Los Angeles, California, 90028
Peter J Ruane, MD, Inc
Los Angeles, California, 90036
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Anthony Mills MD Inc
Los Angeles, California, 90069
Mercer University School of Medicine
Macon, Georgia, 31210
North Shore University Hospital
Manhasset, New York, 11030
The Kinder Medical Group
Miami, Florida, 33133
Wohlfeiler, Piperato and Associates, LLC
Miami Beach, Florida, 33139
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Greiger Clinic
Mount Vernon, New York, 10550
Yale University HIV Clinical Trials Program
New Haven, Connecticut, 06033
Beth Israel Medical Center
New York, New York, 10003
Chelsea Village Medical, PC
New York, New York, 10011
Saint Michaels Medical Center
Newark, New Jersey, 07102
Orange Coast Medical Group
Newport Beach, California, 92663
Alameda County Medical Center
Oakland, California, 94602
East Bay AIDS Center
Oakland, California, 94609
Orlando Immunology Center
Orlando, Florida, 32803
IDOCF/ ValueHealthMD, LLC
Orlando, Florida, 32806
Stanford University
Palo Alto, California, 94303
Division of Infectious Diseases, Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Philadelphia FIGHT
Philadelphia, Pennsylvania, 19107
Spectrum Medical Group
Phoenix, Arizona, 85012
AIDS Care
Rochester, New York, 14604
University of California, Davis Medical Center
Sacramento, California, 95817
Kaiser Permanente Medical Group
Sacramento, California, 95825
La Playa Medical Group and Clinical Research
San Diego, California, 92103
Metropolitan Medical
San Francisco, California, 94115
Kaiser Permanente Medical Center, Clinical Trials Unit
San Francisco, California, 94118
Peter Shalit, M.D.
Seattle, Washington, 98104
South Jersey Infectious Disease
Somers Point, New Jersey, 08244
The Research Institute
Springfield, Massachusetts, 01107
Baystate Infectious Diseases Clinical Research
Springfield, Massachusetts, 01199
CentralWest Clinical Research
St Louis, Missouri, 63108
Division of Infectious Diseases, St. Louis University Medical Center
St Louis, Missouri, 63110
Southampton Healthcare
St Louis, Missouri, 63139
The Stamford Hospital
Stamford, Connecticut, 06902
University of South Florida HIV Clinical Research Unit / Hillsborough County Health Department
Tampa, Florida, 33602
Infectious Disease Research Institute Inc.
Tampa, Florida, 33614
St. Joseph's Comprehensive Research Institute
Tampa, Florida, 33615
Montiefiore Medical Center- AIDS Center
The Bronx, New York, 10467
Treasure Coast Infectious Disease Consultants
Vero Beach, Florida, 32960
Garden State Infectious Diseases Associates, PA
Voorhees Township, New Jersey, 08043
Dupont Circle Physicians Group
Washington D.C., District of Columbia, 20009
Whitman Walker Clinic
Washington D.C., District of Columbia, 20009
Capital Medical Associates, PC
Washington D.C., District of Columbia, 20036
George Washington University Medical Faculty Associates
Washington D.C., District of Columbia, 20037
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
France11 sites
Service des Maladies Infectieuses, CHU de Caen
Caen, 14033
Hôpital de la Croix Rousse - Maladies Infectieuses et Tropicales
Lyon, 69317
CHU Gui de Chauliac, Maladies Infectieuses Dpt
Montpellier, 34295
CHU de Nantes Hopital de l'Hotel Dieu
Nantes, 44093
Centre Hospitalier Universitaire de Nice
Nice, 06200
Department of Infectious Diseases, Saint-Louis hospital
Paris, 75010
Hopital Saint Antoine, Service De Maladies Infectieuses
Paris, 75012
Bichat Hospital
Paris, 75018
Tenon Hospital, UPMC
Paris, 75020
Hopital Pitie-Salpetriere
Paris, 75651
Centre Hospitalier de Tourcoing
Tourcoing, 59208
Australia8 sites
Melbourne Health - Royal Melbourne Hospital Campus (Sexual Health Clinic)
Carlton, Victoria, 3053
Holdsworth House Medical practice
Darlinghurst, New South Wales, 2010
National Centre in HIV Epidemiology and Clinical Research (NCHECR), University of New South Wales
Darlinghurst, New South Wales, 2010
Taylor Square Private Clinica
Darlinghurst, N.S.W. 2011
Alfred Hospital
Melbourne, Victoria, 3004
Northside Clinic
Melbourne, Victoria, 3068
Albion Street Centre
Sydney, New South Wales, 2010
East Sydney Doctors
Sydney, New South Wales, 2010
Germany8 sites
University of Bonn, Dep. of Internal Medicine I, HIV-Outpatient Clinic
Bonn, 53127
University of Cologne, Department of Internal Medicine
Cologne, 50937
Center for HIV and Hepatogastroenterology
Düsseldorf, 40237
Infektio Research GmbH / Infektiologikum Frankfurt
Frankfurt am Main, 60311
Klinikum der Goethe-Universitaet, Medizinische Klinik II, Schwerpunkt HIV, Haus 68
Frankfurt am Main, 60590
ICH Study Center Hamburg
Hamburg, 20146
University Medical Center Hamburg-Eppendorf, Infectious Diseases Unit
Hamburg, 20246
MUC Research GmbH
München, 80335
Canada7 sites
Southern Alberta Clinic
Calgary, Alberta, T2R0X7
Clinique medicale l'Actuel
Montreal, Quebec, H2L 4P9
Clinique Medicale du Quartier Latin
Montreal, Quebec, H2L 5B1
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Canadian Immunodeficiency Research Collaborative (CIRC) Inc.
Toronto, Ontario, M5B1L6
University Health Network, Toronto General Hospital
Toronto, Ontario, M5G 2N2
Winnipeg Regional Health Authority - Health Sciences Centre Winnipeg
Winnipeg, Manitoba, R3A 1R9
United Kingdom6 sites
Brighton and Sussex University Hospitals NHS Trust
Brighton, East Sussex, BN2 1ES
Barts and the London NHS Trust
London, E1 1BB
Homerton University Hospital
London, E9 6SR
Chelsea and Westminster Hospital Foundation Trust
London, SW10 9NH
St. Mary's Hospital, London (Imperial College, London)
London, W2 1NY
North Manchester General Hospital
Manchester, Lancashire, M8 5RB
Austria3 sites
LKH Graz West
Graz, A-8010
Department of Dermatology, Division of Immunology, Allergy & Inf. Diseases; Medical University Vienna
Vienna, 1090
Interne Lungenabteilung, SMZ Baumgartner Hoehe - Otto-Wagner-Spital
Vienna, 1140
Belgium3 sites
CHU Saint-Pierre University Hospital
Brussels, 1000
Hôpital Universitaire Erasme - ULB
Brussels, 1070
University of Ghent
Ghent, 9000
Italy3 sites
Fondazione Centro San Raffaele del Monte Tabor
Milan, 20127
National Institute for Infectious Diseases "L. Spallanzani" IRCCS
Rome, 00149
Dipartimento di Malattie Infettive
Torino, 10149
Netherlands2 sites
Onze lieve vrouw gasthuis
Amsterdam
Erasmus MC, Internal Medicine, Section of Infectious Diseases
Rotterdam, 3000 CA
Puerto Rico2 sites
Clinical Research Puerto Rico
San Juan, 00909
VA Caribbean Healthcare System
San Juan, 00921
Thailand2 sites
Ramathibodi Hospital, Mahidol University
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
Mexico1 site
Unidad de VIH, Hospital Civil de Guadalajara, Fray Antonio Alcalde
Guadalajara, Jalisco, 44280
Portugal1 site
Serviço de Doenças Infecciosas, Hospital de São João
Porto, 4202-451
About this study
Official title: A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Emtricitabine/Tenofovir Disoproxil Fumarate/GS-9350 Versus Ritonavir-Boosted Atazanavir Plus Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
To evaluate the safety and efficacy of Stribild®, a single tablet regimen (STR) containing fixed doses of elvitegravir (EVG)/cobicistat (COBI [GS-9350])/emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) versus ritonavir-boosted atazanavir (ATV/r) plus the standard of care nucleoside reverse transcriptase inhibitor (NRTI) backbone FTC/TDF (Truvada®). ATV/r + FTC/TDF was selected as the active comparator for this study as it is a preferred protease inhibitor-based regimen in guidelines for the treatment of HIV-1 infected, antiretroviral treatment-naive adults.
- Conditions
- HIV, HIV Infections
- Being tested
- Stribild, ATV, Ritonavir, FTC/TDF, Stribild Placebo
- Keywords
- HIV 1 Infection, 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.
StribildDrug
Stribild (EVG 150 mg/COBI 150 mg/FTC 200 mg/TDF 300 mg) STR administered orally once daily
ATVDrug
Atazanavir 300 mg capsule administered orally once daily
RitonavirDrug
Also called Norvir®
Ritonavir (RTV; /r) 100 mg tablet administered orally once daily
FTC/TDFDrug
Also called Truvada
FTC/TDF 200/300 mg tablet administered orally once daily
Stribild PlaceboDrug
Placebo to match Stribild administered orally once daily
ATV PlaceboDrug
Placebo to match ATV administered orally once daily
RTV PlaceboDrug
Placebo to match RTV administered orally once daily
FTC/TDF PlaceboDrug
Placebo to match FTC/TDF administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| Stribild | Experimental | Not described Receives: Drug: Stribild; Drug: ATV Placebo; Drug: RTV Placebo; Drug: FTC/TDF Placebo |
| ATV/r + FTC/TDF | Active comparator | Not described Receives: Drug: ATV; Drug: Ritonavir; Drug: FTC/TDF; Drug: Stribild Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Percentage of Participants With Virologic Success Using the Food and Drug Administration (FDA)-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 Ribonucleic Acid (RNA) < 50 Copies/mL at Week 48
Measured: Week 48
Secondary outcomes (6)
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 96
Measured: Week 96
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 144
Measured: Week 144
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 192
Measured: Week 192
The Percentage of Participants Achieving and Maintaining Confirmed HIV-1 RNA < 50 Copies/mL at Week 48 Using the FDA-defined Time to Loss of Virologic Response (TLOVR) Algorithm
Measured: Week 48
The Change From Baseline in Cluster Determinant 4 (CD4) Cell Count at Weeks 48, 96, 144, and 192
Change = value of the relevant time point minus the baseline value
Measured: Baseline; Weeks 48, 96, 144, and 192
The Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
Measured: Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Apr 2010 (estimated)
- Study startApr 2010
- Primary completionSep 2011
- Study completionSep 2014
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 (3)Papers the sponsor has linked to this study.
- Other trials for HIVStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 708 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Marshall Fordyce, MD, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01106586
- Sponsor's protocol ID
- GS-US-236-0103
- Status last verified
- Oct 2015
- First submitted
- 14 Apr 2010
- Last updated
- 11 Nov 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
DeJesus E, Rockstroh JK, Henry K, Molina JM, Gathe J, Ramanathan S, Wei X, Yale K, Szwarcberg J, White K, Cheng AK, Kearney BP; GS-236-0103 Study Team. Co-formulated elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate versus ritonavir-boosted atazanavir plus co-formulated emtricitabine and tenofovir disoproxil fumarate for initial treatment of HIV-1 infection: a randomised, double-blind, phase 3, non-inferiority trial. Lancet. 2012 Jun 30;379(9835):2429-2438. doi: 10.1016/S0140-6736(12)60918-0.
PubMed 22748590Rockstroh JK, DeJesus E, Henry K, Molina JM, Gathe J, Ramanathan S, Wei X, Plummer A, Abram M, Cheng AK, Fordyce MW, Szwarcberg J; GS-236-0103 Study Team. A randomized, double-blind comparison of coformulated elvitegravir/cobicistat/emtricitabine/tenofovir DF vs ritonavir-boosted atazanavir plus coformulated emtricitabine and tenofovir DF for initial treatment of HIV-1 infection: analysis of week 96 results. J Acquir Immune Defic Syndr. 2013 Apr 15;62(5):483-6. doi: 10.1097/QAI.0b013e318286415c.
PubMed 23337366Clumeck N, Molina JM, Henry K, Gathe J, Rockstroh JK, DeJesus E, Wei X, White K, Fordyce MW, Rhee MS, Szwarcberg J; GS-236-0103 Study Team. A randomized, double-blind comparison of single-tablet regimen elvitegravir/cobicistat/emtricitabine/tenofovir DF vs ritonavir-boosted atazanavir plus emtricitabine/tenofovir DF for initial treatment of HIV-1 infection: analysis of week 144 results. J Acquir Immune Defic Syndr. 2014 Mar 1;65(3):e121-4. doi: 10.1097/QAI.0000000000000089. No abstract available.
PubMed 24346640
Study at a glance
From the registry record, last updated by the sponsor on 11 Nov 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Emtricitabine/Tenofovir Disoproxil Fumarate/GS-9350 Versus Ritonavir-Boosted Atazanavir Plus Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
- ClinicalTrials.gov ID
- NCT01106586
- Acronym / sponsor ID
- GS-US-236-0103
- Conditions
- HIV, HIV Infections
- Keywords
- HIV 1 Infection, Treatment Naive
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 708 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Apr 2010
- Primary completion
- Sep 2011 (actual)
- Study completion
- Sep 2014 (actual)
- First posted
- 20 Apr 2010 (estimated)
- Results
- Posted 22 Oct 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and efficacy of Stribild®, a single tablet regimen (STR) containing fixed doses of elvitegravir (EVG)/cobicistat (COBI [GS-9350])/emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) versus ritonavir-boosted atazanavir (ATV/r) plus the standard of care nucleoside reverse transcriptase inhibitor (NRTI) backbone FTC/TDF (Truvada®). ATV/r + FTC/TDF was selected as the active comparator for this study as it is a preferred protease inhibitor-based regimen in guidelines for the treatment of HIV-1 infected, antiretroviral treatment-naive adults.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Stribild | Experimental | Drug: Stribild, Drug: ATV Placebo, Drug: RTV Placebo, Drug: FTC/TDF Placebo |
| ATV/r + FTC/TDF | Active comparator | Drug: ATV, Drug: Ritonavir, Drug: FTC/TDF, Drug: Stribild Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
- Plasma HIV-1 RNA levels ≥ 5,000 copies/mL at screening
- No prior use of any approved or investigational antiretroviral drug for any length of time
- Screening genotype report must show sensitivity to FTC, TDF, and ATV
- Normal electrocardiogram (ECG)
Key exclusion criteria (12 listed)
- A new acquired immunodeficiency syndrome (AIDS)-defining condition diagnosed within the 30 days prior to screening
- Receiving drug treatment for hepatitis C, or anticipated to receive treatment for hepatitis C
- Subjects experiencing decompensated cirrhosis
- Females who are breastfeeding
- Positive serum pregnancy test (female of childbearing potential)
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 |
|---|---|---|
| StribildStribild (EVG 150 mg/COBI 150 mg/FTC 200 mg/TDF 300 mg) STR administered orally once daily | Drug | Stribild |
| ATVAtazanavir 300 mg capsule administered orally once daily | Drug | ATV/r + FTC/TDF |
| RitonavirAlso: Norvir®Ritonavir (RTV; /r) 100 mg tablet administered orally once daily | Drug | ATV/r + FTC/TDF |
| FTC/TDFAlso: TruvadaFTC/TDF 200/300 mg tablet administered orally once daily | Drug | ATV/r + FTC/TDF |
| Stribild PlaceboPlacebo to match Stribild administered orally once daily | Drug | ATV/r + FTC/TDF |
| ATV PlaceboPlacebo to match ATV administered orally once daily | Drug | Stribild |
| RTV PlaceboPlacebo to match RTV administered orally once daily | Drug | Stribild |
| FTC/TDF PlaceboPlacebo to match FTC/TDF administered orally once daily | Drug | Stribild |
Primary outcome
The Percentage of Participants With Virologic Success Using the Food and Drug Administration (FDA)-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 Ribonucleic Acid (RNA) < 50 Copies/mL at Week 48
Time frame: Week 48
6 secondary outcomes
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 96
Time frame: Week 96
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 144
Time frame: Week 144
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 192
Time frame: Week 192
The Percentage of Participants Achieving and Maintaining Confirmed HIV-1 RNA < 50 Copies/mL at Week 48 Using the FDA-defined Time to Loss of Virologic Response (TLOVR) Algorithm
Time frame: Week 48
The Change From Baseline in Cluster Determinant 4 (CD4) Cell Count at Weeks 48, 96, 144, and 192
Time frame: Baseline; Weeks 48, 96, 144, and 192
The Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
Time frame: Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Nov 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 22748590DeJesus E, Rockstroh JK, Henry K, Molina JM, Gathe J, Ramanathan S, Wei X, Yale K, Szwarcberg J, White K, Cheng AK, Kearney BP; GS-236-0103 Study Team. Co-formulated elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate versus ritonavir-boosted atazanavir plus co-formulated emtricitabine and tenofovir disoproxil fumarate for initial treatment of HIV-1 infection: a randomised, double-blind, phase 3, non-inferiority trial. Lancet. 2012 Jun 30;379(9835):2429-2438. doi: 10.1016/S0140-6736(12)60918-0.
- Results publication: PubMed 23337366Rockstroh JK, DeJesus E, Henry K, Molina JM, Gathe J, Ramanathan S, Wei X, Plummer A, Abram M, Cheng AK, Fordyce MW, Szwarcberg J; GS-236-0103 Study Team. A randomized, double-blind comparison of coformulated elvitegravir/cobicistat/emtricitabine/tenofovir DF vs ritonavir-boosted atazanavir plus coformulated emtricitabine and tenofovir DF for initial treatment of HIV-1 infection: analysis of week 96 results. J Acquir Immune Defic Syndr. 2013 Apr 15;62(5):483-6. doi: 10.1097/QAI.0b013e318286415c.
- Results publication: PubMed 24346640Clumeck N, Molina JM, Henry K, Gathe J, Rockstroh JK, DeJesus E, Wei X, White K, Fordyce MW, Rhee MS, Szwarcberg J; GS-236-0103 Study Team. A randomized, double-blind comparison of single-tablet regimen elvitegravir/cobicistat/emtricitabine/tenofovir DF vs ritonavir-boosted atazanavir plus emtricitabine/tenofovir DF for initial treatment of HIV-1 infection: analysis of week 144 results. J Acquir Immune Defic Syndr. 2014 Mar 1;65(3):e121-4. doi: 10.1097/QAI.0000000000000089. No abstract available.
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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.
Marshall Fordyce, MD study director
Gilead Sciences
146 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Stribild, ATV and Ritonavir in people with HIV and HIV Infections, run by Gilead Sciences at 146 sites in 17 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 13 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 11 Nov 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 146 sites in United States, France, Australia, Germany, Canada and 12 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 Oct 2012). 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 Percentage of Participants With Virologic Success Using the Food and Drug Administration (FDA)-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 Ribonucleic Acid (RNA) < 50 Copies/mL 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?
On the ClinicalTrials.gov record for NCT01106586, which also lists 3 linked publications.
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 11 Nov 2015.