HIV-1 InfectionPhase 3NCT01309243
Study to Evaluate the Safety and Efficacy of a Single Tablet Regimen of Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate Compared With a Single Tablet Regimen of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
A Phase 3 study testing FTC/RPV/TDF and EFV/FTC/TDF in people with HIV-1 Infection, run by Gilead Sciences at 151 sites in 14 countries.
Trial summary
The purpose of the study was to evaluate the safety and efficacy of the emtricitabine (FTC)/rilpivirine (RPV)/tenofovir disoproxil fumarate (TDF) single-tablet regimen (STR) compared with the efavirenz (EFV)/FTC/TDF STR in HIV-1 infected adults who had not previously received treatment with antiretroviral medications. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HIV-1 Infection
- What is being tested?
- FTC/RPV/TDF and EFV/FTC/TDF
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 799 participants
- Where
- 151 sitesin 14 countries
- Study dates
- Feb 2011to Feb 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
- Plasma HIV-1 RNA levels ≥ 2,500 copies/mL at screening
- No prior use of any approved or experimental anti-HIV drug for any length of time
- Screening genotype report showing sensitivity to EFV, FTC, TDF, and lack of the RPV mutations K101E/P, E138A/G/K/Q/R, Y181C/I/V, and H221Y
- Normal ECG
- Hepatic transaminases (alanine aminotransferase [ALT] and aspartate aminotransferase [AST]) ≤ 5 x the upper limit of the normal range (ULN)
Show all 12Show fewer
- Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin
- Adequate hematologic function
- Serum amylase ≤ 5 x ULN (participants with serum amylase > 5 x ULN remained eligible if serum lipase was ≤ 5 x ULN)
- Adequate renal function
- Males and Females of childbearing potential must have agreed to utilize highly effective contraception methods (two separate forms of contraception, one of which must be an effective barrier method, or be non-heterosexually active, practice sexual abstinence or have a vasectomized partner) from screening throughout the duration of study period and for 12 weeks following the last dose of study drug.
- Adult (≥ 18 years) males or non-pregnant females
Who cannot join
- A new AIDS-defining condition diagnosed within the 30 days prior to screening
- Females who were breastfeeding
- Positive serum pregnancy test (female of childbearing potential)
- Proven or suspected acute hepatitis in the 30 days prior to study entry
- Subjects receiving drug treatment for hepatitis C, or subjects who were anticipated to receive treatment for hepatitis C during the course of the study
- Subjects experiencing decompensated cirrhosis
Show all 14Show fewer
- Had an implanted defibrillator or pacemaker
- Current alcohol or substance abuse
- A history of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, non-invasive cutaneous squamous carcinoma
- Active, serious infections requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
- Receiving ongoing therapy or anticipated to need to initiate drugs or herbal/natural supplements during the study that are contraindicated or not recommended for use, including drugs not to be used with FTC, EFV, RPV, or TDF; or subjects with known allergies to the excipients of the FTC/RPV/TDF or EFV/FTC/TDF single-tablet regimens
- Participation in any other clinical trial without prior approval from the sponsor was prohibited while participating in this trial.
- Had been treated with immunosuppressant therapies or chemotherapeutic agents within 3 months of study screening, or expected to receive these agents or systemic steroids for immunosuppression during the study (eg, corticosteroids, immunoglobulins, and other immune-based or cytokine-based therapies)
- Had any other clinical condition or prior therapy that, in the opinion of the Investigator, would have made the participant unsuitable for the study or unable to comply with the dosing requirements
Trial locations and contacts
151 sites in 14 countries.
151 sites in 14 countries
United States83 sites
Summa Health System Care Center
Akron, Ohio, 44203
Upstate Infectious Disease Associates
Albany, New York, 12208
CARE-ID
Annandale, Virginia, 22003
Emory University
Atlanta, Georgia, 30306
AIDS Research Consortium of Atlanta
Atlanta, Georgia, 30308
Atlanta ID Group
Atlanta, Georgia, 30309
Central Texas Clinical Research
Austin, Texas, 78705
Be Well Medical Center
Berkley, Michigan, 48072
AHF Research Center
Beverly Hills, California, 90211
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Community Research Initiative of New England
Boston, Massachusetts, 02111
Clinical and Translational Research Center - UNC Hospitals
Chapel Hill, North Carolina, 27599
Carolinas Medical Center
Charlotte, North Carolina, 28207
Northwestern University
Chicago, Illinois, 60611
Howard Brown Health Center
Chicago, Illinois, 60613
Northstar Medical Center
Chicago, Illinois, 60657
University of South Carolina
Columbia, South Carolina, 29223
Trinity Health and Wellness Center
Dallas, Texas, 75208
Southwest Infectious Disease Associates, Inc.
Dallas, Texas, 75219
Infectious Disease Specialists of America
Decatur, Georgia, 30033
Apex Research LLC
Denver, Colorado, 80209
Henry Ford Health System
Detroit, Michigan, 48202
Duke University Medical Center
Durham, North Carolina, 27710
New York Hospital Queens
Flushing, New York, 11355
Broward General Medical 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
The Brody School of Medicine at East Carolina University
Greenville, North Carolina, 27834
Garcia Family Health Group
Harlingen, Texas, 78550
Kaiser Permanente Medical Center
Hayward, California, 94545
Clint Spencer Clinic
Honolulu, Hawaii, 96813
Therapeutic Concepts, P.A.
Houston, Texas, 77004
Gordon E. Crofoot MD PA
Houston, Texas, 77098
Rosedale Infectious Diseases
Huntersville, North Carolina, 28078
Living Hope Education and Research Consultants
Long Beach, California, 90813
DCOL Center for Clinical Research
Longview, Texas, 75605
Kaiser Permanente Medical Center
Los Angeles, California, 90027
Jeffrey Goodman Special Care Clinic/Los Angeles Gay and Lesbian Center
Los Angeles, California, 90028
Lightsource Medical
Los Angeles, California, 90036
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Oasis Clinic
Los Angeles, California, 90059
Anthony Mills MD Inc
Los Angeles, California, 90069
Johns Hopkins Rockland Physicians Practice and Research Group at Greenspring Station
Lutherville, Maryland, 21093
Mercer University School of Medicine
Macon, Georgia, 31201
North Shore University Hospital--Division of Infectious Diseases
Manhasset, New York, 11030
The Kinder Medical Group
Miami, Florida, 33133
Wohlfeiler, Piperato and Associates, LLC
Miami Beach, Florida, 33139
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Greiger Clinic
Mount Vernon, New York, 10550
Beth Israel Medical Center
New York, New York, 10003
Ricky K. Hsu, Md, Pc
New York, New York, 10011
Saint Michael's Medical Center
Newark, New Jersey, 07102
Orange Coast Medical Group
Newport Beach, California, 92663
East Bay AIDS Center
Oakland, California, 94609
Orlando Immunology Center
Orlando, Florida, 32803
Valuhealthmd,Llc / Idocf
Orlando, Florida, 32806
Stanford University
Palo Alto, California, 94304
Infectious Disease Associates of NW FL
Pensacola, Florida, 32504
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Philadelphia FIGHT
Philadelphia, Pennsylvania, 19107
Spectrum Medical Group
Phoenix, Arizona, 85012
University of California, Davis
Sacramento, California, 95817
Kaiser Permanente Medical Group
Sacramento, California, 95825
AHF Health Positive - Tampa Bay
Safety Harbor, Florida, 34695
La Playa Medical Group and Clinical Research
San Diego, California, 92103
Metropolis Medical/Dr.Fritz
San Francisco, California, 94114
Kaiser Permanente Medical Center, San Francisco
San Francisco, California, 94118
Southwest Care Center
Sante Fe, New Mexico, 87505
Peter Shalit, M.D.
Seattle, Washington, 98104
South Jersey Infectious Disease
Somers Point, New Jersey, 08244
Rockwood Pulmonary and Critical Care
Spokane, Washington, 99204
Claudia T Martorell, MD., LLC dba The Research Institute
Springfield, Massachusetts, 01105
Central West Clinical Research, Inc.
St Louis, Missouri, 63108
Southampton Healthcare
St Louis, Missouri, 63139
St. Joseph's Hospital d/b/a Comprehensive Research Institute
Tampa, Florida, 33614
Montefiore Medical Center
The Bronx, New York, 10467
Dupont Circle Physician's 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
Medical Faculty Associates
Washington D.C., District of Columbia, 20037
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
France10 sites
Hopital Raymond Poincare
Garches, 92380
Hôpital de la Croix-Rousse
Lyon, 69288
Chu Hotel Dieu
Nantes, 44093
CHU Nice - Archet 1
Nice, 06200
Hopital Bichat Claude Bernard
Paris, 75018
HOSPITAL SAINT LOUIS - Services des Maladies Infectieuses
Paris, 75475
Hopital Saint Antoine- Service Maladies infectieuses
Paris, 75571
Hôpital Pitié Salpêtrière - Service des Maladies Infectieuses
Paris, 75651
Hopital Tenon Service des Maladies infectieuses et tropicales
Paris, 75970
Centre Hospitalier de Tourcoing
Tourcoing, 59208
Australia8 sites
Holdsworth House Medical Practice
Darlinghurst, New South Wales, 02010
St Vincent's Hospital, Sydney
Darlinghurst, 02010
Taylor Square Private Clinic
Darlinghurst, 02010
Northside Clinic
Fitzroy North, 03068
Clinical Research - Infectious Diseases Unit Alfred Hospital
Melbourne, 03004
Prahran Market Clinic
Prahran, 03181
Albion Street Centre
Surry Hills, 02010
East Sydney Doctors
Sydney, 02010
Canada8 sites
Clinique médicale L' Actuel
Montreal, Quebec, H2L 4P9
McGill University Health Center, Montreal Chest Institute
Montreal, Quebec, H2X 2P4
The Ottawa Hospital, General Campus
Ottawa, Ontario, K1H 8L6
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Maple Leaf Research Maple Leaf Medical Clinic
Toronto, Ontario, M5G 1K2
University Health Network/Toronto General Hospital
Toronto, Ontario, M5G 2N2
Division of HIV/AIDS, St. Paul's Hospital
Vancouver, British Columbia, V6Z 1Y6
Vancouver ID Research and Care Centre Society
Vancouver, British Columbia, V6Z2C7
Germany8 sites
EPIMED GmbH
Berlin, 12157
Medizinische Universitätsklinik I der Friedrich-Wilhelms Universität Bonn
Bonn, 53105
Department of Dermatology University Hospital Essen
Essen, 45122
Private Practice Gute & Locher & Lutz, Infektiologikum
Frankfurt am Main, 60311
Division of Infectious Disease, Department of Medicine, University Hospital Freiburg
Freiburg im Breisgau, 79106
ICH Study Center
Hamburg, 20146
Universitätsklinikum Eppendorf Ambulanzzentrum des UKE GmbH, Infekiologie
Hamburg, 20246
MUC Research GmbH
München, 80335
United Kingdom7 sites
Royal Sussex County Hospital
Brighton, BN2 5BE
Ridu, Wgh
Edinburgh, EH42XU
Clinical Research, Grahame Hayton Unit Ambrose King Centre, The Royal London Hospital
London, E11 BB
Royal Free NHS Trust,
London, NW32QG
Guys and St Thomas' NHS trust
London, SE7 4EH
Chelsea and Westminster Hospital
London, Sw10 9NH
North Manchester General Hospital
Manchester, M8 5RB
Italy6 sites
Ospedali Riuniti
Bergamo, 24128
IRCCS Ospedale San Raffaele Centro San Luigi, Unità Operativa di Malattie Infettive
Milan, 20127
I Div Infectious Diseases, Luigi Sacco Hospital
Milan, 20157
San Gerardo Hospital - Uo Malattie Infettive
Monza, 20092
Foundation "IRCCS Policlinico San Matteo Hospital"
Pavia, 27100
National Institute for Infectious Diseases "L. Spallanzani" IRCCS
Rome, 00149
Spain6 sites
Hospital General Universitario Alicante
Alicante, 03010
Hospital Universitari de Bellvitge
Cataluña, 08907
Hospital Universitario de Elche, Unidad de Enfermedades Infecciosas
Elche, 03202
Hospital Universitario 12 Octubre
Madrid, 28041
Unidad HIV. Hospital 12 de Octubre
Madrid, 28041
Hospital La Paz
Madrid, 28046
Austria3 sites
LKH Medical University Graz West, Department of Internal Medicine
Graz, A-8020
Universitätsklinikum Innsbruck Universitätsklinik für Dermatologie und Venerologie
Innsbruck, A6020
Department of Dermatology, Allergy, and Infectious Disease University Vienna Medical School
Vienna, 01090
Belgium3 sites
Institute of Tropical Medicine
Antwerp, 2000
Cliniques Universitaires Saint-Luc - UCL
Brussels, 01200
University Hospitals Leuven
Leuven, 03000
Portugal3 sites
Hospital de Santa Maria - CHLN, EPE
Lisbon, 1649-035
Serviço de Doenças Infecciosas, Hospital S. Joao
Porto, 4200-319
Hospital de Joaquim urbano
Porto, 4369-004
Switzerland3 sites
Universitätsklinik für Infektiologie
Bern, 03010
CHUV
Lausanne, 01011
University Hospital Zurich
Zurich, 08091
Netherlands2 sites
Onze Lieve Vrouwe Gasthuis
Amsterdam, 1091 AC
Erasmus MC
Rotterdam, PB 2040
About this study
Official title: A Phase 3B, Randomized, Open-label Study to Evaluate the Safety and Efficacy of a Single Tablet Regimen of Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate Compared With a Single Tablet Regimen of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
The purpose of the study was to evaluate the safety and efficacy of the emtricitabine (FTC)/rilpivirine (RPV)/tenofovir disoproxil fumarate (TDF) single-tablet regimen (STR) compared with the efavirenz (EFV)/FTC/TDF STR in HIV-1 infected adults who had not previously received treatment with antiretroviral medications.
Participants were randomized in a 1:1 ratio to receive one of the study treatments. Randomization was stratified by HIV-1 RNA level (≤ 100,000 copies/mL or > 100,000 copies/mL) at screening. A treatment duration of 96 weeks was planned, with the option for subjects in FTC/RPV/TDF STR arm to receive treatment following the Week 96 visit until FTC/RPV/TDF STR is commercially available or until Gilead Sciences elects to terminate development in that country.
- Conditions
- HIV-1 Infection
- Being tested
- FTC/RPV/TDF, EFV/FTC/TDF
- Keywords
- HIV, HIV-1, Antiretroviral Treatment-Naïve
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FTC/RPV/TDFDrug
Also called Complera®, Eviplera®
Emtricitabine (FTC) 200 mg/rilpivirine (RPV) 25 mg/tenofovir disoproxil fumarate (TDF) 300 mg single-tablet regimen administered orally once daily with a meal
EFV/FTC/TDFDrug
Also called Atripla®
Efavirenz (EFV) 600 mg/FTC 200 mg/TDF 300 mg single-tablet regimen administered orally once daily on an empty stomach, preferably at bedtime
| Study group | Role | What they receive |
|---|---|---|
| FTC/RPV/TDF | Experimental | Not described Receives: Drug: FTC/RPV/TDF |
| EFV/FTC/TDF | Experimental | Not described Receives: Drug: EFV/FTC/TDF |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the US FDA snapshot algorithm.
The snapshot algorithm defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time.
Measured: Week 48
Secondary outcomes (9)
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 96 was analyzed using the US FDA snapshot algorithm.
Measured: Baseline to Week 96
Change From Baseline in CD4 Cell Count at Week 48
Measured: Baseline to Week 48
Change From Baseline in CD4 Cell Count at Week 96
Measured: Baseline to Week 96
Change From Baseline in Fasting Total Cholesterol at Week 48
Measured: Baseline to Week 48
Change From Baseline in Fasting High-density Lipoprotein (HDL) Cholesterol at Week 48
Measured: Baseline to Week 48
Change From Baseline in Fasting Low-density Lipoprotein (LDL) Cholesterol at Week 48
Measured: Baseline to Week 48
Change From Baseline in Fasting Triglycerides at Week 48
Measured: Baseline to Week 48
Development of HIV-1 Drug Resistance Through Week 96, All Participants
Participants who experienced either suboptimal virologic response or virologic rebound were considered to have virologic failure and were analyzed for resistance. Suboptimal virologic response was assessed at Week 8 and was defined as having HIV-1 RNA ≥ 50 copies/mL and < 1-log10 reduction from baseline at the Week 8 visit, which was confirmed at the subsequent visit. Virologic rebound was defined as having 2 consecutive visits with HIV-1 RNA ≥ 400 copies/mL after achieving HIV-1 RNA < 50 copies/mL, or as having 2 consecutive visits with > 1 log10 increase in HIV-1 RNA from their nadir. In addition, subjects who were on study drugs, had not been analyzed previously, and who had HIV-1 RNA ≥ 400 copies/mL at Week 48, Week 96, or their last visit (at or after Week 8) were also analyzed for resistance at their last visit. Subsequent to the first resistance testing, subjects experiencing repeated confirmed virologic failure were assessed for resistance retesting on a case-by-case basis.
Measured: Baseline to Week 96
Development of HIV-1 Drug Resistance Through Week 96, Participants With Viral Resistance
Resistance Analysis Set: participants with either suboptimal virologic response or virologic rebound were considered to have virologic failure and were analyzed. Suboptimal virologic response was assessed at Week 8 and was defined as having HIV-1 RNA ≥ 50 copies/mL and < 1-log10 reduction from baseline at the Week 8 visit, which was confirmed at the subsequent visit. Virologic rebound was defined as having 2 consecutive visits with HIV-1 RNA ≥ 400 copies/mL after achieving HIV-1 RNA < 50 copies/mL, or as having 2 consecutive visits with > 1 log10 increase in HIV-1 RNA from their nadir. In addition, subjects who were on study drugs, had not been analyzed previously, and who had HIV-1 RNA ≥ 400 copies/mL at Week 48, Week 96, or their last visit (at or after Week 8) were also analyzed for resistance at their last visit. Subsequent to the first resistance testing, subjects experiencing repeated confirmed virologic failure were assessed for resistance retesting on a case-by-case basis.
Measured: Baseline to Week 96
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2011 (estimated)
- Study startFeb 2011
- Primary completionSep 2012
- Study completionFeb 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.
- Other trials for HIV-1 InfectionStudies 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
- None (open label)
- Enrolment
- 799 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Todd Fralich, M.D., Study chair, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01309243
- Sponsor's protocol ID
- GS-US-264-0110
- Status last verified
- Feb 2015
- First submitted
- 3 Mar 2011
- Last updated
- 25 Feb 2015
- 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 Feb 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3B, Randomized, Open-label Study to Evaluate the Safety and Efficacy of a Single Tablet Regimen of Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate Compared With a Single Tablet Regimen of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
- ClinicalTrials.gov ID
- NCT01309243
- Acronym / sponsor ID
- GS-US-264-0110
- Conditions
- HIV-1 Infection
- Keywords
- HIV, HIV-1, Antiretroviral Treatment-Naïve
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 799 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- Feb 2011
- Primary completion
- Sep 2012 (actual)
- Study completion
- Feb 2014 (actual)
- First posted
- 7 Mar 2011 (estimated)
- Results
- Posted 27 Nov 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study was to evaluate the safety and efficacy of the emtricitabine (FTC)/rilpivirine (RPV)/tenofovir disoproxil fumarate (TDF) single-tablet regimen (STR) compared with the efavirenz (EFV)/FTC/TDF STR in HIV-1 infected adults who had not previously received treatment with antiretroviral medications.
Participants were randomized in a 1:1 ratio to receive one of the study treatments. Randomization was stratified by HIV-1 RNA level (≤ 100,000 copies/mL or > 100,000 copies/mL) at screening. A treatment duration of 96 weeks was planned, with the option for subjects in FTC/RPV/TDF STR arm to receive treatment following the Week 96 visit until FTC/RPV/TDF STR is commercially available or until Gilead Sciences elects to terminate development in that country.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| FTC/RPV/TDF | Experimental | Drug: FTC/RPV/TDF |
| EFV/FTC/TDF | Experimental | Drug: EFV/FTC/TDF |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Ability to understand and sign a written informed consent form
- Plasma HIV-1 RNA levels ≥ 2,500 copies/mL at screening
- No prior use of any approved or experimental anti-HIV drug for any length of time
- Screening genotype report showing sensitivity to EFV, FTC, TDF, and lack of the RPV mutations K101E/P, E138A/G/K/Q/R, Y181C/I/V, and H221Y
- Normal ECG
Key exclusion criteria (14 listed)
- A new AIDS-defining condition diagnosed within the 30 days prior to screening
- Females who were breastfeeding
- Positive serum pregnancy test (female of childbearing potential)
- Proven or suspected acute hepatitis in the 30 days prior to study entry
- Subjects receiving drug treatment for hepatitis C, or subjects who were anticipated to receive treatment for hepatitis C during the course of the study
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 |
|---|---|---|
| FTC/RPV/TDFAlso: Complera®, Eviplera®Emtricitabine (FTC) 200 mg/rilpivirine (RPV) 25 mg/tenofovir disoproxil fumarate (TDF) 300 mg single-tablet regimen administered orally once daily with a meal | Drug | FTC/RPV/TDF |
| EFV/FTC/TDFAlso: Atripla®Efavirenz (EFV) 600 mg/FTC 200 mg/TDF 300 mg single-tablet regimen administered orally once daily on an empty stomach, preferably at bedtime | Drug | EFV/FTC/TDF |
Primary outcome
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
Time frame: Week 48
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the US FDA snapshot algorithm. The snapshot algorithm defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time.
9 secondary outcomes
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96
Time frame: Baseline to Week 96
Change From Baseline in CD4 Cell Count at Week 48
Time frame: Baseline to Week 48
Change From Baseline in CD4 Cell Count at Week 96
Time frame: Baseline to Week 96
Change From Baseline in Fasting Total Cholesterol at Week 48
Time frame: Baseline to Week 48
Change From Baseline in Fasting High-density Lipoprotein (HDL) Cholesterol at Week 48
Time frame: Baseline to Week 48
Change From Baseline in Fasting Low-density Lipoprotein (LDL) Cholesterol at Week 48
Time frame: Baseline to Week 48
Change From Baseline in Fasting Triglycerides at Week 48
Time frame: Baseline to Week 48
Development of HIV-1 Drug Resistance Through Week 96, All Participants
Time frame: Baseline to Week 96
Development of HIV-1 Drug Resistance Through Week 96, Participants With Viral Resistance
Time frame: Baseline to Week 96
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Feb 2015.
- 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.
Todd Fralich, M.D. study chair
Gilead Sciences
151 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing FTC/RPV/TDF and EFV/FTC/TDF in people with HIV-1 Infection, run by Gilead Sciences at 151 sites in 14 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 12 inclusion and 14 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 Feb 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 151 sites in United States, France, Australia, Canada, Germany and 9 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 27 Nov 2013). 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 HIV-1 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?
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 Feb 2015.