HIVPhase 3NCT01780506
Study to Evaluate the Safety and Efficacy of E/C/F/TAF (Genvoya®) Versus E/C/F/TDF (Stribild®) in HIV-1 Positive, Antiretroviral Treatment-Naive Adults
A Phase 3 study testing E/C/F/TAF and E/C/F/TDF in people with HIV and HIV Infections, run by Gilead Sciences at 117 sites in 12 countries.
Trial summary
The primary objective of this study is to evaluate the efficacy of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed-dose combination (FDC) versus elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF) FDC in HIV-1 positive, antiretroviral treatment-naive adults. 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?
- E/C/F/TAF and E/C/F/TDF
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 872 participants
- Where
- 117 sitesin 12 countries
- Study dates
- 26 Dec 2012to 6 Sep 2017
- 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 ≥ 1,000 copies/mL at screening
- No prior use of any approved or investigational antiretroviral drug for any length of time, except the use for pre-exposure prophylaxis (PREP) or post-exposure prophylaxis (PEP), up to 6 months prior to screening
- Screening genotype report must show sensitivity to elvitegravir, emtricitabine, tenofovir disoproxil fumarate (tenofovir DF)
- Normal electrocardiogram (ECG)
- Estimated glomerular filtration rate (eGFR) ≥ 50 mL/min according to the Cockcroft-Gault formula for creatinine clearance
Show all 13Show fewer
- Hepatic transaminases (AST and ALT) ≤ 5 × upper limit of normal (ULN)
- Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin
- Adequate hematologic function
- Serum amylase ≤ 5 × ULN
- Males and females of childbearing potential must agree to utilize highly effective contraception methods or be non-heterosexually active or practice sexual abstinence from screening throughout the duration of study treatment and for 30 days following the last dose of study drug
- Females who utilize hormonal contraceptive as one of their birth control methods must have used the same method for at least three months prior to study dosing
- Females who have stopped menstruating for ≥ 12 months but do not have documentation of ovarian hormonal failure must have a serum follicle stimulating hormone (FSH) level at screening within the post-menopausal range based on the Central Laboratory reference range
Who cannot join
- A new acquired immunodeficiency syndrome (AIDS) defining condition diagnosed within the 30 days prior to screening
- Hepatitis B surface antigen (HBsAg) positive
- Hepatitis C antibody positive
- Individuals experiencing decompensated cirrhosis
- Females who are breastfeeding
- Positive serum pregnancy test
Show all 14Show fewer
- Have an implanted defibrillator or pacemaker
- Current alcohol or substance use judged by the Investigator to potentially interfere with 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
- Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements
- Participation in any other clinical trial (including observational trials) without prior approval
- Individuals receiving ongoing therapy with drugs not to be used with elvitegravir, cobicistat, emtricitabine, tenofovir DF, and TAF or individuals with any known allergies to the excipients of E/C/F/TDF or E/C/F/TAF single-tablet regimen tablets
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
117 sites in 12 countries.
117 sites in 12 countries
United States78 sites
Summa Health Care Center
Akron, Ohio, 44304
Albany Medical College
Albany, New York, 12208
Upstate Infectious Diseases Associates
Albany, New York, 12208
Clinical Alliance for Research & Education - Infectious Diseases, LLC (CARE-ID)
Annandale, Virginia, 22003
AIDS Research Consortium of Atlanta
Atlanta, Georgia, 30308
Emory University
Atlanta, Georgia, 30308
Atlanta ID Group, PC
Atlanta, Georgia, 30309
Central Texas Clinical Research
Austin, Texas, 78705
Institute of Human Virology, University of Maryland
Baltimore, Maryland, 21201
St. Hope Foundation, Inc.
Bellaire, Texas, 77401
Be Well Medical Center
Berkley, Michigan, 48072
The University of Alabama at Birmingham
Birmingham, Alabama, 35294
Community Research Initative
Boston, Massachusetts, 02111
Brigham & Women's Hospital
Boston, Massachusetts, 02115
University of North Carolina
Chapel Hill, North Carolina, 27514
Medical University of South Carolina
Charleston, South Carolina, 29425
Infectious Disease Consultants, PA
Charlotte, North Carolina, 28209
Northwestern University
Chicago, Illinois, 60611
Ruth M. Rothstein CORE Center
Chicago, Illinois, 60612
Howard Brown Health Center
Chicago, Illinois, 60613
University of South Carolina School of Medicine
Columbia, South Carolina, 29203
Trinity Health and Wellness Center/AIDS Arms, Inc.
Dallas, Texas, 75208
North Texas Infectious Diseases Consultants
Dallas, Texas, 75246
Infectious Disease Specialist of Atlanta
Decatur, Georgia, 30033
Apex Research, LLC
Denver, Colorado, 80209
Henry Ford Hospital
Detroit, Michigan, 48202
Duke University
Durham, North Carolina, 22710
New York Hospital Queens
Flushing, New York, 11355
Gary Richmond, MD, PA, Inc.
Fort Lauderdale, Florida, 33316
Tarrant County Infectious Disease Associates
Fort Worth, Texas, 76104
Metrowest Medical Center
Framingham, Massachusetts, 01702
Midway Immunology & Research Center, LLC
Ft. Pierce, Florida, 34982
Garcias' Family Health Group
Harlingen, Texas, 78550
ID Care
Hillsborough, New Jersey, 08844
University of Hawaii - Hawaii Center for AIDS
Honolulu, Hawaii, 96816
Therapeutic Concepts, PA
Houston, Texas, 77004
Gordon E. Crofoot, MD, PA
Houston, Texas, 77098
Rosedale Infectious Diseases
Huntersville, North Carolina, 28078
DCOL Center for Clinical Research
Longview, Texas, 75605
Kaiser Permanente Los Angeles
Los Angeles, California, 90027
University of California, Los Angeles
Los Angeles, California, 90035
Peter J. Ruane, MD, Inc.
Los Angeles, California, 90036
Anthony Mills MD Inc
Los Angeles, California, 90069
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
AIDS Healthcare Foundation
Miami Beach, Florida, 33139
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Yale University School of Medicine
New Haven, Connecticut, 06510
Mount Sinai School of Medicine
New York, New York, 10029
Saint Michael's Medical Center
Newark, New Jersey, 07102
East Bay AIDS Center
Oakland, California, 94609
Orlando Immunology Center
Orlando, Florida, 32803
IDOCF/ValuHealthMD, LLC
Orlando, Florida, 32806
Infectious Diseases Associates
Pensacola, Florida, 32504
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Spectrum Medical Group
Phoenix, Arizona, 85012
The Miriam Hospital
Providence, Rhode Island, 02906
Kaiser Permanente - Sacramento
Sacramento, California, 95825
La Playa Medical Group and Clinical Research
San Diego, California, 92103
University of California, San Diego
San Diego, California, 92103
Southwest C.A.R.E. Center
Santa Fe, New Mexico, 87505
Peter Shalit, MD
Seattle, Washington, 98104
Baystate Infectious Diseases Clinical Research
Springfield, Massachusetts, 01199
Central West Clinical Research, Inc.
St Louis, Missouri, 63108
Southampton Healthcare, Inc.
St Louis, Missouri, 63139
The University of South Florida
Tampa, Florida, 33602
Infectious Disease Research Institute Inc.
Tampa, Florida, 33614
St. Joseph's Comprenhensive Research Inisitute
Tampa, Florida, 33614
Jacobi Medical Center
The Bronx, New York, 10461
Montefiore Medical Center
The Bronx, New York, 10467
Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center
Torrance, California, 90502
AIDS Research and Treatment Center of the Treasure Coast
Vero Beach, Florida, 32960
Dupont Circle Physicians Group, P.C.
Washington D.C., District of Columbia, 20009
Whitman Walker Clinic
Washington D.C., District of Columbia, 20009
Capital Medical Associates, P.C.
Washington D.C., District of Columbia, 20036
Spain9 sites
Hospital Germans Trias i Pujol
Badalona, 08916
Hospital del Mar
Barcelona, 08003
Hospital Universitari Vall D'Hebron
Barcelona, 08035
Hospital Clinic i Provincial
Barcelona, 08036
University Hospital Bellvitge
Barcelona, 08907
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Complejo Hospitalario Universitario de Santiago (CHUS)
Santiago de Compostela, 15706
Canada8 sites
Clinique Medicale Du Quartier Latin
Montreal, Quebec, H2L 5B1
Clinique medicale l'Actuel
Montreal, Quebec, H2L 5B1
Clinique OPUS
Montreal, Quebec, H3A 1T1
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6
Maple Leaf Research
Toronto, Ontario, M5G 1K2
Sunnybrook Health Science Center
Toronto, M4N 3M5
Spectrum Health
Vancouver, British Columbia, V6Z 2T1
Health Sciences Centre Winnipeg
Winnipeg, Manitoba, R3A 1R9
Thailand6 sites
The HIV Netherland Australia Thailand, Thai Red Cross AIDS Research Center (The HIV-NAT)
Bangkok, 10330
Ramathibodi Hospital, Mahidol University
Bangkok, 10400
Siriraj Hospital
Bangkok, 10700
Chiang Mai University
Chiang Mai, 50200
Khon Kaen University
Khon Kaen, 40002
Bamrasnaradura Infectious Diseases Institute
Nonthaburi, 11000
Australia5 sites
Melbourne Sexual Health Clinic
Carlton, Victoria, 3053
Holdsworth House Medical Practice
Darlinghurst, New South Wales, 2010
Taylor Square Private Clinic
Darlington, New South Wales, 2010
East Sydney Doctors
Sydney, New South Wales, 2010 NSW
Albion Street Centre
Sydney, Southwest, 2010
Switzerland3 sites
Universitätsspital Bern
Bern, 3010
Centre Hospitalier Universitaire Vaudois
Lausanne, 1011
University Hospital, Zurich
Zurich, CH-8091
Austria2 sites
DIAID, Department of Dermatology, Medical University Vienna
Vienna, 1090
Otto-Wagner-Spital, Sozialmedizinisches Zentrum Baumgartner Hoehe
Vienna, 1140
Belgium2 sites
Hôpital Erasme-ULB
Anderlecht, Brussels Capital, 1070
CHU Saint-Pierre University Hospital
Brussels, 1000
Japan1 site
National Center for Global Health and Medicine AIDS Clinical Center
Shinjuku-ku, Tokyo, 162-8655
About this study
Official title: A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Versus Elvitegravir/Cobicistat/Emtricitabine/ Tenofovir Disoproxil Fumarate in HIV-1 Positive, Antiretroviral Treatment-Naïve Adults
The primary objective of this study is to evaluate the efficacy of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed-dose combination (FDC) versus elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF) FDC in HIV-1 positive, antiretroviral treatment-naive adults.
- Conditions
- HIV, HIV Infections
- Being tested
- E/C/F/TAF, E/C/F/TDF, E/C/F/TDF Placebo, E/C/F/TAF Placebo
- Keywords
- HIV, Treatment Naive, HIV 1 Infected, Female, Women
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
E/C/F/TAFDrug
Also called Genvoya®
150/150/200/10 mg FDC tablet administered orally once daily
E/C/F/TDFDrug
Also called Stribild®
150/150/200/300 mg FDC tablet administered orally once daily
E/C/F/TDF PlaceboDrug
Tablet administered orally once daily
E/C/F/TAF PlaceboDrug
Tablet administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| E/C/F/TAF (Double-Blind Phase) | Experimental | E/C/F/TAF plus E/C/F/TDF placebo for 144 weeks Receives: Drug: E/C/F/TAF; Drug: E/C/F/TDF Placebo |
| E/C/F/TDF (Double-Blind Phase) | Active comparator | E/C/F/TDF plus E/C/F/TAF placebo for 144 weeks Receives: Drug: E/C/F/TDF; Drug: E/C/F/TAF Placebo |
| Open-Label Extension Phase | Experimental | After study unblinding, participants who complete 144 weeks of the study had the option to receive open-label E/C/F/TAF until commercially available, or until Gilead Sciences terminated the study in that country. Receives: Drug: E/C/F/TAF |
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 achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.
Measured: Week 48
Secondary outcomes (23)
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Weeks 96 and 144
The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Weeks 96 and 144 were analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.
Measured: Weeks 96 and 144
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48, 96, and 144
The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Weeks 48, 96, and 144 were analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.
Measured: Weeks 48, 96. and 144
Change From Baseline in CD4+ Cell Count at Week 48
Measured: Baseline; Week 48
Change From Baseline in CD4+ Cell Count at Week 96
Measured: Baseline; Week 96
Change From Baseline in CD4+ Cell Count at Week 144
Measured: Baseline; Week 144
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan.
Measured: Baseline; Week 48
Percent Change From Baseline in Hip BMD at Week 96
Hip BMD was assessed by DXA scan.
Measured: Baseline; Week 96
Percent Change From Baseline in Hip BMD at Week 144
Hip BMD was assessed by DXA scan.
Measured: Baseline; Week 144
Percent Change From Baseline in Spine BMD at Week 48
Spine BMD was assessed by DXA scan.
Measured: Baseline; Week 48
Percent Change From Baseline in Spine BMD at Week 96
Spine BMD was assessed by DXA scan.
Measured: Baseline; Week 96
Percent Change From Baseline in Spine BMD at Week 144
Spine BMD was assessed by DXA scan.
Measured: Baseline; Week 144
Change From Baseline in Serum Creatinine at Week 48
Measured: Baseline; Week 48
Change From Baseline in Serum Creatinine at Week 96
Measured: Baseline; Week 96
Change From Baseline in Serum Creatinine at Week 144
Measured: Baseline; Week 144
Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 48
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.
Measured: Up to 48 weeks
Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 96
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.
Measured: Up to 96 weeks
Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 144
Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.
Measured: Up to 144 weeks
Percent Change From Baseline in Urine Retinol Binding Protein (RBP) to Creatinine Ratio at Week 48
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.
Measured: Baseline; Week 48
Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 96
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.
Measured: Baseline; Week 96
Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 144
Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.
Measured: Baseline; Week 144
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 48
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.
Measured: Baseline; Week 48
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 96
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.
Measured: Baseline; Week 96
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 144
Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.
Measured: Baseline; Week 144
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jan 2013 (estimated)
- Study start26 Dec 2012
- Primary completion26 Aug 2014
- Study completion6 Sep 2017
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 (7)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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 872 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gilead Study Director, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01780506
- Sponsor's protocol ID
- GS-US-292-0104
- Other IDs
- 2012-004458-27
- Status last verified
- Aug 2018
- First submitted
- 16 Jan 2013
- Last updated
- 19 Nov 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at http://www.gilead.com/research/disclosure-and-transparency.
Publications
Sax PE, Wohl D, Yin MT, Post F, DeJesus E, Saag M, Pozniak A, Thompson M, Podzamczer D, Molina JM, Oka S, Koenig E, Trottier B, Andrade-Villanueva J, Crofoot G, Custodio JM, Plummer A, Zhong L, Cao H, Martin H, Callebaut C, Cheng AK, Fordyce MW, McCallister S; GS-US-292-0104/0111 Study Team. Tenofovir alafenamide versus tenofovir disoproxil fumarate, coformulated with elvitegravir, cobicistat, and emtricitabine, for initial treatment of HIV-1 infection: two randomised, double-blind, phase 3, non-inferiority trials. Lancet. 2015 Jun 27;385(9987):2606-15. doi: 10.1016/S0140-6736(15)60616-X. Epub 2015 Apr 15.
PubMed 25890673Arribas JR, Thompson M, Sax PE, Haas B, McDonald C, Wohl DA, DeJesus E, Clarke AE, Guo S, Wang H, Callebaut C, Plummer A, Cheng A, Das M, McCallister S. Brief Report: Randomized, Double-Blind Comparison of Tenofovir Alafenamide (TAF) vs Tenofovir Disoproxil Fumarate (TDF), Each Coformulated With Elvitegravir, Cobicistat, and Emtricitabine (E/C/F) for Initial HIV-1 Treatment: Week 144 Results. J Acquir Immune Defic Syndr. 2017 Jun 1;75(2):211-218. doi: 10.1097/QAI.0000000000001350.
PubMed 28282300Margot N, Cox S, Das M, McCallister S, Miller MD, Callebaut C. Infrequent development of drug resistance in HIV-1-infected treatment-naive subjects after 96 weeks of treatment with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide or elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate. Antivir Ther. 2017;22(5):443-446. doi: 10.3851/IMP3125. Epub 2017 Jan 11.
PubMed 28076335Margot NA, Kitrinos KM, Fordyce M, McCallister S, Miller MD, Callebaut C. Rare emergence of drug resistance in HIV-1 treatment-naive patients after 48 weeks of treatment with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide. HIV Clin Trials. 2016 Mar;17(2):78-87. doi: 10.1080/15284336.2016.1142731.
PubMed 26892863Funderburg NT, McComsey GA, Kulkarni M, Bannerman T, Mantini J, Thornton B, Liu HC, Zhang Y, Song Q, Fang L, Dinoso J, Cheng A, McCallister S, Fordyce MW, Das M. Equivalent Decline in Inflammation Markers with Tenofovir Disoproxil Fumarate vs. Tenofovir Alafenamide. EBioMedicine. 2016 Nov;13:321-327. doi: 10.1016/j.ebiom.2016.10.009. Epub 2016 Oct 11.
PubMed 27742226Wohl D, Oka S, Clumeck N, Clarke A, Brinson C, Stephens J, Tashima K, Arribas JR, Rashbaum B, Cheret A, Brunetta J, Mussini C, Tebas P, Sax PE, Cheng A, Zhong L, Callebaut C, Das M, Fordyce M; GS-US-2,92-01040111 and Study Team. Brief Report: A Randomized, Double-Blind Comparison of Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate, Each Coformulated With Elvitegravir, Cobicistat, and Emtricitabine for Initial HIV-1 Treatment: Week 96 Results. J Acquir Immune Defic Syndr. 2016 May 1;72(1):58-64. doi: 10.1097/QAI.0000000000000940.
PubMed 26829661Custodio JM, Garner W, Callebaut C, Fordyce M, Plummer A, Zhong L, et al. The Pharmacokinetics of Tenofovir and Tenofovir Diphosphate Following Administration of Tenofovir Alafenamide vs Tenofovir Disoproxil Fumarate [Oral Abstract #6]. The 16th International Workshop on Clinical Pharmacology of HIV & Hepatitis Therapy. Washington DC, USA, May 26-28, 2015.
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2018. 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/Cobicistat/Emtricitabine/Tenofovir Alafenamide Versus Elvitegravir/Cobicistat/Emtricitabine/ Tenofovir Disoproxil Fumarate in HIV-1 Positive, Antiretroviral Treatment-Naïve Adults
- ClinicalTrials.gov ID
- NCT01780506
- Acronym / sponsor ID
- GS-US-292-0104
- Conditions
- HIV, HIV Infections
- Keywords
- HIV, Treatment Naive, HIV 1 Infected, Female, Women
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 872 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 26 Dec 2012 (actual)
- Primary completion
- 26 Aug 2014 (actual)
- Study completion
- 6 Sep 2017 (actual)
- First posted
- 31 Jan 2013 (estimated)
- Results
- Posted 8 Jan 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to evaluate the efficacy of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed-dose combination (FDC) versus elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF) FDC in HIV-1 positive, antiretroviral treatment-naive adults.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| E/C/F/TAF (Double-Blind Phase) | Experimental | Drug: E/C/F/TAF, Drug: E/C/F/TDF PlaceboE/C/F/TAF plus E/C/F/TDF placebo for 144 weeks |
| E/C/F/TDF (Double-Blind Phase) | Active comparator | Drug: E/C/F/TDF, Drug: E/C/F/TAF PlaceboE/C/F/TDF plus E/C/F/TAF placebo for 144 weeks |
| Open-Label Extension Phase | Experimental | Drug: E/C/F/TAFAfter study unblinding, participants who complete 144 weeks of the study had the option to receive open-label E/C/F/TAF until commercially available, or until Gilead Sciences terminated the study in that country. |
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 ≥ 1,000 copies/mL at screening
- No prior use of any approved or investigational antiretroviral drug for any length of time, except the use for pre-exposure prophylaxis (PREP) or post-exposure prophylaxis (PEP), up to 6 months prior to screening
- Screening genotype report must show sensitivity to elvitegravir, emtricitabine, tenofovir disoproxil fumarate (tenofovir DF)
- Normal electrocardiogram (ECG)
Key exclusion criteria (14 listed)
- A new acquired immunodeficiency syndrome (AIDS) defining condition diagnosed within the 30 days prior to screening
- Hepatitis B surface antigen (HBsAg) positive
- Hepatitis C antibody positive
- Individuals experiencing decompensated cirrhosis
- Females who are breastfeeding
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 |
|---|---|---|
| E/C/F/TAFAlso: Genvoya®150/150/200/10 mg FDC tablet administered orally once daily | Drug | E/C/F/TAF (Double-Blind Phase), Open-Label Extension Phase |
| E/C/F/TDFAlso: Stribild®150/150/200/300 mg FDC tablet administered orally once daily | Drug | E/C/F/TDF (Double-Blind Phase) |
| E/C/F/TDF PlaceboTablet administered orally once daily | Drug | E/C/F/TAF (Double-Blind Phase) |
| E/C/F/TAF PlaceboTablet administered orally once daily | Drug | E/C/F/TDF (Double-Blind Phase) |
Primary outcome
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
Time frame: Week 48
The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.
23 secondary outcomes
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Weeks 96 and 144
Time frame: Weeks 96 and 144
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48, 96, and 144
Time frame: Weeks 48, 96. and 144
Change From Baseline in CD4+ Cell Count at Week 48
Time frame: Baseline; Week 48
Change From Baseline in CD4+ Cell Count at Week 96
Time frame: Baseline; Week 96
Change From Baseline in CD4+ Cell Count at Week 144
Time frame: Baseline; Week 144
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Time frame: Baseline; Week 48
Percent Change From Baseline in Hip BMD at Week 96
Time frame: Baseline; Week 96
Percent Change From Baseline in Hip BMD at Week 144
Time frame: Baseline; Week 144
Percent Change From Baseline in Spine BMD at Week 48
Time frame: Baseline; Week 48
Percent Change From Baseline in Spine BMD at Week 96
Time frame: Baseline; Week 96
Percent Change From Baseline in Spine BMD at Week 144
Time frame: Baseline; Week 144
Change From Baseline in Serum Creatinine at Week 48
Time frame: Baseline; Week 48
Change From Baseline in Serum Creatinine at Week 96
Time frame: Baseline; Week 96
Change From Baseline in Serum Creatinine at Week 144
Time frame: Baseline; Week 144
Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 48
Time frame: Up to 48 weeks
Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 96
Time frame: Up to 96 weeks
Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 144
Time frame: Up to 144 weeks
Percent Change From Baseline in Urine Retinol Binding Protein (RBP) to Creatinine Ratio at Week 48
Time frame: Baseline; Week 48
Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 96
Time frame: Baseline; Week 96
Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 144
Time frame: Baseline; Week 144
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 48
Time frame: Baseline; Week 48
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 96
Time frame: Baseline; Week 96
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 144
Time frame: Baseline; Week 144
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 25890673Sax PE, Wohl D, Yin MT, Post F, DeJesus E, Saag M, Pozniak A, Thompson M, Podzamczer D, Molina JM, Oka S, Koenig E, Trottier B, Andrade-Villanueva J, Crofoot G, Custodio JM, Plummer A, Zhong L, Cao H, Martin H, Callebaut C, Cheng AK, Fordyce MW, McCallister S; GS-US-292-0104/0111 Study Team. Tenofovir alafenamide versus tenofovir disoproxil fumarate, coformulated with elvitegravir, cobicistat, and emtricitabine, for initial treatment of HIV-1 infection: two randomised, double-blind, phase 3, non-inferiority trials. Lancet. 2015 Jun 27;385(9987):2606-15. doi: 10.1016/S0140-6736(15)60616-X. Epub 2015 Apr 15.
- Results publication: PubMed 28282300Arribas JR, Thompson M, Sax PE, Haas B, McDonald C, Wohl DA, DeJesus E, Clarke AE, Guo S, Wang H, Callebaut C, Plummer A, Cheng A, Das M, McCallister S. Brief Report: Randomized, Double-Blind Comparison of Tenofovir Alafenamide (TAF) vs Tenofovir Disoproxil Fumarate (TDF), Each Coformulated With Elvitegravir, Cobicistat, and Emtricitabine (E/C/F) for Initial HIV-1 Treatment: Week 144 Results. J Acquir Immune Defic Syndr. 2017 Jun 1;75(2):211-218. doi: 10.1097/QAI.0000000000001350.
- Results publication: PubMed 28076335Margot N, Cox S, Das M, McCallister S, Miller MD, Callebaut C. Infrequent development of drug resistance in HIV-1-infected treatment-naive subjects after 96 weeks of treatment with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide or elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate. Antivir Ther. 2017;22(5):443-446. doi: 10.3851/IMP3125. Epub 2017 Jan 11.
- Results publication: PubMed 26892863Margot NA, Kitrinos KM, Fordyce M, McCallister S, Miller MD, Callebaut C. Rare emergence of drug resistance in HIV-1 treatment-naive patients after 48 weeks of treatment with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide. HIV Clin Trials. 2016 Mar;17(2):78-87. doi: 10.1080/15284336.2016.1142731.
- Results publication: PubMed 27742226Funderburg NT, McComsey GA, Kulkarni M, Bannerman T, Mantini J, Thornton B, Liu HC, Zhang Y, Song Q, Fang L, Dinoso J, Cheng A, McCallister S, Fordyce MW, Das M. Equivalent Decline in Inflammation Markers with Tenofovir Disoproxil Fumarate vs. Tenofovir Alafenamide. EBioMedicine. 2016 Nov;13:321-327. doi: 10.1016/j.ebiom.2016.10.009. Epub 2016 Oct 11.
- Results publication: PubMed 26829661Wohl D, Oka S, Clumeck N, Clarke A, Brinson C, Stephens J, Tashima K, Arribas JR, Rashbaum B, Cheret A, Brunetta J, Mussini C, Tebas P, Sax PE, Cheng A, Zhong L, Callebaut C, Das M, Fordyce M; GS-US-2,92-01040111 and Study Team. Brief Report: A Randomized, Double-Blind Comparison of Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate, Each Coformulated With Elvitegravir, Cobicistat, and Emtricitabine for Initial HIV-1 Treatment: Week 96 Results. J Acquir Immune Defic Syndr. 2016 May 1;72(1):58-64. doi: 10.1097/QAI.0000000000000940.
- Results publicationCustodio JM, Garner W, Callebaut C, Fordyce M, Plummer A, Zhong L, et al. The Pharmacokinetics of Tenofovir and Tenofovir Diphosphate Following Administration of Tenofovir Alafenamide vs Tenofovir Disoproxil Fumarate [Oral Abstract #6]. The 16th International Workshop on Clinical Pharmacology of HIV & Hepatitis Therapy. Washington DC, USA, May 26-28, 2015.
- Individual participant dataSharing planned: Yes. Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at http://www.gilead.com/research/disclosure-and-transparency.
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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.
Gilead Study Director study director
Gilead Sciences
117 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing E/C/F/TAF and E/C/F/TDF in people with HIV and HIV Infections, run by Gilead Sciences at 117 sites in 12 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 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 19 Nov 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 117 sites in United States, Spain, Canada, Thailand, Australia and 7 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 8 Jan 2016). 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?
On the ClinicalTrials.gov record for NCT01780506, which also lists 7 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 19 Nov 2018; AzTrials last refreshed its copy on 1 Nov 2026.