HIVPhase 3NCT01797445
Study to Evaluate the Safety and Efficacy of E/C/F/TAF Versus E/C/F/TDF 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 11 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) 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 11 countries
- Study dates
- 12 Mar 2013to 3 Oct 2018
- 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 DF
- Normal electrocardiogram (ECG)
- Estimated glomerular filtration rate (eGFR) ≥ 50 mL/min according to the Cockcroft-Gault formula for creatinine clearance
Show all 14Show 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
- Age ≥ 18 years
Who cannot join
- A new 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
- Receiving ongoing therapy with drugs not to be used with elvitegravir, cobicistat, emtricitabine, tenofovir DF, and TAF or participants with any known allergies to the excipients of E/C/F/TDF or E/C/F/TAF
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
117 sites in 11 countries.
117 sites in 11 countries
United States79 sites
Albany Medical College
Albany, New York, 12208
Upstate ID Assoc
Albany, New York, 12208
Clinical Alliance for Research & Education - Infectious Diseases (CARE-ID)
Annandale, Virginia, 22003
AIDS Research Consortium of Atlanta
Atlanta, Georgia, 30308
Atlanta ID Group, PC
Atlanta, Georgia, 30309
Emory University
Atlanta, Georgia, 30309
Georgia Regents University
Augusta, Georgia, 30912
University of Colorado
Aurora, Colorado, 80045
Central Texas Clinical Research
Austin, Texas, 78705
St. Hope Foundation, Inc.
Bellaire, Texas, 77401
Be Well Medical Center
Berkley, Michigan, 48072-3436
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Community Research Initiative of New England
Boston, Massachusetts, 02111
University of North Carolina AIDS Clinical Trials Unit
Chapel Hill, North Carolina, 27599
Carolinas Medical Center Myer's Park Clinic
Charlotte, North Carolina, 28207
Rush University Medical Center, Section of Infectious Diseases
Chicago, Illinois, 60305
The Ruth M. Rothstein CORE Center
Chicago, Illinois, 60612
Trinity Health & Wellness Center / AIDS Arms, Inc.
Dallas, Texas, 75215
Southwest Infectious Disease Clinical Research, Inc.
Dallas, Texas, 75219
North Texas Infectious Diseases Consultants
Dallas, Texas, 75246
Infectious Disease Specialist of Atlanta
Decatur, Georgia, 30033
APEX Research LLC
Denver, Colorado, 80209
Henry Ford Health System
Detroit, Michigan, 48202
Duke University Medical Center
Durham, North Carolina, 27710
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, 34952
East Carolina University The Brody School of Medicine
Greenville, North Carolina, 27834
Greenwich Hospital
Greenwich, Connecticut, 06830
ID Care
Hillsborough, New Jersey, 08844
University of Hawaii - Hawaii Center for AIDS
Honolulu, Hawaii, 96821
Therapeutic Concepts, PA
Houston, Texas, 77004
Gordon E. Crofoot, MD, PA
Houston, Texas, 77098
Research Access Network
Houston, Texas, 77098
Rosedale Infectious Disseases
Huntersville, North Carolina, 28078
DCOL Center for Clinical Research
Longview, Texas, 75605
Kaiser Permanente - Los Angeles Medical Center
Los Angeles, California, 90027
University of Southern California AIDS Clinical Trials Group
Los Angeles, California, 90033
Peter J. Ruane, Inc.
Los Angeles, California, 90036
Anthony Mills MD Inc
Los Angeles, California, 90069
Mercer University
Macon, Georgia, 31201
North Shore University Hospital - Division of Infectious Diseases
Manhasset, New York, 11030
AIDS Healthcare Foundation
Miami, Florida, 33133
AIDS Healthcare Foundation
Miami Beach, Florida, 33139
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Yale University
New Haven, Connecticut, 06510
Chelsea Village Medical
New York, New York, 10011
Columbia University Medical Center
New York, New York, 10032
Weill Cornell Medical College
New York, New York, 10065
Alameda County Medical Center
Oakland, California, 94602
Orlando Immunology Center
Orlando, Florida, 32803
Idocf/Valuhealthmd
Orlando, Florida, 32836
Stanford University
Palo Alto, California, 94304
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Spectrum Medical Group
Phoenix, Arizona, 85012
The Miriam Hospital
Providence, Rhode Island, 02906
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
Kaiser Permanente San Francisco
San Francisco, California, 94118
Kaiser Permanente
San Leandro, California, 94577
Southwest CARE Center
Santa Fe, New Mexico, 87505
Infectious Diseases Associates of NW FL
Sarasota, Florida, 32504
Peter Shalit, MD
Seattle, Washington, 98104
Central West Clinical Research
St Louis, Missouri, 63108
Southampton Healthcare, Inc.
St Louis, Missouri, 63139
University of South Florida
Tampa, Florida, 33602
Infectious Disease Research Institute Inc.
Tampa, Florida, 33614
St. Joseph's Comprehensive Research Institute
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, 90275
Dupont Circle Physicians Group
Washington D.C., District of Columbia, 20009
Whitman-Walker Health
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
Triple O Research Institute PA
West Palm Beach, Florida, 33401
The Research Institute
West Springfield, Massachusetts, 01105
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
United Kingdom10 sites
Whittall Street Clinic
Birmingham, B4 6DH
Heart Of England NHS Foundation Trust
Birmingham, B9 5SS
Brighton and Sussex University Hospitals NHS Trust
Brighton, BN2 1ES
Brownlee Centre, Gartnavel General Hospital
Glasgow, G12 0YN
Barts Health NHS Trust
London, E11BB
Royal Free London NHS Foundation Trust
London, NW3 2QG
Kings College Hospital
London, SE5 9RJ
Chelsea and Westminster
London, SW10 9NH
Mortimer Market Centre
London, WC1E 6JB
North Manchester General Hospital
Manchester, M8 5RB
France9 sites
Hopital de la Croix Rousse
Lyon, 69004
University Hospital of Montpellier (CHU-Gui de Chauliac)
Montpellier, 34295
Archet 1 CHU de Nice, Department of Infectiology
Nice, 06200
Saint Louis Hospital of Infectious Diseases
Paris, 75010
Hopital Saint Antoine
Paris, 75012
Hôpital Bichat Claude Bernard
Paris, 75018
Hopital Tenon
Paris, 75020
Hopital Pitie Salpetriere
Paris, 75651
CH Tourcoing
Tourcoing, 59208
Canada5 sites
Research Institute of McGill University Health Care
Montreal, Quebec, H2X 2P4
Clinique Medicale L'actuel
Montreal, H2L 4P9
University Health Network/Toronto General Hospital
Toronto, M4N 3M5
Maple Leaf Research
Toronto, M5G 1K2
Spectrum Health Care
Vancouver, V6Z 2T1
Portugal4 sites
Serviço de Doenças Infecciosas, HUC-CHUC, EPE
Coimbra, 3000-075
Hospital Santo Antonio dos Capuchos
Lisbon, 1169-050
Hospital de Santa Maria - CHLN, EPE
Lisbon, 1649-035
Centro Hospitalar do Porto - Hospital Joaquim Urbano
Porto, 4369-004
Italy2 sites
Universitaria di Bologna-Policlicnico S' Orsola Malpighi
Bologna, 40138
IRCCS Ospedale San Raffaele
Milan, 20132
Mexico2 sites
Hospital Civil de Guadalajara
Guadalajara, 44280
Insituto Nacional De Enfermedades Respiratorias "Ismael Cosio Villegas"
Mexico City, 14080
Puerto Rico2 sites
Hope Clinical Research
San Juan, 00909
University of Puerto Rico ACTU
San Juan, 00935
Sweden2 sites
Venhalsan / Sodersjukhuset
Stockholm, 11883
Karolinska University Hospital, Huddinge
Stockholm, 14186
Dominican Republic1 site
Instituto Dominicano de Estudios Virologicos--IDEV
Santo Domingo, 99999
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) 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, Women, Female
- 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) | Experimental | E/C/F/TAF plus E/C/F/TDF placebo for 144 weeks
After 144 weeks, participants will continue to take their blinded study drug until treatment assignments have been unblinded. Receives: Drug: E/C/F/TAF; Drug: E/C/F/TDF Placebo |
| E/C/F/TDF (Double-Blind) | Active comparator | E/C/F/TDF plus E/C/F/TAF placebo for 144 weeks
After 144 weeks, participants will continue to take their blinded study drug until treatment assignments have been unblinded. Receives: Drug: E/C/F/TDF; Drug: E/C/F/TAF Placebo |
| Open-Label E/C/F/TAF | Experimental | After the unblinding visit, in countries where E/C/F/TAF is not commercially available, participants (except in UK) who complete 144 weeks of study will be given the option to receive open-label E/C/F/TAF and attend study visits every 12 weeks until it becomes commercially available, or until Gilead terminates 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 Achieving 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 (16)
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96
The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 96 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 96
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96
The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Weeks 48 and 96 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: Weeks 48 and 96
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
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 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
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
Percentage of Participants With 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: Baseline to Week 48
Percentage of Participants With 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: Baseline to Week 96
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 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
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Feb 2013 (estimated)
- Study start12 Mar 2013
- Primary completion19 Sep 2014
- Study completion3 Oct 2018
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 (8)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
- NCT01797445
- Sponsor's protocol ID
- GS-US-292-0111
- Other IDs
- 2013-000102-37
- Status last verified
- Oct 2019
- First submitted
- 20 Feb 2013
- Last updated
- 2 Mar 2020
- 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 www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy.
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 25890673Margot N, Cox S, Das M, McCallister S, Miller MD, Callebaut C. Rare emergence of drug resistance in HIV-1 treatment-naive patients receiving elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide for 144 weeks. J Clin Virol. 2018 Jun;103:37-42. doi: 10.1016/j.jcv.2018.03.012. Epub 2018 Apr 2.
PubMed 29627709Arribas 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 2 Mar 2020. 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
- NCT01797445
- Acronym / sponsor ID
- GS-US-292-0111
- Conditions
- HIV, HIV Infections
- Keywords
- HIV, Treatment Naive, HIV 1 Infected, Women, Female
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 872 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 12 Mar 2013 (actual)
- Primary completion
- 19 Sep 2014 (actual)
- Study completion
- 3 Oct 2018 (actual)
- First posted
- 22 Feb 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) 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) | Experimental | Drug: E/C/F/TAF, Drug: E/C/F/TDF PlaceboE/C/F/TAF plus E/C/F/TDF placebo for 144 weeks After 144 weeks, participants will continue to take their blinded study drug until treatment assignments have been unblinded. |
| E/C/F/TDF (Double-Blind) | 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 After 144 weeks, participants will continue to take their blinded study drug until treatment assignments have been unblinded. |
| Open-Label E/C/F/TAF | Experimental | Drug: E/C/F/TAFAfter the unblinding visit, in countries where E/C/F/TAF is not commercially available, participants (except in UK) who complete 144 weeks of study will be given the option to receive open-label E/C/F/TAF and attend study visits every 12 weeks until it becomes commercially available, or until Gilead terminates 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 (14 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 DF
- Normal electrocardiogram (ECG)
Key exclusion criteria (14 listed)
- A new 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), Open-Label E/C/F/TAF |
| E/C/F/TDFAlso: Stribild®150/150/200/300 mg FDC tablet administered orally once daily | Drug | E/C/F/TDF (Double-Blind) |
| E/C/F/TDF PlaceboTablet administered orally once daily | Drug | E/C/F/TAF (Double-Blind) |
| E/C/F/TAF PlaceboTablet administered orally once daily | Drug | E/C/F/TDF (Double-Blind) |
Primary outcome
Percentage of Participants Achieving 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.
16 secondary outcomes
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96
Time frame: Week 96
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96
Time frame: Weeks 48 and 96
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
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 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
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
Percentage of Participants With Treatment-emergent Proteinuria Through Week 48
Time frame: Baseline to Week 48
Percentage of Participants With Treatment-emergent Proteinuria Through Week 96
Time frame: Baseline to Week 96
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 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
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Mar 2020.
- 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 29627709Margot N, Cox S, Das M, McCallister S, Miller MD, Callebaut C. Rare emergence of drug resistance in HIV-1 treatment-naive patients receiving elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide for 144 weeks. J Clin Virol. 2018 Jun;103:37-42. doi: 10.1016/j.jcv.2018.03.012. Epub 2018 Apr 2.
- 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 www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy.
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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 11 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 11 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 14 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 2 Mar 2020. 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, United Kingdom, France, Canada, Portugal and 6 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 Achieving 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 NCT01797445, which also lists 8 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 2 Mar 2020.