HIVPhase 3NCT01815736
Study to Evaluate Switching From a TDF-Containing Combination Regimen to a TAF-Containing Fixed Dose Combination (FDC) in Virologically-Suppressed, HIV-1 Positive Participants
A Phase 3 study testing E/C/F/TAF, E/C/F/TDF and EFV/FTC/TDF in people with HIV and HIV Infections, run by Gilead Sciences at 167 sites in 20 countries.
Trial summary
The primary objective of this study is to evaluate the non-inferiority of switching to a tenofovir alafenamide (TAF)-containing fixed dose combination (FDC) relative to maintaining tenofovir disoproxil fumarate (TDF)-containing combination regimens in virologically suppressed HIV-infected participants as determined by… 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, E/C/F/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
- 1,443 participants
- Where
- 167 sitesin 20 countries
- Study dates
- 27 Mar 2013to 1 Apr 2020
- 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
- Currently receiving antiretroviral therapy consisting of E/C/F/TDF, EFV/FTC/TDF, RTV+ATV+FTC/TDF, or COBI+ATV+FTC/TDF for ≥ 6 consecutive months preceding the final visit in their earlier study
- Completion of the Week 144 visit in studies GS-US-236-0102, GS-US-236-0103, GS-US-216-0114, or completion of the Week 96 visit in study GS-US-264-0110 (only participants on an EFV-based regimen), or completion of studies GS-US-236-0104, GS-US-216-0105
- Plasma human immunodeficiency virus type 1-ribonucleic acid (HIV-1 RNA) concentrations at undetectable levels for at least 6 consecutive months prior to the screening visit and have HIV RNA < 50 copies/mL at the screening visit
- Normal echocardiograph (ECG)
- Estimated glomerular filtration rate (GFR) ≥ 50 mL/min according to the Cockcroft-Gault formula for creatinine clearance
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- Hepatic transaminases (aspartate aminotransferase [AST] and alanine aminotransferase [ALT]) ≤ 5 × upper limit of the normal range (ULN)
- Direct bilirubin ≤ 1.5 x ULN
- Adequate hematologic function
- Serum amylase ≤ 5 × ULN
- 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 12 weeks following the last dose of study drug if receiving EFV/FTC/TDF regimen, and 30 days for those assigned to all other regimens.
- Female participants 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
- Female participants 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 position
- Hepatitis C antibody positive
- Participants experiencing decompensated cirrhosis
- Females who are breastfeeding
- Positive serum pregnancy test
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- Have an implanted defibrillator or pacemaker
- Current alcohol or substance use judged by the Investigator to potentially interfere with subject study compliance
- History of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, noninvasive cutaneous squamous carcinoma
- Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
- Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the subject unsuitable for the study or unable to comply with dosing requirements
- Participation in any other clinical trial without prior approval from the sponsor is prohibited while participating in this trial
- Participants receiving ongoing therapy with drugs not to be used with elvitegravir (EVG), COBI, FTC, TDF, ATV, RTV, EFV, and TAF or participants with any known allergies to the excipients of E/C/F/TDF, E/C/F/TAF, EFV/FTC/TDF, ATV, COBI, RTV, or FTC/TDF
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
167 sites in 20 countries.
167 sites in 20 countries
United States91 sites
Summa Health System
Akron, Ohio, 44304
Upstate ID Association
Albany, New York, 12208
Albany Medical College
Albany, New York, 12209
Clinical Alliance for Research & Education, Infectious Diseases (CARE-ID)
Annandale, Virginia, 22003
AIDS Research Consortium of Atlanta
Atlanta, Georgia, 30308
Atlanta ID Group, PC
Atlanta, Georgia, 30309
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
University of NC AIDS Clinical Trials Unit
Chapel Hill, North Carolina, 27599
Carolinas Medical Center-Myers Park
Charlotte, North Carolina, 28207
Ruth M. Rothstein CORE Center
Chicago, Illinois, 60612
Howard Brown Health Center
Chicago, Illinois, 60613
NorthStar Medical Center
Chicago, Illinois, 60657
Palmetto Health Richland
Columbia, South Carolina, 29203
Michael Keith Wensley, MD, Inc., A Medical Corporation
Costa Mesa, California, 92626
AIDS Arms, Inc./ Peabody Health Center
Dallas, Texas, 75215
Southwest Infectious Disease Clinical Research, Inc.
Dallas, Texas, 75219
Infectious Disease Specialists of Atlanta
Decatur, Georgia, 30033
Apex Research LLC
Denver, Colorado, 80209
Henry Ford Health System
Detroit, Michigan, 48202
Duke University Health System
Durham, North Carolina, 27710
New York Hospital Queens
Flushing, New York, 11355
Therafirst Medical Center
Fort Lauderdale, Florida, 33308
Broward Health/Comprehensive Care Center
Fort Lauderdale, Florida, 33311
Gary J. Richmond,M.D.,P.A.
Fort Lauderdale, Florida, 33316
Tarrant County Infectious Disease Associates
Fort Worth, Texas, 76104
Midway Immunology and Research Center
Ft. Pierce, Florida, 34982
East Carolina University
Greenville, North Carolina, 27834
Greenwich Hospital
Greenwich, Connecticut, 06830
Garcia's Family Health Group
Harlingen, Texas, 78550
ID Care
Hillsborough, New Jersey, 08844
University of Hawaii - Hawaii Center for AIDS
Honolulu, Hawaii, 96816
Therapeutic Concepts, P.A.
Houston, Texas, 77004
Gordon E. Crofoot MD PA
Houston, Texas, 77098
Research Access Network
Houston, Texas, 77098
Rosedale Infectious Diseases
Huntersville, North Carolina, 28078
Health for Life Clinic PLLC
Little Rock, Arkansas, 72207
Living Hope Clinical Foundation
Long Beach, California, 90813
DCOL Center for Clinical Research
Longview, Texas, 75605
Kaiser Permanente
Los Angeles, California, 90027
Jeffrey Goodman Special Care Clinic
Los Angeles, California, 90028
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, Divison 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
Yale University HIV Clinical Trials Program
New Haven, Connecticut, 06510
Beth Israel Medical Center- Division of Infectious Diseases
New York, New York, 10003
Chelsea Village Medical, PC
New York, New York, 10011
Ricky K. Hsu, MD
New York, New York, 10011
Saint Michaels Medical Center
Newark, New Jersey, 07102
Orange Coast Medical Group
Newport Beach, California, 92663
Alameda County Medical Center
Oakland, California, 94602
East Bay AIDS Center
Oakland, California, 94609
Orlando Immunology Center
Orlando, Florida, 32803
IDOCF/ Value Health MD, LLC
Orlando, Florida, 32806
Stanford University
Palo Alto, California, 94303
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Southwest Center for HIV/AIDS
Phoenix, Arizona, 85006
Spectrum Medical Group
Phoenix, Arizona, 85012
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
Metropolis Medical Group
San Francisco, California, 94109
Kaiser Permanente Medical Center, Clinical Trials Unit
San Francisco, California, 94118
Kaiser Permanente Hospital
San Leandro, California, 94577
SouthWest CARE Center
Santa Fe, New Mexico, 87505
Peter Shalit, M.D.
Seattle, Washington, 98104
South Jersey Infectious Disease
Somers Point, New Jersey, 08244
Premier Clinical Research
Spokane, Washington, 99202
The Research Institute
Springfield, Massachusetts, 01105
Baystate Infectious Diseases Clinical Research
Springfield, Massachusetts, 01199
Central West Clinical Research
St Louis, Missouri, 63108
Saint Louis University
St Louis, Missouri, 63110
Southampton Healthcare
St Louis, Missouri, 63139
University of South Florida HIV Clinical Research Unit / Hillsborough County Health Department
Tampa, Florida, 33602
Infectious Disease Research Institute Inc.
Tampa, Florida, 33614
St. Joseph's Comprehensive Research Institute
Tampa, Florida, 33615
Jacobi Medical Center
The Bronx, New York, 10461
Montefiore Medical Center - AIDS Center
The Bronx, New York, 10467
Dupont Circle Physicians Group
Washington D.C., District of Columbia, 20009
Whitman Walker Clinic
Washington D.C., District of Columbia, 20009
Capital Medical Associates, PC
Washington D.C., District of Columbia, 20036
George Washington University Medical Faculty Associates
Washington D.C., District of Columbia, 20037
Canada10 sites
Clinique medicale l'Actuel
Montreal, Quebec, H2L 4P9
Clinique Medicale du Quartier Latin
Montreal, Quebec, H2L 5B1
McGill University Health Centre (MUHC) - Montral Chest Institute
Montreal, Quebec, H2X 2P4
Clinique OPUS
Montreal, Quebec, H3A 1T1
Ottawa Hospital
Ottawa, Ontario, K1H 8L6
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Maple Leaf Research
Toronto, Ontario, M5G 1K2
University Health Network, Toronto General Hospital
Toronto, Ontario, M5G 2N2
Ubc Downtown I.D. Clinic
Vancouver, British Columbia, V6Z 2C7
Winnipeg Regional Health Authority - Health Sciences Centre Winnipeg
Winnipeg, Manitoba, R3A 1R9
Germany10 sites
EPIMED GmbH
Berlin, 12157
University of Bonn
Bonn, 53127
University of Cologne, Department of Internal Medicine
Cologne, 50937
Center for HIV and Hepatogastroenterology
Düsseldorf, 40237
Infektio Research GmbH / Infektiologikum Frankfurt
Frankfurt am Main, 60311
Universitätsklinikum Frankfurt
Frankfurt am Main, 60590
Universitatsklinikum Freiburg
Freiburg im Breisgau, 79106
ICH Study Center Hamburg
Hamburg, 20146
University Medical Center Hamburg-Eppendorf, Infectious Diseases Unit
Hamburg, 20246
MUC Research GmbH
München, 80335
Australia9 sites
Melbourne Sexual Health Clinic
Carlton, Victoria, 3053
East Sydney Doctors
Darlinghurst, New South Wales, 2010
Holdsworth House Medical practice
Darlinghurst, New South Wales, 2010
St Vincent's Hospital, Sydney
Darlinghurst, New South Wales, 2010
Taylor Square Private Clinic
Darlinghurst, New South Wales, 2010
Alfred Hospital
Melbourne, Victoria, 3004
Northside Clinic
Melbourne, Victoria, 3068
Prahran Market Clinic
South Yarra, Victoria, 3141
Albion Street Centre
Surry Hills, New South Wales, 2010
France7 sites
Hôpital de La Croix Rousse
Lyon, 75970
CHU Hotel Dieu
Nantes, 44093
Archet 1 CHU de Nice - 6ème Niveau
Nice, 06200
Hôpital Saint Louis
Paris, 75010
Hopital Saint Antoine
Paris, 75012
Bichat Hospital
Paris, 75018
Centre Hospitalier de Tourcoing
Tourcoing, 59208
Thailand5 sites
HIV-NAT, Thai Red Cross AIDS Research Center and Faculty of Medicine Chulalongkorn University
Bangkok, 10330
Ramathibodi Hospital, Mahidol University
Bangkok, 10400
Siriraj HospitalDepartment of Preventive and Social Medicine, Faculty of Medicine
Bangkok, 10700
Maharaj Nakorn Chiang Mai University, Faculty of Medicine, Department of Medicine
Chiang Mai, 50200
Khon Kaen University
Khon Kaen, 40002
United Kingdom5 sites
Brighton and Sussex University Hospitals NHS Trust
Brighton, BN2 1ES
Barts and the London NHS Trust
London, E1 1BB
Chelsea and Westminster Hospital Foundation Trust
London, SW10 9NH
Courtyard Clinic, St. Georges Hospital
London, SW17 0QT
North Manchester General Hospital
Manchester, M8 5RB
Brazil4 sites
Instituto De Pesquisa Clinica Evandro Chagas - Fundação Oswaldo Cruz
Rio de Janeiro, 21040-360
Faculdade de Medicina do ABC
Santo André, 09060-650
São Paulo Secretaria da Saúde - Instituto De Infectologia Emilio Ribas
São Paulo, 01246-900
São Paulo Secretaria da Saúde - Centro de Referência e Treinamento em DST/AIDS
São Paulo, 04121-000
Italy4 sites
Fondazione Centro San Raffaele del Monte Tabor
Milan, 20127
Azienda Ospedaliera Luigi Sacco 1° Divisione Malattie Infettive
Milan, 20157
Istituto Nazionale Malattie Infettive "Lazzaro Spallanzani" IRCCS
Rome, 00149
Comprensorio Amedeo Di Savoia Birago Di Vische
Torino, 10149
Austria3 sites
Medizinische Universität Graz
Graz, 8020
Medizinische Universitat Wien
Vienna, 1090
SMZ Baumgartner Hoehe - Otto-Wagner-Spital
Vienna, 1140
Puerto Rico3 sites
Clinical Research Puerto Rico
San Juan, PR, 00909
HOPE Clinical Research
San Juan, Pr, 00909
VA Caribbean Healthcare System
San Juan, Pr, 00921
Spain3 sites
Hospital Universitari De Bellvitge
Barcelona, 08907
Hospital Universitario La Paz
Madrid, 28046
Hospital Virgen del Rocio
Seville, 41013
Switzerland3 sites
Universitätsklinik für Infektiologie, Universitätsspital Bern
Bern, 3010
Centre Hospitalier Universitaire Vaudois
Lausanne, 1011
University Hospital of Zurich
Zurich, 8091
Belgium2 sites
CHU Saint-Pierre University Hospital
Brussels, 1000
Hôpital Universitaire Erasme - ULB
Ghent, 1070
Netherlands2 sites
Onze Lieve Vrouwe Gasthuis, Afdeling Infectieziekten
Amsterdam, 1091 AC
Erasmus MC
Rotterdam, 3000 CA
Portugal2 sites
Hospital de Santa Maria
Lisbon, 1649-035
Servico De Doencas Infecciosas - Hospital De Sao Joao
Porto, 4202-451
Dominican Republic1 site
Instituto Dominicano de Estudios Virologicos - IDEV
Santo Domingo
Mexico1 site
Antiguo Hospital Civil de Guadalajara "Fray Antonio Alcalde"
Guadalajara, 44280
About this study
Official title: A Phase 3, Open-Label Study to Evaluate Switching From a TDF-Containing Combination Regimen to a TAF-Containing Combination Single Tablet Regimen (STR) in Virologically-Suppressed, HIV-1 Positive Subjects
The primary objective of this study is to evaluate the non-inferiority of switching to a tenofovir alafenamide (TAF)-containing fixed dose combination (FDC) relative to maintaining tenofovir disoproxil fumarate (TDF)-containing combination regimens in virologically suppressed HIV-infected participants as determined by having HIV-1 RNA < 50 copies/mL at Week 48.
- Conditions
- HIV, HIV Infections
- Being tested
- E/C/F/TAF, E/C/F/TDF, EFV/FTC/TDF, RTV, ATV
- Keywords
- HIV, HIV 1 Infected, Virologically-Suppressed
- 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 EVG/COBI/FTC/TAF; 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
EFV/FTC/TDFDrug
Also called Atripla®
600/200/300 mg FDC tablet administered orally once daily
RTVDrug
Also called Norvir®
100 mg tablet administered orally once daily
ATVDrug
Also called Reyataz®
300 mg capsule administered orally once daily
FTC/TDFDrug
Also called Truvada®
200/300 mg tablet administered orally once daily
COBIDrug
Also called Tybost®, GS-9350
150 mg tablet administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| E/C/F/TAF | Experimental | Randomized Phase: Elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) for up to 96 weeks.
Extension Phase: After completing 96 weeks of randomized treatment, all participants will be given the opportunity to receive open-label E/C/F/TAF until it becomes commercially available, or until Gilead elects to terminate the development of E/C/F/TAF. Receives: Drug: E/C/F/TAF |
| Stay on Baseline Treatment Regimen (SBR) | Active comparator | Randomized Phase: Participants stayed on their baseline emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF)-containing regimen E/C/F/TDF; efavirenz (EFV)/FTC/TDF; ritonavir (RTV)-boosted atazanavir (ATV)+FTC/TDF; or cobicistat (COBI-boosted ATV+FTC/TDF) administered according to prescribing information for up to 96 weeks.
Extension Phase: After completing 96 weeks of randomized treatment (SBR), all participants will be given the opportunity to receive open-label E/C/F/TAF until it becomes commercially available, or until Gilead elects to terminate the development of E/C/F/TAF. Receives: Drug: E/C/F/TDF; Drug: EFV/FTC/TDF; Drug: RTV; Drug: ATV; Drug: FTC/TDF; Drug: COBI |
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 (9)
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. BMD is calculated as grams per square centimeter (g/cm^2); the mean (SD) percentage change is presented.
Measured: Baseline; Week 48
Percent Change From Baseline in Spine BMD at Week 48
Spine BMD was assessed by DXA scan. BMD is calculated as g/cm^2; the mean (SD) percentage change is presented.
Measured: Baseline; Week 48
Change From Baseline in Serum Creatinine at Week 48
Measured: Baseline; Week 48
Change From Baseline in the Overall EFV-related Symptom Assessment Score at Week 48
The mean (SD) change of the overall EFV-related symptom assessment score is presented. The overall symptom score (ranging from 0 to 20) is the sum of the individual symptom scores ranging from 0 (no symptoms) to 4 (most severe symptoms) from the 5 EFV-related symptom assessments (dizziness, trouble sleeping, impaired concentration, sleepiness, and abnormal or vivid dream). A negative change from baseline indicates improvement.
EFV-Related Symptom Analysis Set: participants who received EFV/FTC/TDF as prior treatment, received at least 1 dose of study drug, and completed EFV-related symptom assessments at the baseline visit and at least 1 postbaseline visit.
Measured: Baseline; Week 48
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 Week 48
The percentage of participants achieving HIV-1 RNA < 20 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
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Week 96
The percentage of participants achieving HIV-1 RNA < 20 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
Change From Baseline in Cluster Determinant 4 (CD4) Cell Count at Week 48
The analysis of CD4 cell count included values up to 1 day after the last dose date of randomized study drug.The change from baseline in CD4 cell count for the full analysis set was based on observed data (ie, Missing = Excluded) for the total and by the prior treatment regimen.
Measured: Baseline; Week 48
Change From Baseline in CD4 Cell Count at Weeks 96
The analysis of CD4 cell count included values up to 1 day after the last dose date of randomized study drug.The change from baseline in CD4 cell count for the full analysis set was based on observed data (ie, Missing = Excluded) for the total and by the prior treatment regimen.
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 posted21 Mar 2013 (estimated)
- Study start27 Mar 2013
- Primary completion16 Mar 2015
- Study completion1 Apr 2020
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 (40)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
- None (open label)
- Enrolment
- 1,443 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
- NCT01815736
- Sponsor's protocol ID
- GS-US-292-0109
- Other IDs
- 2012-005114-20
- Status last verified
- Mar 2021
- First submitted
- 19 Mar 2013
- Last updated
- 13 Apr 2021
- 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 https://www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy
Publications
Mills A, Arribas JR, Andrade-Villanueva J, DiPerri G, Van Lunzen J, Koenig E, Elion R, Cavassini M, Madruga JV, Brunetta J, Shamblaw D, DeJesus E, Orkin C, Wohl DA, Brar I, Stephens JL, Girard PM, Huhn G, Plummer A, Liu YP, Cheng AK, McCallister S; GS-US-292-0109 team. Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in antiretroviral regimens for virologically suppressed adults with HIV-1 infection: a randomised, active-controlled, multicentre, open-label, phase 3, non-inferiority study. Lancet Infect Dis. 2016 Jan;16(1):43-52. doi: 10.1016/S1473-3099(15)00348-5. Epub 2015 Nov 2.
PubMed 26538525Orkin C, DeJesus E, Ramgopal M, Crofoot G, Ruane P, LaMarca A, Mills A, Vandercam B, de Wet J, Rockstroh J, Lazzarin A, Rijnders B, Podzamczer D, Thalme A, Stoeckle M, Porter D, Liu HC, Cheng A, Quirk E, SenGupta D, Cao H. Switching from tenofovir disoproxil fumarate to tenofovir alafenamide coformulated with rilpivirine and emtricitabine in virally suppressed adults with HIV-1 infection: a randomised, double-blind, multicentre, phase 3b, non-inferiority study. Lancet HIV. 2017 May;4(5):e195-e204. doi: 10.1016/S2352-3018(17)30031-0. Epub 2017 Mar 2.
PubMed 28259777Brown T, Yin MT, Gupta S, Katlama C, et al. Switching from TDF to TAF in HIV-infected adults with low BMD: a pooled analysis. 24th Annual Conference on Retroviruses and Opportunistic Infections (CROI) - CROI Foundation 2017; poster presentation: abstract #683.
Podzamczer D, Viciana P, Rijnders B, Shalit P, et al. Switching from Tenofovir disoproxil fumarate to tenofovir alafenamide in patients with high risk for chronic kidney disease. 8th National Congress of the AIDS Study Group (GESIDA) and Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC) held jointly with the 9th Teacher Meeting of AIDS Research Network 2016; poster presentation: abstract #P-188.
Orkin C, Rjinders B, Stephan C, McKellar M, et al. Switching from boosted atazanavir (ATV) plus FTC/TDF to a TAF-based single tablet regimen (STR): Week 48 data in virologically suppressed adults. Annual Conference of the British Association for Sexual Health and HIV (BASHH) 2016; poster presentation: abstract # P045.
Mills A, Andrade J, Koenig E, et al. Switching from a tenofovir disoproxil fumarate (TDF)-based regimen to a tenofovir alafenamide (TAF)-based regimen: data in virologically suppressed adults through 48 weeks of treatment. 13th Congress for Infectious Diseases and Tropical Medicine (KIT) 2016; poster presentation: abstract #eP-038.
Overton ET, Shalit P, Crofoot G, Benson P, et al. Switch from TDF regimens to E/C/F/TAF is associated with improved bone mineral density (BMD), decreased serum PTH and decreased bone turnover biomarkers. 56th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) held Jointly with the 2016 Annual Meeting on Microbe - American Society for Microbiology (ASM) 2016; poster presentation: abstract #PW-027.
Huhn G, Rijnders B, Thompson M, Tebas P, et al. Switching from TDF to TAF in patients with high risk for CKD. 56th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) held Jointly with the 2016 Annual Meeting on Microbe - American Society for Microbiology (ASM) 2016; oral presentation: https://www.natap.org/2016/HIV/062116_01.htm.
Abram M, Margot NA, Cox S, Ram RR, et al. Pooled week-48 analysis of HIV-1 drug resistance in E/C/F/TAF (Genvoya) phase 3 studies. 23rd Annual Conference on Retroviruses and Opportunistic Infections (CROI) - CROI Foundation 2016, poster presentation: abstract #496.
Abram M, Margot NA, Cox S, Ram RR, et al. Pooled week-48 analysis of HIV-1 drug resistance in E/C/F/TAF (Genvoya) phase 3 studies. 25th International HIV Drug Resistance Workshop - Informed Horizons, LLC 2016; poster presentation: abstract #33.
Mills A, Andrade J, Di Perri G, Van Lunzen J, et al. Switching from a tenofovir disoproxil fumarate (TDF)-based regimen to a tenofovir alafenamide (TAF)-based regimen: data in virologically suppressed adults through 48 weeks of treatment. 8th Biennial Conference on HIV Pathogenesis and Treatment and Prevention of the International AIDS Society (IAS) 2015; oral presentation: abstract #TUAB0102.
Shamblaw D, Van Lunzen J, Orkin C, Bloch M, eta al. Switching from Atripla (ATR) to a tenofovir alafenamide (TAF)-based single tablet regimen: week 48 data in virologically suppressed adults. 55th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) 2015; oral presentation; https://natap.org/2015/ICAAC/ICAAC_13.htm.
Thompson M, Morales-Ramirez J, Mcdonald C, Rachlis A, et al. Switching from a tenofovir disoproxil fumarate (TDF) to a tenofovir alafenamide (TAF)-based single tablet regimen (STR): Week 48 data in HIV-1 infected virologically suppressed adults. Spring Conference of the Society for Healthcare Epidemiology of America (SHEA) 2015; oral presentation: abstract #725.
Rijnders B, Stephan C, Lazzarin A, Squires K, et al. Switching from ritonavir or cobicistat boosted atazanavir (ATV) plus emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) to a tenofovir alafenamide (TAF)-based single tablet regimen (STR): week 48 data in virologically suppressed adults. 15th European AIDS Conference (EACS) and 17th International Workshop on Co-morbidities and Adverse Drug Reactions in HIV 2015; poster presentation: abstract #577.
Lutz T, Benson P, Goffard J-C, Haubrich R, et al. Patient reported outcomes (PRO) over 48 weeks in a randomized, open-label trial of patients with HIV switching to coformulated elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide (E/C/F/TAF). 15th European AIDS Conference (EACS) and 17th International Workshop on Co-morbidities and Adverse Drug Reactions in HIV 2015; poster presentation: abstract #324.
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-Label Study to Evaluate Switching From a TDF-Containing Combination Regimen to a TAF-Containing Combination Single Tablet Regimen (STR) in Virologically-Suppressed, HIV-1 Positive Subjects
- ClinicalTrials.gov ID
- NCT01815736
- Acronym / sponsor ID
- GS-US-292-0109
- Conditions
- HIV, HIV Infections
- Keywords
- HIV, HIV 1 Infected, Virologically-Suppressed
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,443 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 27 Mar 2013 (actual)
- Primary completion
- 16 Mar 2015 (actual)
- Study completion
- 1 Apr 2020 (actual)
- First posted
- 21 Mar 2013 (estimated)
- Results
- Posted 14 Apr 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 non-inferiority of switching to a tenofovir alafenamide (TAF)-containing fixed dose combination (FDC) relative to maintaining tenofovir disoproxil fumarate (TDF)-containing combination regimens in virologically suppressed HIV-infected participants as determined by having HIV-1 RNA < 50 copies/mL at Week 48.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| E/C/F/TAF | Experimental | Drug: E/C/F/TAFRandomized Phase: Elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) for up to 96 weeks. Extension Phase: After completing 96 weeks of randomized treatment, all participants will be given the opportunity to receive open-label E/C/F/TAF until it becomes commercially available, or until Gilead elects to terminate the development of E/C/F/TAF. |
| Stay on Baseline Treatment Regimen (SBR) | Active comparator | Drug: E/C/F/TDF, Drug: EFV/FTC/TDF, Drug: RTV, Drug: ATV, Drug: FTC/TDF, Drug: COBIRandomized Phase: Participants stayed on their baseline emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF)-containing regimen E/C/F/TDF; efavirenz (EFV)/FTC/TDF; ritonavir (RTV)-boosted atazanavir (ATV)+FTC/TDF; or cobicistat (COBI-boosted ATV+FTC/TDF) administered according to prescribing information for up to 96 weeks. Extension Phase: After completing 96 weeks of randomized treatment (SBR), all participants will be given the opportunity to receive open-label E/C/F/TAF until it becomes commercially available, or until Gilead elects to terminate the development of E/C/F/TAF. |
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
- Currently receiving antiretroviral therapy consisting of E/C/F/TDF, EFV/FTC/TDF, RTV+ATV+FTC/TDF, or COBI+ATV+FTC/TDF for ≥ 6 consecutive months preceding the final visit in their earlier study
- Completion of the Week 144 visit in studies GS-US-236-0102, GS-US-236-0103, GS-US-216-0114, or completion of the Week 96 visit in study GS-US-264-0110 (only participants on an EFV-based regimen), or completion of studies GS-US-236-0104, GS-US-216-0105
- Plasma human immunodeficiency virus type 1-ribonucleic acid (HIV-1 RNA) concentrations at undetectable levels for at least 6 consecutive months prior to the screening visit and have HIV RNA < 50 copies/mL at the screening visit
- Normal echocardiograph (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 position
- Hepatitis C antibody positive
- Participants 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: EVG/COBI/FTC/TAF; Genvoya®150/150/200/10 mg FDC tablet administered orally once daily | Drug | E/C/F/TAF |
| E/C/F/TDFAlso: Stribild®150/150/200/300 mg FDC tablet administered orally once daily | Drug | Stay on Baseline Treatment Regimen (SBR) |
| EFV/FTC/TDFAlso: Atripla®600/200/300 mg FDC tablet administered orally once daily | Drug | Stay on Baseline Treatment Regimen (SBR) |
| RTVAlso: Norvir®100 mg tablet administered orally once daily | Drug | Stay on Baseline Treatment Regimen (SBR) |
| ATVAlso: Reyataz®300 mg capsule administered orally once daily | Drug | Stay on Baseline Treatment Regimen (SBR) |
| FTC/TDFAlso: Truvada®200/300 mg tablet administered orally once daily | Drug | Stay on Baseline Treatment Regimen (SBR) |
| COBIAlso: Tybost®, GS-9350150 mg tablet administered orally once daily | Drug | Stay on Baseline Treatment Regimen (SBR) |
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.
9 secondary outcomes
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Time frame: Baseline; Week 48
Percent Change From Baseline in Spine BMD at Week 48
Time frame: Baseline; Week 48
Change From Baseline in Serum Creatinine at Week 48
Time frame: Baseline; Week 48
Change From Baseline in the Overall EFV-related Symptom Assessment Score at Week 48
Time frame: Baseline; Week 48
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 Week 48
Time frame: Week 48
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Week 96
Time frame: Week 96
Change From Baseline in Cluster Determinant 4 (CD4) Cell Count at Week 48
Time frame: Baseline; Week 48
Change From Baseline in CD4 Cell Count at Weeks 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 13 Apr 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 26538525Mills A, Arribas JR, Andrade-Villanueva J, DiPerri G, Van Lunzen J, Koenig E, Elion R, Cavassini M, Madruga JV, Brunetta J, Shamblaw D, DeJesus E, Orkin C, Wohl DA, Brar I, Stephens JL, Girard PM, Huhn G, Plummer A, Liu YP, Cheng AK, McCallister S; GS-US-292-0109 team. Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in antiretroviral regimens for virologically suppressed adults with HIV-1 infection: a randomised, active-controlled, multicentre, open-label, phase 3, non-inferiority study. Lancet Infect Dis. 2016 Jan;16(1):43-52. doi: 10.1016/S1473-3099(15)00348-5. Epub 2015 Nov 2.
- Results publication: PubMed 28259777Orkin C, DeJesus E, Ramgopal M, Crofoot G, Ruane P, LaMarca A, Mills A, Vandercam B, de Wet J, Rockstroh J, Lazzarin A, Rijnders B, Podzamczer D, Thalme A, Stoeckle M, Porter D, Liu HC, Cheng A, Quirk E, SenGupta D, Cao H. Switching from tenofovir disoproxil fumarate to tenofovir alafenamide coformulated with rilpivirine and emtricitabine in virally suppressed adults with HIV-1 infection: a randomised, double-blind, multicentre, phase 3b, non-inferiority study. Lancet HIV. 2017 May;4(5):e195-e204. doi: 10.1016/S2352-3018(17)30031-0. Epub 2017 Mar 2.
- Results publicationBrown T, Yin MT, Gupta S, Katlama C, et al. Switching from TDF to TAF in HIV-infected adults with low BMD: a pooled analysis. 24th Annual Conference on Retroviruses and Opportunistic Infections (CROI) - CROI Foundation 2017; poster presentation: abstract #683.
- Results publicationPodzamczer D, Viciana P, Rijnders B, Shalit P, et al. Switching from Tenofovir disoproxil fumarate to tenofovir alafenamide in patients with high risk for chronic kidney disease. 8th National Congress of the AIDS Study Group (GESIDA) and Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC) held jointly with the 9th Teacher Meeting of AIDS Research Network 2016; poster presentation: abstract #P-188.
- Results publicationOrkin C, Rjinders B, Stephan C, McKellar M, et al. Switching from boosted atazanavir (ATV) plus FTC/TDF to a TAF-based single tablet regimen (STR): Week 48 data in virologically suppressed adults. Annual Conference of the British Association for Sexual Health and HIV (BASHH) 2016; poster presentation: abstract # P045.
- Results publicationMills A, Andrade J, Koenig E, et al. Switching from a tenofovir disoproxil fumarate (TDF)-based regimen to a tenofovir alafenamide (TAF)-based regimen: data in virologically suppressed adults through 48 weeks of treatment. 13th Congress for Infectious Diseases and Tropical Medicine (KIT) 2016; poster presentation: abstract #eP-038.
- Results publicationOverton ET, Shalit P, Crofoot G, Benson P, et al. Switch from TDF regimens to E/C/F/TAF is associated with improved bone mineral density (BMD), decreased serum PTH and decreased bone turnover biomarkers. 56th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) held Jointly with the 2016 Annual Meeting on Microbe - American Society for Microbiology (ASM) 2016; poster presentation: abstract #PW-027.
- Results publicationHuhn G, Rijnders B, Thompson M, Tebas P, et al. Switching from TDF to TAF in patients with high risk for CKD. 56th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) held Jointly with the 2016 Annual Meeting on Microbe - American Society for Microbiology (ASM) 2016; oral presentation: https://www.natap.org/2016/HIV/062116_01.htm.
- Results publicationAbram M, Margot NA, Cox S, Ram RR, et al. Pooled week-48 analysis of HIV-1 drug resistance in E/C/F/TAF (Genvoya) phase 3 studies. 23rd Annual Conference on Retroviruses and Opportunistic Infections (CROI) - CROI Foundation 2016, poster presentation: abstract #496.
- Results publicationAbram M, Margot NA, Cox S, Ram RR, et al. Pooled week-48 analysis of HIV-1 drug resistance in E/C/F/TAF (Genvoya) phase 3 studies. 25th International HIV Drug Resistance Workshop - Informed Horizons, LLC 2016; poster presentation: abstract #33.
- Results publicationMills A, Andrade J, Di Perri G, Van Lunzen J, et al. Switching from a tenofovir disoproxil fumarate (TDF)-based regimen to a tenofovir alafenamide (TAF)-based regimen: data in virologically suppressed adults through 48 weeks of treatment. 8th Biennial Conference on HIV Pathogenesis and Treatment and Prevention of the International AIDS Society (IAS) 2015; oral presentation: abstract #TUAB0102.
- Results publicationShamblaw D, Van Lunzen J, Orkin C, Bloch M, eta al. Switching from Atripla (ATR) to a tenofovir alafenamide (TAF)-based single tablet regimen: week 48 data in virologically suppressed adults. 55th Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) 2015; oral presentation; https://natap.org/2015/ICAAC/ICAAC_13.htm.
- 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 https://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
167 sites in 20 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, E/C/F/TDF and EFV/FTC/TDF in people with HIV and HIV Infections, run by Gilead Sciences at 167 sites in 20 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 13 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 167 sites in United States, Canada, Germany, Australia, France and 15 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 14 Apr 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 NCT01815736, which also lists 40 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 13 Apr 2021.