HIV InfectionsPhase 3TALENTNCT02369965
Test Albuvirtide in Experienced Patients
A Phase 3 study testing albuvirtide, lopinavir-ritonavir and tenofovir in people with HIV Infections and AIDS, run by Frontier Biotechnologies Inc. at 12 sites in China.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of albuvirtide combined with lopinavir-ritonavir (LPV/r) in HIV-1-infected patients who failed first-line antiretroviral therapy (ART). Read more about this study
- Who is it for?
- Ages 16 to 60 years
- Conditions the study is for
- HIV Infections, AIDS
- What is being tested?
- albuvirtide, lopinavir-ritonavir and tenofovir
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 418 participants
- Where
- 12 sitesChina
- Study dates
- 19 Feb 2014to 2 Apr 2018
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 16 to 60 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- 16-60 years old, male or female.
- Those who meet the Diagnostic Criteria of AIDS and HIV Infection, the Health Industry Standard of the People's Republic of China (WS 293-2008).
- Those who have been undergoing antiretroviral treatment with nucleosides and non-nucleoside reverse transcriptase inhibitors (NRTIs+NNRTIs) for at least 6 months.
- HIV-RNA ≥ 1000 copies/mL.
- Those who have no serious hepatic or renal functional impairment and other parameters are generally in the normal ranges according to the comprehensive physical examinations (including general physical examination, routine blood and urine tests, blood chemistry tests, ECG, etc.).
- The subjects should have a full understanding of the objective, nature, methods of the trial and the possible reactions. He/She should participate in the trial voluntarily and should sign the informed consent form.
Who cannot join
- Those who are in an acute stage of infection, or have suffered from AIDS-related diseases (e.g. opportunistic infections or malignant tumors, etc.) at enrollment; or have suffered from opportunistic infections within 3 months prior to enrollment and the conditions have not reached a stable state within 2 weeks prior to enrollment.
- Those who have used protease inhibitors or HIV fusion inhibitors for antiretroviral treatment, and who have participated in HIV vaccine clinical trials or have participated in other drug trials within recent 3 months.
- Those who have been co-administered antiviral treatment for hepatitis.
- Those whose screening test results meet one of the following: hemoglobin < 9 g/dL, WBC count <2×109/L, neutrophil count < 1×109/L, PLT count < 75×109/L, transaminase > 3×ULN, total bilirubin > 2×ULN, creatinine > 1×ULN, serum creatine phosphokinase > 2×ULN.
- Those with allergic constitution or known allergic to ingredients of the investigational drug or ART drugs prescribed in the protocol.
- Currently suffering from serious chronic diseases, metabolic diseases (such as diabetes mellitus), neurological and psychiatric disorders.
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- Patients with hemophilia A or B.
- Those with suspected or confirmed history of alcohol or drug abuse.
- Pregnant or lactating women; or women of childbearing age who refuse to take contraceptive measures during the trial.
- Those for whom the possibility of being enrolled is low according to the judgment of the investigator (e.g. weak physical condition, poor compliance, etc.).
Trial locations and contacts
12 sites in 1 country.
12 sites in 1 country
China12 sites
302 Hospital People's Liberation Army Of China
Beijing, Beijing Municipality
Beijing Ditan Hospital, Capital Medical University
Beijing, Beijing Municipality
Beijing Youan Hospital, Capital medical university
Beijing, Beijing Municipality
The First Hospital of Changsha
Changsha, Hunan
The Second Xiangya Hospital of Central South University
Changsha, Hunan
Guangzhou Eighth People's Hospital
Guangzhou, Guangdong
Affiliated Hangzhou Xixi Hospital,Zhejiang University School Of Medicine
Hangzhou, Zhejiang
The First Affiliated Hospital Zhejiang University School Of Medicine
Hangzhou, Zhejiang
Shanghai Public Health Clinical Center
Shanghai, Shanghai Municipality
The Third People'S Hospital Of Shenzhen
Shenzhen, Guangdong
Tangdu Hospital, Fourth Military Medical University
Xi’an, Shanxi
Henan Infectious Disease Hospital
Zhengzhou, Henan
About this study
Official title: Efficacy and Safety of Albuvirtide for Injection Combined With LPV/r for Treatment of HIV-1-Infected Patients Failed First-line Antiretroviral Therapy
The purpose of this study is to evaluate the efficacy and safety of albuvirtide combined with lopinavir-ritonavir (LPV/r) in HIV-1-infected patients who failed first-line antiretroviral therapy (ART).
Read the detailed description
This was a 48-week, multi-center, open-label, randomized and controlled, non-inferiority phase 3 clinical trial to evaluate the safety and efficacy of albuvirtide combined with LPV/r in HIV-1 infected patients who failed their first-line ART and had HIV-1 RNA levels ≥ 1000 copies/mL at screening.
The trial was conducted in 12 sites in China. Subjects meeting inclusion criteria were randomized in a 1:1 ratio to ABT group and NRTI group, in which the ABT group received albuvirtide and LPV/r combination therapy, and NRTI group received the standard 3-drug regimen of LPV/r + Lamivudine (3TC) + Tenofovir (TDF). If TDF was used in the previous regimen or genotypic resistance histories showed primary mutation to TDF, zidovudine (AZT) or abacavir (ABC) would be used. Albuvirtide was given by weekly intravenous infusion and LPV/r was given twice daily orally. A total of 418 subjects were randomized, of whom 401 received at least one treatment.
- Conditions
- HIV Infections, AIDS
- Being tested
- albuvirtide, lopinavir-ritonavir, tenofovir, lamivudine
- Keywords
- HIV-1, AIDS, Albuvirtide, Treatment-experienced, Fusion inhibitor
- Medical subject headings
- HIV Infections, Acquired Immunodeficiency Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
albuvirtideDrug
Also called ABT
albuvirtide 320mg administered intravenously once a week
lopinavir-ritonavirDrug
Also called Kaletra, LPV/r
lopinavir-ritonavir 400/100mg administered orally twice daily
tenofovirDrug
Also called TDF
tenofovir 300mg administered orally once daily
lamivudineDrug
Also called 3TC
lamivudine 300mg administered orally once daily
| Study group | Role | What they receive |
|---|---|---|
| albuvirtide, lopinavir-ritonavir | Experimental | albuvirtide once a week and lopinavir-ritonavir twice daily for 48 weeks Receives: Drug: albuvirtide; Drug: lopinavir-ritonavir |
| lopinavir-ritonavir,tenofovir,lamivudine | Active comparator | lopinavir-ritonavir twice daily, tenofovir once daily and lamivudine once daily for 48 weeks Receives: Drug: lopinavir-ritonavir; Drug: tenofovir; Drug: lamivudine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of participants of virological suppression at Week 48
Percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48
Measured: Through Week 48
Secondary outcomes (3)
Changes of viral load
Changes of HIV-1 RNA relative to baseline at Week 48
Measured: Baseline to Week 48
Percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48
Percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48
Measured: Through Week 48
Changes of CD4 cell count
Changes of CD4 cell count relative to baseline at Week 48
Measured: Baseline to Week 48
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Feb 2015 (estimated)
- Study start19 Feb 2014
- Primary completion2 Apr 2018
- Study completion2 Apr 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- 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
- 418 participants (actual)
Sponsor and investigators
- Lead sponsor
- Frontier Biotechnologies Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Dong Xie, Study director, Frontier Biotechnologies Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02369965
- Sponsor's protocol ID
- FB-ABWT-Ⅲ-301
- Other IDs
- ChiCTR-TRC-14004276
- Acronym
- TALENT
- Status last verified
- Sep 2021
- First submitted
- 18 Feb 2015
- Last updated
- 6 Oct 2021
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Su B, Yao C, Zhao QX, Cai WP, Wang M, Lu HZ, Chen YY, Liu L, Wang H, He Y, Zheng YH, Li LH, Chen JF, Yu JH, Zhu B, Zhao M, Sun YT, Lun WH, Xia W, Sun LJ, Dai LL, Jiang TY, Wang MX, Zheng QS, Peng HY, Wang Y, Lu RJ, Hu JH, Xing H, Shao YM, Xie D, Zhang T, Zhang FJ, Wu H; TALENT Study Team. Efficacy and safety of the long-acting fusion inhibitor albuvirtide in antiretroviral-experienced adults with human immunodeficiency virus-1: interim analysis of the randomized, controlled, phase 3, non-inferiority TALENT study. Chin Med J (Engl). 2020 Nov 25;133(24):2919-2927. doi: 10.1097/CM9.0000000000001273.
PubMed 33252379
Study at a glance
From the registry record, last updated by the sponsor on 6 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Albuvirtide for Injection Combined With LPV/r for Treatment of HIV-1-Infected Patients Failed First-line Antiretroviral Therapy
- ClinicalTrials.gov ID
- NCT02369965
- Acronym / sponsor ID
- TALENT / FB-ABWT-Ⅲ-301
- Conditions
- HIV Infections, AIDS
- Keywords
- HIV-1, AIDS, Albuvirtide, Treatment-experienced, Fusion inhibitor
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 418 participants (actual)
- Lead sponsor
- Frontier Biotechnologies Inc.Industry (pharma, biotech, devices)
- Study start
- 19 Feb 2014 (actual)
- Primary completion
- 2 Apr 2018 (actual)
- Study completion
- 2 Apr 2018 (actual)
- First posted
- 24 Feb 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of albuvirtide combined with lopinavir-ritonavir (LPV/r) in HIV-1-infected patients who failed first-line antiretroviral therapy (ART).
Detailed description
This was a 48-week, multi-center, open-label, randomized and controlled, non-inferiority phase 3 clinical trial to evaluate the safety and efficacy of albuvirtide combined with LPV/r in HIV-1 infected patients who failed their first-line ART and had HIV-1 RNA levels ≥ 1000 copies/mL at screening.
The trial was conducted in 12 sites in China. Subjects meeting inclusion criteria were randomized in a 1:1 ratio to ABT group and NRTI group, in which the ABT group received albuvirtide and LPV/r combination therapy, and NRTI group received the standard 3-drug regimen of LPV/r + Lamivudine (3TC) + Tenofovir (TDF). If TDF was used in the previous regimen or genotypic resistance histories showed primary mutation to TDF, zidovudine (AZT) or abacavir (ABC) would be used. Albuvirtide was given by weekly intravenous infusion and LPV/r was given twice daily orally. A total of 418 subjects were randomized, of whom 401 received at least one treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| albuvirtide, lopinavir-ritonavir | Experimental | Drug: albuvirtide, Drug: lopinavir-ritonaviralbuvirtide once a week and lopinavir-ritonavir twice daily for 48 weeks |
| lopinavir-ritonavir,tenofovir,lamivudine | Active comparator | Drug: lopinavir-ritonavir, Drug: tenofovir, Drug: lamivudinelopinavir-ritonavir twice daily, tenofovir once daily and lamivudine once daily for 48 weeks |
Who may qualify
- Ages
- 16 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (6 listed)
- 16-60 years old, male or female.
- Those who meet the Diagnostic Criteria of AIDS and HIV Infection, the Health Industry Standard of the People's Republic of China (WS 293-2008).
- Those who have been undergoing antiretroviral treatment with nucleosides and non-nucleoside reverse transcriptase inhibitors (NRTIs+NNRTIs) for at least 6 months.
- HIV-RNA ≥ 1000 copies/mL.
- Those who have no serious hepatic or renal functional impairment and other parameters are generally in the normal ranges according to the comprehensive physical examinations (including general physical examination, routine blood and urine tests, blood chemistry tests, ECG, etc.).
Key exclusion criteria (10 listed)
- Those who are in an acute stage of infection, or have suffered from AIDS-related diseases (e.g. opportunistic infections or malignant tumors, etc.) at enrollment; or have suffered from opportunistic infections within 3 months prior to enrollment and the conditions have not reached a stable state within 2 weeks prior to enrollment.
- Those who have used protease inhibitors or HIV fusion inhibitors for antiretroviral treatment, and who have participated in HIV vaccine clinical trials or have participated in other drug trials within recent 3 months.
- Those who have been co-administered antiviral treatment for hepatitis.
- Those whose screening test results meet one of the following: hemoglobin < 9 g/dL, WBC count <2×109/L, neutrophil count < 1×109/L, PLT count < 75×109/L, transaminase > 3×ULN, total bilirubin > 2×ULN, creatinine > 1×ULN, serum creatine phosphokinase > 2×ULN.
- Those with allergic constitution or known allergic to ingredients of the investigational drug or ART drugs prescribed in the protocol.
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 |
|---|---|---|
| albuvirtideAlso: ABTalbuvirtide 320mg administered intravenously once a week | Drug | albuvirtide, lopinavir-ritonavir |
| lopinavir-ritonavirAlso: Kaletra, LPV/rlopinavir-ritonavir 400/100mg administered orally twice daily | Drug | albuvirtide, lopinavir-ritonavir, lopinavir-ritonavir,tenofovir,lamivudine |
| tenofovirAlso: TDFtenofovir 300mg administered orally once daily | Drug | lopinavir-ritonavir,tenofovir,lamivudine |
| lamivudineAlso: 3TClamivudine 300mg administered orally once daily | Drug | lopinavir-ritonavir,tenofovir,lamivudine |
Primary outcome
Percentage of participants of virological suppression at Week 48
Time frame: Through Week 48
Percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48
3 secondary outcomes
Changes of viral load
Time frame: Baseline to Week 48
Percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48
Time frame: Through Week 48
Changes of CD4 cell count
Time frame: Baseline to Week 48
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Oct 2021.
- Derived from this study: PubMed 33252379Su B, Yao C, Zhao QX, Cai WP, Wang M, Lu HZ, Chen YY, Liu L, Wang H, He Y, Zheng YH, Li LH, Chen JF, Yu JH, Zhu B, Zhao M, Sun YT, Lun WH, Xia W, Sun LJ, Dai LL, Jiang TY, Wang MX, Zheng QS, Peng HY, Wang Y, Lu RJ, Hu JH, Xing H, Shao YM, Xie D, Zhang T, Zhang FJ, Wu H; TALENT Study Team. Efficacy and safety of the long-acting fusion inhibitor albuvirtide in antiretroviral-experienced adults with human immunodeficiency virus-1: interim analysis of the randomized, controlled, phase 3, non-inferiority TALENT study. Chin Med J (Engl). 2020 Nov 25;133(24):2919-2927. doi: 10.1097/CM9.0000000000001273.
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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.
Dong Xie study director
Frontier Biotechnologies Inc.
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing albuvirtide, lopinavir-ritonavir and tenofovir in people with HIV Infections and AIDS, run by Frontier Biotechnologies Inc. at 12 sites in China.
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 6 inclusion and 10 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 6 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites in China. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 of virological suppression at Week 48 (time frame: Through 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 NCT02369965, which also lists 1 linked publication.
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 6 Oct 2021.