HIV-1 InfectionPhase 3NCT02603107
Study to Evaluate the Safety and Efficacy of Switching From Regimens Consisting of Boosted Atazanavir or Darunavir Plus Either Emtricitabine/Tenofovir or Abacavir/Lamivudine to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Virologically Suppressed HIV-1 Infected Adults
A Phase 3 study testing RTV, ATV and DRV in people with HIV-1 Infection, run by Gilead Sciences at 119 sites in 11 countries.
Trial summary
The primary objective of this study is to evaluate the efficacy of switching to a fixed-dose combination (FDC) of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus continuing on a regimen consisting of boosted atazanavir (ATV) or darunavir (DRV) plus either emtricitabine/tenofovir disoproxil fumarate… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HIV-1 Infection
- What is being tested?
- RTV, ATV and DRV
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 578 participants
- Where
- 119 sitesin 11 countries
- Study dates
- 20 Nov 2015to 23 Dec 2019
- 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
- Currently receiving a once daily antiretroviral regimen consisting of ritonavir or cobicistat boosted ATV or DRV plus either FTC/TDF or ABC/3TC for ≥ 6 months preceding the screening visit
- Adequate renal function:
- Estimated glomerular filtration rate ≥ 50 mL/min (≥ 0.83 mL/sec) according to the Cockcroft-Gault formula
- Life expectancy ≥ 1 year
- Currently on a stable regimen for ≥ 6 months preceding the screening visit with documented plasma HIV-1 RNA < 50 copies/mL for ≥ 6 months preceding the screening visit (or undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). Prior changes in antiretroviral regimen are only allowed due to tolerability issues or for regimen simplification. Unconfirmed virologic elevations of ≥ 50 copies/mL (transient detectable viremia, or "blip") prior to screening are acceptable. (If the lower limit of detection of the local HIV-1 RNA assay is < 50 copies/mL [e.g., < 20 copies/mL], the plasma HIV-1 RNA level cannot exceed 50 copies/mL on two consecutive HIV-1 RNA tests)
- Have no documented or suspected resistance to FTC, tenofovir, ABC or 3TC, including but not limited to the reverse transcriptase resistance mutations K65R and M184V/I
- No previous use of any approved or experimental integrase strand transfer inhibitor (INSTI)
Who cannot join
- An opportunistic illness indicative of stage 3 HIV diagnosed within the 30 days prior to screening
- Individuals experiencing decompensated cirrhosis (eg, ascites, encephalopathy, or variceal bleeding)
- Have been treated with immunosuppressant therapies or chemotherapeutic agents within 3 months of study screening, or expected to receive these agents or systemic steroids during the study (eg, corticosteroids, immunoglobulins, and other immune- or cytokine based therapies)
- Current alcohol or substance use judged by the Investigator to potentially interfere with subject study compliance
- A history of or ongoing malignancy (including untreated carcinoma in-situ) other than cutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasive cutaneous squamous carcinoma. Individuals with biopsy-confirmed cutaneous KS are eligible, but must not have received any systemic therapy for KS within 30 days of Day 1 and are not anticipated to require systemic therapy during the study
- Active, serious infections (other than HIV 1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to Day 1
Show all 17Show fewer
- Participation in any other clinical trial, including observational studies, without prior approval from the sponsor is prohibited while participating in this trial
- 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 the dosing requirements
- Any known allergies to the excipients of B/F/TAF FDC or ATV, RTV, DRV, COBI, FTC/TDF or ABC/3TC
- Females who are pregnant (as confirmed by positive serum pregnancy test)
- Females who are breastfeeding
- Acute hepatitis in the 30 days prior to study entry
- Chronic hepatitis B infection in individuals not on a TDF containing regimen, as determined by either:
- Positive hepatitis B virus (HBV) surface antigen and negative HBV surface antibody, regardless of HBV core antibody status, at the screening visit
- Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit
- Active tuberculosis infection
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
119 sites in 11 countries.
119 sites in 11 countries
United States63 sites
Study site
Annandale, Virginia, 22003-7313
Study site
Atlanta, Georgia, 30312
Study site
Augusta, Georgia, 30912
Study site
Aurora, Colorado, 80045
Study site
Austin, Texas, 78705
Study site
Berkley, Michigan, 48072
Study site
Boston, Massachusetts, 01211
Study site
Buffalo, New York, 14215
Study site
Chapel Hill, North Carolina, 27599-7080
Study site
Charlotte, North Carolina, 28209
Study site
Chicago, Illinois, 60613
Study site
Chicago, Illinois, 60657
Study site
Chicago, Illinois
Study site
Columbia, South Carolina, 29203
Study site
Dallas, Texas, 75215
Study site
Dallas, Texas, 75219
Study site
Dallas, Texas, 75246
Study site
DeLand, Florida, 32720
Study site
Durham, North Carolina, 27710
Study site
Fort Lauderdale, Florida, 33316
Study site
Ft. Pierce, Florida, 34982
Study site
Greenville, North Carolina, 27834
Study site
Honolulu, Hawaii, 96813
Study site
Houston, Texas, 77004
Study site
Houston, Texas, 77098
Study site
Huntersville, North Carolina, 28078
Study site
Kansas City, Kansas, 66160
Study site
Kansas City, Missouri, 64111
Study site
Longview, Texas, 75605
Study site
Los Angeles, California, 90027
Study site
Los Angeles, California, 90036
Study site
Los Angeles, California, 90069
Study site
Louisville, Kentucky, 40202
Study site
Macon, Georgia, 31201
Study site
Memphis, Tennessee, 38105
Study site
Miami, Florida, 33133
Study site
Miami, Florida, 33136
Study site
Minneapolis, Minnesota, 55407
Study site
New Orleans, Louisiana, 70112
Study site
Newport Beach, California, 92663
Study site
Oakland, California, 94602
Study site
Orlando, Florida, 32803-1851
Study site
Pensacola, Florida, 32504
Study site
Philadelphia, Pennsylvania, 19107
Study site
Phoenix, Arizona, 85012
Study site
Phoenix, Arizona, 85015
Study site
Sacramento, California, 95825
Study site
San Diego, California, 92103
Study site
San Francisco, California, 94102
Study site
San Leandro, California, 94577
Study site
Seattle, Washington, 98104
Study site
Spokane, Washington, 99204
Study site
Springfield, Massachusetts, 1105
Study site
St Louis, Missouri, 63139
Study site
Tampa, Florida, 33614
Study site
The Bronx, New York, 10467
Study site
The Bronx, New York
Study site
Torrance, California, 90502
Study site
Vero Beach, Florida, 32960
Study site
Washington D.C., District of Columbia, 20017
Study site
Washington D.C., District of Columbia, 20036
Study site
West Palm Beach, Florida, 33401
Study site
Wilton Manors, Florida, 33305
United Kingdom14 sites
Study site
Birmingham, B4 6DH
Study site
Birmingham, B9 5SS
Study site
Brighton, BN2 3EW
Study site
Edinburgh, EH4 2XU
Study site
Liverpool, L7 8XP
Study site
London, E1 1BB
Study site
London, NW3 2QG
Study site
London, SE1 7EH
Study site
London, SE5 9RJ
Study site
London, SW10 9TH
Study site
London, SW17 0QT
Study site
London, W2 1NY
Study site
Manchester, M13 0FH
Study site
Manchester, M8 5RB
Germany11 sites
Study site
Berlin, 12157
Study site
Berlin, 13353
Study site
Bonn, 53127
Study site
Cologne, 50924
Study site
Düsseldorf, North Rhine-Westphalia, 40237
Study site
Essen, 45122
Study site
Frankfurt, 60590
Study site
Frankfurt, 60596
Study site
Hamburg, 20251
Study site
München, 80335
Study site
München, 81675
France7 sites
Study site
Lyon, 69317
Study site
Nantes, 44093
Study site
Nice, 6202
Study site
Paris, 75010
Study site
Paris, 75571
Study site
Tourcoing, 59200
Study site
Tours, 37000
Canada6 sites
Study site
Montreal, Quebec, H2L 4P9
Study site
Montreal, Quebec, H3A 1T1
Study site
Montreal, Quebec, H4A 3J1
Study site
Toronto, Ontario, M5G 1K2
Study site
Toronto, Ontario, M5G2N2
Study site
Vancouver, British Columbia, V6Z 2T1
Australia5 sites
Study site
Darlinghurst, New South Wales, 2010
Study site
Fitzroy, Victoria, 3068
Study site
Melbourne, Victoria, 3004
Study site
Prahran, Victoria, 3141
Study site
Sydney, New South Wales, 2010
Puerto Rico4 sites
Study site
Ponce, 00731
Study site
Rio Piedras, 935
Study site
San Juan, 00909
Study site
San Juan, 00935
Italy3 sites
Study site
Milan, 20127
Study site
Milan, 20157
Study site
Roma, 00149
Spain3 sites
Study site
Madrid, 28034
Study site
Madrid, 28040
Study site
Málaga, 29010
About this study
Official title: A Phase 3, Randomized, Open-Label Study to Evaluate the Safety and Efficacy of Switching From Regimens Consisting of Boosted Atazanavir or Darunavir Plus Either Emtricitabine/Tenofovir or Abacavir/Lamivudine to GS-9883/Emtricitabine/Tenofovir Alafenamide in Virologically Suppressed HIV-1 Infected Adults
The primary objective of this study is to evaluate the efficacy of switching to a fixed-dose combination (FDC) of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus continuing on a regimen consisting of boosted atazanavir (ATV) or darunavir (DRV) plus either emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or abacavir/lamivudine (ABC/3TC) in HIV-1 infected adults who are virologically suppressed.
- Conditions
- HIV-1 Infection
- Being tested
- RTV, ATV, DRV, COBI, ATV/co
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RTVDrug
100 mg capsule coadministered orally with ATV or DRV once daily with food
ATVDrug
300 mg capsule administered orally once daily with food
DRVDrug
800 mg tablet administered orally once daily with food
COBIDrug
Also called Tybost®, GS-9350
150 mg tablet coadministered orally with ATV or DRV once daily with food
ATV/coDrug
Also called Evotaz®
300/150 mg FDC tablet administered orally once daily with food
DRV/coDrug
Also called Prezcobix®
800/150 mg FDC tablet administered orally once daily with food
FTC/TDFDrug
Also called Truvada®
200/300 mg FDC tablet administered orally once daily without regard to food
ABC/3TCDrug
600/300 mg tablet administered orally once daily with or without regard to food
B/F/TAFDrug
Also called Biktarvy®
50/200/25 mg FDC tablet administered orally once daily without regard to food
| Study group | Role | What they receive |
|---|---|---|
| B/F/TAF | Experimental | Randomized Phase: Bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) for at least 48 weeks, without regard to food.
Extension Phase: After Week 48, participants in countries where B/F/TAF is not available will be given the option to receive B/F/TAF for up to 96 additional weeks or until the product becomes accessible to participants through an access program, or until Gilead Sciences elects to discontinue the study in that country, whichever occurs first. Receives: Drug: B/F/TAF |
| Stay on Baseline Regimen (SBR) | Experimental | Randomized Phase: Participants remained on current antiretroviral (ARV) regimen consisting of ritonavir (RTV)-boosted or cobicistat (COBI)-boosted atazanavir (ATV) or darunavir (DRV), plus either emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or abacavir/lamivudine (ABC/3TC) for at least 48 weeks with food.
Extension Phase: After Week 48, participants in countries where B/F/TAF is not available will be given the option to receive B/F/TAF for up to 96 additional weeks or until the product becomes accessible to participants through an access program, or until Gilead Sciences elects to discontinue the study in that country, whichever occurs first. Receives: Drug: RTV; Drug: ATV; Drug: DRV; Drug: COBI; Drug: ATV/co; Drug: DRV/co; Drug: FTC/TDF; Drug: ABC/3TC; Drug: B/F/TAF |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm
The percentage of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant'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 (2)
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm
The percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant'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
Change From Baseline in CD4 Cell Count 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 posted11 Nov 2015 (estimated)
- Study start20 Nov 2015
- Primary completion15 May 2017
- Study completion23 Dec 2019
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 (3)Papers the sponsor has linked to this study.
- Other trials for HIV-1 InfectionStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 578 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
- NCT02603107
- Sponsor's protocol ID
- GS-US-380-1878
- Other IDs
- 2015-004011-20, 2015
- Status last verified
- Dec 2020
- First submitted
- 10 Nov 2015
- Last updated
- 29 Dec 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 https://www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy.
Publications
Daar ES, DeJesus E, Ruane P, Crofoot G, Oguchi G, Creticos C, Rockstroh JK, Molina JM, Koenig E, Liu YP, Custodio J, Andreatta K, Graham H, Cheng A, Martin H, Quirk E. Efficacy and safety of switching to fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide from boosted protease inhibitor-based regimens in virologically suppressed adults with HIV-1: 48 week results of a randomised, open-label, multicentre, phase 3, non-inferiority trial. Lancet HIV. 2018 Jul;5(7):e347-e356. doi: 10.1016/S2352-3018(18)30091-2. Epub 2018 Jun 18.
PubMed 29925490Andreatta K, Willkom M, Martin R, Chang S, Wei L, Liu H, Liu YP, Graham H, Quirk E, Martin H, White KL. Switching to bictegravir/emtricitabine/tenofovir alafenamide maintained HIV-1 RNA suppression in participants with archived antiretroviral resistance including M184V/I. J Antimicrob Chemother. 2019 Dec 1;74(12):3555-3564. doi: 10.1093/jac/dkz347.
PubMed 31430369Avihingsanon A, Chetchotisakd P, Kiertiburanakul S, Ratanasuwan W, Siripassorn K, Supparatpinyo K, Martin H, Wang H, Wong T, Wang HY. Efficacy and safety of switching to bictegravir, emtricitabine, and tenofovir alafenamide in virologically suppressed Asian adults living with HIV: A pooled analysis from three international phase III randomized trials. HIV Med. 2023 Mar;24(3):290-300. doi: 10.1111/hiv.13386. Epub 2022 Aug 17.
PubMed 36912172
Study at a glance
From the registry record, last updated by the sponsor on 29 Dec 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Open-Label Study to Evaluate the Safety and Efficacy of Switching From Regimens Consisting of Boosted Atazanavir or Darunavir Plus Either Emtricitabine/Tenofovir or Abacavir/Lamivudine to GS-9883/Emtricitabine/Tenofovir Alafenamide in Virologically Suppressed HIV-1 Infected Adults
- ClinicalTrials.gov ID
- NCT02603107
- Acronym / sponsor ID
- GS-US-380-1878
- Conditions
- HIV-1 Infection
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 578 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 20 Nov 2015 (actual)
- Primary completion
- 15 May 2017 (actual)
- Study completion
- 23 Dec 2019 (actual)
- First posted
- 11 Nov 2015 (estimated)
- Results
- Posted 6 Jun 2018
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 switching to a fixed-dose combination (FDC) of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus continuing on a regimen consisting of boosted atazanavir (ATV) or darunavir (DRV) plus either emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or abacavir/lamivudine (ABC/3TC) in HIV-1 infected adults who are virologically suppressed.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| B/F/TAF | Experimental | Drug: B/F/TAFRandomized Phase: Bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) for at least 48 weeks, without regard to food. Extension Phase: After Week 48, participants in countries where B/F/TAF is not available will be given the option to receive B/F/TAF for up to 96 additional weeks or until the product becomes accessible to participants through an access program, or until Gilead Sciences elects to discontinue the study in that country, whichever occurs first. |
| Stay on Baseline Regimen (SBR) | Experimental | Drug: RTV, Drug: ATV, Drug: DRV, Drug: COBI, Drug: ATV/co, Drug: DRV/co, Drug: FTC/TDF, Drug: ABC/3TC, Drug: B/F/TAFRandomized Phase: Participants remained on current antiretroviral (ARV) regimen consisting of ritonavir (RTV)-boosted or cobicistat (COBI)-boosted atazanavir (ATV) or darunavir (DRV), plus either emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or abacavir/lamivudine (ABC/3TC) for at least 48 weeks with food. Extension Phase: After Week 48, participants in countries where B/F/TAF is not available will be given the option to receive B/F/TAF for up to 96 additional weeks or until the product becomes accessible to participants through an access program, or until Gilead Sciences elects to discontinue the study in that country, whichever occurs first. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Currently receiving a once daily antiretroviral regimen consisting of ritonavir or cobicistat boosted ATV or DRV plus either FTC/TDF or ABC/3TC for ≥ 6 months preceding the screening visit
- Adequate renal function:
- Life expectancy ≥ 1 year
- Currently on a stable regimen for ≥ 6 months preceding the screening visit with documented plasma HIV-1 RNA < 50 copies/mL for ≥ 6 months preceding the screening visit (or undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). Prior changes in antiretroviral regimen are only allowed due to tolerability issues or for regimen simplification. Unconfirmed virologic elevations of ≥ 50 copies/mL (transient detectable viremia, or "blip") prior to screening are acceptable. (If the lower limit of detection of the local HIV-1 RNA assay is < 50 copies/mL [e.g., < 20 copies/mL], the plasma HIV-1 RNA level cannot exceed 50 copies/mL on two consecutive HIV-1 RNA tests)
- Have no documented or suspected resistance to FTC, tenofovir, ABC or 3TC, including but not limited to the reverse transcriptase resistance mutations K65R and M184V/I
Key exclusion criteria (17 listed)
- An opportunistic illness indicative of stage 3 HIV diagnosed within the 30 days prior to screening
- Individuals experiencing decompensated cirrhosis (eg, ascites, encephalopathy, or variceal bleeding)
- Have been treated with immunosuppressant therapies or chemotherapeutic agents within 3 months of study screening, or expected to receive these agents or systemic steroids during the study (eg, corticosteroids, immunoglobulins, and other immune- or cytokine based therapies)
- Current alcohol or substance use judged by the Investigator to potentially interfere with subject study compliance
- A history of or ongoing malignancy (including untreated carcinoma in-situ) other than cutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasive cutaneous squamous carcinoma. Individuals with biopsy-confirmed cutaneous KS are eligible, but must not have received any systemic therapy for KS within 30 days of Day 1 and are not anticipated to require systemic therapy during the study
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RTV100 mg capsule coadministered orally with ATV or DRV once daily with food | Drug | Stay on Baseline Regimen (SBR) |
| ATV300 mg capsule administered orally once daily with food | Drug | Stay on Baseline Regimen (SBR) |
| DRV800 mg tablet administered orally once daily with food | Drug | Stay on Baseline Regimen (SBR) |
| COBIAlso: Tybost®, GS-9350150 mg tablet coadministered orally with ATV or DRV once daily with food | Drug | Stay on Baseline Regimen (SBR) |
| ATV/coAlso: Evotaz®300/150 mg FDC tablet administered orally once daily with food | Drug | Stay on Baseline Regimen (SBR) |
| DRV/coAlso: Prezcobix®800/150 mg FDC tablet administered orally once daily with food | Drug | Stay on Baseline Regimen (SBR) |
| FTC/TDFAlso: Truvada®200/300 mg FDC tablet administered orally once daily without regard to food | Drug | Stay on Baseline Regimen (SBR) |
| ABC/3TC600/300 mg tablet administered orally once daily with or without regard to food | Drug | Stay on Baseline Regimen (SBR) |
| B/F/TAFAlso: Biktarvy®50/200/25 mg FDC tablet administered orally once daily without regard to food | Drug | B/F/TAF, Stay on Baseline Regimen (SBR) |
Primary outcome
Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm
Time frame: Week 48
The percentage of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant'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.
2 secondary outcomes
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm
Time frame: Week 48
Change From Baseline in CD4 Cell Count at Week 48
Time frame: Baseline to Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Dec 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 29925490Daar ES, DeJesus E, Ruane P, Crofoot G, Oguchi G, Creticos C, Rockstroh JK, Molina JM, Koenig E, Liu YP, Custodio J, Andreatta K, Graham H, Cheng A, Martin H, Quirk E. Efficacy and safety of switching to fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide from boosted protease inhibitor-based regimens in virologically suppressed adults with HIV-1: 48 week results of a randomised, open-label, multicentre, phase 3, non-inferiority trial. Lancet HIV. 2018 Jul;5(7):e347-e356. doi: 10.1016/S2352-3018(18)30091-2. Epub 2018 Jun 18.
- Results publication: PubMed 31430369Andreatta K, Willkom M, Martin R, Chang S, Wei L, Liu H, Liu YP, Graham H, Quirk E, Martin H, White KL. Switching to bictegravir/emtricitabine/tenofovir alafenamide maintained HIV-1 RNA suppression in participants with archived antiretroviral resistance including M184V/I. J Antimicrob Chemother. 2019 Dec 1;74(12):3555-3564. doi: 10.1093/jac/dkz347.
- Derived from this study: PubMed 36912172Avihingsanon A, Chetchotisakd P, Kiertiburanakul S, Ratanasuwan W, Siripassorn K, Supparatpinyo K, Martin H, Wang H, Wong T, Wang HY. Efficacy and safety of switching to bictegravir, emtricitabine, and tenofovir alafenamide in virologically suppressed Asian adults living with HIV: A pooled analysis from three international phase III randomized trials. HIV Med. 2023 Mar;24(3):290-300. doi: 10.1111/hiv.13386. Epub 2022 Aug 17.
- 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
119 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 RTV, ATV and DRV in people with HIV-1 Infection, run by Gilead Sciences at 119 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 7 inclusion and 17 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 29 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 119 sites in United States, United Kingdom, Germany, France, Canada 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 6 Jun 2018). 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 as Determined by the FDA-Defined Snapshot Algorithm (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 NCT02603107, which also lists 3 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 29 Dec 2020.