AzTrials
AzTrials

HIV-1 InfectionPhase 3NCT02603120

Safety and Efficacy of Switching From Dolutegravir and ABC/3TC or ABC/DTG/3TC to B/F/TAF in HIV-1 Infected Adults Who Are Virologically Suppressed

A Phase 3 study testing ABC/DTG/3TC and B/F/TAF in people with HIV-1 Infection, run by Gilead Sciences at 94 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objective of this study is to evaluate the efficacy of switching from a regimen of dolutegravir (DTG) and abacavir/lamivudine (ABC/3TC) or a fixed dose combination (FDC) of abacavir/dolutegravir/lamivudine (ABC/DTG/3TC) to a FDC of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus continuing… 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?
ABC/DTG/3TC and B/F/TAF
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
567 participants
Where
94 sitesin 10 countries
Study dates
11 Nov 2015to 23 Oct 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

  • Estimated glomerular filtration rate ≥ 50 mL/min (≥ 0.83 mL/sec).
  • Currently receiving an antiretroviral regimen of DTG + ABC/3TC, or ABC/DTG/3TC FDC for ≥ 3 months prior to the screening visit.
  • HIV ribonucleic acid (RNA) < 50 copies/mL at the screening visit.
  • Currently on a stable regimen for ≥ 3 months preceding the screening visit with documented plasma HIV-1 RNA < 50 copies/mL for ≥ 3 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).
  • Have no documented or suspected resistance to emtricitabine (FTC), tenofovir (TFV), DTG, ABC or 3TC.

Who cannot join

  • Current alcohol or substance use judged by the Investigator to potentially interfere with subject study compliance.
  • Active tuberculosis infection.
  • Individuals experiencing decompensated cirrhosis (eg, ascites, encephalopathy, or variceal bleeding).
  • Females who are pregnant.
  • Females who are breastfeeding.
  • Acute hepatitis in the 30 days prior to study entry.
  • Chronic Hepatitis B Virus (HBV) infection.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

94 sites in 10 countries.

94 sites in 10 countries

United States61 sites
  • Study site

    Augusta, Georgia, 30912

  • Study site

    Austin, Texas, 78705

  • Study site

    Berkley, Michigan, 48072

  • Study site

    Beverly Hills, California, 90211

  • Study site

    Boston, Massachusetts, 02118-2393

  • Study site

    Buffalo, New York, 14215

  • Study site

    Charlotte, North Carolina, 28207

  • Study site

    Chicago, Illinois, 60613

  • Study site

    Chicago, Illinois, 60657

  • Study site

    Cincinnati, Ohio, 45267-0560

  • Study site

    Columbia, South Carolina, 29203-6840

  • Study site

    Dallas, Texas, 75219

  • Study site

    Dallas, Texas, 75246

  • Study site

    Decatur, Georgia, 30033

  • Study site

    DeLand, Florida, 32720

  • Study site

    Detroit, Michigan, 48202

  • Study site

    Fort Lauderdale, Florida, 33308

  • 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, Missouri, 64111

  • Study site

    Longview, Texas, 75605

  • Study site

    Los Angeles, California, 90027

  • Study site

    Los Angeles, California, 90033

  • Study site

    Los Angeles, California, 90036

  • Study site

    Los Angeles, California, 90069

  • Study site

    Louisville, Kentucky, 40202

  • Study site

    Macon, Georgia, 31201

  • Study site

    Miami, Florida, 33133

  • Study site

    Miami Beach, Florida, 33139

  • Study site

    Minneapolis, Minnesota, 55415

  • Study site

    New Orleans, Louisiana, 70112

  • Study site

    New York, New York, 10011

  • Study site

    Newark, New Jersey, 07102

  • Study site

    Oakland, California, 94602

  • Study site

    Oakland, California, 94609

  • Study site

    Orlando, Florida, 32803

  • Study site

    Palm Springs, California, 92264

  • Study site

    Pensacola, Florida, 32504

  • Study site

    Philadelphia, Pennsylvania, 19107

  • Study site

    Phoenix, Arizona, 85012

  • Study site

    Sacramento, California, 95187

  • Study site

    Sacramento, California, 95825

  • Study site

    San Leandro, California, 94577

  • Study site

    Santa Fe, New Mexico, 87505

  • Study site

    Savannah, Georgia, 31401

  • Study site

    Seattle, Washington, 98104

  • Study site

    Spokane, Washington, 99204

  • Study site

    Springfield, Massachusetts, 01105

  • Study site

    St Louis, Missouri, 63139

  • Study site

    Tampa, Florida, 33614

  • Study site

    The Bronx, New York, 10467-2490

  • Study site

    Vero Beach, Florida, 32960

  • Study site

    Washington D.C., District of Columbia, 20009

  • Study site

    Washington D.C., District of Columbia, 20036

  • Study site

    West Palm Beach, Florida, 33401

  • Study site

    Wilton Manors, Florida, 33305

Other trials in United States

Germany8 sites
  • Study site

    Berlin, 12157

  • Study site

    Berlin, 13353

  • Study site

    Bonn, 53127

  • Study site

    Essen, 45122

  • Study site

    Frankfurt am Main, 60596

  • Study site

    Hamburg, 20146

  • Study site

    München, 80335

  • Study site

    Munich, 80336

Other trials in Germany

Spain7 sites
  • Study site

    Badalona, 08916

  • Study site

    Badalona, 8907

  • Study site

    Barcelona, 8025

  • Study site

    Córdoba, 14004

  • Study site

    Madrid, 28034

  • Study site

    Santiago de Compostela, 15706

  • Study site

    Seville, 41013

Other trials in Spain

Canada5 sites
  • Study site

    Montreal, Quebec, H2L 4P9

  • Study site

    Montreal, Quebec, H3A 1T1

  • Study site

    Montreal, Quebec, H4A 3J1

  • Study site

    Vancouver, British Columbia, V6Z 2T1

  • Study site

    Winnipeg, Manitoba, R3A 1R9

Other trials in Canada

France4 sites
  • Study site

    Nantes, 44093

  • Study site

    Nice, 6202

  • Study site

    Paris, 75010

  • Study site

    Paris, 75970

Other trials in France

United Kingdom3 sites
  • Study site

    Brighton, BN2 3EW

  • Study site

    Manchester, M13 0FH

  • Study site

    Manchester, M8 5RB

Other trials in United Kingdom

Australia2 sites
  • Study site

    Sydney, New South Wales, 2010 NSW

  • Study site

    Sydney, New South Wales, 2010

Other trials in Australia

Puerto Rico2 sites
  • Study site

    San Juan, 00909-1711

  • Study site

    San Juan, 00909

Other trials in Puerto Rico

Belgium1 site
  • Study site

    Ghent, 9000

Other trials in Belgium

Italy1 site
  • Study site

    Roma, 00149

Other trials in Italy

About this study

Official title: A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Switching From a Regimen of Dolutegravir and ABC/3TC, or a Fixed Dose Combination (FDC) of ABC/DTG/3TC to a FDC of GS-9883/F/TAF in HIV-1 Infected Subjects Who Are Virologically Suppressed

The primary objective of this study is to evaluate the efficacy of switching from a regimen of dolutegravir (DTG) and abacavir/lamivudine (ABC/3TC) or a fixed dose combination (FDC) of abacavir/dolutegravir/lamivudine (ABC/DTG/3TC) to a FDC of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus continuing DTG and ABC/3TC as the FDC ABC/DTG/3TC in virologically suppressed Human Immunodeficiency Virus- 1 (HIV-1) infected adults.

Conditions
HIV-1 Infection
Being tested
ABC/DTG/3TC, B/F/TAF, ABC/DTG/3TC Placebo, B/F/TAF Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ABC/DTG/3TCDrug

    Also called Triumeq®

    600/50/300 mg FDC tablets administered orally once daily without regard to food

  • B/F/TAFDrug

    Also called Bictegravir (previously referred to as GS-9883)/Emtricitabine/Tenofovir Alafenamide, Biktarvy® [BVY]

    50/200/25 mg FDC tablets administered orally once daily without regard to food

  • ABC/DTG/3TC PlaceboDrug

    Tablets administered orally once daily without regard to food

  • B/F/TAF PlaceboDrug

    Tablets administered orally once daily without regard to food

Study groups in NCT02603120
Study groupRoleWhat they receive
Blinded Phase: B/F/TAFExperimentalB/F/TAF + ABC/DTG/3TC placebo for at least 48 weeks
Receives: Drug: B/F/TAF; Drug: ABC/DTG/3TC Placebo
Blinded Phase: ABC/DTG/3TCActive comparatorABC/DTG/3TC + B/F/TAF placebo for at least 48 weeks
Receives: Drug: ABC/DTG/3TC; Drug: B/F/TAF Placebo
Open-Label PhaseExperimentalAt the End of Blinded Treatment Visit, if safety and efficacy of B/F/TAF is demonstrated following review of unblinded data, participants in a country where B/F/TAF FDC is not available will be given the option to receive B/F/TAF FDC in an open-label extension phase for up to 96 weeks, or until the product becomes accessible to subjects through an access program, or until Gilead Sciences elects to discontinue the study in that country, whichever occurs first.
Receives: Drug: B/F/TAF

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Virologic Failure (HIV-1 RNA ≥ 50 Copies/mL) as Defined by the Modified US FDA-defined Snapshot Algorithm

    The percentage of participants achieving 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 (6)
  1. Percentage of Participants With HIV-1 RNA < 50 Copies/mL as Defined by the US FDA-defined Snapshot Algorithm

    The percentage of participants achieving 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

  2. Change From Baseline in CD4+ Cell Count at Week 48

    Measured: Baseline; Week 48

  3. Spine Bone Mineral Density (BMD) at Baseline

    Measured: Baseline

  4. Percentage Change From Baseline in Spine BMD at Week 48

    Measured: Baseline; Week 48

  5. Hip Bone Mineral Density at Baseline

    Measured: Baseline

  6. Percentage Change From Baseline in Hip BMD at Week 48

    Measured: Baseline; Week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Nov 2015 (estimated)
  2. Study start11 Nov 2015
  3. Primary completion9 May 2017
  4. Study completion23 Oct 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
567 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02603120
Sponsor's protocol ID
GS-US-380-1844
Other IDs
2015-004025-14, 2015
Status last verified
Oct 2020
First submitted
10 Nov 2015
Last updated
12 Nov 2020
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

  • Andreatta 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 31430369
  • Molina JM, Ward D, Brar I, Mills A, Stellbrink HJ, Lopez-Cortes L, Ruane P, Podzamczer D, Brinson C, Custodio J, Liu H, Andreatta K, Martin H, Cheng A, Quirk E. Switching to fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide from dolutegravir plus abacavir and lamivudine in virologically suppressed adults with HIV-1: 48 week results of a randomised, double-blind, multicentre, active-controlled, phase 3, non-inferiority trial. Lancet HIV. 2018 Jul;5(7):e357-e365. doi: 10.1016/S2352-3018(18)30092-4. Epub 2018 Jun 18.

    PubMed 29925489
  • Brar I, Ruane PJ, Berhe M, Brinson C, Benson P, Henry K, Liu H, Andreatta K, Hindman JT, Ramgopal M. Efficacy and safety of switch to bictegravir/emtricitabine/tenofovir alafenamide from dolutegravir/abacavir/lamivudine: Results from an open-label extension of a phase 3 randomized, double-blind, multicenter, active-controlled, non-inferiority study. Medicine (Baltimore). 2025 Feb 21;104(8):e41482. doi: 10.1097/MD.0000000000041482.

    PubMed 39993074
  • Avihingsanon 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
  • Wohl D, Clarke A, Maggiolo F, Garner W, Laouri M, Martin H, Quirk E. Patient-Reported Symptoms Over 48 Weeks Among Participants in Randomized, Double-Blind, Phase III Non-inferiority Trials of Adults with HIV on Co-formulated Bictegravir, Emtricitabine, and Tenofovir Alafenamide versus Co-formulated Abacavir, Dolutegravir, and Lamivudine. Patient. 2018 Oct;11(5):561-573. doi: 10.1007/s40271-018-0322-8.

    PubMed 29956087

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ABC/DTG/3TC and B/F/TAF in people with HIV-1 Infection, run by Gilead Sciences at 94 sites in 10 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 5 inclusion and 8 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 12 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 94 sites in United States, Germany, Spain, Canada, France and 5 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 23 Jul 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 Virologic Failure (HIV-1 RNA ≥ 50 Copies/mL) as Defined by the Modified US 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 NCT02603120, which also lists 5 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 12 Nov 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in