HIV SeropositivityPhase 4FASTNCT03858478
Initiation of First-line Antiretroviral Treatment With TENOFOVIR ALAFENAMIDE - EMTRICITABINE - BICTEGRAVIR at the First Clinical Contact in France: Trial IMEA 055 - FAST
A Phase 4 study testing Biktarvy arm in people with HIV Seropositivity, run by Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba at 17 sites in France.
Trial summary
Evaluation of antiretroviral treatment adherence using determination of Bictegravir, Emtricitabine and Tenofovir with new HIV patients in France Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HIV Seropositivity
- What is being tested?
- Biktarvy arm
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 110 participants
- Where
- 17 sitesFrance
- Study dates
- 18 Nov 2019to 31 Dec 2021
- Phase
- Phase 4
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- age > 18 years
- newly diagnosed HIV-infected individual evidenced by any of the following tests: (i) positive self-test, (ii) positive HIV Rapid antibody test, (iii) positive HIV immunoassay (ELISA 4th generation) test
- antiretroviral-treatment naive
- negative urine pregnancy test for women of childbearing potential and willing to use effective contraception (mechanical or medicamental)
- willing to sign an informed written consent-
- regular health insurance
- willing to provide two distinct contact information (telephone number and/or email) in order to be easily reached if needed between Day 0 and Day 7
Who cannot join
- clinical symptoms suggestive of opportunistic infections
- participant not willing to provide two distinct contact information
- a woman who is pregnant or breast-feeding or planning to become pregnant during the expected study period.
- Co-medication with deleterious interaction with study treatment (eg enzyme inducer)
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
France17 sites, 17 recruiting
- Recruiting
Hôpital Pellegrin - Service de Médecine Interne et Maladies Infectieuses
Bordeaux, 33000
SEVERINE SL LE PUIL, 33.5.56.79.55.36, severine.lepuil@chu-bordeaux.fr
I
- Recruiting
Hôpital Côte de Nacre - Service des Maladies Infectieuses
Caen, 14033
Renaud RV VERDON, MD, PhD, 33.2.31.06.47.09, verdon-r@chu-caen.fr
Pascale PG GOUBIN, 33.2.31.06.47.09, goubin-p@chu-caen.fr
- Not yet recruiting
Centre hospitalier Sud Francilien
Corbeil-Essonnes, 91106
Nouara NA AGHER, +33.1.61.69.77.04, nouara.agher@chsf.fr
Amélie AC CHABROL, MD
- Recruiting
Hôpital Henri Mondor - Service d'Immunologie Clinique
Créteil, 94010
Jean-Daniel JDL LELIEVRE, MD, 33.1.49.81.24.05, jean-daniel.lelievre@aphp.fr
Jean-Daniel LELIEVRE, MD
- Recruiting
Hopital Francois Mitterrand
Dijon, 21034
Sandrine SG GOHIER, +33.3.80.29.36.31, sandrine.gohier@chu-dijon.fr
Lionel LP PIROTH, PhD
- Not yet recruiting
Hopital Zobda Quitman
Fort-de-france, Martinique, 97261
André AC CABIE, PhD, +33.5.96.55.23.01, andre.cabie@chu-fort-de-france.fr
André AC CABIE, PhD
- Recruiting
Hopital Raymond Poincare
Garches, 92380
Morgane HB MARCOU, +33.1.47.10.46.65, morgane.marcou@aphp.fr
Pierre PT DE TRUCHIS, PhD
- Not yet recruiting
Hopital Sainte-Marguerite
Marseille, 13274
Caroline CD DEBREUX, +33.4.91.74.61.63, caroline.debreux@ap-hm.fr
Isabelle IM POIZOT-MARTIN, MD, PhD
- Not yet recruiting
Hôpital Gui de Chauliac - Service de Maladies Infectieuses et Tropicales
Montpellier, 34000
Jacques REYNES, MD, PhD, 33.4.67.33.77.25, j-reynes@chu-montpellier.fr
Christine TRAMONI, 33.4.67.33.77.26, c-tramoni@chu-montpellier.fr
- Not yet recruiting
L'ARCHET
Nice, 06200
Ghaleb GZ ZOUZOU, +33 4 92 03 58 24, zouzou.g@chu-nice.fr
ALISSA AN NAQVI, MD
- Recruiting
Hopital Saint Antoine
Paris, 75012
Christian CT TRAN, +33.1.49.28.24.86, christian.tran@aphp.fr
Karine KL LACOMBE, MD, PhD
- Recruiting
Hopital Necker
Paris, 75015
Fatima FT TOUAM, +33.1.44.49.40.28, fatima.touam@nck.aphp.fr
Claudine CD DUVIVIER, PhD
- Recruiting
Hopital Bichat
Paris, 75018
Zélie ZJ JULIA, +33.1.40.25.70.57, zelie.julia@aphp.fr
Yazdan YY YAZDANPANAH, MD, PhD
- Recruiting
Hopital Tenon
Paris, 75020
Anne AA ADDA, +33.1.56.01.74.36, anne.adda@aphp.fr
Gilles GP PIALOUX, MD, PhD
- Recruiting
Hopital Foch
Suresnes, 92150
Amina AF FADLI, +33.1.46.25.11.73, a.fadli@hopital.foch.org
David DZ ZUCMAN, MD
- Recruiting
Hopital Gustave Dron
Tourcoing, 59208
Sylvie SV VANDAMME, svandamme@ch-tourcoing.fr
Faiza FA AJANA, MD
- Not yet recruiting
Hopital Bretonneau
Tours, 37044
Olivier OB BOURGAULT, +33.2.47.47.37.14, o.bourgault@chu-tours.fr
Louis LB BERNARD, MD, PhD
About this study
Official title: Initiation of First-line Antiretroviral Treatment With TENOFOVIR ALAFENAMIDE - EMTRICITABINE - BICTEGRAVIR at the First Clinical Contact in France
Evaluation of antiretroviral treatment adherence using determination of Bictegravir, Emtricitabine and Tenofovir with new HIV patients in France
Read the detailed description
- Patient treated at the first clinical contact
- 18 sites (hospitals) in France
- Treatment during 48 weeks with principal objective at W24 (plasma HIV-RNA < 50 copies/ml)
- Evaluation of antiretroviral treatment adherence using determination of Bictegravir, Emtricitabine and Tenofovir in hair sample
- Conditions
- HIV Seropositivity
- Being tested
- Biktarvy arm
- Keywords
- HIV, new diagnosis, Biktarvy
- Medical subject headings
- HIV Seropositivity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Biktarvy armDrug
BIKTARVY : one tablet QD, every day between D0 and M12 includind - TAF (25mg) / FTC (200mg) / BICTEGRAVIR (50mg)
| Study group | Role | What they receive |
|---|---|---|
| Biktarvy arm | Experimental | one tablet of BIKTARVY including [TAF (25mg) / FTC (200mg) / BICTEGRAVIR (50mg) ] one tablet once a day for 48 weeks Receives: Drug: Biktarvy arm |
What is being measured
The primary outcome is the main question the study is designed to answer.
To achieve virological suppression (plasma HIV-RNA < 50 copies/ml) at Month 6 (M6)on study treatment with a first-line treatment with TAF / FTC/ BIC initiated at the first clinical contact (Snapshot method)
Measured: virological suppression at Month 6 (M6)
Secondary outcomes (15)
proportion of participants with a false positive HIV screening test (i.e. a first positive test that has not been confirmed)
Measured: DAY 0 (D0)
proportion of participants with plasma HIV-RNA < 50 copies/ml
Measured: Month 1 (M1), Month 3 (M3), Month 6 (M6), Month 9 (M9), Month 12 (M12)
change in CD4 T cell count
Measured: between DAY 0 (D0) and Month 3 (M3), Month 6 (M6) and Month 12 (M12)
change in CD4/CD8 ratio
Measured: between DAY 0 (D0) and Month 6 (M6) and Month 12 (M12)
proportion of participants requiring discontinuation/modification of TAF/FTC/Bictegravir due to (i) Baseline resistance to one of the study drugs, (ii) adverse events leading to study treatment discontinuation/Modification
Measured: Between DAY 0 (D0) and Month 12 (M12)
proportion of participants experiencing a grade 3-4 adverse event (related or not related to study treatment)
Measured: Between DAY 0 (D0) and Month 12 (M12)
proportion of participants with protocol defined virological failure (plasma HIV-RNA > 400 copies/ml at Week 12 confirmed on a second sample drawn 15-21 days later, or two consecutive plasma HIV-RNA > 50 copies/ml within 15-21 days as of Week 24)
Measured: Between Month 6 (M6) and Month 12 (M12)
proportion of participants harboring a virus developing resistance-associated mutations at the time of protocol-defined virological failure
Measured: Between Month 6 (M6) and Month 12 (M12)
number of comedications used during the 12-months study period
Measured: Between DAY 0 (D0) and Month 12 (M12)
adherence to study treatment evaluated by drug concentrations measurement in hair
Measured: Month 1 (M1), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
proportion of participants lost to follow-up throughout the 12-months study period (LFU = having missed more than two consecutive visits except for W24 and W48 visit)
Measured: Between DAY 0 (D0) and Month 12 (M12)
participants' acceptability of immediate antiretroviral initiation treatment (self-assessed auto-questionnaires
Measured: At Day 0 (D0), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
adherence to study treatment evaluated by (i) self-assessed auto-questionnaires (4-day recall),
Measured: Month 1 (M1), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
adherence to study treatment evaluated by drug concentrations measurement in plasma
Measured: Month 1 (M1), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
type of comedications used during the 12-months study period
Measured: Between DAY 0 (D0) and Month 12 (M12)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Feb 2019
- Study start18 Nov 2019
- Primary completion31 Mar 2021 (estimated)
- Study completion31 Dec 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HIV SeropositivityStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Pilot study, single arm, multicentric, national
- Masking
- None (open label)
- Enrolment
- 110 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03858478
- Sponsor's protocol ID
- IMEA 055- FAST
- Acronym
- FAST
- Status last verified
- Nov 2019
- First submitted
- 25 Feb 2019
- Last updated
- 9 Jan 2020
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Initiation of First-line Antiretroviral Treatment With TENOFOVIR ALAFENAMIDE - EMTRICITABINE - BICTEGRAVIR at the First Clinical Contact in France
- ClinicalTrials.gov ID
- NCT03858478
- Acronym / sponsor ID
- FAST / IMEA 055- FAST
- Conditions
- HIV Seropositivity
- Keywords
- HIV, new diagnosis, Biktarvy
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 110 participants (estimated)
- Lead sponsor
- Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'BaUniversity, hospital or other
- Study start
- 18 Nov 2019 (actual)
- Primary completion
- 31 Mar 2021 (estimated)
- Study completion
- 31 Dec 2021 (estimated)
- First posted
- 28 Feb 2019 (actual)
- 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.
Evaluation of antiretroviral treatment adherence using determination of Bictegravir, Emtricitabine and Tenofovir with new HIV patients in France
Detailed description
- Patient treated at the first clinical contact
- 18 sites (hospitals) in France
- Treatment during 48 weeks with principal objective at W24 (plasma HIV-RNA < 50 copies/ml)
- Evaluation of antiretroviral treatment adherence using determination of Bictegravir, Emtricitabine and Tenofovir in hair sample
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Pilot study, single arm, multicentric, national
| Arm | Type | Receives |
|---|---|---|
| Biktarvy arm | Experimental | Drug: Biktarvy armone tablet of BIKTARVY including [TAF (25mg) / FTC (200mg) / BICTEGRAVIR (50mg) ] one tablet once a day for 48 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- age > 18 years
- newly diagnosed HIV-infected individual evidenced by any of the following tests: (i) positive self-test, (ii) positive HIV Rapid antibody test, (iii) positive HIV immunoassay (ELISA 4th generation) test
- antiretroviral-treatment naive
- negative urine pregnancy test for women of childbearing potential and willing to use effective contraception (mechanical or medicamental)
- willing to sign an informed written consent-
Key exclusion criteria (4 listed)
- clinical symptoms suggestive of opportunistic infections
- participant not willing to provide two distinct contact information
- a woman who is pregnant or breast-feeding or planning to become pregnant during the expected study period.
- Co-medication with deleterious interaction with study treatment (eg enzyme inducer)
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 |
|---|---|---|
| Biktarvy armBIKTARVY : one tablet QD, every day between D0 and M12 includind - TAF (25mg) / FTC (200mg) / BICTEGRAVIR (50mg) | Drug | Biktarvy arm |
Primary outcome
To achieve virological suppression (plasma HIV-RNA < 50 copies/ml) at Month 6 (M6)on study treatment with a first-line treatment with TAF / FTC/ BIC initiated at the first clinical contact (Snapshot method)
Time frame: virological suppression at Month 6 (M6)
15 secondary outcomes
proportion of participants with a false positive HIV screening test (i.e. a first positive test that has not been confirmed)
Time frame: DAY 0 (D0)
proportion of participants with plasma HIV-RNA < 50 copies/ml
Time frame: Month 1 (M1), Month 3 (M3), Month 6 (M6), Month 9 (M9), Month 12 (M12)
change in CD4 T cell count
Time frame: between DAY 0 (D0) and Month 3 (M3), Month 6 (M6) and Month 12 (M12)
change in CD4/CD8 ratio
Time frame: between DAY 0 (D0) and Month 6 (M6) and Month 12 (M12)
proportion of participants requiring discontinuation/modification of TAF/FTC/Bictegravir due to (i) Baseline resistance to one of the study drugs, (ii) adverse events leading to study treatment discontinuation/Modification
Time frame: Between DAY 0 (D0) and Month 12 (M12)
proportion of participants experiencing a grade 3-4 adverse event (related or not related to study treatment)
Time frame: Between DAY 0 (D0) and Month 12 (M12)
proportion of participants with protocol defined virological failure (plasma HIV-RNA > 400 copies/ml at Week 12 confirmed on a second sample drawn 15-21 days later, or two consecutive plasma HIV-RNA > 50 copies/ml within 15-21 days as of Week 24)
Time frame: Between Month 6 (M6) and Month 12 (M12)
proportion of participants harboring a virus developing resistance-associated mutations at the time of protocol-defined virological failure
Time frame: Between Month 6 (M6) and Month 12 (M12)
number of comedications used during the 12-months study period
Time frame: Between DAY 0 (D0) and Month 12 (M12)
adherence to study treatment evaluated by drug concentrations measurement in hair
Time frame: Month 1 (M1), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
proportion of participants lost to follow-up throughout the 12-months study period (LFU = having missed more than two consecutive visits except for W24 and W48 visit)
Time frame: Between DAY 0 (D0) and Month 12 (M12)
participants' acceptability of immediate antiretroviral initiation treatment (self-assessed auto-questionnaires
Time frame: At Day 0 (D0), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
adherence to study treatment evaluated by (i) self-assessed auto-questionnaires (4-day recall),
Time frame: Month 1 (M1), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
adherence to study treatment evaluated by drug concentrations measurement in plasma
Time frame: Month 1 (M1), Month 3 (M3), Month 6 (M6) and Month 12 (M12)
type of comedications used during the 12-months study period
Time frame: Between DAY 0 (D0) and Month 12 (M12)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jan 2020.
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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.
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Biktarvy arm in people with HIV Seropositivity, run by Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba at 17 sites in France.
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 4 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: status not confirmed, as of the sponsor's last update on 9 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in France. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact AIDA AB BENALYCHERIF (+33.1.40.25.63.65, aida.beanlycherif@imea.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To achieve virological suppression (plasma HIV-RNA < 50 copies/ml) at Month 6 (M6)on study treatment with a first-line treatment with TAF / FTC/ BIC initiated at the first clinical contact (Snapshot method) (time frame: virological suppression at Month 6 (M6)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 9 Jan 2020.