Switching From a TDF-Containing Combination Regimen to a TAF-Containing Fixed Dose Combination (FDC) in Virologically-Suppressed, HIV-1 Positive Participants



Status:Active, not recruiting
Conditions:HIV / AIDS
Therapuetic Areas:Immunology / Infectious Diseases
Healthy:No
Age Range:18 - Any
Updated:3/3/2019
Start Date:March 27, 2013
End Date:March 2019

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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

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.


Key Inclusion Criteria:

- 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 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

- Hepatic transaminases (AST and 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

Key Exclusion Criteria:

- A new 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

- 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.
We found this trial at
92
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Spokane, Washington 99204
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Spokane, WA
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1720 2nd Ave S
Birmingham, Alabama 35233
(205) 934-4011 
University of Alabama at Birmingham The University of Alabama at Birmingham (UAB) traces its roots...
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4025 North Sheridan Road
Chicago, Illinois 60613
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707 Hollybrook Drive
Longview, Texas 75605
903-238-8854
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4600 N Habana Ave # 23
Tampa, Florida 33614
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Akron, Ohio 44304
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Albany, New York 12208
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47 New Scotland Ave
Albany, New York 12208
(518) 262-3125
Albany Medical College Albany Medical Center is northeastern New York's only academic health sciences center...
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Annandale, VA
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Atlanta, Georgia 30308
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Atlanta, Georgia 30309
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Berkley, Michigan 48072
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Beverly Hills, California 90211
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Boston, Massachusetts 02215
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Bronx, NY
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1400 Pelham Parkway South
Bronx, New York 10461
(718) 918-5000
Jacobi Medical Center In 1955, the NYC Department of Hospitals opened a new, specialized care...
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Chapel Hill, North Carolina 27599
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Charlotte, North Carolina 28207
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Chicago, Illinois 60657
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Chicago, Illinois 60612
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5 Richland Medical Park Dr
Columbia, South Carolina 29203
(803) 434-7000
Palmetto Health Richland Palmetto Health Richland, originally founded in 1892 as Columbia Hospital, has a...
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Darlinghurst, New South Wales 2007
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Decatur, GA
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Denver, Colorado 80209
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Detroit, Michigan 48202
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Durham, North Carolina
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Flushing, New York 11355
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Fort Lauderdale, Florida 33308
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Fort Lauderdale, Florida 33316
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Fort Lauderdale, Florida 33311
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Fort Pierce, Florida 34982
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1001 E 5th St
Greenville, North Carolina 27858
(252) 328-6131
East Carolina University Whether it's meeting the demand for more teachers and healthcare professionals or...
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Greenwich, Connecticut 06830
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Harlingen, Texas 78550
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Hillsborough, New Jersey 08844
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Houston, Texas 77098
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Huntersville, North Carolina 28078
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Little Rock, Arkansas 72207
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Long Beach, California 90813
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Los Angeles, California 90069
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Miami Beach, Florida 33139
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8701 W Watertown Plank Rd
Milwaukee, Wisconsin
(414) 955-8296
Medical College of Wisconsin The Medical College (MCW) of Wisconsin is a major national research...
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Minneapolis, Minnesota 55414
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Mount Vernon, New York 10550
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New Haven, Connecticut 06033
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New York, New York 10011
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Newark, New Jersey 07102
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Newport Beach, California 92663
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Oakland, California 94609
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Oakland, California 94602
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1701 North Mills Avenue
Orlando, Florida 32803
(407)647-3960
Orlando Immunology Center Orlando Immunology Center , or simply (OIC) is a part of Infectious...
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Orlando, Florida 32806
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Palo Alto, California 94304
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1020 Walnut St
Philadelphia, Pennsylvania 19107
(215) 955-6000
Thomas Jefferson University We are dedicated to the health sciences and committed to educating professionals,...
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3451 Walnut St
Philadelphia, Pennsylvania 19104
1 (215) 898-5000
Univ of Pennsylvania Penn has a long and proud tradition of intellectual rigor and pursuit...
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Phoenix, Arizona 85012
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Phoenix, Arizona 85006
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Sacramento, California 95825
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2315 Stockton Blvd.
Sacramento, California 95817
(916) 734-2011
University of California, Davis Medical Center UC Davis Medical Center serves a 65,000-square-mile area that...
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Saint Louis, Missouri 63108
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Saint Louis, Missouri 63110
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Saint Louis, Missouri 63139
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San Diego, California 92103
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San Leandro, California 94577
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Santa Fe, New Mexico 87505
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Seattle, Washington 98104
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Somers Point, New Jersey 08244
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Springfield, Massachusetts 01107
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Springfield, Massachusetts 01199
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Washington, District of Columbia 20036
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Washington, District of Columbia 20009
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