Phase 3 Open-Label Study to Evaluate Switching From Optimized Stable Antiretroviral Regimens Containing Darunavir to Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (E/C/F/TAF) Fixed Dose Combination (FDC) Plus Darunavir (DRV) in Treatment Experienced HIV-1 Positive Adults
Status: | Completed |
---|---|
Conditions: | HIV / AIDS, HIV / AIDS, HIV / AIDS |
Therapuetic Areas: | Immunology / Infectious Diseases |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 11/18/2018 |
Start Date: | September 3, 2013 |
End Date: | July 9, 2016 |
A Phase 3 Open-Label Study to Evaluate Switching From Optimized Stable Antiretroviral Regimens Containing Darunavir to Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (E/C/F/TAF) Single Tablet Regimen (STR) Plus Darunavir (DRV) in Treatment Experienced HIV-1 Positive Adults
The primary objective of this study is to evaluate the efficacy of
elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed dose
combination (FDC) plus darunavir (DRV) relative to current antiretroviral regimens (ARV) in
virologically suppressed, HIV-1 positive participants with HIV-1 RNA <50 copies/mL at Week
24.
This study consists of 48 weeks of open-label phase followed by an optional Extension Phase
in which all the participants will receive E/C/F/TAF+DRV.
elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed dose
combination (FDC) plus darunavir (DRV) relative to current antiretroviral regimens (ARV) in
virologically suppressed, HIV-1 positive participants with HIV-1 RNA <50 copies/mL at Week
24.
This study consists of 48 weeks of open-label phase followed by an optional Extension Phase
in which all the participants will receive E/C/F/TAF+DRV.
Key Inclusion Criteria:
- Ability to understand and sign a written informed consent form
- History of at least two prior antiretroviral regimens, and history of resistance to at
least two different classes of antiretroviral agents
- Plasma HIV-1 RNA levels < 50 copies/mL at screening. Virologically suppressed on the
current antiretroviral regimen containing darunavir 600 mg twice a day or 800 mg once
daily continuously for ≥ 4 months preceding the screening visit and have maintained
documented undetectable plasma HIV-1 RNA levels (< 50 copies/mL) and must have
documentation of genotype/phenotype prior to current regimen which shows no darunavir
associated resistance mutation.
- Currently receiving raltegravir, elvitegravir, or dolutegravir (50 mg once daily, but
not twice daily), or have never received integrase inhibitor, or have documentation of
genotype/phenotype within 12 months prior to current regimen which must show no
evidence of resistance to integrase inhibitors
- Normal ECG
- Estimated glomerular filtration rate (eGFR) ≥ 50 mL/min according to the Cockcroft
Gault formula for creatinine clearance
- Hepatic transaminases (AST and ALT) ≤ 5 × upper limit of normal (ULN)
- Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin
- Adequate hematologic function (absolute neutrophil count ≥ 1,000/mm^3; platelets ≥
50,000/mm^3; hemoglobin ≥ 8.5 g/dL)
- Serum amylase ≤ 5 × ULN (individuals with serum amylase > 5 × ULN will remain eligible
if serum lipase is ≤ 5 × ULN)
- A female individual is eligible to enter the study if it is confirmed that she is:
- Not pregnant or nursing
- Of non-childbearing potential (i.e., women who have had a hysterectomy, have had
both ovaries removed or medically documented ovarian failure, or are
postmenopausal women > 54 years of age with cessation (for ≥ 12 months) of
previously occurring menses), or
- Of childbearing potential and agrees 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 30 days following
the last study drug dose.
- Female individuals 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.
- Male individuals must agree to utilize a highly effective method of contraception
during heterosexual intercourse or be non-heterosexually active, or practice sexual
abstinence from first dose throughout the study period and for 30 days following the
last study drug dose.
- Male individuals must agree to refrain from sperm donation from first dose until at
least 30 days after the last study drug dose.
Key Exclusion Criteria:
- A new AIDS-defining condition diagnosed within the 30 days prior to screening (except
CD4 cell count and/or percentage criteria)
- Hepatitis B surface antigen (HBsAg) positive
- Individuals receiving drug treatment for Hepatitis C, or individuals who are
anticipated to receive treatment for Hepatitis C during the course of the study.
- Must not have Q151M, T69ins, or > 3 thymidine analogue mutations (TAMS) present on
documented historic genotype report
- Individuals experiencing decompensated cirrhosis
- Females who are breastfeeding
- Positive serum pregnancy test
- Have an implanted defibrillator or pacemaker
- Current alcohol or substance use that may interfere with individual's study compliance
- A history of malignancy within the past 5 years or ongoing malignancy other than
cutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasive
cutaneous squamous carcinoma.
- Active, serious infections (other than HIV-1 infection) requiring parenteral
antibiotic or antifungal therapy within 30 days prior to Day 1 visit
- Any other clinical condition or prior therapy that would make the individual
unsuitable for the study or unable to comply with dosing requirements
- Participation in any other clinical trial (including observational trials) without
prior approval from the sponsor is prohibited while participating in this trial
- Individuals receiving ongoing therapy with any of the disallowed medications,
including drugs not to be used with elvitegravir, cobicistat, emtricitabine, TAF, or
DRV; or individuals with any known allergies to the study drugs.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
We found this trial at
57
sites
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Brigham and Women's Hosp Boston’s Brigham and Women’s Hospital (BWH) is an international leader in...
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Beth Israel Med Ctr The physicians and staff of Mount Sinai Beth Israel's Heart Institute...
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University of Rochester The University of Rochester is one of the country's top-tier research universities....
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University of Utah Research is a major component in the life of the U benefiting...
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Albany Medical College Albany Medical Center is northeastern New York's only academic health sciences center...
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Annandale, Virginia 22003
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Greenville, North Carolina 27858
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Abbott Northwestern Hospital Our hospital has a long and proud history as a health care...
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Orlando Immunology Center Orlando Immunology Center , or simply (OIC) is a part of Infectious...
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Thomas Jefferson University We are dedicated to the health sciences and committed to educating professionals,...
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Univ of Pennsylvania Penn has a long and proud tradition of intellectual rigor and pursuit...
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Miriam Hospital The Miriam Hospital is a private, not-for-profit hospital, with a history of providing...
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1 Medical Center Blvd
Winston-Salem, North Carolina 27157
Winston-Salem, North Carolina 27157
336-716-2011
Wake Forest University Health Sciences Welcome to Wake Forest Baptist Medical Center, a fully integrated...
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