Emtricitabine/Tenofovir Alafenamide (F/TAF) in HIV-1 Infected Children and Adolescents Virologically Suppressed on a 2-NRTI-Containing Regimen
Status: | Recruiting |
---|---|
Conditions: | HIV / AIDS |
Therapuetic Areas: | Immunology / Infectious Diseases |
Healthy: | No |
Age Range: | Any - 17 |
Updated: | 3/16/2019 |
Start Date: | January 20, 2015 |
End Date: | December 2024 |
Contact: | Gilead Study Team |
Email: | GS-US-311-1269@gilead.com |
A Phase 2/3, Open-Label, Multi-Cohort Switch Study to Evaluate Emtricitabine/Tenofovir Alafenamide (F/TAF) in HIV-1 Infected Children and Adolescents Virologically Suppressed on a 2-NRTI-Containing Regimen
This study will evaluate the pharmacokinetics (PK), safety, and efficacy of
emtricitabine/tenofovir alafenamide (F/TAF) in HIV-1 infected children and adolescents
virologically suppressed (defined as having < 50 copies/mL of HIV-1 RNA for a period of at
least 6 months) while on a stable 2-nucleoside/nucleotide reverse transcriptase inhibitor
(NRTI) containing regimen.
emtricitabine/tenofovir alafenamide (F/TAF) in HIV-1 infected children and adolescents
virologically suppressed (defined as having < 50 copies/mL of HIV-1 RNA for a period of at
least 6 months) while on a stable 2-nucleoside/nucleotide reverse transcriptase inhibitor
(NRTI) containing regimen.
Cohorts 2, 3, and 4 will be on a boosted protease inhibitor (PI) or any other 3rd ARV agent
and will switch their current 2-NRTI-containing regimen to open-label F/TAF while continuing
their boosted PI or 3rd agent through 48 weeks. A minimum of 10 participants each in Groups 1
and 2 of Cohort 2, and Cohorts 3 and 4, who are on boosted-ATV as their 3rd ARV agent will be
enrolled. Participants in Cohort 2, Group 1 receive boosted PI agents only. Cohorts 2, 3, and
4 will be enrolled by cohort into a two-part study (Parts A and B).
After completion of 48 weeks, all participants will be given the option to participate in an
extension phase of the study. Gilead will provide F/TAF until a) The participant turns 18
years old and F/TAF is commercially available for use in adults in the country in which the
participant is enrolled or b), F/TAF becomes commercially available for pediatric use in the
country in which the participant is enrolled or c), Gilead Sciences elects to terminate
development of F/TAF in the applicable country.
and will switch their current 2-NRTI-containing regimen to open-label F/TAF while continuing
their boosted PI or 3rd agent through 48 weeks. A minimum of 10 participants each in Groups 1
and 2 of Cohort 2, and Cohorts 3 and 4, who are on boosted-ATV as their 3rd ARV agent will be
enrolled. Participants in Cohort 2, Group 1 receive boosted PI agents only. Cohorts 2, 3, and
4 will be enrolled by cohort into a two-part study (Parts A and B).
After completion of 48 weeks, all participants will be given the option to participate in an
extension phase of the study. Gilead will provide F/TAF until a) The participant turns 18
years old and F/TAF is commercially available for use in adults in the country in which the
participant is enrolled or b), F/TAF becomes commercially available for pediatric use in the
country in which the participant is enrolled or c), Gilead Sciences elects to terminate
development of F/TAF in the applicable country.
Key Inclusion Criteria:
- HIV-1 infected male and female adolescents and children aged 1 month to < 18 years at
baseline/Day 1 (according to requirements of the enrolling cohort)
- Must be able to give written assent prior to any screening evaluations
- Parent or guardian able to give written informed consent prior to any screening
evaluations and willing to comply with study requirements
- Body weight at screening as follows:
- Cohort 1: ≥ 35 kg
- Cohort 2, Group 1: ≥ 25 kg
- Cohort 2, Group 2: 17 kg to < 25 kg
- Cohort 3: to be updated per a protocol amendment
- Cohort 4: to be updated per a protocol amendment
- Currently on a stable 2-NRTI containing regimen that includes a 3rd ARV agent for ≥ 6
consecutive months prior to screening
- Plasma HIV-1 RNA levels < 50 copies/mL for ≥ 6 consecutive months preceding the
screening visit
- No opportunistic infection within 30 days of study entry (at baseline/Day 1)
- A negative serum β-human chorionic gonadotropin (HCG) pregnancy test is required for
females of childbearing potential only
Key Exclusion Criteria:
- An acquired immunodeficiency syndrome (AIDS) - indicator condition with onset within
30 days prior to screening
- Life expectancy of < 2 years
- Active, serious infections (other than HIV-1 infection) requiring parenteral
antibiotic or antifungal therapy within 30 days prior to baseline/Day 1
- Evidence of active pulmonary or extra-pulmonary tuberculosis disease within 3 months
of the screening visit
- Active hepatitis C virus (HCV) infection defined as positive for HCV antibody and
having detectable HCV RNA
- Positive hepatitis B surface antigen or other evidence of active hepatitis B virus
(HBV) infection.
- Have any serious or active medical or psychiatric illness which, in the opinion of the
Investigator, would interfere with treatment, assessment, or compliance with the
protocol.
- Pregnant or lactating females
- Have history of significant drug sensitivity or drug allergy
- Have previously participated in an investigational trial involving administration of
any investigational agent, other than tenofovir, within 30 days prior to the study
dosing
NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.
We found this trial at
6
sites
Seattle Children's Hospital Seattle Children’s Hospital specializes in meeting the unique physical, emotional and developmental...
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Children's Hospital Colorado At Children's Hospital Colorado, we see more, treat more and heal more...
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UCLA UCLA's primary purpose as a public research university is the creation, dissemination, preservation and...
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