Switching From a Regimen of Two Nucleos(t)Ide Reverse Transcriptase Inhibitors (NRTI) Plus a Third Agent to a Fixed Dose Combination (FDC) of Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF), in Virologically-Suppressed, HIV-1 Infected African American Participants
Status: | Active, not recruiting |
---|---|
Conditions: | HIV / AIDS |
Therapuetic Areas: | Immunology / Infectious Diseases |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 3/31/2019 |
Start Date: | August 28, 2018 |
End Date: | August 2020 |
A Phase 3b, Multicenter, Open-Label Study to Evaluate Switching From a Regimen of Two Nucleos(t)Ide Reverse Transcriptase Inhibitors (NRTI) Plus a Third Agent to a Fixed Dose Combination (FDC) of Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF), in Virologically-Suppressed, HIV-1 Infected African American Participants
The primary objective of this study is to evaluate the efficacy of switching from a regimen
of 2 nucleos(t)ide reverse transcriptase inhibitors (NRTIs) and a third agent to a fixed dose
combination (FDC) of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus
continuing their baseline regimen in HIV-1 infected, virologically suppressed African
American participants.
of 2 nucleos(t)ide reverse transcriptase inhibitors (NRTIs) and a third agent to a fixed dose
combination (FDC) of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus
continuing their baseline regimen in HIV-1 infected, virologically suppressed African
American participants.
Key Inclusion Criteria:
- Self-describes as Black, African American, or mixed race, including Black
- Currently receiving an ARV regimen other than FDC of B/F/TAF that consists of any two
NRTIs + allowed 3rd agent for ≥ 6 months
- Allowed 3rd agents include any FDA-approved INSTI, with the exception of bictegravir,
any FDA-approved NNRTI with the exception of etravirine, PI or the CCR5 antagonist,
maraviroc.
- If the baseline 3rd agent is dolutegravir, dosing other than 50 mg once daily is
excluded.
- Baseline regimens containing investigational drugs or > 2 classes of ARVs are not
permitted, with the exception of the pharmacologic enhancers cobicistat (taken with
elvitegravir or a PI), or ritonavir (taken with a PI).
- Have no documented or suspected resistance to INSTIs and no history of virologic
failure on an INSTI containing regimen (2 consecutive HIV-1 RNA ≥ 50 copies/mL after
achieving <50 copies/mL while on an INSTI-containing regimen).
- History of 1-2 thymidine analogue mutations (TAMs), M184V/I, and any other RT
substitutions are allowed, with the following exceptions: History of 3 or more TAMs
(M41L, D67N, K70R, L210W, T215F/Y, and K219Q/E/N/R), T69-insertions, or K65R/E/N in RT
will be excluded.
- Documented plasma HIV-1 RNA < 50 copies/mL during treatment with the baseline regimen
for a minimum period of 6 months and at least the last two HIV-1 RNA measurements
prior to the Screening visit
- HIV-1 RNA levels < 50 copies/mL at Screening
- Estimated glomerular filtration rate (eGFR) ≥ 50 mL/min according to the
Cockcroft-Gault formula for creatinine clearance
Key Exclusion Criteria:
- History of 3 or more TAMs (M41L, D67N, K70R, L210W, T215F/Y, and K219Q/E/N/R),
T69-insertions, or K65R/E/N in RT
- No desire to switch from current antiretrovirals (ARVs)
- An opportunistic illness indicative of stage 3 HIV diagnosed within the 30 days prior
to screening
- Participants experiencing decompensated cirrhosis (e.g., ascites, encephalopathy, or
variceal bleeding)
- Have been treated with immunosuppressant therapies or chemotherapeutic agents within 3
months of study screening, or expected to receive these agents or systemic steroids
during the study (eg, corticosteroids, immunoglobulins, and other immune- or
cytokine-based therapies)
- Current alcohol or substance use judged by the Investigator to potentially interfere
with participant study compliance
- Active, serious infections (other than HIV-1 infection) requiring antibiotic or
antifungal therapy within 30 days prior to Day 1
- Participation in any other clinical trial, including observational studies, without
prior approval from the sponsor is prohibited while participating in this trial
- Any other clinical condition or prior therapy that, in the opinion of the
Investigator, would make the participant unsuitable for the study or unable to comply
with the dosing requirements
- Known hypersensitivity to FDC of B/F/TAF tablets, their metabolites, or formulation
excipient
- Females who are pregnant (as confirmed by positive serum pregnancy test)
- Females who are breastfeeding
- Acute hepatitis in the 30 days prior to randomization
- Active tuberculosis infection
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
We found this trial at
82
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St. Jude Children's Research Hospital St. Jude is unlike any other pediatric treatment and research...
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550 Peachtree Street Northeast
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1 Boston Medical Center Place
Boston, Massachusetts 02118
Boston, Massachusetts 02118
617.638.8000
Boston University Medical Center Boston Medical Center is an extraordinary community of health care providers...
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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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MetroHealth Med Ctr The MetroHealth System is one of the largest, most comprehensive health care...
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Palmetto Health Richland Palmetto Health Richland, originally founded in 1892 as Columbia Hospital, has a...
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Henry Ford Hospital Founded in 1915 by auto pioneer Henry Ford and now one of...
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Greenville, North Carolina 27834
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4733 Sunset Blvd
Los Angeles, California 90027
Los Angeles, California 90027
(800) 954-8000
Kaiser Permanente Los Angeles Medical Center We've been there for you in the past, providing...
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Medical College of Wisconsin The Medical College (MCW) of Wisconsin is a major national research...
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111 Central Avenue
Newark, New Jersey 07102
Newark, New Jersey 07102
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Orlando Immunology Center Orlando Immunology Center , or simply (OIC) is a part of Infectious...
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Philadelphia, Pennsylvania 19066
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660 S Euclid Ave
Saint Louis, Missouri 63110
Saint Louis, Missouri 63110
(314) 362-5000
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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3800 Reservoir Rd NW
Washington, District of Columbia 20007
Washington, District of Columbia 20007
(202) 444-2000
Georgetown University Hospital MedStar Georgetown University Hospital is a not-for-profit, acute-care teaching and research hospital...
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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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