D/C/F/TAF Versus COBI-boosted DRV Plus FTC/TDF in HIV-1 Infected, Antiretroviral Treatment Naive Adults

NCT ID: NCT01565850

Last Updated: 2016-04-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

153 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2014-02-28

Brief Summary

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This study is to evaluate the safety and efficacy darunavir/cobicistat/emtricitabine/tenofovir alafenamide (D/C/F/TAF) fixed dose combination (FDC) tablet versus darunavir (DRV)+cobicistat (COBI)+emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) in HIV-1 infected, antiretroviral treatment-naive adults as determined by the achievement of HIV-1 RNA \< 50 copies/mL at Week 24.

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Detailed Description

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Conditions

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Acquired Immunodeficiency Syndrome HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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D/C/F/TAF

D/C/F/TAF FDC tablet plus DRV placebo plus COBI placebo plus FTC/TDF placebo

Group Type EXPERIMENTAL

D/C/F/TAF

Intervention Type DRUG

DRV 800 mg/COBI 150 mg/FTC 200 mg/TAF 10 mg FDC tablet administered orally once daily

DRV Placebo

Intervention Type DRUG

DRV placebo tablet administered orally once daily

COBI Placebo

Intervention Type DRUG

COBI placebo tablet administered orally once daily

FTC/TDF Placebo

Intervention Type DRUG

FTC/TDF placebo tablet administered orally once daily

DRV+COBI+FTC/TDF

DRV tablet plus COBI tablet plus FTC/TDF 200/300 mg FDC tablet plus D/C/F/TAF placebo

Group Type ACTIVE_COMPARATOR

DRV

Intervention Type DRUG

DRV 800 mg (2 × 400 mg tablets) administered orally once daily

COBI

Intervention Type DRUG

COBI 150 mg tablet administered orally once daily

FTC/TDF

Intervention Type DRUG

FTC 200 mg/TDF 300 mg FDC tablet administered orally once daily

D/C/F/TAF Placebo

Intervention Type DRUG

D/C/F/TAF placebo tablet administered orally once daily

Interventions

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D/C/F/TAF

DRV 800 mg/COBI 150 mg/FTC 200 mg/TAF 10 mg FDC tablet administered orally once daily

Intervention Type DRUG

DRV

DRV 800 mg (2 × 400 mg tablets) administered orally once daily

Intervention Type DRUG

COBI

COBI 150 mg tablet administered orally once daily

Intervention Type DRUG

FTC/TDF

FTC 200 mg/TDF 300 mg FDC tablet administered orally once daily

Intervention Type DRUG

D/C/F/TAF Placebo

D/C/F/TAF placebo tablet administered orally once daily

Intervention Type DRUG

DRV Placebo

DRV placebo tablet administered orally once daily

Intervention Type DRUG

COBI Placebo

COBI placebo tablet administered orally once daily

Intervention Type DRUG

FTC/TDF Placebo

FTC/TDF placebo tablet administered orally once daily

Intervention Type DRUG

Other Intervention Names

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Prezista® Tybost® GS-9350 Truvada®

Eligibility Criteria

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Inclusion Criteria

* Adult (≥ 18 years) males or non-pregnant females
* Ability to understand and sign a written informed consent form
* General medical condition which does not interfere with the assessments and the completion of the trial
* Plasma HIV-1 RNA levels ≥ 5,000 copies/mL
* CD4+ cell count \> 50 cells/µL
* Treatment-naive: No prior use of any approved or experimental anti-HIV drug for any length of time
* Screening genotype report must show sensitivity to DRV, TDF and FTC
* Normal ECG
* Adequate renal function: Estimated glomerular filtration rate ≥ 70 mL/min according to the Cockcroft Gault formula
* Hepatic transaminases ≤ 2.5 x upper limit of normal (ULN)
* Total bilirubin ≤ 1.5 mg/dL
* Serum amylase ≤ 5 x ULN
* Adequate hematologic function
* Normal thyroid-stimulating hormone (TSH)
* Females of childbearing potential must have a negative serum pregnancy test
* Females of childbearing potential must agree to utilize highly effective contraception methods from screening throughout the duration of study treatment and for 30 days following the last dose of study drugs
* Female subjects who are postmenopausal must have documentation of cessation of menses for ≥ 12 months and hormonal failure
* Female subjects 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 test
* Male subjects must agree to utilize a highly effective method of contraception during heterosexual intercourse throughout the study period and for 90 days following discontinuation of investigational medicinal product

Exclusion Criteria

* A new AIDS defining condition diagnosed within the 30 days prior to screening
* Hepatitis B surface antigen positive
* Hepatitis C antibody positive
* Proven acute hepatitis in the 30 days prior to study entry
* Have a history or experiencing decompensated cirrhosis
* Current alcohol or substance use that potentially interferes with study compliance
* Any other clinical condition or prior therapy that would make the subject unsuitable for the study or unable to comply with the dosing requirements
* 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
* Females who are breastfeeding
* Positive serum pregnancy test (female of childbearing potential)
* Female subjects who utilize non-estrogen hormonal contraceptive as one of their birth control methods must have used the same method for at least three months prior to study dosing
* Have an implanted defibrillator or pacemaker
* Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to Baseline
* Participation in any other clinical trial without prior approval is prohibited while participating in this trial
* Receiving ongoing therapy with any of the disallowed medications, including drugs not to be used with darunavir and cobicistat
* Note: darunavir is a sulfonamide. Participants who previously experienced a sulfonamide allergy will be allowed to enter the trial. To date, no potential for cross sensitivity between drugs in the sulfonamide class and darunavir has been identified in patients participating in Phase 2 and Phase 3 trials.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Moupali Das, MD, MPH

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

AHF Research Center

Beverly Hills, California, United States

Site Status

Kaiser Permanente

Los Angeles, California, United States

Site Status

Peter J. Ruane, MD, Inc.

Los Angeles, California, United States

Site Status

Anthony Mills MD, Inc

Los Angeles, California, United States

Site Status

Orange Coast Medical Group

Newport Beach, California, United States

Site Status

Alta Bates Summit Medical Center, East Bay AIDS Center

Oakland, California, United States

Site Status

Stanford University

Palo Alto, California, United States

Site Status

Kaiser Permanente Medical Group

Sacramento, California, United States

Site Status

La Playa Medical Group and Clinical Research

San Diego, California, United States

Site Status

Kasier Permanente Medical Center

San Francisco, California, United States

Site Status

TPMG--Clinical Trials Unit

San Francisco, California, United States

Site Status

Apex Research

Denver, Colorado, United States

Site Status

Denver Infectious Disease Consultants, PLLC

Denver, Colorado, United States

Site Status

Dupont Circle Physician's Group

Washington D.C., District of Columbia, United States

Site Status

Whitman-Walker Health

Washington D.C., District of Columbia, United States

Site Status

Capital Medical Associates, PC

Washington D.C., District of Columbia, United States

Site Status

Gary J. Richmond,M.D.,P.A.

Fort Lauderdale, Florida, United States

Site Status

Wohlfeiler, Piperato and Associates, LLC

Miami Beach, Florida, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

IDOCF/ValuhealthMD, LLC

Orlando, Florida, United States

Site Status

St. Joseph's Comprehensive Research Institute

Tampa, Florida, United States

Site Status

Infectious Disease Specialists of Atlanta

Decatur, Georgia, United States

Site Status

Mercer University Mercer Medicine

Macon, Georgia, United States

Site Status

Howard Brown Health Center

Chicago, Illinois, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Community Research Initiative (CRI)

Boston, Massachusetts, United States

Site Status

Be Well Medical Center

Berkley, Michigan, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

Hennepin County Medical Center

Minneapolis, Minnesota, United States

Site Status

Central West Clinical Research Inc

St Louis, Missouri, United States

Site Status

North Shore University Hospital / Division of Infectious Diseases

Manhasset, New York, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

ID Consultants, P.A.

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

University of South Carolina School of Medicine Division of Infectious Disease

Columbia, South Carolina, United States

Site Status

Southwest Infectious Disease Clinical Research Inc

Dallas, Texas, United States

Site Status

Tarrant County Infectious Disease Associates

Fort Worth, Texas, United States

Site Status

Therapeutic Concepts, PA

Houston, Texas, United States

Site Status

Gordon E. Crofoot, MD., PA

Houston, Texas, United States

Site Status

DCOL Center for Clinical Research

Longview, Texas, United States

Site Status

CARE-ID

Annandale, Virginia, United States

Site Status

Peter Shalit, M.D.

Seattle, Washington, United States

Site Status

Clinical Research Puerto Rico

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Other Identifiers

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GS-US-299-0102

Identifier Type: -

Identifier Source: org_study_id

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