Virological and Immunological Safety of a Dose Reduction Strategy Antiretroviral Regimen With Efavirenz / Tenofovir / Emtricitabine

NCT ID: NCT01778413

Last Updated: 2025-07-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-03

Study Completion Date

2015-07-21

Brief Summary

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The main objective is to determine the feasibility of maintaining virologic suppression on standard plasma viral load by dose reduction of ATRIPLA ®.

Detailed Description

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The main objective of this study is to determine the feasibility of maintaining virologic suppression on standard plasma viral load (limit of detection 37 copies / mL) of a dose reduction strategy of ATRIPLA ® once a day to three tablets per week in patients infected with HIV-1 with sustained suppression of plasma viral load standard for more than two years.

Conditions

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HIV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ATRIPLA three times a week.

Atripla (600 mg/200 mg/245 mg) three times a week.

Group Type EXPERIMENTAL

ATRIPLA

Intervention Type DRUG

ATRIPLA one time a day.

Atripla (600 mg/200 mg/245 mg) one time a day.

Group Type ACTIVE_COMPARATOR

ATRIPLA

Intervention Type DRUG

Interventions

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ATRIPLA

Intervention Type DRUG

Other Intervention Names

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efavirenz/emtricitabine/tenofovir disoproxil fumarate 600 mg/200 mg/245 mg

Eligibility Criteria

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Inclusion Criteria

* Adults (≥ 18 years)
* HIV-1 infection, clinical stability, and treatment with ATRIPLA ® for the past two years.
* Standard plasma viral load below the limit of detection for at least 2 years.
* CD4 count above 350/mm3 at the time of the consideration for the study.
* Negative pregnancy test in women of childbearing age, and commitment acceptable contraceptive use for at least 2 weeks before day 1 and until at least 6 months after the last dose of study drug.
* Patients should be given written informed consent
* In the opinion of the investigator, be able to follow the design of the protocol visits

Exclusion Criteria

* Patients who have experienced virologic failure prior to any antiretroviral regimen
* Evidence of previous mutations versus efavirenz, tenofovir and emtricitabine
* Use of any other chronic treatment plus ATRIPLA has been introduced in the 6 months prior to entry of the patient in the study
* Any contraindication to study drug
* Any condition not ensure proper adherence to the study at the discretion of the attending physician of the patient
* Uncontrolled preexisting psychiatric illness
* Any current sign of alcoholism or other drug use.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Anna Cruceta

OTHER

Sponsor Role lead

Responsible Party

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Anna Cruceta

Project manager

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Esteban Martinez, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Clínic i Provincial de Barcelona

Locations

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Hospital Clinic i Provincial Barcelona

Barcelona, , Spain

Site Status

Countries

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Spain

References

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Guardo AC, Zarama A, Gonzalez T, Bargallo ME, Rojas J, Martinez E, Plana M, Sanchez-Palomino S. Effects on immune system and viral reservoir of a short-cycle antiretroviral therapy in virologically suppressed HIV-positive patients. AIDS. 2019 May 1;33(6):965-972. doi: 10.1097/QAD.0000000000002169.

Reference Type DERIVED
PMID: 30946150 (View on PubMed)

Rojas J, Blanco JL, Sanchez-Palomino S, Marcos MA, Guardo AC, Gonzalez-Cordon A, Lonca M, Tricas A, Rodriguez A, Romero A, Miro JM, Mallolas J, Gatell JM, Plana M, Martinez E. A maintenance 3-day-per-week schedule with the single tablet regimen efavirenz/emtricitabine/tenofovir disoproxil fumarate is effective and decreases sub-clinical toxicity. AIDS. 2018 Jul 31;32(12):1633-1641. doi: 10.1097/QAD.0000000000001843.

Reference Type DERIVED
PMID: 29746294 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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A-TRI-WEEK

Identifier Type: -

Identifier Source: org_study_id

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