Study to Evaluate the Safety and Efficacy of E/C/F/TAF (Genvoya®) Versus E/C/F/TDF (Stribild®) in HIV-1 Positive, Antiretroviral Treatment-Naive Adults

NCT ID: NCT01780506

Last Updated: 2018-11-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

872 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-26

Study Completion Date

2017-09-06

Brief Summary

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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) versus elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF) FDC in HIV-1 positive, antiretroviral treatment-naive adults.

Detailed Description

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Conditions

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HIV 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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E/C/F/TAF (Double-Blind Phase)

E/C/F/TAF plus E/C/F/TDF placebo for 144 weeks

Group Type EXPERIMENTAL

E/C/F/TAF

Intervention Type DRUG

150/150/200/10 mg FDC tablet administered orally once daily

E/C/F/TDF Placebo

Intervention Type DRUG

Tablet administered orally once daily

E/C/F/TDF (Double-Blind Phase)

E/C/F/TDF plus E/C/F/TAF placebo for 144 weeks

Group Type ACTIVE_COMPARATOR

E/C/F/TDF

Intervention Type DRUG

150/150/200/300 mg FDC tablet administered orally once daily

E/C/F/TAF Placebo

Intervention Type DRUG

Tablet administered orally once daily

Open-Label Extension Phase

After study unblinding, participants who complete 144 weeks of the study had the option to receive open-label E/C/F/TAF until commercially available, or until Gilead Sciences terminated the study in that country.

Group Type EXPERIMENTAL

E/C/F/TAF

Intervention Type DRUG

150/150/200/10 mg FDC tablet administered orally once daily

Interventions

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E/C/F/TAF

150/150/200/10 mg FDC tablet administered orally once daily

Intervention Type DRUG

E/C/F/TDF

150/150/200/300 mg FDC tablet administered orally once daily

Intervention Type DRUG

E/C/F/TDF Placebo

Tablet administered orally once daily

Intervention Type DRUG

E/C/F/TAF Placebo

Tablet administered orally once daily

Intervention Type DRUG

Other Intervention Names

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Genvoya® Stribild®

Eligibility Criteria

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Inclusion Criteria

* Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
* Plasma HIV-1 RNA levels ≥ 1,000 copies/mL at screening
* No prior use of any approved or investigational antiretroviral drug for any length of time, except the use for pre-exposure prophylaxis (PREP) or post-exposure prophylaxis (PEP), up to 6 months prior to screening
* Screening genotype report must show sensitivity to elvitegravir, emtricitabine, tenofovir disoproxil fumarate (tenofovir DF)
* Normal electrocardiogram (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
* Serum amylase ≤ 5 × ULN
* Males and females of childbearing potential must agree 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 dose of study drug
* Females 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
* Females 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 at screening within the post-menopausal range based on the Central Laboratory reference range

Exclusion Criteria

* A new acquired immunodeficiency syndrome (AIDS) defining condition diagnosed within the 30 days prior to screening
* Hepatitis B surface antigen (HBsAg) positive
* Hepatitis C antibody positive
* Individuals experiencing decompensated cirrhosis
* Females who are breastfeeding
* Positive serum pregnancy test
* Have an implanted defibrillator or pacemaker
* Current alcohol or substance use judged by the Investigator to potentially interfere with study compliance
* History of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, noninvasive cutaneous squamous carcinoma
* Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
* Any other clinical condition or prior therapy that, in the opinion of the Investigator, 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
* Individuals receiving ongoing therapy with drugs not to be used with elvitegravir, cobicistat, emtricitabine, tenofovir DF, and TAF or individuals with any known allergies to the excipients of E/C/F/TDF or E/C/F/TAF single-tablet regimen tablets
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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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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The University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Spectrum Medical Group

Phoenix, Arizona, United States

Site Status

Kaiser Permanente Los Angeles

Los Angeles, California, United States

Site Status

University of California, Los Angeles

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

East Bay AIDS Center

Oakland, California, United States

Site Status

Kaiser Permanente - Sacramento

Sacramento, California, United States

Site Status

La Playa Medical Group and Clinical Research

San Diego, California, United States

Site Status

University of California, San Diego

San Diego, California, United States

Site Status

Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

Apex Research, LLC

Denver, Colorado, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Dupont Circle Physicians Group, P.C.

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

Site Status

Whitman Walker Clinic

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

Site Status

Capital Medical Associates, P.C.

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

Site Status

Gary Richmond, MD, PA, Inc.

Fort Lauderdale, Florida, United States

Site Status

Midway Immunology & Research Center, LLC

Ft. Pierce, Florida, United States

Site Status

The Kinder Medical Group

Miami, Florida, United States

Site Status

AIDS Healthcare Foundation

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

Infectious Diseases Associates

Pensacola, Florida, United States

Site Status

The University of South Florida

Tampa, Florida, United States

Site Status

Infectious Disease Research Institute Inc.

Tampa, Florida, United States

Site Status

St. Joseph's Comprenhensive Research Inisitute

Tampa, Florida, United States

Site Status

AIDS Research and Treatment Center of the Treasure Coast

Vero Beach, Florida, United States

Site Status

AIDS Research Consortium of Atlanta

Atlanta, Georgia, United States

Site Status

Emory University

Atlanta, Georgia, United States

Site Status

Atlanta ID Group, PC

Atlanta, Georgia, United States

Site Status

Infectious Disease Specialist of Atlanta

Decatur, Georgia, United States

Site Status

Mercer University School of Medicine

Macon, Georgia, United States

Site Status

University of Hawaii - Hawaii Center for AIDS

Honolulu, Hawaii, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Ruth M. Rothstein CORE Center

Chicago, Illinois, United States

Site Status

Howard Brown Health Center

Chicago, Illinois, United States

Site Status

Institute of Human Virology, University of Maryland

Baltimore, Maryland, United States

Site Status

Community Research Initative

Boston, Massachusetts, United States

Site Status

Brigham & Women's Hospital

Boston, Massachusetts, United States

Site Status

Metrowest Medical Center

Framingham, Massachusetts, United States

Site Status

Baystate Infectious Diseases Clinical Research

Springfield, Massachusetts, United States

Site Status

Be Well Medical Center

Berkley, Michigan, United States

Site Status

Henry Ford Hospital

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

Southampton Healthcare, Inc.

St Louis, Missouri, United States

Site Status

ID Care

Hillsborough, New Jersey, United States

Site Status

Saint Michael's Medical Center

Newark, New Jersey, United States

Site Status

Southwest C.A.R.E. Center

Santa Fe, New Mexico, United States

Site Status

Albany Medical College

Albany, New York, United States

Site Status

Upstate Infectious Diseases Associates

Albany, New York, United States

Site Status

New York Hospital Queens

Flushing, New York, United States

Site Status

North Shore University Hospital - Division of Infectious Diseases

Manhasset, New York, United States

Site Status

Mount Sinai School of Medicine

New York, New York, United States

Site Status

Jacobi Medical Center

The Bronx, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

University of North Carolina

Chapel Hill, North Carolina, United States

Site Status

Infectious Disease Consultants, PA

Charlotte, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Rosedale Infectious Diseases

Huntersville, North Carolina, United States

Site Status

Summa Health Care Center

Akron, Ohio, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

The Miriam Hospital

Providence, Rhode Island, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

University of South Carolina School of Medicine

Columbia, South Carolina, United States

Site Status

Central Texas Clinical Research

Austin, Texas, United States

Site Status

St. Hope Foundation, Inc.

Bellaire, Texas, United States

Site Status

Trinity Health and Wellness Center/AIDS Arms, Inc.

Dallas, Texas, United States

Site Status

North Texas Infectious Diseases Consultants

Dallas, Texas, United States

Site Status

Tarrant County Infectious Disease Associates

Fort Worth, Texas, United States

Site Status

Garcias' Family Health Group

Harlingen, 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

Clinical Alliance for Research & Education - Infectious Diseases, LLC (CARE-ID)

Annandale, Virginia, United States

Site Status

Peter Shalit, MD

Seattle, Washington, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Holdsworth House Medical Practice

Darlinghurst, New South Wales, Australia

Site Status

Taylor Square Private Clinic

Darlington, New South Wales, Australia

Site Status

East Sydney Doctors

Sydney, New South Wales, Australia

Site Status

Albion Street Centre

Sydney, Southwest, Australia

Site Status

Melbourne Sexual Health Clinic

Carlton, Victoria, Australia

Site Status

DIAID, Department of Dermatology, Medical University Vienna

Vienna, , Austria

Site Status

Otto-Wagner-Spital, Sozialmedizinisches Zentrum Baumgartner Hoehe

Vienna, , Austria

Site Status

Hôpital Erasme-ULB

Anderlecht, Brussels Capital, Belgium

Site Status

CHU Saint-Pierre University Hospital

Brussels, , Belgium

Site Status

Spectrum Health

Vancouver, British Columbia, Canada

Site Status

Health Sciences Centre Winnipeg

Winnipeg, Manitoba, Canada

Site Status

The Ottawa Hospital

Ottawa, Ontario, Canada

Site Status

Maple Leaf Research

Toronto, Ontario, Canada

Site Status

Clinique Medicale Du Quartier Latin

Montreal, Quebec, Canada

Site Status

Clinique medicale l'Actuel

Montreal, Quebec, Canada

Site Status

Clinique OPUS

Montreal, Quebec, Canada

Site Status

Sunnybrook Health Science Center

Toronto, , Canada

Site Status

Ospedale San Raffaele

Milan, , Italy

Site Status

National Center for Global Health and Medicine AIDS Clinical Center

Shinjuku-ku, Tokyo, , Japan

Site Status

HOPE Clinical Research

San Juan, , Puerto Rico

Site Status

Hospital Germans Trias i Pujol

Badalona, , Spain

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Universitari Vall D'Hebron

Barcelona, , Spain

Site Status

Hospital Clinic i Provincial

Barcelona, , Spain

Site Status

University Hospital Bellvitge

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Maranon

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Complejo Hospitalario Universitario de Santiago (CHUS)

Santiago de Compostela, , Spain

Site Status

Universitätsspital Bern

Bern, , Switzerland

Site Status

Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status

University Hospital, Zurich

Zurich, , Switzerland

Site Status

The HIV Netherland Australia Thailand, Thai Red Cross AIDS Research Center (The HIV-NAT)

Bangkok, , Thailand

Site Status

Ramathibodi Hospital, Mahidol University

Bangkok, , Thailand

Site Status

Siriraj Hospital

Bangkok, , Thailand

Site Status

Chiang Mai University

Chiang Mai, , Thailand

Site Status

Khon Kaen University

Khon Kaen, , Thailand

Site Status

Bamrasnaradura Infectious Diseases Institute

Nonthaburi, , Thailand

Site Status

Chelsea & Westminster Hospital

London, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Canada Italy Japan Puerto Rico Spain Switzerland Thailand United Kingdom

References

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Sax PE, Wohl D, Yin MT, Post F, DeJesus E, Saag M, Pozniak A, Thompson M, Podzamczer D, Molina JM, Oka S, Koenig E, Trottier B, Andrade-Villanueva J, Crofoot G, Custodio JM, Plummer A, Zhong L, Cao H, Martin H, Callebaut C, Cheng AK, Fordyce MW, McCallister S; GS-US-292-0104/0111 Study Team. Tenofovir alafenamide versus tenofovir disoproxil fumarate, coformulated with elvitegravir, cobicistat, and emtricitabine, for initial treatment of HIV-1 infection: two randomised, double-blind, phase 3, non-inferiority trials. Lancet. 2015 Jun 27;385(9987):2606-15. doi: 10.1016/S0140-6736(15)60616-X. Epub 2015 Apr 15.

Reference Type RESULT
PMID: 25890673 (View on PubMed)

Arribas JR, Thompson M, Sax PE, Haas B, McDonald C, Wohl DA, DeJesus E, Clarke AE, Guo S, Wang H, Callebaut C, Plummer A, Cheng A, Das M, McCallister S. Brief Report: Randomized, Double-Blind Comparison of Tenofovir Alafenamide (TAF) vs Tenofovir Disoproxil Fumarate (TDF), Each Coformulated With Elvitegravir, Cobicistat, and Emtricitabine (E/C/F) for Initial HIV-1 Treatment: Week 144 Results. J Acquir Immune Defic Syndr. 2017 Jun 1;75(2):211-218. doi: 10.1097/QAI.0000000000001350.

Reference Type RESULT
PMID: 28282300 (View on PubMed)

Margot N, Cox S, Das M, McCallister S, Miller MD, Callebaut C. Infrequent development of drug resistance in HIV-1-infected treatment-naive subjects after 96 weeks of treatment with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide or elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate. Antivir Ther. 2017;22(5):443-446. doi: 10.3851/IMP3125. Epub 2017 Jan 11.

Reference Type RESULT
PMID: 28076335 (View on PubMed)

Margot NA, Kitrinos KM, Fordyce M, McCallister S, Miller MD, Callebaut C. Rare emergence of drug resistance in HIV-1 treatment-naive patients after 48 weeks of treatment with elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide. HIV Clin Trials. 2016 Mar;17(2):78-87. doi: 10.1080/15284336.2016.1142731.

Reference Type RESULT
PMID: 26892863 (View on PubMed)

Funderburg NT, McComsey GA, Kulkarni M, Bannerman T, Mantini J, Thornton B, Liu HC, Zhang Y, Song Q, Fang L, Dinoso J, Cheng A, McCallister S, Fordyce MW, Das M. Equivalent Decline in Inflammation Markers with Tenofovir Disoproxil Fumarate vs. Tenofovir Alafenamide. EBioMedicine. 2016 Nov;13:321-327. doi: 10.1016/j.ebiom.2016.10.009. Epub 2016 Oct 11.

Reference Type RESULT
PMID: 27742226 (View on PubMed)

Wohl D, Oka S, Clumeck N, Clarke A, Brinson C, Stephens J, Tashima K, Arribas JR, Rashbaum B, Cheret A, Brunetta J, Mussini C, Tebas P, Sax PE, Cheng A, Zhong L, Callebaut C, Das M, Fordyce M; GS-US-2,92-01040111 and Study Team. Brief Report: A Randomized, Double-Blind Comparison of Tenofovir Alafenamide Versus Tenofovir Disoproxil Fumarate, Each Coformulated With Elvitegravir, Cobicistat, and Emtricitabine for Initial HIV-1 Treatment: Week 96 Results. J Acquir Immune Defic Syndr. 2016 May 1;72(1):58-64. doi: 10.1097/QAI.0000000000000940.

Reference Type RESULT
PMID: 26829661 (View on PubMed)

Custodio JM, Garner W, Callebaut C, Fordyce M, Plummer A, Zhong L, et al. The Pharmacokinetics of Tenofovir and Tenofovir Diphosphate Following Administration of Tenofovir Alafenamide vs Tenofovir Disoproxil Fumarate [Oral Abstract #6]. The 16th International Workshop on Clinical Pharmacology of HIV & Hepatitis Therapy. Washington DC, USA, May 26-28, 2015.

Reference Type RESULT

Other Identifiers

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2012-004458-27

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-292-0104

Identifier Type: -

Identifier Source: org_study_id

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