First-Line Treatment for HIV-2

NCT ID: NCT02150993

Last Updated: 2019-07-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-26

Study Completion Date

2019-05-15

Brief Summary

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FIT-2 is a multi-country, phase IIb, randomized, non-comparative study, carried out in West Africa (Côte d'Ivoire, Burkina Faso, Senegal, Togo).

ARV-naïve HIV-2 infected adult patients will be recruited and followed during 96 weeks.

The objective is to evaluate the efficacy and safety of 3 first-line treatments in HIV-2 infected adult patients, in West Africa. A treatment will be considered as effective if more than 55% of patients in that arm attain "global success" at 96 weeks.

Detailed Description

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Main objective

To determine in treatment-naïve HIV-2 infected patients, with CD4 counts above 200 cells/mm3, which of the following three regimens of first line treatment, Tenofovir (TDF), Emtricitabine or lamivudine (FTC or 3TC) plus Zidovudine (ZDV); TDF-FTC (3TC) plus Lopinavir/ritonavir (LPV / r); or TDF-FTC (3TC) plus raltegravir (RAL), will result in an "global success" rate of \> 55% at week 96.

Number of participants : 210

Main outcome :

The proportion of patients with "global success" at W96, defined by survival with a plasma HIV-2 RNA viral load of \<50 copies/ml and the non-occurrence of AIDS classified events (excluding tuberculosis) and the non-occurrence of severe morbidities non-AIDS-defining illness (cardiovascular disease, kidney disease, severe bacterial disease) and a delta of CD4 depending on the initial CD4 count (CD4 delta \> +100cells/mm3 for initial CD4s between 201 and 500 cells/mm3 or delta ≥0 cells/mm3 for initial CD4s \> +500 cells/mm3)

Inclusion criteria:

* Infection by HIV-2 only;
* Age \> or = 18 years;
* Naïve for antiretroviral therapy (including antiretroviral treatment in the context of PMTCT except taking a dose of Nevirapine for PMTCT)
* CD4 \>200 cells/mm3
* Resident of the city where the study is held or of city suburbs to facilitate participation
* Signed informed consent document

Conditions

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HIV-2 Infection

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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Arm A : TDF + FTC (or 3TC) + ZDV

Tenofovir + Emtricitabine or Lamivudine + Zidovudine

Group Type EXPERIMENTAL

Tenofovir + Emtricitabine or Lamivudine + Zidovudine

Intervention Type DRUG

TDF +FTC or 3TC (Tenofovir disoproxil fumarate 245 mg and emtricitabine 200 mg or lamivudine 300mg) QD (evenings orally with meals) + ZDV (Zidovudine 300 mg) 1 tb BID (mornings and evenings orally)

TDF+FTC (or 3TC) +LPV/r

Tenofovir + Emtricitabine or Lamivudine + Lopinavir/ritonavir

Group Type EXPERIMENTAL

Tenofovir + Emtricitabine or Lamivudine + Lopinavir/ritonavir

Intervention Type DRUG

TDF +FTC or 3TC (Tenofovir disoproxil fumarate 245 mg and emtricitabine 200 mg or lamivudine 300mg) QD (evenings orally with meals) + Lop/r (Lopinavir/ritonavir lopinavir 200/50 mg) 2 tbs BID (mornings and evenings orally)

Arm C : TDF +FTC (or 3TC) + RAL

Tenofovir + Emtricitabine or Lamivudine + Raltegravir

Group Type EXPERIMENTAL

Tenofovir + Emtricitabine or Lamivudine + Raltegravir

Intervention Type DRUG

TDF +FTC or 3TC (Tenofovir disoproxil fumarate 245 mg and emtricitabine 200 mg or lamivudine 300mg) QD (evenings orally with meals) + RAL (Raltegravir 400 mg) 1 tb BID (mornings and evenings orally)

Interventions

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Tenofovir + Emtricitabine or Lamivudine + Zidovudine

TDF +FTC or 3TC (Tenofovir disoproxil fumarate 245 mg and emtricitabine 200 mg or lamivudine 300mg) QD (evenings orally with meals) + ZDV (Zidovudine 300 mg) 1 tb BID (mornings and evenings orally)

Intervention Type DRUG

Tenofovir + Emtricitabine or Lamivudine + Lopinavir/ritonavir

TDF +FTC or 3TC (Tenofovir disoproxil fumarate 245 mg and emtricitabine 200 mg or lamivudine 300mg) QD (evenings orally with meals) + Lop/r (Lopinavir/ritonavir lopinavir 200/50 mg) 2 tbs BID (mornings and evenings orally)

Intervention Type DRUG

Tenofovir + Emtricitabine or Lamivudine + Raltegravir

TDF +FTC or 3TC (Tenofovir disoproxil fumarate 245 mg and emtricitabine 200 mg or lamivudine 300mg) QD (evenings orally with meals) + RAL (Raltegravir 400 mg) 1 tb BID (mornings and evenings orally)

Intervention Type DRUG

Other Intervention Names

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TDF+FTC (or 3TC) + ZDV TDF+FTC (or 3TC) + AZT TDF +FTC (or 3TC) +LPV/r TDF +FTC (or 3TC) + RAL

Eligibility Criteria

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Inclusion Criteria

* Infection by HIV-2 only;
* Age \> ou = 18 years;
* Naïve for antiretroviral therapy (including antiretroviral treatment in the context of PMTCT except taking a dose of Nevirapine for PMTCT)
* CD4 \>200 cells/mm3
* Resident of the city where the study is held or of city suburbs to facilitate participation
* Signed informed consent document

Exclusion Criteria

* Current participation in any other clinical trial
* Presence of opportunistic non-stabilized infections, of any serious or progressive disease, or of any clinical signs consistent with severe disease whose diagnosis is not yet confirmed, such as fever, weight loss, diarrhea or cough not yet explained (non-exhaustive list).
* All pathology that leads in daily life to prefer one or the other of the three therapeutic regimens for medical reasons or to change the dosages specified in the test. This includes (but not limited to):
* Hemoglobin ≤ 8 g / dL
* Neutrophil count \<500 cells/mm3
* Renal impairment with creatinine clearance \<50mL/mn
* Blood platelet \<50 000 cells/mm3
* Decompensated heart failure
* Hepatic failure Severe (TP\<50% or cytolysis severe (ALAT\> 3x ULN)
* Active TB during treatment with rifampicin
* Taking drugs that interact with the drugs of the clinical trial (as specified in the SPC)
* Pregnancy, breastfeeding or planning to become pregnant during study follow-up
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ANRS, Emerging Infectious Diseases

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Serge P. Eholié, MD, MSc, Pr

Role: PRINCIPAL_INVESTIGATOR

Service des Maladies Infectieuses et Tropicales, CHU de Treichville, Abidjan, Côte d'Ivoire

Françoise P. Brun-Vézinet, MD, MSc, Pr

Role: PRINCIPAL_INVESTIGATOR

Laboratoire de virologie, Hôpital Bichat-Claude Bernard

Locations

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CHU Sourô Sanou

Bobo-Dioulasso, , Burkina Faso

Site Status

CHU Yalgado Ouedraogo

Ouagadougou, , Burkina Faso

Site Status

Centre de Prise en Charge et de Formation (CePReF), Association ACONDA

Abidjan, , Côte d’Ivoire

Site Status

Centre Médical du Suivi des Donneurs de Sang (Blood Bank Medical Centre)

Abidjan, , Côte d’Ivoire

Site Status

CIRBA

Abidjan, , Côte d’Ivoire

Site Status

o L'Unité de soins ambulatoires et de conseils (USAC), CHU de Treichville

Abidjan, , Côte d’Ivoire

Site Status

Service des Maladies Infectieuses et Tropicales (SMIT), CHU de treichville

Abidjan, , Côte d’Ivoire

Site Status

CHNU Fann

Dakar, , Senegal

Site Status

ONG Espoirs Vie Togo (EVT)

Lomé, , Togo

Site Status

Countries

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Burkina Faso Côte d’Ivoire Senegal Togo

References

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Eholie SP, Ekouevi DK, Chazallon C, Charpentier C, Messou E, Diallo Z, Zoungrana J, Minga A, Ngom Gueye NF, Hawerlander D, Dembele F, Colin G, Tchounga B, Karcher S, Le Carrou J, Tchabert-Guie A, Toni TD, Ouedraogo AS, Bado G, Toure Kane C, Seydi M, Poda A, Mensah E, Diallo I, Drabo YJ, Anglaret X, Brun-Vezinet F; FIT-2 study group. Efficacy and safety of three antiretroviral therapy regimens for treatment-naive African adults living with HIV-2 (FIT-2): a pilot, phase 2, non-comparative, open-label, randomised controlled trial. Lancet HIV. 2024 Jun;11(6):e380-e388. doi: 10.1016/S2352-3018(24)00085-7. Epub 2024 May 10.

Reference Type DERIVED
PMID: 38740027 (View on PubMed)

Related Links

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Other Identifiers

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ANRS 12294 FIT-2

Identifier Type: -

Identifier Source: org_study_id

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