Renal Effect of Stribild or Other Tenofovir DF-containing Regimens Compared to Ritonavir-boosted Atazanavir Plus Abacavir/Lamivudine in Antiretroviral Treatment-naive HIV-1 Infected Adults

NCT ID: NCT02246998

Last Updated: 2018-01-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-15

Study Completion Date

2016-02-17

Brief Summary

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The primary objective of this study is to assess glomerular function before and during administration of stribild (STB; elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF)) or a regimen containing TDF without cobicistat (COBI) as ritonavir (RTV)-boosted atazanavir (ATV/r) plus truvada (TVD; FTC/TDF) or atripla (ATR; efavirenz/emtricitabine/tenofovir disoproxil fumarate (EFV/FTC/TDF)) compared to a regimen containing neither TDF nor COBI as ATV/r plus abacavir/lamivudine (ABC/3TC) via determination of actual glomerular filtration rate (aGFR) using iohexol (a probe GFR marker) plasma clearance and estimated (calculated) glomerular filtration rate (eGFR).

Detailed Description

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Conditions

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HIV-1 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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STB+iohexol

Participants will receive STB+iohexol for 24 weeks.

Group Type EXPERIMENTAL

STB

Intervention Type DRUG

150/150/200/300 mg fixed dose combination (FDC) tablet administered orally once daily with food

Iohexol

Intervention Type DRUG

1500 mg solution administered intravenously at baseline, and at Weeks 4, 8, 16, and 24

RTV+ATV+TVD+iohexol

Participants will receive RTV+ATV+TVD+iohexol for 24 weeks.

Group Type EXPERIMENTAL

TVD

Intervention Type DRUG

200/300 mg FDC tablet administered orally once daily with food

RTV

Intervention Type DRUG

100 mg tablet administered orally once daily with food

ATV

Intervention Type DRUG

300 mg capsule administered orally once daily with food

Iohexol

Intervention Type DRUG

1500 mg solution administered intravenously at baseline, and at Weeks 4, 8, 16, and 24

ATR+iohexol

Participants will receive ATR+iohexol for 24 weeks.

Group Type EXPERIMENTAL

ATR

Intervention Type DRUG

600/200/300 mg FDC tablet administered orally once daily on an empty stomach at bedtime

Iohexol

Intervention Type DRUG

1500 mg solution administered intravenously at baseline, and at Weeks 4, 8, 16, and 24

RTV+ATV+ABC/3TC+iohexol

Participants will receive RTV+ATV+ABC/3TC+iohexol for 24 weeks.

Group Type EXPERIMENTAL

RTV

Intervention Type DRUG

100 mg tablet administered orally once daily with food

ATV

Intervention Type DRUG

300 mg capsule administered orally once daily with food

ABC/3TC

Intervention Type DRUG

600/300 mg FDC tablet administered orally once daily with food

Iohexol

Intervention Type DRUG

1500 mg solution administered intravenously at baseline, and at Weeks 4, 8, 16, and 24

Interventions

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STB

150/150/200/300 mg fixed dose combination (FDC) tablet administered orally once daily with food

Intervention Type DRUG

TVD

200/300 mg FDC tablet administered orally once daily with food

Intervention Type DRUG

ATR

600/200/300 mg FDC tablet administered orally once daily on an empty stomach at bedtime

Intervention Type DRUG

RTV

100 mg tablet administered orally once daily with food

Intervention Type DRUG

ATV

300 mg capsule administered orally once daily with food

Intervention Type DRUG

ABC/3TC

600/300 mg FDC tablet administered orally once daily with food

Intervention Type DRUG

Iohexol

1500 mg solution administered intravenously at baseline, and at Weeks 4, 8, 16, and 24

Intervention Type DRUG

Other Intervention Names

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Stribild® Truvada® Atripla® Norvir® Reyataz® Kivexa® Omnipaque™

Eligibility Criteria

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Inclusion Criteria

* Treatment naïve
* Plasma HIV-1 RNA levels ≥ 5,000 copies/mL at Screening
* CD4 cell count \> 200 cells/µL
* Screening genotype report provided by the site must show sensitivity to FTC, TDF, EFV, ABC, 3TC, ATV and absence of study drug resistance mutations that include K65R, K70E and M184V in RT
* Estimated GFR ≥ 70 mL/min
* Hepatic transaminases (aspartate aminotransferase \[AST\] and alanine aminotransferase \[ALT\]) ≤ 5 × upper limit of normal (ULN)
* Total bilirubin ≤ 1.5 mg/dL (≤ 26 umol/L), or normal direct bilirubin
* Adequate hematologic function (absolute neutrophil count ≥ 1,000/mm\^3; platelets ≥ 50,000/mm\^3; hemoglobin ≥ 8.5 g/dL)
* Serum amylase ≤ 5 × ULN (individuals with serum amylase \> 5 × ULN will remain eligible if serum lipase is ≤ 5 × ULN)
* Normal electrocardiogram (ECG) or not clinically significant if abnormal ECG
* Not pregnant or non-lactating females of non-childbearing potential. Or females with childbearing potential who 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 90 days if taking EFV/FTC/TDF or for 30 days for all other study drugs following the last study drug dose
* Males who agree to utilize a highly effective method of contraception during heterosexual intercourse or be non-heterosexually active, or practice sexual abstinence from first dose throughout the study period and for 90 days if taking EFV/FTC/TDF or for 30 days for all other study drugs following the last study drug dose. Males who agree to refrain from sperm donation from first dose until at least 90 days if taking EFV/FTC/TDF or for 30 days for all other study drugs following the last study drug dose
* Body mass index (BMI) of 19 ≤ BMI ≤ 30 kg/m\^2 and body weight ≥ 40 kg
* Life expectancy ≥ 1 year

Exclusion Criteria

* HLA-B\*5701 allele positive
* A new AIDS-defining condition diagnosed within the 30 days prior to screening
* Hepatitis B surface antigen (HBsAg) positive
* Hepatitis C virus (HCV) antibody positive and HCV RNA detectable
* Individuals experiencing decompensated cirrhosis
* Females who are breastfeeding
* Positive serum pregnancy test
* Have an implanted defibrillator or pacemaker
* Current alcohol or substance that could potentially interfere with study compliance
* A history of malignancy within the past 5 years (prior to screening) or ongoing malignancy other than cutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasive cutaneous squamous carcinoma. Individuals with cutaneous KS are eligible, but must not have received any systemic therapy for KS within 30 days of Day 1 Visit and must not be anticipated to require systemic therapy during the study
* Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to Day 1 Visit
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 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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Brussels, , Belgium

Site Status

Ghent, , Belgium

Site Status

Lyon, , France

Site Status

Paris, , France

Site Status

Rennes, , France

Site Status

Tourcoing, , France

Site Status

Dublin, , Ireland

Site Status

Barcelona, , Spain

Site Status

Madrid, , Spain

Site Status

Seville, , Spain

Site Status

Birmingham, , United Kingdom

Site Status

Bournemouth, , United Kingdom

Site Status

Brighton, , United Kingdom

Site Status

Bristol, , United Kingdom

Site Status

Coventry, , United Kingdom

Site Status

Liverpool, , United Kingdom

Site Status

London, , United Kingdom

Site Status

Manchester, , United Kingdom

Site Status

Newcastle, , United Kingdom

Site Status

Sheffield, , United Kingdom

Site Status

Countries

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Belgium France Ireland Spain United Kingdom

Other Identifiers

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2014-002095-93

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-236-0140

Identifier Type: -

Identifier Source: org_study_id

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