Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of E/C/F/TAF Fixed Dose Combination (FDC) in HIV-1 Infected Adults on Chronic Hemodialysis

NCT ID: NCT02600819

Last Updated: 2020-11-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-14

Study Completion Date

2019-10-15

Brief Summary

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The primary objective of this study is to evaluate the safety and tolerability of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed-dose combination (FDC) in human immunodeficiency virus (HIV-1) infected adults with end-stage renal disease (ESRD) on chronic hemodialysis (HD).

Detailed Description

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Conditions

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HIV-1 Infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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E/C/F/TAF

Participants will switch their current antiretroviral regimen to E/C/F/TAF and receive treatment for 96 weeks. After Week 96, participants in the United States (US) who wish to participate in the open-label (OL) rollover extension will continue to take E/C/F/TAF FDC until the End of E/C/F/TAF Visit.

Group Type EXPERIMENTAL

E/C/F/TAF

Intervention Type DRUG

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

Open-Label Rollover Extension B/F/TAF

At Week 96 or the End of E/C/F/TAF Visit (whichever occurs last), participants will be given the option to receive open-label bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) for at least 48 weeks.

Group Type EXPERIMENTAL

B/F/TAF

Intervention Type DRUG

50/200/25 mg FDC tablets administered orally once daily

Interventions

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E/C/F/TAF

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

Intervention Type DRUG

B/F/TAF

50/200/25 mg FDC tablets administered orally once daily

Intervention Type DRUG

Other Intervention Names

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Genvoya® Biktarvy®

Eligibility Criteria

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Inclusion Criteria

* Currently on a stable antiretroviral regimen for ≥ 6 consecutive months
* Plasma HIV-1 ribonucleic acid (RNA) concentrations \< 50 copies/mL for ≥ 6 months preceding the screening visit and have HIV-1 RNA \< 50 copies/mL at screening
* No documented history of HIV-1 resistance to elvitegravir (EVG), emtricitabine (FTC), lamivudine (3TC) or tenofovir (TFV) and no history of switching off EVG, FTC, 3TC or TFV due to concern for resistance
* Cluster determinant 4 (CD4+) T cell count ≥ 200 cells/μL
* ESRD with estimated glomerular filtration rate (eGFR) \< 15 mL/min by Cockcroft-Gault formula for creatinine clearance
* On chronic HD for ≥ 6 months prior to screening
* Adequate hematologic function (absolute neutrophil count ≥ 1,000/mm\^3; platelets ≥ 50,000/mm\^3; hemoglobin ≥ 8.5 g/dL)

Exclusion Criteria

* Hepatitis B co-infection
* Any clinical history, condition, or test result that, in the opinion of the Investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements
* Administration of other investigational agents (unless approved by Gilead Sciences). Participation in any other clinical trial, including observational trials, without prior approval from the sponsor is prohibited while participating in this trial.
* History or presence of allergy or intolerance to the study drugs or their components
* A new acquired immunodeficiency syndrome (AIDS)-defining condition (excluding CD4+ T cell count and percentage criteria) diagnosed within the 30 days prior to screening, with the exception of oropharyngeal candidiasis
* Received solid organ or bone marrow transplant
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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Peter J Ruane MD Inc

Los Angeles, California, United States

Site Status

University of California Davis

Sacramento, California, United States

Site Status

Midway Immunology & Research Center, LLC

Ft. Pierce, Florida, United States

Site Status

Infectious Disease Consultants, M.D., P.A. d/b/a Orlando Immunology Center

Orlando, Florida, United States

Site Status

Triple O Research Institute PA

West Palm Beach, Florida, United States

Site Status

Medical College of Georgia

Augusta, Georgia, United States

Site Status

Infectious Disease Specialists of Atlanta

Decatur, Georgia, United States

Site Status

Mercer University School of Medicine

Macon, Georgia, United States

Site Status

The Research Institute

Springfield, Massachusetts, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

Prime Health Care Services - St Michael's LLC d/b/a Saint Michael's Medical Center

Newark, New Jersey, United States

Site Status

University of North Carolina at Chapel Hill / UNC School of Medicine

Chapel Hill, North Carolina, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Wake Forest University Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status

University of Cincinnati Med Center

Cincinnati, Ohio, United States

Site Status

MetroHealth Medical Center IRB

Cleveland, Ohio, United States

Site Status

North Texas Infectious Diseases Consultants

Dallas, Texas, United States

Site Status

Trinity Health and Wellness Center

Fort Worth, Texas, United States

Site Status

Gordon E. Crofoot MD PA

Houston, Texas, United States

Site Status

Otto Wagner Spital

Vienna, , Austria

Site Status

Hopital Henri Mondor

Créteil, , France

Site Status

CHU de Nice-l Archet

Nice, , France

Site Status

Hopital Bichat-Claude Bernard

Paris, , France

Site Status

Hopital Saint Louis

Paris, , France

Site Status

Centre Hospitalier de Tourcoing

Tourcoing, , France

Site Status

Klinikum rechts der Isar, TUM

München, , Germany

Site Status

Countries

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United States Austria France Germany

References

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Eron JJ Jr, Lelievre JD, Kalayjian R, Slim J, Wurapa AK, Stephens JL, McDonald C, Cua E, Wilkin A, Schmied B, McKellar M, Cox S, Majeed SR, Jiang S, Cheng A, Das M, SenGupta D. Safety of elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide in HIV-1-infected adults with end-stage renal disease on chronic haemodialysis: an open-label, single-arm, multicentre, phase 3b trial. Lancet HIV. 2018 Dec 13:S2352-3018(18)30296-0. doi: 10.1016/S2352-3018(18)30296-0. Online ahead of print.

Reference Type BACKGROUND
PMID: 30555051 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol: Original

View Document

Document Type: Study Protocol: Amendment 1

View Document

Document Type: Study Protocol: Amendment 2

View Document

Document Type: Study Protocol: Amendment 2.1

View Document

Other Identifiers

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2015-002713-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-292-1825

Identifier Type: -

Identifier Source: org_study_id