Safety and Efficacy of Switching to a FDC of B/F/TAF From E/C/F/TAF, E/C/F/TDF, or ATV+RTV+FTC/TDF in Virologically Suppressed HIV-1 Infected Women

NCT ID: NCT02652624

Last Updated: 2020-03-04

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

PHASE3

Total Enrollment

472 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-19

Study Completion Date

2018-11-26

Brief Summary

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The primary objective of this study is to evaluate the efficacy of switching to a fixed-dose combination (FDC) of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus continuing on a regimen consisting of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF), elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF), or atazanavir (ATV) + ritonavir (RTV) + emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) in virologically suppressed HIV-1 infected women.

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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B/F/TAF

Participants will switch to B/F/TAF FDC and receive treatment for 48 weeks.

Group Type EXPERIMENTAL

B/F/TAF

Intervention Type DRUG

50/200/25 mg FDC tablet administered orally once daily without regard to food

Baseline Regimen

Participants will remain on their baseline regimen of E/C/F/TAF, E/C/F/TDF, or ATV+RTV+FTC/TDF for 48 weeks.

Group Type ACTIVE_COMPARATOR

E/C/F/TAF

Intervention Type DRUG

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

E/C/F/TDF

Intervention Type DRUG

150/150/200/300 mg FDC administered orally once daily with food

ATV

Intervention Type DRUG

ATV 300 mg capsules administered orally once daily with food

RTV

Intervention Type DRUG

RTV 100 mg tablets administered orally once daily with food

FTC/TDF

Intervention Type DRUG

200/300 mg tablet administered orally once daily with food

Extension Phase

Following Week 48, participants in countries where B/F/TAF is not available may have the option to receive B/F/TAF for up to 48 additional weeks.

Group Type EXPERIMENTAL

B/F/TAF

Intervention Type DRUG

50/200/25 mg FDC tablet administered orally once daily without regard to food

Interventions

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E/C/F/TAF

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

Intervention Type DRUG

E/C/F/TDF

150/150/200/300 mg FDC administered orally once daily with food

Intervention Type DRUG

ATV

ATV 300 mg capsules administered orally once daily with food

Intervention Type DRUG

RTV

RTV 100 mg tablets administered orally once daily with food

Intervention Type DRUG

FTC/TDF

200/300 mg tablet administered orally once daily with food

Intervention Type DRUG

B/F/TAF

50/200/25 mg FDC tablet administered orally once daily without regard to food

Intervention Type DRUG

Other Intervention Names

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Genvoya® Stribild® Reyataz® Norvir® Truvada® Biktarvy®

Eligibility Criteria

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Inclusion Criteria

Medically stable HIV-1 infected women who meet the following criteria:

* Completion of the Week 48 open-label extension (OLE) visit or any post Week 48 OLE visits in Gilead-sponsored study GS-US-236-0128, or Completion of the Week 96 visit or any post Week 96 visits in Gilead-sponsored study GS-US-292-0109 or completion of the Week 144 visit or any post Week 144 visits in Gilead sponsored studies GS-US-292-0104 or GS-US-292-0111.
* Currently on a stable antiretroviral regimen consisting of E/C/F/TAF, E/C/F/TDF, or ATV+RTV+FTC/TDF continuously for ≥ 12 consecutive weeks preceding the Screening visit
* Documented plasma HIV-1 RNA levels \< 50 copies/mL for ≥ 12 weeks preceding the Screening visit. After reaching HIV-1 RNA \< 50 copies/mL, single values of HIV-1 RNA

≥ 50 copies/mL followed by re-suppression to \< 50 copies/mL is allowed
* HIV-1 RNA \<50 copies/mL at screening
* Estimated glomerular filtration rate (eGFR) ≥ 50 mL/min (≥ 0.83 mL/sec) according to the Cockcroft-Gault formula at the Screening visit
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

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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Stamford, Connecticut, United States

Site Status

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

Site Status

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

Site Status

Fort Lauderdale, Florida, United States

Site Status

Ft. Pierce, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Miami, Florida, United States

Site Status

Orlando, Florida, United States

Site Status

Tampa, Florida, United States

Site Status

Tampa, Florida, United States

Site Status

West Palm Beach, Florida, United States

Site Status

Atlanta, Georgia, United States

Site Status

Decatur, Georgia, United States

Site Status

Macon, Georgia, United States

Site Status

Savannah, Georgia, United States

Site Status

Springfield, Massachusetts, United States

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St Louis, Missouri, United States

Site Status

Newark, New Jersey, United States

Site Status

Great Neck, New York, United States

Site Status

The Bronx, New York, United States

Site Status

Charlotte, North Carolina, United States

Site Status

Durham, North Carolina, United States

Site Status

Huntersville, North Carolina, United States

Site Status

Bellaire, Texas, United States

Site Status

Dallas, Texas, United States

Site Status

Dallas, Texas, United States

Site Status

Fort Worth, Texas, United States

Site Status

Harlingen, Texas, United States

Site Status

Houston, Texas, United States

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Santo Domingo, , Dominican Republic

Site Status

Santo Domingo, , Dominican Republic

Site Status

San Juan, , Puerto Rico

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Barnaul, , Russia

Site Status

Irkutsk, , Russia

Site Status

Khabarovsk, , Russia

Site Status

Koltsovo, , Russia

Site Status

Krasnodar, , Russia

Site Status

Krasnoyarsk, , Russia

Site Status

Lipetsk, , Russia

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Moscow, , Russia

Site Status

Moscow, , Russia

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Nizhny Novgorod, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Saint-Petersberg, , Russia

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Volgograd, , Russia

Site Status

Voronezh, , Russia

Site Status

Yekaterinburg, , Russia

Site Status

Bangkok, , Thailand

Site Status

Bangkok, , Thailand

Site Status

Bangkok, , Thailand

Site Status

Chiang Mai, , Thailand

Site Status

Khon Kaen, , Thailand

Site Status

Nonthaburi, , Thailand

Site Status

Kampala, , Uganda

Site Status

Countries

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United States Dominican Republic Puerto Rico Russia Thailand Uganda

References

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Avihingsanon A, Chetchotisakd P, Kiertiburanakul S, Ratanasuwan W, Siripassorn K, Supparatpinyo K, Martin H, Wang H, Wong T, Wang HY. Efficacy and safety of switching to bictegravir, emtricitabine, and tenofovir alafenamide in virologically suppressed Asian adults living with HIV: A pooled analysis from three international phase III randomized trials. HIV Med. 2023 Mar;24(3):290-300. doi: 10.1111/hiv.13386. Epub 2022 Aug 17.

Reference Type DERIVED
PMID: 36912172 (View on PubMed)

Kityo C, Hagins D, Koenig E, Avihingsanon A, Chetchotisakd P, Supparatpinyo K, Gankina N, Pokrovsky V, Voronin E, Stephens JL, DeJesus E, Wang H, Acosta RK, Cao H, Quirk E, Martin H, Makadzange T. Switching to Fixed-Dose Bictegravir, Emtricitabine, and Tenofovir Alafenamide (B/F/TAF) in Virologically Suppressed HIV-1 Infected Women: A Randomized, Open-Label, Multicenter, Active-Controlled, Phase 3, Noninferiority Trial. J Acquir Immune Defic Syndr. 2019 Nov 1;82(3):321-328. doi: 10.1097/QAI.0000000000002137.

Reference Type DERIVED
PMID: 31609930 (View on PubMed)

Provided Documents

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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: Statistical Analysis Plan: Week 48 Statistical Analysis Plan

View Document

Document Type: Statistical Analysis Plan: Final Statistical Analysis Plan

View Document

Other Identifiers

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GS-US-380-1961

Identifier Type: -

Identifier Source: org_study_id

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