Switch to TAF+FTC+BIC in HIV-1-infected Patients Over 65 Years Old at Risk of Polymedication

NCT ID: NCT04222283

Last Updated: 2022-06-10

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-17

Study Completion Date

2022-06-30

Brief Summary

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Patients infected and living with HIV are getting older and have more and more non-HIV co-morbidities. These expose them to polypharmacy that increases the risk of pharmacological interaction. Bictegravir, co-formulated with emtricitabine (FTC) and tenofovir alafenamide (TAF) (BIKTARVY) a new generation integrase inhibitor with a high genetic barrier and had no drug interaction may be a treatment of choice for participant over 65 years old who are HIV infected . BIKTARVY improve adherence and quality of life; and on the other hand it would limit the risks of pharmacological interaction. In addition, the use of TAF reducing the risk of long-term renal toxicity and adverse effects on bone would be of interest in this aging population and more at risk of osteoporosis.

Detailed Description

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HIV-1-infected patients over 65 years old at risk of polymedication HIV-1-infected adults aged ≥ 65 years who are virologically-suppressed (HIV-1 RNA \<50 copies/mL) on a regimen containing a pharmacokinetic enhancer as ritonavir or cobicistat Evaluate the antiviral efficacy of 24 weeks treatment with the fixed dose combination(FDC) of TAF/FTC/BIC

Conditions

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HIV Infections

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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open label, multicentric, non randomized

one arm study to evaluate the safety and efficacy of switching from ritonavir- or cobicistat- booster containing regimens to a fixed-dose combination (FDC) of tenofovir alafenamide (TAF), emtricitabine (FTC) and bictegravir (BIC) in over 65 years old HIV-1-infected patients with virological suppression. Polymedications and drug-drug interactions will be analysed.

Group Type EXPERIMENTAL

BIKTARVY 50Mg-200Mg-25Mg Tablet

Intervention Type DRUG

At BSL all the participants will be switched from a booster containing regimen (ritonavir or cobicistat) to TAF/FTC/BIC (BIKTARVY).

Interventions

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BIKTARVY 50Mg-200Mg-25Mg Tablet

At BSL all the participants will be switched from a booster containing regimen (ritonavir or cobicistat) to TAF/FTC/BIC (BIKTARVY).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* HIV-1-infected patient
* Age \> 65 years old
* Plasma HIV RNA ≤ 50 copies/mL for ≥ 6 months: one blip between 50 et 200 cp/ml is allowed in the past 6 months before screening.
* Currently receiving an antiretroviral regimen containing a booster, ritonavir or cobicistat
* No resistance mutation to integrase inhibitors on cumulative HIV RNA genotype. The reverse transcriptase resistant mutations M184V plus one TAM are allowed.
* If no genotype is available, DNA genotype will be performed at screening visit: no resistance mutation to integrase inhibitors, the reverse transcriptase resistant mutations M184V plus one TAM are allowed.
* Patient enrolled in or a beneficiary of a Social Security program (State Medical Aid or AME is not a Social Security program)
* Informed consent form signed by patient and investigator

Exclusion Criteria

* HIV-2 infection
* Currently receiving one of the following drugs: Hypericum perforatum, rifampicin, rifabutin, carbamazepine, oxcarbazepine, phenobarbital, phenytoin, sucralfate, cyclosporine, primidone, ténofovir et adéfovir.
* Hemoglobin \< 10g/dL
* Platelets \< 100 000/mm3
* Hepatic transaminases AST and ALT \> 3x upper limit of normal (ULN)
* Severe hepatic insufficiency (Child Pugh Class C)
* Creatininemia clairance \< 30 mL/min (MDRD)
* History or presence of allergy to the trial drugs or their components
* Patients participating in another clinical trial including an exclusion period that is still ongoing during the screening phase
* Patients under judicial protection due to temporarily and slightly diminished mental or physical faculties or under legal guardianship.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pierre and Marie Curie University

OTHER

Sponsor Role collaborator

Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hopital Sainte Marguerite

Marseille, , France

Site Status RECRUITING

Hopital Hotel Dieu

Nantes, , France

Site Status RECRUITING

Hopital L'Archet

Nice, , France

Site Status RECRUITING

Hôpital Hotel Dieu

Paris, , France

Site Status RECRUITING

Bichat Hospital

Paris, , France

Site Status RECRUITING

CH de Saint Nazaire

Saint-Nazaire, , France

Site Status ACTIVE_NOT_RECRUITING

Hopital Gustave Dron

Tourcoing, , France

Site Status RECRUITING

Hopital Bretonneau

Tours, , France

Site Status ACTIVE_NOT_RECRUITING

Countries

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France

Central Contacts

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Aïda BENALYCHERIF

Role: CONTACT

40256365 ext. 331

Facility Contacts

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ISABELLE POZOT MARTIN

Role: primary

0491746163 ext. 334

CLOTILDE ALLAVENA

Role: primary

40083110 ext. 332

Alissa NAQVI

Role: primary

Role: backup

Laurence WEISS

Role: primary

Role: backup

Valentina ISERNIA, MD

Role: primary

40257057 ext. 331

BAO PHUNG, MD

Role: backup

40257057 ext. 331

FAIZA AJANA

Role: primary

0320694617 ext. 333

Other Identifiers

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IMEA 057

Identifier Type: -

Identifier Source: org_study_id

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