Switching From TDF-based Antiretroviral Therapy Regimens to B/F/TAF in Virally Suppressed Adults With HIV-1 Infection

NCT ID: NCT05122754

Last Updated: 2023-12-21

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-08

Study Completion Date

2024-04-28

Brief Summary

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To evaluate the safety and efficacy of bictegravir/emtricitabine/tenofovir alafenamide versus tenofovir disoproxil fumarate-based antiretroviral regimens in HIV-infected individuals with virological suppression.

Detailed Description

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This study is a multicenter, randomized, controlled, open labeled clinical trial, which aims to evaluate the safety and efficacy of B/F/TAF versus TDF-based antiretroviral therapy in HIV-infected individuals with virological suppression, and to evaluate the changes in quality of life and adherence after switching from a TDF-based regimen to B/F/TAF in HIV-infected individuals with virological suppression.

Conditions

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HIV-1-infection

Keywords

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Bictegravir/Emtricitabine/Tenofovir alafenamide Tenofovir Disoproxil Fumarate 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 group

Bictegravir/emtricitabine/tenofovir alafenamide for 48 weeks.

Group Type EXPERIMENTAL

B/F/TAF

Intervention Type DRUG

Bictegravir/emtricitabine/tenofovir alafenamide once daily, 1 tablet at a time, with or without food for 48 weeks.

TDF-based triple ART regimen switching to B/F/TAF

TDF-based triple ART regimen for 24 weeks, and all switch to bictegravir/emtricitabine/tenofovir alafenamide for the later 24 weeks.

Group Type ACTIVE_COMPARATOR

TDF-based triple ART regimen switching to B/F/TAF

Intervention Type DRUG

Tenofovir disoproxil fumarate was administered once daily, one tablet at a time, with or without food. After Week 24, control subjects were also switched to bictegravir/emtricitabine/tenofovir alafenamide once daily, one tablet at a time, with or without food for the later 24 weeks.

Interventions

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B/F/TAF

Bictegravir/emtricitabine/tenofovir alafenamide once daily, 1 tablet at a time, with or without food for 48 weeks.

Intervention Type DRUG

TDF-based triple ART regimen switching to B/F/TAF

Tenofovir disoproxil fumarate was administered once daily, one tablet at a time, with or without food. After Week 24, control subjects were also switched to bictegravir/emtricitabine/tenofovir alafenamide once daily, one tablet at a time, with or without food for the later 24 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Meet the Diagnostic Criteria for AIDS or HIV Infection (WS 293-2019);
* Age 18 or above (included 18);
* Continuous administration of a TDF-based triple ART regimen with a backbone of non-nucleoside reverse transcriptase or protease inhibitors ≥24 weeks and ongoing use;
* Maintaining virological suppression (viral load \< 50 copies/mL) for ≥ 24 weeks, and maintaining virological suppression at present;
* Glomerular filtration rate (eGFR) ≥ 50 mL/min/1.73 m2 (calculated according to the CKD-EPI formula);
* ECG is normal;
* White blood cell count ≥3×109/L, Neutrophil count ≥1.5×109/L, Hemoglobin ≥90 g/L, and Platelet count ≥ 75×109/L;
* Alanine aminotransferase and aspartate aminotransferase ≤5×ULN, direct bilirubin ≤1.5×ULN, amylase≤2×ULN;
* Those who volunteered for this study and were able to complete all follow-up visits and sign the informed consent form in accordance with the protocol.

Exclusion Criteria

* In the 30 days(inclusive) before the screening period, an AIDS-related opportunistic infection or tumor occurred;
* History of known past HIV resistance (confirmed HIV viral load \> 200 copies /ml) or resistance to any nucleoside (acid) analogues;
* Decompensated liver cirrhosis;
* Female subject who has a positive urine pregnancy test;
* Lactating women;
* Women who are unable to take a reasonable method of contraception during the trial (including the Screening Period and 30 days after discontinuation of experimental drugs);
* Subjects had other medical conditions requiring treatment with either of the current ART regimens or other drugs which have drug-drug interaction with B/F/TAF and cannot be discontinued.
* Being involved in other interventional clinical studies;
* Those with allergic constitution or known allergy to the components of the drug;
* Suffering from serious mental or neurological diseases;
* Suspected or confirmed history of alcohol and drug abuse; Patients who were not considered by the investigator to be suitable for participating in this clinical trial (such as weak constitution, poor compliance, etc.).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xixi Hospital of Hangzhou

UNKNOWN

Sponsor Role collaborator

Yunnan AIDS Care Center

OTHER

Sponsor Role collaborator

Shanghai Public Health Clinical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Jun Chen, MD

Deputy Director of Department of Infectious Diseases and Immunology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jun Chen, M.D

Role: PRINCIPAL_INVESTIGATOR

Shanghai Public Health Clinical Center

Locations

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Shanghai Public Health Clinical Center

Shanghai, Shanghai Municipality, China

Site Status

Yunnan AIDS Care Center

Kunming, Yunnan, China

Site Status

Xixi hospital of Hangzhou

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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B/F/TAF

Identifier Type: -

Identifier Source: org_study_id