Skip to main content
OpenTrials
Completed

NCT Number: NCT00487188

A Study to Evaluate the Safety and Efficacy of Adding Enfuvirtide to Oral Highly Active Antiretroviral Therapy (HAART) in Human Immunodeficiency Virus (HIV) Patients With Prior Treatment Experience

To assess the efficacy of enfuvirtide (Fuzeon) added to HAART compared to treatment with HAART alone in achieving and maintaining viral load suppression.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Vancouver, British Columbia, Canada

Loading trial locations.

About this study

This study consisted of two phases. In the Induction phase patients were randomized at Baseline 1 (BL1) in a 1:2 ratio to receive:

  • I1: HAART or
  • I2: Enfuvirtide (90 mg twice a day) + HAART.

Participants who achieved viral suppression < 50 copies/mL by week 24, confirmed by week 28 or earlier, qualified to enter the Maintenance Phase which started at Baseline 2 (BL2), four weeks after confirmation of response. The Maintenance Phase consisted of three treatment groups:

  • M1: HAART continued (patients from I1)

Patients on ENF+HAART (I2) were re-randomized (at a 1:1 ratio) at BL2 to:

  • M2: Enfuvirtide stopped and HAART continued
  • M3: Enfuvirtide + HAART continued.

The duration of the Maintenance Phase was from BL2 up to 48 weeks after BL1. BL2 could start at the earliest at Week 12 and at the latest Week 32.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • HIV-1 infected adults >=18 years of age;
  • currently on antiretroviral (ARV) therapy;
  • previously treated with 2 or 3 different antiretroviral classes;
  • HIV-1 Ribonucleic acid (RNA) >=1,000 copies/mL;
  • Cluster differentiation antigen four (CD4) lymphocyte count >=200 cells/mm^3;
  • females of childbearing potential must be willing to use a reliable form of effective barrier contraception for the duration of the study and for 30 days after the last dose of study drug.

Exclusion criteria

  • history of prior use of enfuvirtide or T-1249;
  • women who are pregnant, breastfeeding or planning to become pregnant during the study;
  • active, untreated opportunistic infection;
  • patients on treatment interruption, or patients interrupting ARV therapy within 4 weeks of screening or during the screening period for reasons either than toxicity management.

Treatment and study plan

Enfuvirtide

Drug

90 mg subcutaneous injection twice a day

Other names: Fuzeon

Highly active antiretroviral treatment (HAART)

Drug

An oral HAART regimen of 3-5 antiretrovirals was chosen by the physician and patient, based on the patient's prior treatment history and genotypic antiretroviral resistance testing.

Primary outcomes

  1. Number of Participants With Viral Suppression: HIV-1 RNA < 50 Copies/mL During the Induction Phase

    Time frame: From Baseline 1 to Week 28

    Participants whose viral load achieved suppression (HIV-1 RNA < 50 copies/mL) at Week 24 at the latest, confirmed at Week 28 (2 consecutive assessments ≥ 28 days apart) were defined as responders. Patients who discontinued the study or did not respond to assigned treatment by week 28 were considered as non-responders.

Secondary outcomes

  1. Time to Achieving HIV-1 RNA < 50 Copies/mL During the Induction Phase

    Time frame: Baseline 1 until Week 28.

    The time to achieving HIV-1 RNA <50 copies/mL was counted from Baseline 1 until the first of the two consecutive <50 copies/mL measurements.

    Patients who discontinued from the study or patients who did not have confirmed virological response by week 28 were classed as non-responders and censored at Week 24.

  2. Number of Participants With Viral Suppression HIV-1 RNA < 400 Copies/mL During the Induction Phase

    Time frame: From Baseline 1 to Week 28

    Participants whose viral load achieved suppression (HIV-1 RNA < 400 copies/mL) by Week 24 at the latest, confirmed at Week 28 (2 consecutive assessments ≥ 28 days apart) were defined as responders. Patients who discontinued the study or did not respond to assigned treatment by Week 28 were considered as non-responders.

  3. Change From Baseline to Week 24 in Viral Load

    Time frame: Baseline and Week 24

    Change from Baseline in log10 HIV-1 RNA at Week 24. Least squares means were calculated from an analysis of covariance (ANCOVA) model with treatment, a flag variable "removed ENF at re-randomization" and Baseline viral load as independent variables.

  4. Change From Baseline to Week 24 in Cluster Differentiation Antigen Four Positive (CD4+) Cell Counts

    Time frame: Baseline and Week 24

    Change from Baseline in CD4+ Cell Counts at Week 24. Least squares means were calculated from an ANCOVA model with treatment as an independent variable.

  5. Percentage of Induction Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks

    Time frame: Week 48

    The percentage of participants from the Induction Phase who maintained HIV-1 RNA < 50 Copies/mL at Week 48. Patients who discontinued from the study, rebounded to ≥ 50 copies/mL (i.e., had two consecutive readings ≥ 50 copies/mL), had missing data or had virological failure by Week 48 were classed as non-responders.

  6. Percentage of Maintenance Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks

    Time frame: Week 48

    The percentage of participants from the Maintenance Phase who maintained HIV-1 RNA < 50 copies/mL at Week 48. Patients who discontinued from the study, rebounded to ≥ 50 copies/mL (i.e., had two consecutive readings ≥ 50 copies/mL), had missing data or had virological failure by Week 48 were classed as non-responders.

  7. Change From Baseline to Week 48 in Cluster Differentiation Antigen Four Positive (CD4) Cell Counts

    Time frame: Baseline 1 and Week 48

    Change from Baseline in CD4 Cell Counts at Week 48. Least squares means were calculated from an ANCOVA model with treatment and baseline CD4 count as independent variables.

  8. Time to Loss of Viral Response During the Maintenance Phase

    Time frame: From Baseline 2 to Week 48.

    The time to loss of viral response (defined as HIV-1 RNA <50 copies/mL) was counted from Baseline 2 until the first of two consecutive ≥50 copies/mL measurements.

    Only patients who were qualified for entering the Maintenance Phase were included in the analysis.

  9. Time to Virological Failure During the Maintenance Phase

    Time frame: From Baseline 2 to Week 48.

    Time to virological failure (defined as HIV-1 RNA ≥ 400 copies/mL) was counted from Baseline 2 until the first of the two consecutive ≥400 copies/mL measurements.

    Only patients who were qualified for entering the Maintenance Phase were included in the analyses.

  10. Number of Participants With Virological Failure During the Maintenance Phase

    Time frame: From Baseline 2 to Week 48.

    Virological failure was defined by 2 consecutive HIV-1 RNA values ≥ 400 copies/mL during the Maintenance Phase.

  11. Percentage of Participants Maintaining CD4+ Count During the Maintenance Phase

    Time frame: Baseline 2 to Week 48.

    Maintenance of CD4+ count defined as having greater than or equal to 200 cells/mm^3 at Baseline 2 (BL2) and greater than or equal to 200 cells/mm^3 at Week 48.

  12. Percentage of Participants With Improvement in CD4+ Count During the Maintenance Phase

    Time frame: Baseline 2 to Week 48.

    Improvement of CD4+ count defined as having from 100 to less than 200 CD4+ cells/mm^3 at Baseline 2 (BL2) and greater than or equal to 200 cells/mm^3 at Week 48.

  13. Number of Participants With Adverse Events (AEs) During the Induction Phase

    Time frame: Start of the study treatment until the end of the Induction Phase (Week 12 to Week 32)

    A serious AE (SAE) is an event which: results in death, is life-threatening, disabling or incapacitating; is a congenital anomaly in the offspring of a patient who received study drug; requires or prolongs inpatient hospitalization; jeopardizes the patient or require medical or surgical intervention to prevent one of the outcomes above; any Grade 4 laboratory value considered by the investigator clinically significant or that requires an action; any injection site reaction that meets SAE criteria above. Non-serious AEs reported include pneumonia and non-serious AEs that led to discontinuation.

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

Phase IIIb/IV Randomized, Controlled Study Evaluating an Intensification Treatment Strategy of Adding Enfuvirtide (ENF) to an Oral Highly Active AntiRetroviral Therapy (HAART) in Treatment Experienced Patients

Acronym: INTENSE

Important dates

Study start
2005
Primary completion
2007
Study completion
2008
First posted
Jun 15, 2007
Registry last updated
Aug 13, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.