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OpenTrials
Completed

NCT Number: NCT01780506

Study to Evaluate the Safety and Efficacy of E/C/F/TAF (Genvoya®) Versus E/C/F/TDF (Stribild®) in HIV-1 Positive, Antiretroviral Treatment-Naive Adults

The primary objective of this study is to evaluate the efficacy of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed-dose combination (FDC) versus elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF) FDC in HIV-1 positive, antiretroviral treatment-naive adults.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Holdsworth House Medical Practice, Darlinghurst, New South Wales, Australia

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Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
  • Plasma HIV-1 RNA levels ≥ 1,000 copies/mL at screening
  • No prior use of any approved or investigational antiretroviral drug for any length of time, except the use for pre-exposure prophylaxis (PREP) or post-exposure prophylaxis (PEP), up to 6 months prior to screening
  • Screening genotype report must show sensitivity to elvitegravir, emtricitabine, tenofovir disoproxil fumarate (tenofovir DF)
  • Normal electrocardiogram (ECG)
  • Estimated glomerular filtration rate (eGFR) ≥ 50 mL/min according to the Cockcroft-Gault formula for creatinine clearance
  • Hepatic transaminases (AST and ALT) ≤ 5 × upper limit of normal (ULN)
  • Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin
  • Adequate hematologic function
  • Serum amylase ≤ 5 × ULN
  • Males and females of childbearing potential must agree to utilize highly effective contraception methods or be non-heterosexually active or practice sexual abstinence from screening throughout the duration of study treatment and for 30 days following the last dose of study drug
  • Females who utilize hormonal contraceptive as one of their birth control methods must have used the same method for at least three months prior to study dosing
  • Females who have stopped menstruating for ≥ 12 months but do not have documentation of ovarian hormonal failure must have a serum follicle stimulating hormone (FSH) level at screening within the post-menopausal range based on the Central Laboratory reference range

Key Exclusion Criteria:

  • A new acquired immunodeficiency syndrome (AIDS) defining condition diagnosed within the 30 days prior to screening
  • Hepatitis B surface antigen (HBsAg) positive
  • Hepatitis C antibody positive
  • Individuals experiencing decompensated cirrhosis
  • Females who are breastfeeding
  • Positive serum pregnancy test
  • Have an implanted defibrillator or pacemaker
  • Current alcohol or substance use judged by the Investigator to potentially interfere with study compliance
  • History of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, noninvasive cutaneous squamous carcinoma
  • Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
  • Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements
  • Participation in any other clinical trial (including observational trials) without prior approval
  • Individuals receiving ongoing therapy with drugs not to be used with elvitegravir, cobicistat, emtricitabine, tenofovir DF, and TAF or individuals with any known allergies to the excipients of E/C/F/TDF or E/C/F/TAF single-tablet regimen tablets

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

E/C/F/TAF

Drug

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

Other names: Genvoya®

E/C/F/TDF

Drug

150/150/200/300 mg FDC tablet administered orally once daily

Other names: Stribild®

E/C/F/TDF Placebo

Drug

Tablet administered orally once daily

E/C/F/TAF Placebo

Drug

Tablet administered orally once daily

Primary outcomes

  1. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48

    Time frame: Week 48

    The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Secondary outcomes

  1. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Weeks 96 and 144

    Time frame: Weeks 96 and 144

    The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Weeks 96 and 144 were analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

  2. Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48, 96, and 144

    Time frame: Weeks 48, 96. and 144

    The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Weeks 48, 96, and 144 were analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

  3. Change From Baseline in CD4+ Cell Count at Week 48

    Time frame: Baseline; Week 48

  4. Change From Baseline in CD4+ Cell Count at Week 96

    Time frame: Baseline; Week 96

  5. Change From Baseline in CD4+ Cell Count at Week 144

    Time frame: Baseline; Week 144

  6. Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48

    Time frame: Baseline; Week 48

    Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan.

  7. Percent Change From Baseline in Hip BMD at Week 96

    Time frame: Baseline; Week 96

    Hip BMD was assessed by DXA scan.

  8. Percent Change From Baseline in Hip BMD at Week 144

    Time frame: Baseline; Week 144

    Hip BMD was assessed by DXA scan.

  9. Percent Change From Baseline in Spine BMD at Week 48

    Time frame: Baseline; Week 48

    Spine BMD was assessed by DXA scan.

  10. Percent Change From Baseline in Spine BMD at Week 96

    Time frame: Baseline; Week 96

    Spine BMD was assessed by DXA scan.

  11. Percent Change From Baseline in Spine BMD at Week 144

    Time frame: Baseline; Week 144

    Spine BMD was assessed by DXA scan.

  12. Change From Baseline in Serum Creatinine at Week 48

    Time frame: Baseline; Week 48

  13. Change From Baseline in Serum Creatinine at Week 96

    Time frame: Baseline; Week 96

  14. Change From Baseline in Serum Creatinine at Week 144

    Time frame: Baseline; Week 144

  15. Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 48

    Time frame: Up to 48 weeks

    Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.

  16. Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 96

    Time frame: Up to 96 weeks

    Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.

  17. Percentage of Participants Experiencing Treatment-emergent Proteinuria Through Week 144

    Time frame: Up to 144 weeks

    Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.

  18. Percent Change From Baseline in Urine Retinol Binding Protein (RBP) to Creatinine Ratio at Week 48

    Time frame: Baseline; Week 48

    Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.

  19. Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 96

    Time frame: Baseline; Week 96

    Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.

  20. Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 144

    Time frame: Baseline; Week 144

    Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.

  21. Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 48

    Time frame: Baseline; Week 48

    Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.

  22. Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 96

    Time frame: Baseline; Week 96

    Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.

  23. Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 144

    Time frame: Baseline; Week 144

    Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.

Sponsors and collaborators

Lead sponsor

Gilead Sciences

Industry

Registry information

Official study title

A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Versus Elvitegravir/Cobicistat/Emtricitabine/ Tenofovir Disoproxil Fumarate in HIV-1 Positive, Antiretroviral Treatment-Naïve Adults

Important dates

Study start
2012
Primary completion
2014
Study completion
2017
First posted
Jan 31, 2013
Registry last updated
Nov 19, 2018

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.

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