Safety and Efficacy of E/C/F/TDF Versus RTV-Boosted ATV Plus FTC/TDF in HIV-1 Infected, Antiretroviral Treatment-Naive Women

Last updated: September 5, 2019
Sponsor: Gilead Sciences
Overall Status: Completed

Phase

3

Condition

Hiv/aids

Hiv Infections

Aids And Aids Related Infections

Treatment

N/A

Clinical Study ID

NCT01705574
GS-US-236-0128
2012-003708-11
  • Ages > 18
  • Female

Study Summary

The primary objective of this study is to evaluate the efficacy of a regimen containing elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF) versus ritonavir (RTV)-boosted atazanavir (ATV/r) plus emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) in HIV-1 infected, antiretroviral treatment-naive adult women.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Female (at birth), age ≥ 18 years

  • Ability to understand and sign a written informed consent form

  • Plasma HIV-1 RNA levels ≥ 500 copies/mL

  • No prior use of any approved or investigational antiretroviral drug for any length oftime

  • Screening genotype report must show sensitivity to emtricitabine (FTC), tenofovirdisoproxil fumarate (TDF) and atazanavir (ATV) boosted with ritonavir (RTV)

  • Normal ECG

  • Adequate renal function: Estimated glomerular filtration rate ≥ 70 mL/min according tothe Cockcroft Gault formula

  • Hepatic transaminases ≤ 5 x upper limit of normal (ULN)

  • Total bilirubin ≤ 1.5 mg/dL

  • Adequate hematologic function

  • Serum amylase ≤ 5 x ULN

  • Women of childbearing potential must agree to utilize protocol recommendedcontraception methods or be non-heterosexually active, or practice sexual abstinencefrom screening throughout the duration of the study period and for 30 days followingthe last dose of study drug

  • Women who utilize hormonal contraceptive as one of their birth control methods musthave used the same method for at least three months prior to study dosing.

Exclusion

Key Exclusion Criteria:

  • A new AIDS defining condition diagnosed within the 30 days

  • Females receiving drug treatment for Hepatitis C, or females who are anticipated toreceive treatment for Hepatitis C during the course of the study

  • Females experiencing decompensated cirrhosis

  • Females who are breastfeeding

  • Positive serum pregnancy test (female of childbearing potential)

  • Have an implanted defibrillator or pacemaker

  • Have an ECG pulse rate interval ≥ 220 msec

  • Current alcohol or substance use which may potentially interfere with the female'sstudy compliance

  • History of malignancy within the past 5 years or ongoing malignancy other thancutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasivecutaneous squamous carcinoma

  • Active, serious infections requiring parenteral antibiotic or antifungal therapywithin 30 days prior to baseline

  • Participation in any other clinical trial without prior approval

  • Any other clinical condition or prior therapy that would make the female unsuitablefor the study or unable to comply with the dosing requirements

  • Females receiving ongoing therapy with any disallowed medications, including drugs notto be used with elvitegravir, cobicistat, FTC, TDF, ATV, RTV; or females with anyknown allergies to the excipients of Stribild® tablets, Truvada® tablets, atazanavircapsules or ritonavir tablets Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Design

Total Participants: 583
Study Start date:
October 24, 2012
Estimated Completion Date:
September 06, 2018

Connect with a study center

  • Institute of Tropical Medicine

    Antwerp, 2000
    Belgium

    Site Not Available

  • Hôpitaux IRIS SUD

    Brussels, 1050
    Belgium

    Site Not Available

  • Saint-Pierre University Hospital

    Brussels, 1000
    Belgium

    Site Not Available

  • Laboratório de Pesquisa Clínica DST/AIDS - Instituto de Pesquisa Clínica Evandro Chagas

    Rio de Janeiro, RJ 21040
    Brazil

    Site Not Available

  • UNICAMP

    Campinas, SP 13083
    Brazil

    Site Not Available

  • Faculdade de Medicina do ABC

    Santo Andre, SP 09060
    Brazil

    Site Not Available

  • Instituto de Infectologia Emílio Ribas

    Sao Paulo, SP 01246
    Brazil

    Site Not Available

  • Instituto Dominicano de Estudio Virologicos - IDEV

    Santo Domingo, 10514
    Dominican Republic

    Site Not Available

  • Salvador B Gautier Hospital, Infectious Diseases Department

    Santo Domingo, 10514
    Dominican Republic

    Site Not Available

  • Hopital Tenon

    Paris, 75020
    France

    Site Not Available

  • Hôpital Bichat Claude Bernard

    Paris, 75018
    France

    Site Not Available

  • Maladies Infectieuses Dpt

    Paris, 75651
    France

    Site Not Available

  • Hopitaux Universitaires Strasbourg

    Strasbourg, 67091
    France

    Site Not Available

  • Department of Health Sciences - University of Milan - San Paolo Hospital

    Milan, 20142
    Italy

    Site Not Available

  • Luigi Sacco Hospital, Milan

    Milan, 20157
    Italy

    Site Not Available

  • Clinica Malattie Infettive, Azienda Ospedaliero Universitaria

    Modena, 41124
    Italy

    Site Not Available

  • Hospital Civil de Guadalajara Dr Juan I Menchaca

    Guadalajara, Jalisco 44340
    Mexico

    Site Not Available

  • Hospital Civil de Guadalajara

    Guadalajara, 44280
    Mexico

    Site Not Available

  • Hospital General Regional /CAPASITS Leon

    Leon, 37320
    Mexico

    Site Not Available

  • Intituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

    Mexico City, 14000
    Mexico

    Site Not Available

  • Hospital Fernando Fonseca

    Amadora, 2720-276
    Portugal

    Site Not Available

  • Hospital Dos Capuchos, Centro Hospitalar De Lisboa Central

    Lisboa, 1200-110
    Portugal

    Site Not Available

  • Hospital de Santa Maria - Serviço de Doenças Infecciosas

    Lisboa, 1649-035
    Portugal

    Site Not Available

  • Centro Hospitalar do Porto - Hospital Joaquim Urbano

    Porto, 4369-004
    Portugal

    Site Not Available

  • centro Hospitalar S. João

    Porto, 4200-319
    Portugal

    Site Not Available

  • Hospital de Santarém

    Santarem, 2005-177
    Portugal

    Site Not Available

  • Maternal Infants Studies Center (CEMI)

    San Juan, 00936
    Puerto Rico

    Site Not Available

  • Republic of Altay Center for Prevention and Control of AIDS and Infectious Diseases

    Barnaul, 656010
    Russian Federation

    Site Not Available

  • Sverdlovsk Regional Center for Prevention and control of AIDS and Infectious Diseases

    Ekaterinburg, 620102
    Russian Federation

    Site Not Available

  • GUZ "Irkutsk Regional Center for Prevention and Control of AIDS and Infectious Diseases

    Irkutsk, 664043
    Russian Federation

    Site Not Available

  • Khabarovsk Territorial Center for Prevention and Control of AIDS and Infectious Diseases

    Khabarovsk, 680031
    Russian Federation

    Site Not Available

  • "Infectious Diseases Center", LLC

    Koltsovo, 630559
    Russian Federation

    Site Not Available

  • State Budget Healthcare Institution "Clinical Centre for AIDS and Infectious Diseases Fight and Prevention" of Krasnodar regio Department for Healthcare

    Krasnodar, 350015
    Russian Federation

    Site Not Available

  • GUZ "Krasnoyarsk Territorial Center for Prevention and Control of AIDS and Infectious Diseases"

    Krasnoyarsk, 660049
    Russian Federation

    Site Not Available

  • GUZ "Lipetsk Regional Center for Prevention and Control of AIDS and Infectious Diseases"

    Lipetsk, 398043
    Russian Federation

    Site Not Available

  • GKUZ MO "Center for Prevention and Treatment of AIDS and Infectious Diseases" (Moscow Regional AIDS Center)

    Moscow, 129110
    Russian Federation

    Site Not Available

  • Infectious Hospital 2

    Moscow, 105275
    Russian Federation

    Site Not Available

  • State Healthcare Institution Infectious Clinical Hospital #2 of Moscow City Healthcare Department

    Moscow, 105275
    Russian Federation

    Site Not Available

  • State Budget Health Institution of Nizhniy Novgorod "Nizhniy Novgorod Regional Center of prophylaxis and treatment of AIDS and Infectious Diseases

    Nizhniy Novgorod, 603950
    Russian Federation

    Site Not Available

  • Budgetary Medical Facility of the Orel Region "Orel Regional Center for Prevention and Control of AIDS and Infectious Diseases"

    Orel, 302040
    Russian Federation

    Site Not Available

  • Perm Regional Center for Prevention and Control of AIDS and Infectious Diseases

    Perm, 614000
    Russian Federation

    Site Not Available

  • Federal State Budgetary Institution "Republic Clinical Infectious Hospital"

    Saint-Petersburg, 196645
    Russian Federation

    Site Not Available

  • Saint-Petersburg GUZ "Clinical Infectious Hospital named after S.P.Botkin"

    Saint-Petersburg, 191167
    Russian Federation

    Site Not Available

  • St.Petersburg Center for Prevention and Control of AIDS and Infectious Diseases, In-patient Department

    Saint-Petersburg, 190020
    Russian Federation

    Site Not Available

  • St.Petersburg GUZ "Center for Prevention and Control of AIDS and Infectious Diseases", Out-patient Department

    Saint-Petersburg, 190103
    Russian Federation

    Site Not Available

  • Saratov Regional Centre for Treatment and Prevention of AIDS and Infectious Diseases

    Saratov, 410009
    Russian Federation

    Site Not Available

  • Volgograd Regional Center for Prevention and Control of AIDS and Infectious Diseases

    Volgograd, 400040
    Russian Federation

    Site Not Available

  • GUZ "Voronezh Regional Center for Prevention and Control of AIDS and Infectious Diseases"

    Voronezh, 394065
    Russian Federation

    Site Not Available

  • Department of Preventive and Social Medicine, Faculty of Medicine, Siriraj Hospital

    Bangkok, 10700
    Thailand

    Site Not Available

  • Faculty of Medicine Ramathibodi Hospital, Mahidol University

    Bangkok, 10400
    Thailand

    Site Not Available

  • The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT)

    Bangkok, 10330
    Thailand

    Site Not Available

  • Chiang Mai University

    Chiang Mai, 50200
    Thailand

    Site Not Available

  • Bamrasnaradura lnfectious Disease Institute

    Nontaburi, 11000
    Thailand

    Site Not Available

  • Bamrasnaradura lnfectious Disease Institute

    Nonthaburi, 11000
    Thailand

    Site Not Available

  • Joint Clinical Research Centre

    Kampala,
    Uganda

    Site Not Available

  • Barts Healthe NHS Trust

    London, E11BB
    United Kingdom

    Site Not Available

  • Homerton University Hospital NHS Foundation Trust

    London, E96SR
    United Kingdom

    Site Not Available

  • Imperial College Healthcare NHS Trust

    London, W21NY
    United Kingdom

    Site Not Available

  • Kings College London

    London, SE59RJ
    United Kingdom

    Site Not Available

  • Mortimer Market Centre and Central and North West London NHS Foundation Trust

    London, WC1E 6JB
    United Kingdom

    Site Not Available

  • Queen Elizabeth Hospital, South London Healthcare NHS Trust

    London, SE18 4QH
    United Kingdom

    Site Not Available

  • Royal Free London NHS Foundation Trust

    London, NW32QG
    United Kingdom

    Site Not Available

  • St George's Healthcare NHS Trust

    London, SW17 0QT
    United Kingdom

    Site Not Available

  • Royal Berkshire NHS Foundation Trust

    Reading, RG1 5LE
    United Kingdom

    Site Not Available

  • University of Southern California AIDS Clinical Trials Group

    Los Angeles, California 90033
    United States

    Site Not Available

  • University of California, Davis Medical Center

    Sacramento, California 95817
    United States

    Site Not Available

  • George Washington University Medical Faculty Associates

    Washington, District of Columbia 20037
    United States

    Site Not Available

  • Whitman-Walker Health

    Washington, District of Columbia 20009
    United States

    Site Not Available

  • Whitman-Walker Health

    Washington, D.C., District of Columbia 20009
    United States

    Site Not Available

  • Daniel Warner MD PA

    Daytona Beach, Florida 32117
    United States

    Site Not Available

  • Midway Immunology and Research Center

    Fort Pierce, Florida 34982
    United States

    Site Not Available

  • University of Miami

    Miami, Florida 33136
    United States

    Site Not Available

  • IDOCF/ValuhealthMD

    Orlando, Florida 32806
    United States

    Site Not Available

  • Orlando Immunology Center

    Orlando, Florida 32803
    United States

    Site Not Available

  • St. Joseph's Hospital Comprehensive Research Institute

    Tampa, Florida 33614
    United States

    Site Not Available

  • Triple O Research Institute, P.A.

    West Palm Beach, Florida 33401
    United States

    Site Not Available

  • AIDS Research Consortium of Atlanta

    Atlanta, Georgia 30308
    United States

    Site Not Available

  • Emory HIV/AIDS Clinical Trials Unit

    Atlanta, Georgia 30308
    United States

    Site Not Available

  • Infectious Disease Specialists of Atlanta

    Decatur, Georgia 30033
    United States

    Site Not Available

  • Mercer University Mercer Medicine

    Macon, Georgia 31201
    United States

    Site Not Available

  • Chatham County Health Daprtment

    Savannah, Georgia 31401
    United States

    Site Not Available

  • University of Louisville

    Louisville, Kentucky 40202
    United States

    Site Not Available

  • LSUHSC HIV Out-Patient Clinic Research

    New Orleans, Louisiana 70119
    United States

    Site Not Available

  • Brigham and Women's Hospital

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • The Research Institute

    Springfield, Massachusetts 01105
    United States

    Site Not Available

  • New Jersey Medical School

    Newark, New Jersey 07103
    United States

    Site Not Available

  • Saint Michael's Medical Center

    Newark, New Jersey 07102
    United States

    Site Not Available

  • Montefiore Medical Center

    Bronx, New York 10040
    United States

    Site Not Available

  • New York Hospital Queens

    Flushing, New York 01135
    United States

    Site Not Available

  • University of Rochester

    Rochester, New York 14642
    United States

    Site Not Available

  • Montefiore Medical Center

    The Bronx, New York 10040
    United States

    Site Not Available

  • University of North Carolina AIDS Clinical Trials Unit

    Chapel Hill, North Carolina 27599
    United States

    Site Not Available

  • Duke University Medical Center

    Durham, North Carolina 27710
    United States

    Site Not Available

  • East Carolina University The Brody School of Medicine Div. of Infectious Diseases

    Greenville, North Carolina 27834
    United States

    Site Not Available

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina 27157
    United States

    Site Not Available

  • Wexner Medical Center at the Ohio State University

    Columbus, Ohio 43210
    United States

    Site Not Available

  • The University of Toledo Medical Center

    Toledo, Ohio 43614
    United States

    Site Not Available

  • Lehigh Valley Health Network

    Allentown, Pennsylvania 18102
    United States

    Site Not Available

  • Philadelphia FIGHT

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • Temple University Hospital- Internal General Medicine

    Philadelphia, Pennsylvania 19140
    United States

    Site Not Available

  • Thomas Jefferson University

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

  • The Miriam Hospital

    Providence, Rhode Island 02906
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Central Texas Clinical Research

    Austin, Texas 78705
    United States

    Site Not Available

  • UT - Physicians

    Bellaire, Texas 77401
    United States

    Site Not Available

  • AIDS Arms, Inc./Trinity Health & Wellness Center

    Dallas, Texas 75208
    United States

    Site Not Available

  • North Texas Infectious Diseases Consultants, PA

    Dallas, Texas 75208
    United States

    Site Not Available

  • Therapeutic Concepts, PA

    Houston, Texas 77004
    United States

    Site Not Available

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