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
CompletedPhase 3Results postedLast updated 19 November 2018
What this trial tests
Phase 3 trial testing E/C/F/TAF in HIV in 872 participants. Completed in 6 September 2017.
18 and older, any sex, with HIV or HIV Infections. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48Primary· 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.
Group
Value
95% CI
E/C/F/TAF
93.1
E/C/F/TDF
92.8
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Weeks 96 and 144Secondary· 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.
Week 96
Group
Value
95% CI
E/C/F/TAF
89.2
E/C/F/TDF
88.2
Week 144
Group
Value
95% CI
E/C/F/TAF
86.9
E/C/F/TDF
83.1
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48, 96, and 144Secondary· 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.
Week 48
Group
Value
95% CI
E/C/F/TAF
86.4
E/C/F/TDF
87.3
Week 96
Group
Value
95% CI
E/C/F/TAF
84.4
E/C/F/TDF
83.6
Week 144
Group
Value
95% CI
E/C/F/TAF
84.6
E/C/F/TDF
80.1
Change From Baseline in CD4+ Cell Count at Week 48Secondary· Baseline; Week 48
Group
Value
95% CI
E/C/F/TAF
235
± 183.1
E/C/F/TDF
221
± 178.9
Change From Baseline in CD4+ Cell Count at Week 96Secondary· Baseline; Week 96
Group
Value
95% CI
E/C/F/TAF
285
± 203.0
E/C/F/TDF
271
± 208.1
Change From Baseline in CD4+ Cell Count at Week 144Secondary· Baseline; Week 144
Group
Value
95% CI
E/C/F/TAF
323
± 213.1
E/C/F/TDF
310
± 207.2
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48Secondary· Baseline; Week 48
Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan.
Group
Value
95% CI
E/C/F/TAF
-0.865
± 3.2532
E/C/F/TDF
-3.200
± 3.1759
Percent Change From Baseline in Hip BMD at Week 96Secondary· Baseline; Week 96
Hip BMD was assessed by DXA scan.
Group
Value
95% CI
E/C/F/TAF
-0.951
± 3.8633
E/C/F/TDF
-3.515
± 3.9451
Percent Change From Baseline in Hip BMD at Week 144Secondary· Baseline; Week 144
Hip BMD was assessed by DXA scan.
Group
Value
95% CI
E/C/F/TAF
-0.826
± 4.6786
E/C/F/TDF
-3.475
± 4.1551
Percent Change From Baseline in Spine BMD at Week 48Secondary· Baseline; Week 48
Spine BMD was assessed by DXA scan.
Group
Value
95% CI
E/C/F/TAF
-1.337
± 3.0715
E/C/F/TDF
-2.956
± 3.3524
Percent Change From Baseline in Spine BMD at Week 96Secondary· Baseline; Week 96
Spine BMD was assessed by DXA scan.
Group
Value
95% CI
E/C/F/TAF
-0.907
± 4.0039
E/C/F/TDF
-3.053
± 3.9539
Percent Change From Baseline in Spine BMD at Week 144Secondary· Baseline; Week 144
Spine BMD was assessed by DXA scan.
Group
Value
95% CI
E/C/F/TAF
-0.809
± 4.5041
E/C/F/TDF
-3.023
± 4.3122
Adverse events — posted to ClinicalTrials.gov
Time frame: Double-Blind Phase: Up to a maximum of 194.1 weeks plus 30 days; Open-Label Phase: Up to a maximum of 48.3 weeks plus 30 days.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Double-Blind: E/C/F/TAF
Serious: 73/435 (17%)
Deaths: —
Double-Blind: E/C/F/TDF
Serious: 65/432 (15%)
Deaths: —
Open-Label: E/C/F/TAF to E/C/F/TAF
Serious: 0/90 (0%)
Deaths: —
Open-Label: E/C/F/TDF to E/C/F/TAF
Serious: 1/94 (1%)
Deaths: —
Serious adverse events (147 terms)
Reaction
System
Double-Blind: E/C/F/TAF
Double-Blind: E/C/F/TDF
Open-Label: E/C/F/TAF to E…
Open-Label: E/C/F/TDF to E…
Appendicitis
Infections and infestations
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Suicidal ideation
Psychiatric disorders
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Cellulitis
Infections and infestations
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Influenza
Infections and infestations
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Meningitis viral
Infections and infestations
—
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Uterine leiomyoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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Acute myocardial infarction
Cardiac disorders
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Abdominal pain
Gastrointestinal disorders
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Rectal haemorrhage
Gastrointestinal disorders
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Acute hepatitis C
Infections and infestations
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Staphylococcal skin infection
Infections and infestations
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Accidental overdose
Injury, poisoning and procedural complications
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Osteoarthritis
Musculoskeletal and connective tissue disorders
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Suicide attempt
Psychiatric disorders
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Anaemia
Blood and lymphatic system disorders
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Iron deficiency anaemia
Blood and lymphatic system disorders
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Leukocytosis
Blood and lymphatic system disorders
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Cardiac arrest
Cardiac disorders
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Cardiac failure congestive
Cardiac disorders
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Tachycardia
Cardiac disorders
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Dermoid cyst
Congenital, familial and genetic disorders
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Retinal detachment
Eye disorders
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Alcoholic pancreatitis
Gastrointestinal disorders
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Anal fissure
Gastrointestinal disorders
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Colitis
Gastrointestinal disorders
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—
Other adverse events (36 terms — click to expand)
Reaction
System
Double-Blind: E/C/F/TAF
Double-Blind: E/C/F/TDF
Open-Label: E/C/F/TAF to E…
Open-Label: E/C/F/TDF to E…
Diarrhoea
Gastrointestinal disorders
—
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—
Upper respiratory tract infection
Infections and infestations
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Nausea
Gastrointestinal disorders
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Viral upper respiratory tract infection
Infections and infestations
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Headache
Nervous system disorders
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Back pain
Musculoskeletal and connective tissue disorders
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Cough
Respiratory, thoracic and mediastinal disorders
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Osteopenia
Musculoskeletal and connective tissue disorders
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—
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Syphilis
Infections and infestations
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—
Fatigue
General disorders
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—
Arthralgia
Musculoskeletal and connective tissue disorders
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—
Insomnia
Psychiatric disorders
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Sinusitis
Infections and infestations
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Bronchitis
Infections and infestations
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—
Vomiting
Gastrointestinal disorders
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Depression
Psychiatric disorders
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Rash
Skin and subcutaneous tissue disorders
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Pain in extremity
Musculoskeletal and connective tissue disorders
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Oropharyngeal pain
Respiratory, thoracic and mediastinal disorders
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Influenza
Infections and infestations
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—
—
—
Anxiety
Psychiatric disorders
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—
—
Pyrexia
General disorders
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Abdominal pain
Gastrointestinal disorders
—
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Dizziness
Nervous system disorders
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—
Flatulence
Gastrointestinal disorders
—
—
—
—
Anogenital warts
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
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.
Publications & conference data
7 peer-reviewed publications reference this trial (live from Europe PMC):
NCT03092206 — Changes in Insulin Sensitivity in Healthy Volunteers Taking Tenofovir Alafenamide (TAF)-Containing Antiretroviral Medica
· Phase 1
· completed
NCT02707601 — Efficacy, Safety, and Tolerability of Ledipasvir/Sofosbuvir (LDV/SOF) Treatment for HIV/HCV Co-infected Participants Who
· Phase 3
· completed
NCT02652624 — Safety and Efficacy of Switching to a FDC of B/F/TAF From E/C/F/TAF, E/C/F/TDF, or ATV+RTV+FTC/TDF in Virologically Supp
· Phase 3
· completed
NCT02616783 — Switching From a Tenofovir Disoproxil Fumarate (TDF) Containing Regimen to Elvitegravir/Cobicistat/Emtricitabine/ Tenofo
· Phase 3
· completed
NCT02616029 — Study to Evaluate Switching to Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (E/C/F/TAF) Fixed Dose Combin
· Phase 3
· completed
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Gilead Sciences
Last refreshed: 19 November 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01780506.