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NCT01968551

Phase 3 Open-Label Study to Evaluate Switching From Optimized Stable Antiretroviral Regimens Containing Darunavir to Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (E/C/F/TAF) Fixed Dose Combination (FDC) Plus Darunavir (DRV) in Treatment Experienced HIV-1 Positive Adults

Completed Phase 3 Results posted Last updated 16 November 2018
What this trial tests

Phase 3 trial testing E/C/F/TAF in HIV-1 in 158 participants. Completed in 9 July 2016.

Timeline
3 September 2013
Primary endpoint
21 July 2015
9 July 2016

Quick facts

Lead sponsorGilead Sciences
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment158
Start date3 September 2013
Primary completion21 July 2015
Estimated completion9 July 2016
Sites62 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

Gilead Sciences — full company profile →

Who can join

18 and older, any sex, with HIV-1 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 in Each Treatment Arm in Cohort 2 With HIV-1 RNA < 50 Copies/mL at Week 24 Primary · Week 24

The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 24 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.

GroupValue95% CI
Cohort 2: E/C/F/TAF+DRV96.6
Cohort 2: Stay on Baseline Regimen (SBR)91.3
Percentage of Participants in Each Treatment Arm in Cohort 2 With HIV-1 RNA < 50 Copies/mL at Week 48 Secondary · 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.

GroupValue95% CI
Cohort 2: E/C/F/TAF+DRV94.4
Cohort 2: Stay on Baseline Regimen (SBR)76.1
Change From Baseline in CD4+ Cell Count at Week 24 Secondary · Baseline; Week 24
GroupValue95% CI
Cohort 2: E/C/F/TAF+DRV23± 155.2
Cohort 2: Stay on Baseline Regimen (SBR)12± 100.9
Change From Baseline in CD4+ Cell Count at Week 48 Secondary · Baseline; Week 48
GroupValue95% CI
Cohort 2: E/C/F/TAF+DRV5± 162.6
Cohort 2: Stay on Baseline Regimen (SBR)41± 104.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to a maximum of 97.4 weeks (duration of exposure: Cohort 1 and Cohort 2 = 48 weeks; All E/C/F/TAF = up to maximum of 97.4 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: E/C/F/TAF+DRV
Serious: 1/21 (5%)
Deaths:
Cohort 2: E/C/F/TAF+DRV
Serious: 9/89 (10%)
Deaths:
Cohort 2: SBR
Serious: 1/46 (2%)
Deaths:
All E/C/F/TAF
Serious: 20/144 (14%)
Deaths:

Serious adverse events (35 terms)

ReactionSystemCohort 1: E/C/F/TAF+DRVCohort 2: E/C/F/TAF+DRVCohort 2: SBRAll E/C/F/TAF
Small intestinal obstructionGastrointestinal disorders
Chest painGeneral disorders
Angina pectorisCardiac disorders
Angina unstableCardiac disorders
Coronary artery diseaseCardiac disorders
Myocardial infarctionCardiac disorders
TachycardiaCardiac disorders
Haemorrhoidal haemorrhageGastrointestinal disorders
PancreatitisGastrointestinal disorders
Retroperitoneal haemorrhageGastrointestinal disorders
DeathGeneral disorders
Non-cardiac chest painGeneral disorders
BronchitisInfections and infestations
CellulitisInfections and infestations
Clostridium difficile colitisInfections and infestations
GastroenteritisInfections and infestations
Gastroenteritis clostridialInfections and infestations
Pneumonia bacterialInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Rib fractureInjury, poisoning and procedural complications
Splenic ruptureInjury, poisoning and procedural complications
Subdural haematomaInjury, poisoning and procedural complications
Vascular pseudoaneurysmInjury, poisoning and procedural complications
ObesityMetabolism and nutrition disorders
Other adverse events (28 terms — click to expand)

ReactionSystemCohort 1: E/C/F/TAF+DRVCohort 2: E/C/F/TAF+DRVCohort 2: SBRAll E/C/F/TAF
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
SinusitisInfections and infestations
BronchitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
VomitingGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Acute sinusitisInfections and infestations
InsomniaPsychiatric disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
NasopharyngitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
MyalgiaMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
HypertensionVascular disorders
ConstipationGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Otitis mediaInfections and infestations
PharyngitisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Abdominal painGastrointestinal disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
HypoaesthesiaNervous system disorders
InfluenzaInfections and infestations
Oral candidiasisInfections and infestations

Most-reported serious reactions: Small intestinal obstruction, Chest pain, Angina pectoris, Angina unstable, Coronary artery disease, Myocardial infarction, Tachycardia, Haemorrhoidal haemorrhage.

Data from ClinicalTrials.gov NCT01968551 adverse events section.

Sponsor's own description

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) plus darunavir (DRV) relative to current antiretroviral regimens (ARV) in virologically suppressed, HIV-1 positive participants with HIV-1 RNA \<50 copies/mL at Week 24. This study consists of 48 weeks of open-label phase followed by an optional Extension Phase in which all the participants will receive E/C/F/TAF+DRV.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A Randomized, Open-Label Trial to Evaluate Switching to Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Plus Darunavir in Treatment-Experienced HIV-1-Infected Adults.
    Huhn GD, Tebas P, Gallant J, Wilkin T, et al · · 2017 · cited 45× · PMID 27753684 · DOI 10.1097/qai.0000000000001193

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