Study to Evaluate the Safety and Efficacy of Switching From Regimens Consisting of Boosted Atazanavir or Darunavir Plus Either Emtricitabine/Tenofovir or Abacavir/Lamivudine to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Virologically Suppressed HIV-1 Infected Adults
A Phase 3, Randomized, Open-Label Study to Evaluate the Safety and Efficacy of Switching From Regimens Consisting of Boosted Atazanavir or Darunavir Plus Either Emtricitabine/Tenofovir or Abacavir/Lamivudine to GS-9883/Emtricitabine/Tenofovir Alafenamide in Virologically Suppressed HIV-1 Infected Adults
2 other identifiers
interventional
578
11 countries
119
Brief Summary
The primary objective of this study is to evaluate the efficacy of switching to a fixed-dose combination (FDC) of bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) versus continuing on a regimen consisting of boosted atazanavir (ATV) or darunavir (DRV) plus either emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or abacavir/lamivudine (ABC/3TC) in HIV-1 infected adults who are virologically suppressed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Nov 2015
Typical duration for phase_3
119 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 10, 2015
CompletedFirst Posted
Study publicly available on registry
November 11, 2015
CompletedStudy Start
First participant enrolled
November 20, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2017
CompletedResults Posted
Study results publicly available
June 6, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 23, 2019
CompletedDecember 29, 2020
December 1, 2020
1.5 years
November 10, 2015
May 3, 2018
December 7, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm
The percentage of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant'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
Secondary Outcomes (2)
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm
Week 48
Change From Baseline in CD4 Cell Count at Week 48
Baseline to Week 48
Study Arms (2)
B/F/TAF
EXPERIMENTALRandomized Phase: Bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) for at least 48 weeks, without regard to food. Extension Phase: After Week 48, participants in countries where B/F/TAF is not available will be given the option to receive B/F/TAF for up to 96 additional weeks or until the product becomes accessible to participants through an access program, or until Gilead Sciences elects to discontinue the study in that country, whichever occurs first.
Stay on Baseline Regimen (SBR)
EXPERIMENTALRandomized Phase: Participants remained on current antiretroviral (ARV) regimen consisting of ritonavir (RTV)-boosted or cobicistat (COBI)-boosted atazanavir (ATV) or darunavir (DRV), plus either emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or abacavir/lamivudine (ABC/3TC) for at least 48 weeks with food. Extension Phase: After Week 48, participants in countries where B/F/TAF is not available will be given the option to receive B/F/TAF for up to 96 additional weeks or until the product becomes accessible to participants through an access program, or until Gilead Sciences elects to discontinue the study in that country, whichever occurs first.
Interventions
100 mg capsule coadministered orally with ATV or DRV once daily with food
150 mg tablet coadministered orally with ATV or DRV once daily with food
300/150 mg FDC tablet administered orally once daily with food
800/150 mg FDC tablet administered orally once daily with food
200/300 mg FDC tablet administered orally once daily without regard to food
600/300 mg tablet administered orally once daily with or without regard to food
50/200/25 mg FDC tablet administered orally once daily without regard to food
Eligibility Criteria
You may qualify if:
- Currently receiving a once daily antiretroviral regimen consisting of ritonavir or cobicistat boosted ATV or DRV plus either FTC/TDF or ABC/3TC for ≥ 6 months preceding the screening visit
- Adequate renal function:
- Estimated glomerular filtration rate ≥ 50 mL/min (≥ 0.83 mL/sec) according to the Cockcroft-Gault formula
- Life expectancy ≥ 1 year
- Currently on a stable regimen for ≥ 6 months preceding the screening visit with documented plasma HIV-1 RNA \< 50 copies/mL for ≥ 6 months preceding the screening visit (or undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). Prior changes in antiretroviral regimen are only allowed due to tolerability issues or for regimen simplification. Unconfirmed virologic elevations of ≥ 50 copies/mL (transient detectable viremia, or "blip") prior to screening are acceptable. (If the lower limit of detection of the local HIV-1 RNA assay is \< 50 copies/mL \[e.g., \< 20 copies/mL\], the plasma HIV-1 RNA level cannot exceed 50 copies/mL on two consecutive HIV-1 RNA tests)
- Have no documented or suspected resistance to FTC, tenofovir, ABC or 3TC, including but not limited to the reverse transcriptase resistance mutations K65R and M184V/I
- No previous use of any approved or experimental integrase strand transfer inhibitor (INSTI)
You may not qualify if:
- An opportunistic illness indicative of stage 3 HIV diagnosed within the 30 days prior to screening
- Individuals experiencing decompensated cirrhosis (eg, ascites, encephalopathy, or variceal bleeding)
- Have been treated with immunosuppressant therapies or chemotherapeutic agents within 3 months of study screening, or expected to receive these agents or systemic steroids during the study (eg, corticosteroids, immunoglobulins, and other immune- or cytokine based therapies)
- Current alcohol or substance use judged by the Investigator to potentially interfere with subject study compliance
- A history of or ongoing malignancy (including untreated carcinoma in-situ) other than cutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasive cutaneous squamous carcinoma. Individuals with biopsy-confirmed cutaneous KS are eligible, but must not have received any systemic therapy for KS within 30 days of Day 1 and are not anticipated to require systemic therapy during the study
- Active, serious infections (other than HIV 1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to Day 1
- Participation in any other clinical trial, including observational studies, without prior approval from the sponsor is prohibited while participating in this trial
- 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 the dosing requirements
- Any known allergies to the excipients of B/F/TAF FDC or ATV, RTV, DRV, COBI, FTC/TDF or ABC/3TC
- Females who are pregnant (as confirmed by positive serum pregnancy test)
- Females who are breastfeeding
- Acute hepatitis in the 30 days prior to study entry
- Chronic hepatitis B infection in individuals not on a TDF containing regimen, as determined by either:
- Positive hepatitis B virus (HBV) surface antigen and negative HBV surface antibody, regardless of HBV core antibody status, at the screening visit
- Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gilead Scienceslead
Study Sites (119)
Unknown Facility
Phoenix, Arizona, 85012, United States
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Phoenix, Arizona, 85015, United States
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Los Angeles, California, 90027, United States
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Los Angeles, California, 90036, United States
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Los Angeles, California, 90069, United States
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Newport Beach, California, 92663, United States
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Oakland, California, 94602, United States
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Sacramento, California, 95825, United States
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San Diego, California, 92103, United States
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San Francisco, California, 94102, United States
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San Leandro, California, 94577, United States
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Torrance, California, 90502, United States
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Aurora, Colorado, 80045, United States
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Washington D.C., District of Columbia, 20017, United States
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Washington D.C., District of Columbia, 20036, United States
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DeLand, Florida, 32720, United States
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Fort Lauderdale, Florida, 33316, United States
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Ft. Pierce, Florida, 34982, United States
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Miami, Florida, 33133, United States
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Miami, Florida, 33136, United States
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Orlando, Florida, 32803-1851, United States
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Pensacola, Florida, 32504, United States
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Tampa, Florida, 33614, United States
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Vero Beach, Florida, 32960, United States
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West Palm Beach, Florida, 33401, United States
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Wilton Manors, Florida, 33305, United States
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Atlanta, Georgia, 30312, United States
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Augusta, Georgia, 30912, United States
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Macon, Georgia, 31201, United States
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Honolulu, Hawaii, 96813, United States
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Chicago, Illinois, 60613, United States
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Chicago, Illinois, 60657, United States
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Chicago, Illinois, United States
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Kansas City, Kansas, 66160, United States
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Louisville, Kentucky, 40202, United States
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New Orleans, Louisiana, 70112, United States
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Boston, Massachusetts, 01211, United States
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Springfield, Massachusetts, 1105, United States
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Berkley, Michigan, 48072, United States
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Minneapolis, Minnesota, 55407, United States
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Kansas City, Missouri, 64111, United States
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St Louis, Missouri, 63139, United States
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Buffalo, New York, 14215, United States
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The Bronx, New York, 10467, United States
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The Bronx, New York, United States
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Chapel Hill, North Carolina, 27599-7080, United States
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Charlotte, North Carolina, 28209, United States
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Durham, North Carolina, 27710, United States
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Greenville, North Carolina, 27834, United States
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Huntersville, North Carolina, 28078, United States
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Philadelphia, Pennsylvania, 19107, United States
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Columbia, South Carolina, 29203, United States
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Memphis, Tennessee, 38105, United States
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Austin, Texas, 78705, United States
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Dallas, Texas, 75215, United States
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Dallas, Texas, 75219, United States
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Dallas, Texas, 75246, United States
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Houston, Texas, 77004, United States
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Houston, Texas, 77098, United States
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Longview, Texas, 75605, United States
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Annandale, Virginia, 22003-7313, United States
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Seattle, Washington, 98104, United States
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Spokane, Washington, 99204, United States
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Darlinghurst, New South Wales, 2010, Australia
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Sydney, New South Wales, 2010, Australia
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Fitzroy, Victoria, 3068, Australia
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Melbourne, Victoria, 3004, Australia
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Prahran, Victoria, 3141, Australia
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Brussels, 1000, Belgium
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Ghent, 9000, Belgium
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Vancouver, British Columbia, V6Z 2T1, Canada
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Toronto, Ontario, M5G 1K2, Canada
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Toronto, Ontario, M5G2N2, Canada
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Montreal, Quebec, H2L 4P9, Canada
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Montreal, Quebec, H3A 1T1, Canada
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Montreal, Quebec, H4A 3J1, Canada
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Santo Domingo, Dominican Republic
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Lyon, 69317, France
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Nantes, 44093, France
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Nice, 6202, France
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Paris, 75010, France
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Paris, 75571, France
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Tourcoing, 59200, France
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Tours, 37000, France
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Düsseldorf, North Rhine-Westphalia, 40237, Germany
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Berlin, 12157, Germany
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Berlin, 13353, Germany
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Bonn, 53127, Germany
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Cologne, 50924, Germany
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Essen, 45122, Germany
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Frankfurt, 60590, Germany
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Frankfurt, 60596, Germany
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Hamburg, 20251, Germany
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München, 80335, Germany
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München, 81675, Germany
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Milan, 20127, Italy
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Milan, 20157, Italy
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Roma, 00149, Italy
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Ponce, 00731, Puerto Rico
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Rio Piedras, 935, Puerto Rico
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San Juan, 00909, Puerto Rico
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San Juan, 00935, Puerto Rico
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Madrid, 28034, Spain
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Madrid, 28040, Spain
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Málaga, 29010, Spain
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Birmingham, B4 6DH, United Kingdom
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Birmingham, B9 5SS, United Kingdom
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Brighton, BN2 3EW, United Kingdom
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Edinburgh, EH4 2XU, United Kingdom
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Liverpool, L7 8XP, United Kingdom
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London, E1 1BB, United Kingdom
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London, NW3 2QG, United Kingdom
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London, SE1 7EH, United Kingdom
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London, SE5 9RJ, United Kingdom
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London, SW10 9TH, United Kingdom
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London, SW17 0QT, United Kingdom
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London, W2 1NY, United Kingdom
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Manchester, M13 0FH, United Kingdom
Unknown Facility
Manchester, M8 5RB, United Kingdom
Related Publications (3)
Daar ES, DeJesus E, Ruane P, Crofoot G, Oguchi G, Creticos C, Rockstroh JK, Molina JM, Koenig E, Liu YP, Custodio J, Andreatta K, Graham H, Cheng A, Martin H, Quirk E. Efficacy and safety of switching to fixed-dose bictegravir, emtricitabine, and tenofovir alafenamide from boosted protease inhibitor-based regimens in virologically suppressed adults with HIV-1: 48 week results of a randomised, open-label, multicentre, phase 3, non-inferiority trial. Lancet HIV. 2018 Jul;5(7):e347-e356. doi: 10.1016/S2352-3018(18)30091-2. Epub 2018 Jun 18.
PMID: 29925490RESULTAndreatta K, Willkom M, Martin R, Chang S, Wei L, Liu H, Liu YP, Graham H, Quirk E, Martin H, White KL. Switching to bictegravir/emtricitabine/tenofovir alafenamide maintained HIV-1 RNA suppression in participants with archived antiretroviral resistance including M184V/I. J Antimicrob Chemother. 2019 Dec 1;74(12):3555-3564. doi: 10.1093/jac/dkz347.
PMID: 31430369RESULTAvihingsanon A, Chetchotisakd P, Kiertiburanakul S, Ratanasuwan W, Siripassorn K, Supparatpinyo K, Martin H, Wang H, Wong T, Wang HY. Efficacy and safety of switching to bictegravir, emtricitabine, and tenofovir alafenamide in virologically suppressed Asian adults living with HIV: A pooled analysis from three international phase III randomized trials. HIV Med. 2023 Mar;24(3):290-300. doi: 10.1111/hiv.13386. Epub 2022 Aug 17.
PMID: 36912172DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Gilead Clinical Study Information Center
- Organization
- Gilead Sciences
Study Officials
- STUDY DIRECTOR
Gilead Study Director
Gilead Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 10, 2015
First Posted
November 11, 2015
Study Start
November 20, 2015
Primary Completion
May 15, 2017
Study Completion
December 23, 2019
Last Updated
December 29, 2020
Results First Posted
June 6, 2018
Record last verified: 2020-12
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- 18 months after study completion
- Access Criteria
- A secured external environment with username, password, and RSA code.
Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at https://www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy.