NCT02603107

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

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
578

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Nov 2015

Typical duration for phase_3

Geographic Reach
11 countries

119 active sites

Status
completed

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

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 11, 2015

Completed
9 days until next milestone

Study Start

First participant enrolled

November 20, 2015

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 15, 2017

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

June 6, 2018

Completed
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 23, 2019

Completed
Last Updated

December 29, 2020

Status Verified

December 1, 2020

Enrollment Period

1.5 years

First QC Date

November 10, 2015

Results QC Date

May 3, 2018

Last Update Submit

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

EXPERIMENTAL

Randomized 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.

Drug: B/F/TAF

Stay on Baseline Regimen (SBR)

EXPERIMENTAL

Randomized 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.

Drug: RTVDrug: ATVDrug: DRVDrug: COBIDrug: ATV/coDrug: DRV/coDrug: FTC/TDFDrug: ABC/3TCDrug: B/F/TAF

Interventions

RTVDRUG

100 mg capsule coadministered orally with ATV or DRV once daily with food

Stay on Baseline Regimen (SBR)
ATVDRUG

300 mg capsule administered orally once daily with food

Stay on Baseline Regimen (SBR)
DRVDRUG

800 mg tablet administered orally once daily with food

Stay on Baseline Regimen (SBR)
COBIDRUG

150 mg tablet coadministered orally with ATV or DRV once daily with food

Also known as: Tybost®, GS-9350
Stay on Baseline Regimen (SBR)
ATV/coDRUG

300/150 mg FDC tablet administered orally once daily with food

Also known as: Evotaz®
Stay on Baseline Regimen (SBR)
DRV/coDRUG

800/150 mg FDC tablet administered orally once daily with food

Also known as: Prezcobix®
Stay on Baseline Regimen (SBR)

200/300 mg FDC tablet administered orally once daily without regard to food

Also known as: Truvada®
Stay on Baseline Regimen (SBR)

600/300 mg tablet administered orally once daily with or without regard to food

Stay on Baseline Regimen (SBR)

50/200/25 mg FDC tablet administered orally once daily without regard to food

Also known as: Biktarvy®
B/F/TAFStay on Baseline Regimen (SBR)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (119)

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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

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Manchester, M8 5RB, United Kingdom

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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.

  • Andreatta 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.

  • Avihingsanon 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.

MeSH Terms

Interventions

Cobicistatcobicistat mixture with darunavirEmtricitabine, Tenofovir Disoproxil Fumarate Drug Combinationbictegravir, emtricitabine, tenofovir alafenamide, drug combination

Intervention Hierarchy (Ancestors)

CarbamatesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsThiazolesSulfur CompoundsAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsTenofovirOrganophosphonatesOrganophosphorus CompoundsEmtricitabineDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesAdeninePurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesDrug CombinationsPharmaceutical Preparations

Results Point of Contact

Title
Gilead Clinical Study Information Center
Organization
Gilead Sciences

Study Officials

  • Gilead Study Director

    Gilead Sciences

    STUDY DIRECTOR

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

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.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
18 months after study completion
Access Criteria
A secured external environment with username, password, and RSA code.
More information

Locations