NCT04303598

Brief Summary

Azvudine,(FNC), new nuclear nucleoside reverse transcriptase inhibitors, FNC make itself a better candidate to be co-formulated in other anti-HIV therapies, thus to improve patient's compliance, approved by state drug administration (NMPA) for clinical research. FNC has completed its phase I、II clinical studies with desirable results.This is a multi-center, randomized, double-blind,double-placebo,active-control clinical trial. Subjects in experimental arm receives FNC+TDF+EFV+3TC placebo, while the subjected in active control arm receives 3TC+TDF+EFV+FNC placebo. The background drugs in both arms are conducted in open-label design while FNC and 3TC are conducted in double-blinded design.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
720

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Apr 2020

Geographic Reach
1 country

12 active sites

Status
unknown

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

March 4, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 11, 2020

Completed
21 days until next milestone

Study Start

First participant enrolled

April 1, 2020

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2022

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2022

Completed
Last Updated

March 11, 2020

Status Verified

March 1, 2020

Enrollment Period

2.1 years

First QC Date

March 4, 2020

Last Update Submit

March 6, 2020

Conditions

Keywords

FNCHIV-infectionAids

Outcome Measures

Primary Outcomes (1)

  • Rate of subjects with plasma HIV-1 Ribonucleic acid (RNA) <50 copies/milliliter (c/mL) at Week 48

    Rate of participants with a HIV-1 RNA \< 50 copies per mL .If HIV RNA level is \< 50 copies per mL at Week 48, it is considered as virologic success as per the snapshot approach.

    48 Weeks

Secondary Outcomes (7)

  • Rate of subjects with plasma HIV-1 Ribonucleic acid (RNA) <50 copies/milliliter (c/mL) at Week 24 and Week 96

    Week 24 and Week 96

  • Rate of subjects with plasma HIV-1 Ribonucleic acid (RNA) <400 copies/milliliter (c/mL) at Week 24 ,Week 48 and Week 96;

    Week 24 and Week 48 and Week 96,

  • Change of CD4+ cell count from baseline at Week 48 and Week 96

    Week 48 and Week 96

  • Time to achieve virologic failure(HIV-1 RNA<50 copies/ml)

    Baseline and Week 96

  • Diachronic change of logarithm (log) HIV-RNA reduction from baseline

    Baseline and Week 96

  • +2 more secondary outcomes

Study Arms (2)

FNC Treatment Group

EXPERIMENTAL

FNC 3mg, 1 tablet;TDF 300mg, 1 tablet;EFV 200mg, 2 tablets;3TC placebo 1 tablet;daily oral before bedtime

Drug: FNCDrug: TDFDrug: EFVDrug: 3TC placebo

3TC control group

ACTIVE COMPARATOR

3TC 300mg, 1 tablet;TDF 300mg, 1 tablet;EFV 200mg, 2 tablets;FNC placebo 1 tablet;daily oral before bedtime

Drug: 3TCDrug: TDFDrug: EFVDrug: FNC placebo

Interventions

FNCDRUG

3mg, 1 tablet,QD

Also known as: Azvudine
FNC Treatment Group
3TCDRUG

300mg, 1 tablet,QD

Also known as: Lamivudine
3TC control group
TDFDRUG

300mg, 1 tablet,QD

Also known as: Tenofovir Fumarate
3TC control groupFNC Treatment Group
EFVDRUG

200mg, 1 tablet,QD

Also known as: Efavirenz
3TC control groupFNC Treatment Group

1 tablet,QD

Also known as: Azvudine placebo
3TC control group

1 tablet,QD

Also known as: Lamivudine placebo
FNC Treatment Group

Eligibility Criteria

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

You may qualify if:

  • years old, regardless of gender;
  • Participant must have an positive HIV test;
  • Have not received anti-HIV treatment;
  • HIV-1 RNA≥1000 copies/ml and the investigators determined that the subjects were eligible for HAART therapy.
  • Who have no recent family planning and agree to take effective non-drug contraceptive measures during the trial period and within 3 months after the end of administration;
  • The subjects could fully understand the purpose, nature, method and possible adverse reactions of the test, and voluntarily participate in and sign the informed consent.

You may not qualify if:

  • History of allergy to any ingredient or excipient of the research drug or have a high sensitivity constitution;
  • Patients with severe opportunistic infection or tumor;
  • Clinically Hepatitis b surface antigen/hepatitis c antibody positive;
  • Clinically Alanine transaminase and/or alanine transaminase ≥5× normal upper limit (ULN);
  • Clinically Alanine aminotransferase ≥3×ULN and total bilirubin ≥2×ULN (direct bilirubin/total bilirubin \> 35%);
  • Glomerular filtration rate \< 70ml/min/1.73m2 (calculated by ckd-epi Creatinine 2009 Equation), or Creatinine ≥ULN;
  • Clinically significant diseases serious chronic diseases , metabolic diseases (such as diabetes), neurological and psychiatric diseases;
  • History of pancreatitis;
  • Women in pregnancy and breastfeeding;
  • History of drug abuse, alcohol abuse and drug abuse;
  • Participating in clinical trials of other drugs within the first three months of screening;
  • Other factors considered inappropriate by the investigator to be included in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

Beijing YouAn Hospital, Capital Medical University

Beijing, Beijing Municipality, 100001, China

Location

Beijing DiTan Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Location

Chongqing Public Health Medical Center

Chongqing, Chongqing Municipality, China

Location

Guangzhou Eighth People's Hospital

Guangzhou, Guangdong, China

Location

Wuhan Jinyintan Hospital

Wuhan, Hebei, China

Location

The Fouth Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Location

The Sixth People's Hospital of Zhengzhou

Zhengzhou, Henan, China

Location

The First Hospital of Changsha

Changsha, Hunan, China

Location

The Second Hospital of Nanjing

Nanjing, Jiangsu, China

Location

The Public Health Clinical Center of Chengdu

Chengdu, Sichuan, China

Location

Tianjin Second People's Hospital

Tianjin, Tianjin Municipality, China

Location

Xixi Hospital of Hangzhou

Hangzhou, Zhejiang, China

Location

MeSH Terms

Conditions

Acquired Immunodeficiency Syndrome

Interventions

azvudineLamivudineefavirenz

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesSlow Virus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Intervention Hierarchy (Ancestors)

ZalcitabineDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesDideoxynucleosides

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Masking Details
The experiment was conducted under a randomized method, each center disputed into the group via competition. Treatment assignment was carried out in accordance with a central randomization schedule generated with SAS (version 9.4). Randomization was done by a computer-generated system (IWRS). The randomization table (1st blind code) and second blind code were sealed and stored in triplicate offices of the sponsor, investigator and the independent statistician.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 4, 2020

First Posted

March 11, 2020

Study Start

April 1, 2020

Primary Completion

May 1, 2022

Study Completion

August 1, 2022

Last Updated

March 11, 2020

Record last verified: 2020-03

Locations