FOTO: Five Consecutive Days on Treatment With Efavirenz, Tenofovir, and Emtricitabine Followed by Two Days Off Treatment Versus Continuous Treatment
This study has been completed.
Sponsor:
Community Research Initiative of New England
Collaborator:
The Campbell Foundation
Information provided by (Responsible Party):
Cal Cohen, Community Research Initiative of New England
ClinicalTrials.gov Identifier:
NCT00414635
First received: December 20, 2006
Last updated: February 9, 2012
Last verified: February 2012
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Results First Received: July 22, 2010
| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Crossover Assignment; Masking: Open Label; Primary Purpose: Treatment |
| Condition: |
HIV Infections |
| Interventions: |
Drug: efavirenz Drug: tenofovir Drug: emtricitabine |
Participant Flow
Recruitment Details
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| Recruitment took place between August 21, 2006 and November 9, 2007. Recruitment occured at multiple site locations (research clinics and private practice). |
Pre-Assignment Details
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| No text entered. |
Reporting Groups
| Description | |
|---|---|
| FOTO | Participants changing to 5 days on, 2 days off (FOTO). The 5/2 intermittent treatment arm will take their antiretrovirals for 5 consecutive days followed by 2 days off for 48 weeks (provided their HIV RNA remains undetectable on an ultrasensitive assay). |
| Control | Daily regimen (7 days)• The control arm will take their antiretrovirals for 7 days a week for the first 24 weeks and then cross over to the 5/2 intermittent treatment schedule (if their HIV RNA remains undetectable on an ultrasensitive assay) for the remainder of the study. |
Participant Flow: Overall Study
| FOTO | Control | |
|---|---|---|
| STARTED | 30 | 30 |
| COMPLETED | 25 | 28 |
| NOT COMPLETED | 5 | 2 |
Baseline Characteristics
Reporting Groups
| Description | |
|---|---|
| FOTO | Participants changing to 5 days on, 2 days off (FOTO). The 5/2 intermittent treatment arm will take their antiretrovirals for 5 consecutive days followed by 2 days off for 48 weeks (provided their HIV RNA remains undetectable on an ultrasensitive assay). |
| Control | Daily regimen (7 days)• The control arm will take their antiretrovirals for 7 days a week for the first 24 weeks and then cross over to the 5/2 intermittent treatment schedule (if their HIV RNA remains undetectable on an ultrasensitive assay) for the remainder of the study. |
| Total | Total of all reporting groups |
Baseline Measures
| FOTO | Control | Total | |
|---|---|---|---|
|
Number of Participants
[units: participants] |
30 | 30 | 60 |
|
Age
[units: participants] |
|||
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 30 | 28 | 58 |
| >=65 years | 0 | 2 | 2 |
|
Age
[units: years] Mean ± Standard Deviation |
42 ± 8.1 | 47 ± 9.9 | 44 ± 9.4 |
|
Gender
[units: participants] |
|||
| Female | 5 | 5 | 10 |
| Male | 25 | 25 | 50 |
|
Region of Enrollment
[units: participants] |
|||
| United States | 30 | 30 | 60 |
Outcome Measures
| 1. Primary: | Percentage of Participants Who Maintained Virologic Suppression (Less Than 50 RNA Cps/ml) [ Time Frame: 24 weeks ] |
| 2. Secondary: | Mean CD4+ T-cell Count Increases From Baseline to Week 24. [ Time Frame: Baseline to Week 24 ] |
| 3. Secondary: | Quality of Life [ Time Frame: 4 weeks ] |
| 4. Secondary: | Absolute Number of Virological "Blip" Events Occurring Over 24 Weeks [ Time Frame: Baseline to week 24 ] |
| 5. Secondary: | Trough Blood Levels of Efavirenz in Both Arms [ Time Frame: 12 or 60 hours ] |
| 6. Secondary: | Self-reported Adherence Summary in Both Arms [ Time Frame: 4, 12 and 24 weeks ] |
| 7. Secondary: | Deviation From FOTO Schedule by One Extra Dose [ Time Frame: 4, 12, 24 weeks ] |