A Study to Compare Efficacy in Terms of Plasma Human Immunodeficiency Virus-Type 1 (HIV-1) Ribonucleic Acid (RNA) Between 2 Fixed Dose Combinations After a Switch in Fully Suppressed Patients (SALIF)
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
The purpose of this study is to demonstrate noninferiority (a new treatment is equivalent to standard treatment) in terms of the percentage of patients who have plasma human immunodeficiency virus-type 1 (HIV-1) ribonucleic acid (RNA) levels less than 400 copies per mL after 48 weeks of randomized treatment with tenofovir disoproxil fumarate/emtricitabine/rilpivirine (TDF/FTC/RPV) versus TDF/FTC/efavirenz (TDF/FTC/EFV).
| Condition | Intervention | Phase |
|---|---|---|
|
Human Immunodeficiency Virus-type 1 Infection |
Drug: Rilpivirine Drug: Efavirenz Drug: Tenofovir disoproxil fumarate Drug: Emtricitabine |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Switching At Low HIV-1 RNA Into Fixed Dose Combinations (SALIF) |
- Number of patients with plasma HIV-1 RNA levels less than 400 copies per mL [ Time Frame: Week 48 ] [ Designated as safety issue: No ]Number of patients with viral load (plasma HIV-1 RNA levels) less than 400 copies per mL.
- Number of patients with plasma HIV-1 RNA levels less than 50 copies per mL [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Number of patients with plasma HIV-1 RNA levels more than or equal to 400 copies per mL [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Number of patients with plasma HIV-1 RNA levels more than or equal to 50 copies per mL [ Time Frame: Week 48 ] [ Designated as safety issue: No ]
- Number of patients with treatment-emergent nucleoside reverse transcriptase inhibitor (N[t]RTI) or nucleoside/nucleotide reverse transcriptase inhibitor (NNRTI) mutations [ Time Frame: Up to Week 48 ] [ Designated as safety issue: No ]
- Number of adherent patients based on tablet count [ Time Frame: Up to Week 48 or study medication discontinuation ] [ Designated as safety issue: No ]
- Number of patients with adverse events [ Time Frame: Up to 30 to 35 days after administration of last dose of study medication ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 426 |
| Study Start Date: | March 2013 |
| Estimated Study Completion Date: | August 2015 |
| Estimated Primary Completion Date: | July 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group 1
Patients will receive fixed dose combination (FDC) tablet of tenofovir disoproxil fumarate/emtricitabine/rilpivirine with a meal, until Week 48.
|
Drug: Rilpivirine
Type=exact number, unit=mg, number=25, form=tablet, route=oral. Rilpivirine will be administered in a fixed dose combination along with tenofovir disoproxil fumarate and emtricitabine, as a single dose tablet.
Other Name: EDURANT
Drug: Tenofovir disoproxil fumarate
Type=exact number, unit=mg, number=300, form=tablet, route=oral. Tenofovir disoproxil fumarate will be administered in a fixed dose combination along with rilpivirine and emtricitabine in Group 1, and along with efavirenz and emtricitabine in Group 2.
Drug: Emtricitabine
Type=exact number, unit=mg, number=200, form=tablet, route=oral. Emtricitabine will be administered in a fixed dose combination along with rilpivirine and tenofovir disoproxil fumarate in Group 1, and along with efavirenz and tenofovir disoproxil fumarate in Group 2.
|
|
Active Comparator: Group 2
Patients will receive FDC tablet of tenofovir disoproxil fumarate/emtricitabine /efavirenz on an empty stomach at bedtime, until Week 48.
|
Drug: Efavirenz
Type=exact number, unit=mg, number=600, form=tablet, route=oral. Efavirenz will be administered in a fixed dose combination along with tenofovir disoproxil fumarate and emtricitabine, as a single dose tablet.
Drug: Tenofovir disoproxil fumarate
Type=exact number, unit=mg, number=300, form=tablet, route=oral. Tenofovir disoproxil fumarate will be administered in a fixed dose combination along with rilpivirine and emtricitabine in Group 1, and along with efavirenz and emtricitabine in Group 2.
Drug: Emtricitabine
Type=exact number, unit=mg, number=200, form=tablet, route=oral. Emtricitabine will be administered in a fixed dose combination along with rilpivirine and tenofovir disoproxil fumarate in Group 1, and along with efavirenz and tenofovir disoproxil fumarate in Group 2.
|
Detailed Description:
This is a 48-week, multicenter (study conducted at multiple sites), multinational (conducted at different countries), open-label (all people know the identity of the intervention), randomized (the study medication is assigned by chance) study to assess whether tenofovir disoproxil fumarate/emtricitabine/rilpivirine (TDF/FTC/RPV) shows noninferior response rates of human immunodeficiency virus-type 1 (HIV-1) ribonucleic acid (RNA) suppression less than 400 copies per mL, compared with TDF/FTC/efavirenz (TDF/FTC/EFV). The study consists of 3 phases including, the screening phase (of 6 weeks), treatment phase (of 48 weeks), and follow up phase (of 30 to 35 days after the last dose of study medication). During the 48 weeks treatment phase, patients currently with HIV-1 RNA suppression less than 50 copies per mL on their first-line antiretroviral regimen, will be randomized in a 1:1 ratio, in 2 groups, ie, Group 1 (treatment group) and Group 2 (control group). Both these groups will receive a fixed dose combination (FDC) regimen (ie, FDC tablet: one tablet per day) of either TDF/FTC/RPV in Group 1 or TDF/FTC/EFV in Group 2. Patients will return for study visits at Week 4, 12, 24, 36, and 48 during the treatment period, and then every 24 weeks thereafter during the extended treatment period until the last patient has his or her Week 48 (or treatment discontinuation) visit. Safety evaluations for adverse events, clinical laboratory (central and local) tests, electrocardiogram, vital signs, and physical examination will be performed throughout the study. The treatment duration for each patient will be expected to be between 48 and 108 weeks.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Documented human immunodeficiency virus-type 1 (HIV-1) infection
- Patients who have been receiving first line highly active antiretroviral therapy (HAART) for at least 1 year before the screening visit
- Patients who prefer to change the current HAART regimen for reasons of simplification and/or due to toxicity of nucleoside/nucleotide reverse transcriptase inhibitor (N[t]RTI)
- Antiretroviral (ARV) combination treatment for at least 8 weeks before the screening visit and expected to continue on the same regimen throughout the screening period
- Plasma HIV-1 RNA less than 50 copies per mL and cluster of differentiation 4 positive (CD4+) cell count more than 200 per cubic millimeter
- Agrees to protocol-defined use of effective contraception
Exclusion Criteria:
- History of virologic failure (2 consecutive plasma HIV-1 ribonucleic acid (RNA) more than or equal to 400 copies per mL) and immunologic failure (2 consecutive CD4+ cell counts) while on previous or current ART
- History of any primary N[t]RTI or NNRTI mutations below the pre HAART level
- Significantly decreased hepatic function or hepatic insufficiency or diagnosed with acute clinical viral hepatitis
- Diagnosed with Mycobacterium tuberculosis infection
- Severe laboratory abnormalities
- Creatinine clearance less than 50 mL per minute
- Addicted to drug, including alcohol or recreational drugs
Contacts and Locations| Contact: This study is not yet recruiting patients. Please check back for future recruiting sites, or email | JNJ.CT@sylogent.com |
| Study Director: | Janssen-Cilag International NV Clinical Trial | Janssen-Cilag International NV |
More Information
No publications provided
| Responsible Party: | Janssen-Cilag International NV |
| ClinicalTrials.gov Identifier: | NCT01709084 History of Changes |
| Other Study ID Numbers: | CR100875, TMC278IFD3002 |
| Study First Received: | October 16, 2012 |
| Last Updated: | June 18, 2013 |
| Health Authority: | Botswana: Ministry of Health Cameroon: Ministry of Public Health Ghana: Ministry of Health Kenya: Ministry of Health Senegal: Ministere de la sante South Africa: Medicines Control Council Uganda: National Drug Authority |
Keywords provided by Janssen-Cilag International NV:
|
Human immunodeficiency virus-type 1 infection HIV-1 Infectious diseases Ribonucleic acid RNA Tenofovir disoproxil fumarate Emtricitabine |
Rilpivirine Efavirenz Edurant TMC278 R278474 Fixed dose combination |
Additional relevant MeSH terms:
|
Acquired Immunodeficiency Syndrome HIV Infections Immunologic Deficiency Syndromes Lentivirus Infections Retroviridae Infections RNA Virus Infections Virus Diseases Sexually Transmitted Diseases, Viral Sexually Transmitted Diseases Slow Virus Diseases Immune System Diseases Tenofovir Tenofovir disoproxil |
Efavirenz Emtricitabine Reverse Transcriptase Inhibitors Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Therapeutic Uses Anti-HIV Agents |
ClinicalTrials.gov processed this record on June 18, 2013