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History of Changes for Study: NCT02489461
Efficacy, Safety and Optimal Dose of VM-1500 in Comparison to Efavirenz Added to Standard-of-care Antiretroviral Therapy
Latest version (submitted September 21, 2018) on ClinicalTrials.gov
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Study Record Versions
Version A B Submitted Date Changes
1 June 30, 2015 None (earliest Version on record)
2 June 27, 2016 Recruitment Status, Study Status and Contacts/Locations
3 May 12, 2017 Study Status
4 September 21, 2018 Recruitment Status, Study Status, Arms and Interventions, Outcome Measures, Contacts/Locations, Conditions, Study Description, Oversight, Study Identification, IPDSharing and Study Design
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Changes (Merged) for Study: NCT02489461
May 12, 2017 (v3) -- September 21, 2018 (v4)

Changes in: Study Identification, Study Status, Oversight, Study Description, Conditions, Study Design, Arms and Interventions, Outcome Measures, Contacts/Locations and IPDSharing

Open or close this module Study Identification
Unique Protocol ID: HIV-VM1500-04
Brief Title: Efficacy, Safety and Optimal Dose Selection of VM-1500 in Comparison to Efavirenz When Added to Standard-of-care Antiretroviral Therapy
Official Title: International, Multicenter, Randomized, Partially Blind Clinical Study to Evaluate Efficacy, Safety and Selection of the Optimal Dose for VM-1500 in Comparison to Efavirenz in Combination With Two NRTIs in Treatment-naïve, HIV-1 Infected Patients
Secondary IDs:
Open or close this module Study Status
Record Verification: May 2017 September 2018
Overall Status: Active, not recruiting Completed
Study Start: August 5, 2014
Primary Completion: December 2017 [Anticipated] April 5, 2016 [Actual]
Study Completion: December 2017 [Anticipated] September 18, 2017 [Actual]
First Submitted: June 18, 2015
First Submitted that
Met QC Criteria:
June 30, 2015
First Posted: July 3, 2015 [Estimate]
Last Update Submitted that
Met QC Criteria:
May 12, 2017 September 21, 2018
Last Update Posted: May 15 September 25, 2017 2018 [Actual]
Open or close this module Sponsor/Collaborators
Sponsor: Viriom
Responsible Party: Sponsor
Collaborators:
Open or close this module Oversight
U.S. FDA-regulated Drug: No
U.S. FDA-regulated Device: No
Data Monitoring: No
Open or close this module Study Description
Brief Summary:

The study is conducted in two stages and open-label stage of the study.

At the first stage of the study, the main purpose was to choose the optimal dose of VM-1500 (20 mg or 40 mg per day) in addition to standard-of-care basic antiretroviral therapy consisting of two NRTIs, in terms of reduction of viral load at Week 12 (<400 copies/ml) in treatment-naïve HIV-1-infected patients.

At the second stage of the study, the main purpose was to evaluate efficacy of VM- 1500 (in the optimal dose selected at the first stage of the study) in comparison to Efavirenz added to standard-of-care antiretroviral therapy of two NRTIs, in terms of reduction of viral load at Week 24 to the undetectable level (<50 copies/ml) in treatment-naïve HIV-1 infected patients.

Open-label stage of the study continued evaluation of viral load and immunological and safety parameters in HIV-1 patients receiving VM-1500 up to Week 96 and additional PK up to Week 100.

To evaluate the following safety and efficacy parameters for VM-1500:

  • Decrease in viral load to non-quantifiable level (<50 copies/ml) at Week 12 (Stage I)
  • Decrease in viral load to non-quantifiable level (<50 copies/ml) at Week 24 (Stage II)
  • Decrease in viral load during 48 weeks of treatment
  • Percentage of subjects with at least 10-fold (1 log10) decrease in viral load at Week 4
  • Percentage of subjects with decrease in viral load to <400 copies/ml at Week 12
  • Percentage of subjects who continued to receive the investigational treatment up to Week 48
  • СD4+ and СD8+ cell count change during 48 weeks of the study
  • Percentage of subject who developed HIV-1 resistance to the investigational treatment by week 48
  • Frequency of adverse events (AE) of different severity according to subjective complaints, physical assessment, vital signs, laboratory tests, ECG
  • Frequency of adverse events of special interest, including of central nervous system (CNS) effects
  • VM-1500 pharmacokinetic profile in selected subjects
Detailed Description: This project is an international, multicenter, randomized, partially blind clinical study to evaluate efficacy and safety of two different doses of VM-1500 in comparison with Efavirenz added to standard antiretroviral therapy including two NRTIs in treatment-naïve HIV-1-infected patients.
Open or close this module Conditions
Conditions: HIV-1-infection
Keywords: HIV
Open or close this module Study Design
Study Type: Interventional
Primary Purpose: Treatment
Study Phase: Phase 2/Phase 3
Interventional Study Model: Parallel Assignment
Number of Arms: 4 3
Masking: Double (Participant, Investigator)
Allocation: Randomized
Enrollment: 150 [ Anticipated Actual]
Open or close this module Arms and Interventions
Arms Assigned Interventions
Experimental: VM-1500 20 mg (Stage I) + ART
VM-1500 20 mg VM-1500 - 20 mg (Stage I), then optimal dose (Stage II and Open-Label Stage), ART
Drug: VM-1500
VM-1500 up to 48 96 weeks
Other Names:
  • Elsulfavirine
  • Elpida®
Drug: Antiretroviral therapy (ART)
ART up to 48 weeks Antiretroviral therapy up to 96 weeks
Other Names:
  • standard antiretroviral therapy of two NNRTIs
Experimental: VM-1500 40 mg (Stage I) + ART
VM-1500 40 mg VM-1500 - 40 mg (Stage I), then optimal dose (Stage II and Open-Label Stage), ART
Drug: VM-1500
VM-1500 up to 48 96 weeks
Other Names:
  • Elsulfavirine
  • Elpida®
Drug: Antiretroviral therapy (ART)
ART up to 48 weeks Antiretroviral therapy up to 96 weeks
Other Names:
  • standard antiretroviral therapy of two NNRTIs
Active Comparator: Efavirenz 600 mg (Stage I and Stage II) + ART
Efavirenz 600 mg Efavirenz 600 mg (Stage I and Stage II), ART
Drug: Efavirenz
Efavirenz up to 48 weeks
Other Names:
  • Stocrin®
Drug: Antiretroviral therapy (ART)
ART up to 48 weeks Antiretroviral therapy up to 96 weeks
Other Names:
  • standard antiretroviral therapy of two NNRTIs
Experimental: VM-1500 (optima dose) (Stage II)
VM-1500 (optimal dose)
Drug: VM-1500
VM-1500 up to 48 weeks
Drug: Antiretroviral therapy (ART)
ART up to 48 weeks
Open or close this module Outcome Measures
Primary Outcome Measures:
1. Optimal dose selection for VM-1500 in combination with two nucleotide/nucleoside reverse transcriptase inhibitors (NRTIs) based on analysis of AEs, laboratory values, subjects' diaries. Reduction of HIV-1 RNA level in blood plasma <400 copies/ml
[ Time Frame: 48 12 weeks ]

Comparison of the percentage of patients with reduced viral load to < 400 copies/ml at Week 12 in VM-1500 20 mg, VM-1500 40 mg and Efavirenz treatment groups
2 . Efficacy evaluation of VM-1500 (optimal dose selected at Stage I) in combination with two NRTIs, as compared to Efavirenz in combination with two NRTIs based on analysis of viral load.
[ Time Frame: 52 weeks ]

3 . Safety evaluation of VM-1500 (optimal dose selected at Stage I) in combination with two NRTIs, as compared to Efavirenz in combination with two NRTIs based on analysis of AEs, laboratory values and subjects' diaries.
[ Time Frame: 52 weeks ]

Secondary Outcome Measures:
1. Reduction of HIV-1 RNA level in blood plasma <50 copies/ml
[ Time Frame: 24 weeks ]

Comparison of the percentage of patients with reduced viral load to an undetectable level (< 50 copies/ml) at Week 24 in VM-1500 group with the selected dose and Efavirenz group.
2. Reduction of HIV-1 RNA level in blood plasma <50 copies/ml
[ Time Frame: 48 weeks ]

Comparison of the percentage of patients with reduced viral load to an undetectable level (< 50 copies/ml) at Week 48 in VM-1500 group with the selected dose and Efavirenz group.
3. Change in the absolute CD4+ lymphocytes count
[ Time Frame: 48 weeks ]

Change in the absolute CD4+ lymphocytes count from Baseline to Week 48 in VM-1500 group with the selected dose and Efavirenz group.
4. Change in the absolute CD8+ lymphocytes count
[ Time Frame: 48 weeks ]

Change in the absolute CD8+ lymphocytes count from Baseline to Week 48 in VM-1500 group with the selected dose and Efavirenz group.
5. The percent of patients with study therapy-resistant HIV-1 development
[ Time Frame: 48 weeks ]

The proportion of patients who develop study therapy-resistant HIV-1 from Baseline to Week 48 in VM-1500 group with the selected dose and Efavirenz group.
Open or close this module Eligibility
Minimum Age: 18 Years
Maximum Age:
Sex: All
Gender Based:
Accepts Healthy Volunteers: No
Criteria:

Inclusion Criteria:

  1. Signed Patient Information and Informed Consent Form.
  2. Males and females, age ≥ 18 years.
  3. HIV-1 infection, confirmed serologically in IFA or immunoblot analysis (or documented HIV-1 infection).
  4. Clinically stable HIV infection (clinical stages 1 or 2 according to the WHO classification).
  5. Indications (in the Investigator's opinion) for ART, according to the WHO Summary Guideline for use of antiretroviral drugs in HIV prevention and treatment (2013).
  6. HIV-1 RNA plasma level ≥ 5 000 copies/ml at screening.
  7. СD4+ Т-cells number > 200 cells/mm3 at screening.
  8. Laboratory parameters as follows:

White blood cells ≥ 2900/mm3 (2,9 x 109 cells/l) Absolute neutrophils ≥ 1500/mm3 (1,5 x 109 cells/l) Platelets ≥ 100000/mm3 (100 x 109 cells/l) Hemoglobin ≥ 9.0 g/dl Total bilirubin ≤ 1.5 x ULN AST and ALT≤ 2.5 x ULN Renal function GFR > 60 ml/min

Exclusion Criteria:

  1. Primary HIV-1 resistance to ART. Viral resistance mutations are defined as any basic mutations of resistance to NNRTIs, according to the updated list of VIH-1 resistance mutations (International AIDS society, 2013), associated with drug resistance in any genotype.
  2. History of antiretroviral therapy (ART), including for the prevention of vertical transmission of HIV.
  3. Acute hepatitis or hepatic cirrhosis of any etiology; anti-HCV antibodies or HBsAg at screening.
  4. Signs of acute infection or positive test result for syphilis, hepatitis A, Toxoplasma gondii, cytomegalovirus, gonorrhea, Chlamydia trachomatis during 30 days before screening.
  5. Opportunistic infections of the Category C (Centers of Disease Control (CDC), 2008), excluding Kaposi's sarcoma not requiring systemic therapy.
  6. History of tuberculosis of any localization, or tuberculosis at screening, according to x-ray examination.
  7. History of malignant tumors (except basal cell carcinoma, squamous cell carcinoma, or cervical carcinoma in situ, eliminated and cured ≥ 5 years ago).
Open or close this module Contacts/Locations
Study Officials: Irina Y Tyrnova
Study Chair
Viriom,LLC
Locations: Russian Federation
Central Scientific Research Institute of Epidemiology
Moscow, Russian Federation, 105275
Moscow Infectional Clinical Hospital #2
Moscow, Russian Federation, 105275
Moscow Prevention AIDS Center
Moscow, Russian Federation, 129110
St.Petersburg city center for AIDS prevention
St.Petersburg, Russian Federation, 190103
Clinical infectious diseases hospital n.a. S.P. Botkin"
St.Petersburg, Russian Federation, 191167
Russian Federation, Kaluga Region
Kaluga regional center for AIDS prevention
Kaluga, Kaluga Region, Russian Federation
Russian Federation, Kaluga region
Kaluga regional center for AIDS prevention
Kaluga, Kaluga region, Russian Federation
Russian Federation, Lipetsk Region
Lipetsk regional center for AIDS prevention
Lipetsk, Lipetsk Region, Russian Federation, 398043
Russian Federation, Lipetsk region
Lipetsk regional center for AIDS prevention
Lipetsk, Lipetsk region, Russian Federation, 398043
Russian Federation, Perm Region
Perm Regional center for AIDS prevention
Perm, Perm Region, Russian Federation, 614088
Russian Federation, Perm region
Perm Regional center for AIDS prevention
Perm, Perm region, Russian Federation, 614088
Russian Federation, Ryazan Region
Ryazan Regional Clinical Dermatovenerologic Dispensary
Ryazan, Ryazan Region, Russian Federation, 390046
Russian Federation, Ryazan region
Ryazan Regional Clinical Dermatovenerologic Dispensary
Ryazan, Ryazan region, Russian Federation, 390046
Russian Federation, Samara Region
City center for AIDS prevention
Tolyatti, Samara Region, Russian Federation, 445846
Russian Federation, Samara region
City center for AIDS prevention
Tolyatti, Samara region, Russian Federation, 445846
Russian Federation, Tatarstan Republic
Republican hospital for AIDS prevention
Kazan, Tatarstan Republic, Russian Federation, 420097
Russian Federation, Tatarstan republic
Republican hospital for AIDS prevention
Kazan, Tatarstan republic, Russian Federation, 420097
Russian Federation, Udmurtia Republic
Udmurtia Republican hospital for AIDS prevention
Izhevsk, Udmurtia Republic, Russian Federation, 426067
Russian Federation, Udmurtia republic
Udmurtia Republican hospital for AIDS prevention
Izhevsk, Udmurtia republic, Russian Federation, 426067
Russian Federation, Volgograd Region
Volgograd regional center for AIDS prevention
Volgograd, Volgograd Region, Russian Federation, 400040
Russian Federation, Volgograd region
Volgograd regional center for AIDS prevention
Volgograd, Volgograd region, Russian Federation, 400040
Open or close this module IPDSharing
Plan to Share IPD: No
Open or close this module References
Citations:
Links:
Available IPD/Information:

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