Comparison of Two Combinations in Antiretroviral Post-Exposure Prophylaxis for HIV-1: Tenofovir/Emtricitabine (Truvada ®) + Lopinavir/Ritonavir (Kaletra ®) vs Tenofovir/Emtricitabine/Cobicistat/Elvitegravir (Stribild ®). Prospective, Randomized, Open. (STRIB-PEP)

This study has been completed.

Sponsor:

Information provided by (Responsible Party):

Anna Cruceta, Fundacion Clinic per a la Recerca Biomédica

ClinicalTrials.gov Identifier:

NCT02198443

First received: July 22, 2014

Last updated: February 20, 2017

Last verified: July 2014

History of Changes

Purpose

The main objective of this study is to compare the tolerability and adherence to a new drug regimen of post-exposure prophylaxis (PEP) for HIV,

Condition	Intervention	Phase
HIV	Drug: Tenofovir + emtricitabine (Truvada),+lopinavir/ritonavir (Kaletra) Drug: elvitegravir/cobicistat/emtricitabine/Tenofovir-Disoproxil	Phase 4


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Prevention
Official Title:	Prophylaxis for HIV-1: Tenofovir/Emtricitabine (Truvada ®) + Lopinavir/Ritonavir (Kaletra ®) vs Tenofovir/Emtricitabine/Cobicistat/Elvitegravir (Stribild ®). Prospective, Randomized, Open.

Resource links provided by NLM:

MedlinePlus related topics: HIV/AIDS

Drug Information available for: Emtricitabine Tenofovir Ritonavir Lopinavir Tenofovir Disoproxil Fumarate Elvitegravir Truvada Cobicistat

U.S. FDA Resources

Further study details as provided by Anna Cruceta, Fundacion Clinic per a la Recerca Biomédica:

Primary Outcome Measures:

Proportion of patients who leave the initial treatment of post-exposure prophylaxis (PEP) for HIV for any reason [ Time Frame: Twenty Eigth days ]
A subject is considered to abandon treatment if within 28 days
- dies
- Do not come to visit week 4
- changed or discontinued study treatment.

Secondary Outcome Measures:

Incidence of clinical adverse events and / or laboratory alterations. [ Time Frame: twenty-four weeks ]
Proportion of patients who discontinued treatment due to toxicity or intolerance in each of the treatment arms at 24 weeks follow-up [ Time Frame: twenty four weeks ]
degree of adhesion during the treatment period [ Time Frame: twenty eight days ]
Measured by pill count and patient adherence questionnaire
time to loss of adherence to TARV [ Time Frame: twenty eight days ]
Proportion of patients with seroconversion in both treatment arms at 24 weeks follow-up. [ Time Frame: twenty four weeks ]


Enrollment:	160
Actual Study Start Date:	June 6, 2015
Primary Completion Date:	July 15, 2016 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: Tenofovir+emtricitabine	Drug: Tenofovir + emtricitabine (Truvada),+lopinavir/ritonavir (Kaletra) (TRUVADA) film-coated 200/245 mg tablet / day tablets (Kaletra) film-coated 200/50 mg tablets twice / day tablets
Experimental: Elvitegravir/cobicistat/emtricitabine/Tenofovir-Disoproxil	Drug: elvitegravir/cobicistat/emtricitabine/Tenofovir-Disoproxil Film-coated tablets of 150 mg of elvitegravir, cobicistat 150 mg, 200 mg of emtricitabine and 245 mg of tenofovir disoproxil. One tablet once / day. Other Name: (Stribild)

Eligibility


Ages Eligible for Study:	18 Years and older (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Age greater than 18 years
Have been exposed to HIV, non-occupational and meets the requirements of current recommendations to start with three antiretroviral drugs PEP
that adequately informed consent in writing to participate in the study and undergo testing and exploration that entails

Exclusion Criteria:

pregnant women, lactating, or those intend become pregnant during the study period.
subjects who are known or suspected case presents the source resistors to one of the drugs of the pattern of study
contraindicated treatment with the study drugs, or products under investigation

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02198443

Locations


Spain
Hospital clínico y provincial de Barcelona
Barcelona, Spain, 08036

Sponsors and Collaborators

Fundacion Clinic per a la Recerca Biomédica

Investigators


Principal Investigator:	Felipe García, MD	Hospital clínic y provincial de Barcelona

More Information


Responsible Party:	Anna Cruceta, project manager, Fundacion Clinic per a la Recerca Biomédica
ClinicalTrials.gov Identifier:	NCT02198443 History of Changes
Other Study ID Numbers:	STRIB-PEP
Study First Received:	July 22, 2014
Last Updated:	February 20, 2017

Additional relevant MeSH terms:


Ritonavir Lopinavir Cobicistat Tenofovir Emtricitabine Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination HIV Protease Inhibitors Protease Inhibitors Enzyme Inhibitors	Molecular Mechanisms of Pharmacological Action Anti-HIV Agents Anti-Retroviral Agents Antiviral Agents Anti-Infective Agents Cytochrome P-450 CYP3A Inhibitors Cytochrome P-450 Enzyme Inhibitors Reverse Transcriptase Inhibitors Nucleic Acid Synthesis Inhibitors

ClinicalTrials.gov processed this record on August 21, 2017

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