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HIV InfectionsPhase 3NCT00352053

Safety and Efficacy of Tenofovir DF in HIV-1 Infected Adolescents Failing Their Current Antiretroviral Therapy

A Phase 3 study testing Tenofovir DF in people with HIV Infections, run by Gilead Sciences at 18 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the safety and efficacy of tenofovir disoproxil fumarate (tenofovir DF; TDF) plus a genotype-guided optimized background regimen (OBR) compared to placebo plus OBR in the treatment of human immunodeficiency virus type 1 (HIV-1) infected antiretroviral treatment-experienced… Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
HIV Infections
What is being tested?
Tenofovir DF
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
87 participants
Where
18 sitesin 2 countries
Study dates
Jun 2006to Dec 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

None listed.

Who cannot join

  • Patients requiring didanosine in background regimen
  • Prior history of significant renal disease
  • Prior history of significant bone disease

Trial locations and contacts

18 sites in 2 countries.

18 sites in 2 countries

Brazil17 sites
  • Faculdade de Medicina - UFMG

    Belo Horizonte - MG

  • Santa Casa de Belo Horizonte

    Belo Horizonte - MG

  • Hospital e Maternidade Celso Pierro

    Campinas - SP

  • Universidade Estadual de Campinas - UNICAMP

    Campinas - SP

  • Centro de Doenças Infecciosas e Parasitárias

    Campo Grande - MS

  • Hospital das Clinicas da Universidade Federal do Parana - UFPR

    Curitiba - PR

  • Hospital Infantil Joana de Gusmão

    Florianópolis - SC

  • Hospital Municipal Sao Jose

    Joinville - SC

  • Hospital Materno Infantil Professor Fernando Figueira- IMIP

    Recife

  • Hospital dos Servidores do Estado

    Rio de Janeiro

  • Hospital Geral de Nova Iguacu Ambulatorio de DST e AIDS

    Rio de Jeneiro

  • Hospital Guilherme Alvaro

    Santos

  • NEIMPE - Dept of Pediatrics Hospital das Clinicas FMRP-USP

    São Paulo

  • Instituto da Crianca do Hospital das Clinicas da FMUSP Depto de Pediatria

    Sao Paulo - SP

  • Instituto de Infectologia Emilio Ribas

    Sao Paulo - SP

  • Universidade Federal de Sao Paulo

    Vila Clementino

  • Hospital Infantil Nossa Senhora da Gloria Servico de Infectologia Pediatria

    Vitoria - ES

Other trials in Brazil

Panama1 site
  • Hospital del Nino

    Panama City

Other trials in Panama

About this study

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of the Safety and Efficacy of Tenofovir DF as Part of an Optimized Antiretroviral Regimen in HIV-1-Infected Adolescents

The purpose of this study is to assess the safety and efficacy of tenofovir disoproxil fumarate (tenofovir DF; TDF) plus a genotype-guided optimized background regimen (OBR) compared to placebo plus OBR in the treatment of human immunodeficiency virus type 1 (HIV-1) infected antiretroviral treatment-experienced adolescents with plasma HIV-1 ribonucleic acid (RNA) levels greater than or equal to 1000 copies/mL.

Read the detailed description

This is a 48-week, randomized, double-blind, placebo-controlled, multicenter study of the safety and efficacy of tenofovir DF as part of an optimized antiretroviral regimen in HIV-1 infected adolescents (12 years to < 18 years of age) who are failing their current antiretroviral regimen and have HIV-1 RNA levels ≥ 1000 copies/mL at screening. Data from three consecutive 96-week study extensions have been used to evaluate the long-term efficacy, safety, and tolerability of open-label tenofovir DF as part of an antiviral regimen, providing data for up to 336 weeks of total drug exposure.

Pretreatment:

HIV-1 genotyping will be performed as part of the screening assessments to assist in the construction of an OBR, defined as at least 3, but no more than 5 antiretroviral agents, not including tenofovir DF or placebo.

Randomized Phase:

Participants will be randomized in a 1:1 ratio to receive either tenofovir DF + OBR, or placebo + OBR. The majority of efficacy and safety assessments will be performed at each clinic visit (Weeks 4, 8, 16, 24, 32, 40, and 48). At Week 24, participants who are adherent to study drug (in the opinion of the investigator), but do not demonstrate a ≥ 0.5 log10 copies/mL decrease from baseline in HIV-1 RNA, will be considered to be nonresponders and will be unblinded. Nonresponders randomized to the placebo group will be given the option to continue on study and receive open-label tenofovir DF with an appropriate background regimen determined by the investigator. Nonresponders randomized to the tenofovir DF treatment group will be discontinued from the study.

Extension Phases:

After completing 48 weeks of double-blind treatment with tenofovir DF or placebo, participants who have not reached 18 years of age, and who, in the opinion of the investigator, would derive clinical benefit from the use of open-label tenofovir DF, will be given the option to continue (or initiate) treatment with open-label tenofovir DF in the first of three 96 week study extension periods. Nonresponders who receive open-label tenofovir DF after Week 24 will also be considered eligible for the first study extension if they met the above criteria at Week 48.

After completing the first 96 week study extension, participants who have not reached 18 years of age, and who have shown ongoing clinical benefit from tenofovir DF, will be given the option to continue receiving open-label tenofovir DF for an additional 96 weeks or until tenofovir DF became commercially available in the country where the participants are enrolled, whichever occurs first.

After completing the second 96 week study extension, participants who have not reached 18 years of age, and who have shown ongoing clinical benefit from tenofovir DF, will be given the option to continue receiving open-label tenofovir DF for an additional 96 weeks or until tenofovir DF became commercially available in the country where the participants are enrolled, whichever occurs first.

Presentation of data:

After the randomized phase of the study, participants randomized to placebo during the randomized phase of the study and then switch to open-label tenofovir DF will have their baseline reset (defined as open-label baseline), and only outcome data collected after (on/after for adverse events (AEs)/concomitant medications) participants receive their first dose of open-label tenofovir DF will be included.

Conditions
HIV Infections
Being tested
Tenofovir DF, Placebo
Keywords
Phase 3, Randomized, Double-Blind, Control, Treatment-Experienced, OBR, Optimized background regimen, Highly Active Antiretroviral Therapy, HAART, HIV, HIV-1, AIDS Virus, Human Immunodeficiency Virus, Acquired Immune Deficiency Syndrome Virus, Virus, Human Immunodeficiency, Pediatrics
Medical subject headings
HIV Infections, Acquired Immunodeficiency Syndrome, Virus Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tenofovir DFDrug

    Tenofovir DF 300-mg tablet, administered orally, daily + OBR

  • PlaceboDrug

    Tenofovir DF Placebo administered orally, daily + OBR

Study groups in NCT00352053
Study groupRoleWhat they receive
OBR + Tenofovir DFExperimentalTenofovir DF administered orally, one tablet daily without regard to meals
Receives: Drug: Tenofovir DF
OBR + Tenofovir DF PlaceboPlacebo comparatorPlacebo to match tenofovir DF administered orally, one tablet daily without regard to meals
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time-weighted Average Change From Baseline Through Week 24 (DAVG24) in Plasma HIV-1 RNA

    DAVG24 was defined as the time-weighted average between the first postbaseline value through the last value up to Week 24 minus the baseline value. DAVG24 was calculated using the trapezoidal rule with all available postbaseline data minus the baseline value.

    Data for participants who discontinued the randomized (double-blind) phase of the study early were included up until the point of study discontinuation (missing data not imputed).

    Measured: Baseline to 24 Weeks

Secondary outcomes (50)
  1. Time-weighted Average Change From Baseline Through Week 48 (DAVG48) in Plasma HIV-1 RNA

    DAVG48 was defined as the time-weighted average between the first postbaseline value through the last value up to Week 48 minus the baseline value. DAVG48 was calculated using the trapezoidal rule with all available postbaseline data minus the baseline value.

    Data for participants who discontinued the double-blind phase of the study early were included up until the point of discontinuation from the study (ie, missing data were not imputed).

    Measured: Baseline to 48 weeks

  2. Change From Baseline to Week 24 in HIV-1 RNA

    Measured: Baseline to 24 weeks

  3. Change From Baseline to Week 48 in HIV-1 RNA

    Measured: Baseline to 48 weeks

  4. Change From Baseline to Week 96 in HIV-1 RNA

    Measured: Baseline to 96 weeks

  5. Change From Baseline to Week 144 in HIV-1 RNA

    Measured: Baseline to 144 weeks

  6. Change From Baseline to Week 192 in HIV-1 RNA

    Measured: Baseline to 192 weeks

  7. Change From Baseline to Week 240 in HIV-1 RNA

    Measured: Baseline to 240 weeks

  8. Change From Baseline to Week 288 in HIV-1 RNA

    Measured: Baseline to 288 weeks

  9. Change From Baseline to Week 336 in HIV-1 RNA

    No analysis was performed because the last study participant discontinued after Week 294 and the study was closed.

    Measured: Baseline to 336 weeks

  10. Change From Baseline to Week 24 in Cluster Determinant 4 (CD4) Count

    Measured: Baseline to 24 weeks

  11. Change From Baseline to Week 48 in CD4 Count

    Measured: Baseline to 48 weeks

  12. Change From Baseline to Week 96 in CD4 Count

    Measured: Baseline to 96 weeks

  13. Change From Baseline to Week 144 in CD4 Count

    Measured: Baseline to 144 weeks

  14. Change From Baseline to Week 192 in CD4 Count

    Measured: Baseline to 192 weeks

  15. Change From Baseline to Week 240 in CD4 Count

    Measured: Baseline to 240 weeks

  16. Change From Baseline to Week 288 in CD4 Count

    Measured: Baseline to 288 weeks

  17. Change From Baseline to Week 336 in CD4 Count

    No analysis was performed because the last study participant discontinued after Week 294 and the study was closed.

    Measured: Baseline to 336 weeks

  18. Change From Baseline to Week 24 in CD4 Percentage

    CD4 percentage is the percentage of total lymphocytes that are CD4 cells.

    Measured: Baseline to 24 weeks

  19. Change From Baseline to Week 48 in CD4 Percentage

    CD4 percentage is the percentage of total lymphocytes that are CD4 cells.

    Measured: Baseline to 48 weeks

  20. Change From Baseline to Week 96 in CD4 Percentage

    CD4 percentage is the percentage of total lymphocytes that are CD4 cells.

    Measured: Baseline to 96 weeks

  21. Change From Baseline to Week 144 in CD4 Percentage

    CD4 percentage is the percentage of total lymphocytes that are CD4 cells.

    Measured: Baseline to 144 weeks

  22. Change From Baseline to Week 192 in CD4 Percentage

    CD4 percentage is the percentage of total lymphocytes that are CD4 cells.

    Measured: Baseline to 192 weeks

  23. Change From Baseline to Week 240 in CD4 Percentage

    CD4 percentage is the percentage of total lymphocytes that are CD4 cells.

    Measured: Baseline to 240 weeks

  24. Change From Baseline to Week 288 in CD4 Percentage

    CD4 percentage is the percentage of total lymphocytes that are CD4 cells.

    Measured: Baseline to 288 weeks

  25. Change From Baseline to Week 336 in CD4 Percentage

    No analysis was performed because the last study participant discontinued after Week 294 and the study was closed.

    Measured: Baseline to 336 weeks

  26. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0 log10 Copies/mL From Baseline to Week 24

    Measured: Baseline to 24 weeks

  27. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0 log10 Copies/mL From Baseline to Week 48

    Measured: Baseline to 48 weeks

  28. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0 log10 Copies/mL From Baseline to Week 96

    Measured: Baseline to 96 weeks

  29. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0 log10 Copies/mL From Baseline to Week 144

    Measured: Baseline to 144 weeks

  30. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0 log10 Copies/mL From Baseline to Week 192

    Measured: Baseline to 192 weeks

  31. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0 log10 Copies/mL From Baseline to Week 240

    Measured: Baseline to 240 weeks

  32. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0log 10 Copies/mL From Baseline to Week 288

    Measured: Baseline to 288 weeks

  33. Percentage of Participants With an HIV-1 RNA Decrease of ≥ 1.0 log10 Copies/mL From Baseline to Week 336

    No analysis was performed because the last study participant discontinued after Week 294 and the study was closed.

    Measured: Baseline to 336 weeks

  34. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 24

    Measured: Week 24

  35. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 48

    Measured: Week 48

  36. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 96

    Measured: Week 96

  37. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 144

    Measured: Week 144

  38. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 192

    Measured: Week 192

  39. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 240

    Measured: Week 240

  40. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 288

    Measured: Week 288

  41. Percentage of Participants With HIV-1 RNA < 400 Copies/mL at Week 336

    No analysis was performed because the last study participant discontinued after Week 294 and the study was closed.

    Measured: Week 336

  42. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 24

    Measured: Week 24

  43. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48

    Measured: Week 48

  44. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96

    Measured: Week 96

  45. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 144

    Measured: Week 144

  46. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 192

    Measured: Week 192

  47. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 240

    Measured: Week 240

  48. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 288

    Measured: Week 288

  49. Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 336

    No analysis was performed because the last study participant discontinued after Week 294 and the study was closed.

    Measured: Week 336

  50. Percentage of Participants With Virologic Failure Through Week 48

    Virologic failure was defined as either nonresponse or viral rebound.

    • Nonresponse (failure to achieve response). Response was defined as either
    • A ≥ 0.5 log10 copies/mL decrease in HIV-1 RNA from baseline at 2 consecutive visits, or
    • HIV-1 RNA < 400 copies/mL at 2 consecutive visits.
    • Viral rebound was defined as either
    • Participants who achieved a ≥ 0.5 log10 copies/mL decrease from baseline in plasma HIV-1 RNA at 2 consecutive visits, who then subsequently achieved plasma HIV-1 RNA values ≥ 1.0 log10 copies/mL above their on-study nadir (lowest value) and/or plasma HIV-1 RNA values ≥ the baseline value at 2 consecutive visits, or
    • Participants who achieved plasma HIV-1 RNA levels of < 400 copies/mL at 2 consecutive visits, and then subsequently had plasma HIV-1 RNA levels > 1000 copies/mL at 2 consecutive visits.

    The virologic failure rate was estimated from Kaplan-Meier product limit method by including all HIV-1 RNA data collected during the double-blind phase.

    Measured: Up to 48 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jul 2006 (estimated)
  2. Study startJun 2006
  3. Primary completionSep 2008
  4. Study completionDec 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
87 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00352053
Sponsor's protocol ID
GS-US-104-0321
Status last verified
Jun 2015
First submitted
13 Jul 2006
Last updated
14 Jul 2015
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tenofovir DF in people with HIV Infections, run by Gilead Sciences at 18 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in Brazil, Panama. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Aug 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time-weighted Average Change From Baseline Through Week 24 (DAVG24) in Plasma HIV-1 RNA (time frame: Baseline to 24 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2015.

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Clinical Trial NCT00352053 | AzTrials