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HIV-1Phase 2NCT00824421

A Study Of Different Doses Of UK-453, 061 Plus Truvada Compared To Efavirenz Plus Truvada In Patients Who Have Not Been Previously Treated For HIV-1

A Phase 2 study testing UK-453, 061 and EFV +TVA in people with HIV-1, run by Pfizer at 31 sites in 9 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

This is a 96 week study to determine if UK- 453,061 in combination with Truvada is as efficacious, safe and tolerable as efavirenz in combination with Truvada in HIV-1 infected patients who have not been previously treated with antiretroviral drugs. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV-1
What is being tested?
UK-453, 061 and EFV +TVA
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
195 participants
Where
31 sitesin 9 countries
Study dates
Feb 2009to Oct 2011
Phase
Phase 2
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female at least 18 years of age available for a follow-up period of at least 96 weeks.
  • HIV 1 RNA viral load of greater then 1,000 copies/mL
  • Negative urine pregnancy test.

Who cannot join

  • Suspected or documented active, untreated HIV-1 related opportunist infection or other condition requiring acute therapy at the time of randomization.
  • Subjects with acute Hepatitis B and/or C within 30 days of randomization.
  • Absolute CD4 count <200 cells/mm3.

Trial locations and contacts

31 sites in 9 countries.

31 sites in 9 countries

South Africa7 sites
  • Pfizer Investigational Site

    Cape Town, Western Cape, 7925

  • Pfizer Investigational Site

    Durban, KwaZulu-Natal, 4001

  • Pfizer Investigational Site

    Johannesburg, Gauteng, 2193

  • Pfizer Investigational Site

    Namakgale, Limpopo, 1391

  • Pfizer Investigational Site

    Pretoria, Gauteng, 0083

  • Pfizer Investigational Site

    Pretoria, 0083

  • Pfizer Investigational Site

    Soweto, Gauteng, 2013

Other trials in South Africa

United Kingdom7 sites
  • Pfizer Investigational Site

    Brighton, BN2 1ES

  • Pfizer Investigational Site

    Crumpsall, Greater Manchester, M8 5RB

  • Pfizer Investigational Site

    Edinburgh, EH3 9HA

  • Pfizer Investigational Site

    Edinburgh, EH4 2XU

  • Pfizer Investigational Site

    London, NW3 2QG

  • Pfizer Investigational Site

    London, SW10 9NH

  • Pfizer Investigational Site

    London, W2 1NY

Other trials in United Kingdom

Poland4 sites
  • Pfizer Investigational Site

    Bydgoszcz, 85-030

  • Pfizer Investigational Site

    Gdansk, 80-214

  • Pfizer Investigational Site

    Lodz, 91-347

  • Pfizer Investigational Site

    Warsaw, 01-201

Other trials in Poland

Canada3 sites
  • Pfizer Investigational Site

    Montreal, Quebec, H2L 4P9

  • Pfizer Investigational Site

    Montreal, Quebec, H2L 5B1

  • Pfizer Investigational Site

    Toronto, Ontario, M5B 1L6

Other trials in Canada

Italy3 sites
  • Pfizer Investigational Site

    Milan, 20127

  • Pfizer Investigational Site

    Milan, 20142

  • Pfizer Investigational Site

    Torino, 10149

Other trials in Italy

Switzerland3 sites
  • Pfizer Investigational Site

    Ch-8091 Zurich

  • Pfizer Investigational Site

    Lugano, 6903

  • Pfizer Investigational Site

    Sankt Gallen, 9007

Other trials in Switzerland

Australia2 sites
  • Pfizer Investigational Site

    Darlinghurst, New South Wales, 2010

  • Pfizer Investigational Site

    Melbourne, Victoria, 3004

Other trials in Australia

Argentina1 site
  • Pfizer Investigational Site

    Buenos Aires, C1405BCH

Other trials in Argentina

Mexico1 site
  • Pfizer Investigational Site

    Mexico City, Mexico City, 14050

Other trials in Mexico

About this study

Official title: A Phase 2B Multicenter, Randomized, Double-Blind, Comparative Trial Of UK-453,061, In Combination With Tenofovir Df And Emtricitabine Versus Efavirenz In Combination With Tenofovir DF And Emtricitabine For The Treatment Of Antiretroviral-Naive HIV-1 Infected Subjects

This is a 96 week study to determine if UK- 453,061 in combination with Truvada is as efficacious, safe and tolerable as efavirenz in combination with Truvada in HIV-1 infected patients who have not been previously treated with antiretroviral drugs.

Conditions
HIV-1
Being tested
UK-453, 061, EFV +TVA
Keywords
HIV-1. Treatment Naive, HIV Infections, treatment naive
Medical subject headings
HIV Infections

What participants receive

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

  • UK-453, 061Drug

    UK-453,061 500 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 mg tablets PO QD.

  • UK-453, 061Drug

    UK-453,061 750 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 mg tablets PO QD.

  • EFV +TVADrug

    Efavirenz 600 mg tablets PO QD + Tenofovir DF 300 mg/Emtricitabine 200 tablets mg PO QD.

Study groups in NCT00824421
Study groupRoleWhat they receive
UK- 453,061 Dose OneExperimentalUK 453,061 Dose One plus Truvada
Receives: Drug: UK-453, 061
UK-453,061 Dose TwoExperimentalUK 453,061 Dose Two plus Truvada
Receives: Drug: UK-453, 061
Efavirenz + TruvadaActive comparatorEfavirenz + Truvada
Receives: Drug: EFV +TVA

What is being measured

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

  1. Percentage of Participants With Less Than 50 Copies Per Milliliter (Copies/mL) of Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) at Week 48

    Plasma HIV-1 RNA level was determined by validated Roche Amplicor HIV-1 Monitor standard assay.

    Measured: Week 48

Secondary outcomes (15)
  1. Percentage of Participants With Less Than 50 Copies/mL of HIV-1 RNA at Week 24 and 96

    Plasma HIV-1 RNA level was determined by validated Roche Amplicor HIV-1 Monitor standard assay.

    Measured: Week 24, 96

  2. Percentage of Participants With Less Than 400 Copies/mL of HIV-1 RNA at Week 24, 48 and 96

    Plasma HIV-1 RNA level was determined by validated Roche Amplicor HIV-1 Monitor standard assay.

    Measured: Week 24, 48, 96

  3. Change From Baseline in Log 10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96

    For the log 10 scale, all the HIV-1 RNA levels were log 10 transformed prior to the average calculations. Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.

    Measured: Baseline, Week 24, 48, 96

  4. Time-Averaged Difference (TAD) in Log 10 Transformed HIV-1 RNA Levels at Week 24, 48 and 96

    TAD was calculated as area under the curve of HIV-1 RNA levels (log10 copies/mL) from baseline to the time point of interest divided by time period in weeks minus baseline HIV-1 RNA level (log10 copies/mL). Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.

    Measured: Baseline up to Week 24, 48, 96

  5. Percentage of Participants With Response as Determined Using the Time-to Loss of Virologic Response (TLOVR50) Algorithm at Week 24, 48 and 96

    TLOVR50 response is compliment to TLOVR50 failure. TLOVR50 failure based on observed HIV-1 RNA levels and failure events (death; permanent discontinuation of drug; lost to follow-up; met treatment failure [TF] criteria). TF: an increase to at least 3 times baseline plasma HIV-1 RNA level at Week 2 or thereafter; failure to achieve HIV-1 RNA level <50 copies/mL at Week 24; starting at Week 2, an increase in HIV-1 RNA level to detectable levels (>50 copies/mL). TF criteria's defined above were confirmed by second measurement at least 14 days after first. In 'TLOVR50', '50' denotes the lower limit of quantification (LLOQ) of assay (which is 50 copies/mL). Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.

    Measured: Week 24, 48, 96

  6. Change From Baseline in Cluster of Differentiation (CD4+) Absolute Cell Count at Week 24, 48 and 96

    Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.

    Measured: Baseline, Week 24, 48, 96

  7. Change From Baseline in Cluster of Differentiation (CD4+) Percentage Cell Count at Week 24, 48 and 96

    Baseline value was calculated as the average of all the measurements collected prior to and including Day 1 pre-dose.

    Measured: Baseline, Week 24, 48, 96

  8. Number of Participants With NRTI and NNRTI Resistance-Associated Mutations (RAMs) at Time of Treatment Failure Through Week 24, 48 and 96

    Phenotypic resistance and genotypic resistance was assessed for all participants at Day 1 predose, and was evaluated for nucleotide reverse transcriptase inhibitors (NRTIs), and non-NRTIs (NNRTIs) resistance-associated mutations at time of treatment failure using Monogram GenoSeq and/or PhenoSenseGT assays. This was then repeated for all participants with HIV-1 viral load more than 500 copies/mL at treatment failure, up to Week 96.

    Measured: Day 1 (pre-dose) through Week 24, 48, 96

  9. Number of Participants With Laboratory Test Abnormalities

    Laboratory analysis included hematology, blood chemistry, serum and urine pregnancy test, hepatitis testing and urinalysis. Laboratory values that met the criteria of the Division of Acquired Immuno Deficiency Syndrome (DAIDS) grade 1 (mild, symptoms causing no or minimal interference with usual social and functional activities) or greater were considered as abnormal.

    Measured: Baseline up to Week 96 or early termination

  10. Population Pharmacokinetic (PK) of Lersivirine

    Data for this outcome measure are not reported here because the analysis population includes participants who were not enrolled in this study. ClinicalTrials.gov is designed for reporting results from only those participants who were enrolled in the study and described in the participant flow and baseline characteristics modules.

    Measured: Week 2, 4, 8, 12, 16, 24, 32, 40, 48

  11. Lersivirine Success Percentage With Reference to Median Minimum Observed Plasma Concentration (Cmin)

    Simple quartile exposure analysis of success rate (viral load <50 copies/mL) versus median Cmin assesses the exposure response relationship. Percentage of participants with HIV-1 RNA level <50 copies/mL at median Cmin quartile were planned to be reported.

    Measured: Week 2, 4, 8, 12, 16, 24, 32, 40, 48

  12. Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours (AUC[0-24]) of Lersivirine

    AUC (0-24)= Area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose (0-24). Only participants from Lersivirine treatment arms were planned to be analyzed for Pharmacokinetic (PK) sub-study.

    Measured: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hours (hrs) post-dose on Week 4

  13. Maximum Observed Plasma Concentration (Cmax) of Lersivirine

    Measured: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hrs post-dose on Week 4

  14. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Lersivirine

    Measured: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 24 hrs post-dose on Week 4

  15. Plasma Concentration of Lersivirine at 24 Hour

    The observed plasma concentration at 24 hours post-dose (C 24h).

    Measured: 24 hrs post-dose on Week 4

Timeline

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

  1. First posted16 Jan 2009 (estimated)
  2. Study startFeb 2009
  3. Primary completionOct 2011
  4. Study completionOct 2011

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
195 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00824421
Sponsor's protocol ID
A5271015
Status last verified
Nov 2011
First submitted
15 Jan 2009
Last updated
24 Jan 2014
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing UK-453, 061 and EFV +TVA in people with HIV-1, run by Pfizer at 31 sites in 9 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 3 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 24 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in South Africa, United Kingdom, Poland, Canada, Italy and 4 more countries. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 24 Jan 2014). 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?

Percentage of Participants With Less Than 50 Copies Per Milliliter (Copies/mL) of Human Immunodeficiency Virus Type 1 Ribonucleic Acid (HIV-1 RNA) at Week 48 (time frame: Week 48). 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 24 Jan 2014.

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