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Infection, Human Immunodeficiency VirusPhase 2NCT02415595

Dose-finding Study of BMS-955176 to Treat HIV-1 Infected Treatment-naive Adults

A Phase 2 study testing BMS-955176, EFV and TDF/FTC in people with Infection, Human Immunodeficiency Virus, run by ViiV Healthcare at 64 sites in 12 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to find at least one dose of BMS-955176 that will be safe, effective and tolerable for HIV-1 infected treatment naive adults. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Infection, Human Immunodeficiency Virus
What is being tested?
BMS-955176, EFV and TDF/FTC
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
210 participants
Where
64 sitesin 12 countries
Study dates
12 May 2015to 21 Aug 2017
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

  • Men and non-pregnant women, at least 18 years of age
  • Antiretroviral treatment-naïve; defined as no current or previous exposure to > 1 week of an antiretroviral drug
  • Plasma HIV-1 RNA ≥ 1000 copies/mL
  • CD4 T-cell count > 200 cells/mm3

Who cannot join

  • Resistance or partial resistance to any study drug determined by tests at Screening
  • Current or historical genotypic and/or phenotypic drug resistance testing showing certain resistance mutations to EFV, TDF, FTC, Protease Inhibitors
  • Chronic hepatitis B virus (HBV)/ hepatitis C virus (HCV)
  • Blood tests that indicate normal liver function
  • Hemoglobin < 8.0 g/dL, platelets < 50,000 cells/mm3

Trial locations and contacts

64 sites in 12 countries.

64 sites in 12 countries

Germany9 sites
  • GSK Investigational Site

    Berlin, 12157

  • GSK Investigational Site

    Berlin, 13353

  • GSK Investigational Site

    Bonn, North Rhine-Westphalia, 53127

  • GSK Investigational Site

    Dortmund, 44137

  • GSK Investigational Site

    Düsseldorf, North Rhine-Westphalia, 40225

  • GSK Investigational Site

    Essen, North Rhine-Westphalia, 45122

  • GSK Investigational Site

    Hanover, Lower Saxony, 30625

  • GSK Investigational Site

    Munich, Bavaria, 80335

  • GSK Investigational Site

    Munich, Bavaria, 80336

Other trials in Germany

United States8 sites
  • GSK Investigational Site

    Atlanta, Georgia, 30312

  • GSK Investigational Site

    Beverly Hills, California, 90211

  • GSK Investigational Site

    Decatur, Georgia, 30033

  • GSK Investigational Site

    DeLand, Florida, 32720

  • GSK Investigational Site

    Fort Worth, Texas, 76104

  • GSK Investigational Site

    Los Angeles, California, 90036

  • GSK Investigational Site

    Santa Fe, New Mexico, 87505

  • GSK Investigational Site

    Tulsa, Oklahoma, 74135

Other trials in United States

Canada8 sites
  • GSK Investigational Site

    Edmonton, Alberta, T6G 2G3

  • GSK Investigational Site

    Montreal, Quebec, H2L 4P9

  • GSK Investigational Site

    Montreal, Quebec, H2L 5B1

  • GSK Investigational Site

    Montreal, Quebec, H3A 1T1

  • GSK Investigational Site

    Montreal, Quebec, H4A 3J1

  • GSK Investigational Site

    Ottawa, Ontario, K1H 8L6

  • GSK Investigational Site

    Québec, Quebec, G1V 4G2

  • GSK Investigational Site

    Winnipeg, Manitoba, R3A 1R9

Other trials in Canada

France7 sites
  • GSK Investigational Site

    Le Kremlin-Bicêtre, 94276

  • GSK Investigational Site

    Lyon, 69317

  • GSK Investigational Site

    Nantes, 44093

  • GSK Investigational Site

    Nice, 06202

  • GSK Investigational Site

    Paris, 75012

  • GSK Investigational Site

    Paris, 75013

  • GSK Investigational Site

    Paris, 75475

Other trials in France

Argentina5 sites
  • GSK Investigational Site

    Buenos Aires, 1141

  • GSK Investigational Site

    Buenos Aires, 1202

  • GSK Investigational Site

    Ciudad Autonoma de Buenos Aires, Buenos Aires, C1181ACH

  • GSK Investigational Site

    Córdoba, X5000JJS

  • GSK Investigational Site

    Rosario, Santa Fe Province, 2000

Other trials in Argentina

Mexico5 sites
  • GSK Investigational Site

    DF, 14000

  • GSK Investigational Site

    Durango, 34000

  • GSK Investigational Site

    Fracc. Las Americas, Aguascalientes, 20020

  • GSK Investigational Site

    León, Guanajuato, 37000

  • GSK Investigational Site

    Mexico City, CP 14080

Other trials in Mexico

Spain5 sites
  • GSK Investigational Site

    Alcalá de Henares, 28805

  • GSK Investigational Site

    Badalona, 08916

  • GSK Investigational Site

    Madrid, 28034

  • GSK Investigational Site

    Madrid, 28040

  • GSK Investigational Site

    Santiago de Compostela, 15706

Other trials in Spain

United Kingdom5 sites
  • GSK Investigational Site

    Edinburgh, Midlothian, EH4 2XU

  • GSK Investigational Site

    London, E1 1BB

  • GSK Investigational Site

    London, SW10 9NH

  • GSK Investigational Site

    London, W2 1NY

  • GSK Investigational Site

    Tooting, London, SW17 0QT

Other trials in United Kingdom

Italy4 sites
  • GSK Investigational Site

    Bergamo, Lombardy, 24127

  • GSK Investigational Site

    Milan, Lombardy, 20127

  • GSK Investigational Site

    Milan, Lombardy, 20157

  • GSK Investigational Site

    Monza, Lombardy, 20900

Other trials in Italy

Poland4 sites
  • GSK Investigational Site

    Bydgoszcz, 85-030

  • GSK Investigational Site

    Szczecin, 71-252

  • GSK Investigational Site

    Warsaw, 01-201

  • GSK Investigational Site

    Wroclaw, 50-220

Other trials in Poland

Chile3 sites
  • GSK Investigational Site

    Santiago, Región Metro de Santiago

  • GSK Investigational Site

    Santiago, 7560994

  • GSK Investigational Site

    Santiago, 8360159

Other trials in Chile

South Africa1 site
  • GSK Investigational Site

    Bloemfontein, Free State, 9301

Other trials in South Africa

About this study

Official title: A Phase 2b Randomized, Active-Controlled, Double-Blind Trial to Investigate Safety, Efficacy, and Dose-response of BMS-955176, Given on a Backbone of Tenofovir/Emtricitabine, in Treatment-Naive HIV-1 Infected Adults

The purpose of this study is to find at least one dose of BMS-955176 that will be safe, effective and tolerable for HIV-1 infected treatment naive adults.

Being tested
BMS-955176, EFV, TDF/FTC
Medical subject headings
Infections, Acquired Immunodeficiency Syndrome

What participants receive

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

  • BMS-955176Drug

    HIV Maturation Inhibitor

  • EFVDrug

    EFV

  • TDF/FTCDrug

    TDF/FTC

Study groups in NCT02415595
Study groupRoleWhat they receive
Arm 1: BMS-955176 60 mg + TDF/FTCExperimentalBMS-955176 at 60 mg active dose per day + BMS-955176 placebo matching 120 mg + efavirenz (EFV) placebo matching 600 mg + tenofovir/emtricitabine (TDF/FTC) 300/200 mg per day, orally
Receives: Drug: BMS-955176; Drug: TDF/FTC
Arm 2: BMS-955176 120 mg + TDF/FTCExperimentalBMS-955176 placebo matching 60 mg + BMS-955176 at 120mg active dose per day + EFV placebo matching 600mg + TDF/FTC 300/200mg per day, orally
Receives: Drug: BMS-955176; Drug: TDF/FTC
Arm 3: BMS-955176 180 mg + TDF/FTCExperimentalBMS-955176 at 60mg active dose per day + BMS-955176 at 120mg active dose per day + EFV placebo matching 600mg + TDF/FTC at 300/200mg per day, orally
Receives: Drug: BMS-955176; Drug: TDF/FTC
Arm 4: EFV + TDF/FTCActive comparatorBMS-955176 placebo matching 60mg + BMS-955176 placebo matching 120mg + EFV at 600mg per day + TDF/FTC 300/200mg per day
Receives: Drug: EFV; Drug: TDF/FTC

What is being measured

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

  1. Number of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) <40 Copies Per Milliliter (c/mL) at Week 24 Using Food and Drug Administration (FDA) Snapshot Algorithm

    Blood samples were collected for quantitative analysis of plasma HIV-1 RNA. The antiviral efficacy was determined by the number of participants with plasma HIV 1 RNA <40 c/mL at Week 24 using the FDA snapshot algorithm. This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window (18 to 30 weeks) to determine response. Analysis was performed on mITT Population, which comprised of randomized participants who received at least 1 dose of BMS-955176/GSK3532795 or EFV.

    Measured: Week 24

Secondary outcomes (13)
  1. Number of Participants With Plasma HIV-1 RNA < 40 c/mL at Weeks 48 and 96 Using FDA Snapshot Algorithm

    Blood samples were collected for quantitative analysis of plasma HIV-1 RNA. The antiviral efficacy was determined by the number of participants with plasma HIV 1 RNA <40 c/mL at Weeks 48 and 96 using the FDA snapshot algorithm. This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window to determine response. The analysis was performed using mITT Population (observed), which consisted of participants in the mITT Population excluding participants who had no HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016). The data was not collected for Week 96 analysis; as the study was terminated early. Only those participants with data available at the specified time points were analyzed (represented by n=X in category titles).

    Measured: Weeks 48 and 96

  2. Number of Participants With Plasma HIV-1 RNA < 200 c/mL at Week 24 Using FDA Snapshot Algorithm

    Blood samples were collected for quantitative analysis of plasma HIV-1 RNA. The antiviral efficacy was determined by the number of participants with plasma HIV-1 RNA <200 c/mL at Week 24 using the FDA snapshot algorithm. This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window to determine response.

    Measured: Week 24

  3. Number of Participants With Plasma HIV-1 RNA < 200 c/mL at Weeks 48 and 96

    Blood samples were collected for quantitative analysis of plasma HIV-1 RNA. The antiviral efficacy was determined by the number of participants with plasma HIV-1 RNA <200 c/mL at Weeks 48 and 96 using the FDA snapshot algorithm. This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window to determine response. The analysis was performed using mITT Population (observed), which consisted of participants in the mITT Population excluding participants who had no HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016). The data was not collected for Week 96 analysis; as the study was terminated early. Only those participants with data available at the specified time points were analyzed (represented by n=X in category titles).

    Measured: Weeks 48 and 96

  4. Number of Participants With Newly Emergent Genotypic Resistance Using All On-treatment Isolates

    The emergence of genotypic resistance among samples selected for drug resistance testing were assessed by searching for all reverse transcriptase substitutions and protease inhibitor substitutions listed in the International Acquired Immunodeficiency Syndrome (AIDS) Society-United States of America (IAS-USA) list of HIV-1 drug resistance mutations. The outcome was originally designed to be assessed up to 96 weeks of treatment, but it was analyzed up to Week 24 as the study was terminated early. The emergence of genotypic resistance is presented for participants in the mITT Population who had Baseline and on-treatment genotypic resistance testing and who had successful sequencing.

    Measured: Week 24

  5. Number of Participants With Newly Emergent Phenotypic Resistance Using All On-treatment Isolates

    Phenotypic resistance to a drug is defined as a fold change (i.e., ratio of the 50% inhibitory concentration (IC50) of the clinical isolate to the IC50 of the reference strain) which is greater than the cut-off for reduced susceptibility. Emergent phenotypic resistance to BMS-955176/GSK3532795 was defined as a Baseline fold change IC50<= 3 and an on-treatment fold change IC50>3. The number of participants with newly emergent phenotypic resistance is presented for participants in the mITT Population who had Baseline and on-treatment phenotypic resistance testing. The outcome was originally designed to be assessed up to 96 weeks of treatment, but it was analyzed up to Week 24 as the study was terminated early.

    Measured: Week 24

  6. Change From Baseline in Logarithm to the Base 10 (log10) HIV-1 RNA Over Time

    Blood samples were collected for analysis of HIV-1 RNA. Values obtained at Day 1 were considered as Baseline value. Change from Baseline was calculated as value at indicated time point minus Baseline value. Change from Baseline in plasma HIV-1 RNA (log10) is summarized over time for the mITT Population using observed values, which excluded participants without HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016). Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates standard deviation could not be calculated as only one participant was analyzed at the specified time point.

    Measured: Baseline (Day 1) and Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84

  7. Change From Baseline in Cluster of Differentiation (CD)4+ Thymus (T)-Cell Counts Over Time

    CD4+ T-cell counts was assessed using flow cytometry. Values obtained at Day 1 were considered as Baseline value. Change from Baseline was calculated as value at indicated time point minus Baseline value. Change from Baseline in CD4+T- cell counts is summarized over time for the mITT Population using observed values, which excluded participants without HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016). Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates standard deviation could not be calculated as only one participant was analyzed at the specified time point.

    Measured: Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84

  8. Change From Baseline in the Percentage of CD4+ T-cells Over Time

    CD4+ T-cell counts overall was assessed using flow cytometry. Values obtained at Day 1 were considered as Baseline value. Change from Baseline was calculated as value at indicated time point minus Baseline value. Change from Baseline in percentage of CD4+T- cell counts is summarized over time for the mITT Population using observed values, which excluded participants without HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016). Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles). NA indicates standard deviation could not be calculated as only one participant was analyzed at the specified time point.

    Measured: Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84

  9. Number of Participants With Serious Adverse Events (SAEs) and Adverse Events Leading to Discontinuation (AELD)

    Any untoward medical occurrence that at any dose: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention were categorized as SAE. Number of participants with SAEs and AELDs is summarized.

    Measured: Up to Week 96

  10. Number of Participants With at Least One Centers for Disease Control (CDC) Class C Events

    The occurrence of new AIDS defining events that is CDC class C events is presented.

    Measured: Up to Week 96

  11. Maximum Observed Plasma Concentration (Cmax), Observed Pre-dose Plasma Concentration (C0) and Observed Plasma Concentration at the End of a Dosing Interval (Ctau) of BMS-955176/GSK3532795

    Serial blood samples were collected at indicated time points for intensive pharmacokinetic (PK) assessment. The PK assessments were performed on evaluable PK Population, a sub-population which included all treated participants who had adequate PK profiles.

    Measured: Pre-dose (morning) and at 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)

  12. Time of Maximum Observed Plasma Concentration (Tmax) of BMS-955176/GSK3532795

    Serial blood samples were collected at indicated time points for intensive PK assessment.

    Measured: Pre-dose (morning) and 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)

  13. Area Under the Concentration-time Curve in One Dosing Interval (AUC [Tau]) of BMS-955176/GSK3532795

    Serial blood samples were collected at indicated time points for intensive PK assessment.

    Measured: Pre-dose (morning) and at 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)

Timeline

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

  1. First posted14 Apr 2015 (estimated)
  2. Study start12 May 2015
  3. Primary completion26 May 2016
  4. Study completion21 Aug 2017

Why it stopped: The trial ended early due to GI intolerability and treatment-emergent resistance.

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
210 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02415595
Sponsor's protocol ID
205891
Other IDs
2013-005487-26, AI468-038
Status last verified
Aug 2018
First submitted
11 Mar 2015
Last updated
19 Sep 2018
Data monitoring committee
No

Publications

  • Morales-Ramirez J, Bogner JR, Molina JM, Lombaard J, Dicker IB, Stock DA, DeGrosky M, Gartland M, Pene Dumitrescu T, Min S, Llamoso C, Joshi SR, Lataillade M. Safety, efficacy, and dose response of the maturation inhibitor GSK3532795 (formerly known as BMS-955176) plus tenofovir/emtricitabine once daily in treatment-naive HIV-1-infected adults: Week 24 primary analysis from a randomized Phase IIb trial. PLoS One. 2018 Oct 23;13(10):e0205368. doi: 10.1371/journal.pone.0205368. eCollection 2018.

    PubMed 30352054

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BMS-955176, EFV and TDF/FTC in people with Infection, Human Immunodeficiency Virus, run by ViiV Healthcare at 64 sites in 12 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 4 inclusion and 5 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: stopped early, as of the sponsor's last update on 19 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in Germany, United States, Canada, France, Argentina and 7 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 19 Sep 2018). 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?

Number of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) <40 Copies Per Milliliter (c/mL) at Week 24 Using Food and Drug Administration (FDA) Snapshot Algorithm (time frame: Week 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02415595, which also lists 1 linked publication.

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 19 Sep 2018.

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