Overview

A Clinical Trial Comparing the Efficacy of Tenofovir Disoproxil Fumarate/Emtricitabine/Rilpivirine (TDF/FTC/RPV) Versus TDF/FTC/Efavirenz (TDF/FTC/EFV) in Patients With Undetectable Plasma HIV-1 RNA on Current First-line Treatment

Status:
Completed
Trial end date:
2020-07-02
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to demonstrate noninferiority (a new treatment is equivalent to standard treatment) in terms of the percentage of patients who have plasma human immunodeficiency virus-type 1 (HIV-1) ribonucleic acid (RNA) levels less than 400 copies per mL after 48 weeks of randomized treatment with tenofovir disoproxil fumarate/emtricitabine/rilpivirine (TDF/FTC/RPV) versus TDF/FTC/efavirenz (TDF/FTC/EFV).
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Janssen-Cilag International NV
Treatments:
Efavirenz
Emtricitabine
Rilpivirine
Tenofovir
Criteria
Inclusion Criteria:

Documented human immunodeficiency virus-type 1 (HIV-1) infection Patients who have been
receiving first line highly active antiretroviral therapy (HAART) for at least 1 year
before the screening visit Patients who have been taking the same ARV combination for at
least 8 weeks before the screening visit and are expected to continue on this regimen
throughout the screening period.

Patients who prefer to change the current HAART regimen for reasons of simplification
and/or toxicity of nucleoside/nucleotide reverse transcriptase inhibitor (N[t]RTI) Plasma
HIV-1 RNA less than 50 copies per mL and CD4+ cell count higher than 200 per mm3 at the
screening visit Agrees to protocol-defined use of effective contraception

Exclusion Criteria:

History of virologic failure (2 consecutive plasma HIV-1 ribonucleic acid (RNA) more than
or equal to 400 copies per mL) while on previous or current ART History of immunologic
failure (2 consecutive CD4+ cell counts during HAART treatment falling below the pre-HAART
level) History of any primary N[t]RTI or NNRTI mutations Has a previously documented HIV-2
infection Significantly decreased hepatic function or hepatic insufficiency or diagnosed
with acute clinical viral hepatitis Diagnosed with Mycobacterium tuberculosis infection
Severe laboratory abnormalities Creatinine clearance less than 50 mL per minute Addicted to
drug, including alcohol or recreational drugs