Multicenter, Randomized, Double-Blind, Double-Dummy, Phase 3 Study of the Safety and Efficacy of Elvitegravir Versus Raltegravir
HIV Infection

About this trial
This is an interventional treatment trial for HIV Infection focused on measuring HIV, HIV I, Treatment Experienced
Eligibility Criteria
Inclusion Criteria:
- Plasma HIV-1 RNA levels ≥ 1,000 copies/mL at screening
- Documented resistance or at least six months experience prior to screening with two or more different classes of antiretroviral agents
- Stable antiretroviral regimen for at least 30 days prior to screening: however, participants may discontinue the antiretroviral regimen after screening and remain off therapy until baseline at the discretion of the investigator
- Eligible to receive one of the fully-active ritonavir-boosted-PIs, and an allowed second agent
- Normal ECG
- Adequate renal function (estimated glomerular filtration rate according to the Cockcroft-Gault formula ≥ 60 mL/min)
- Hepatic transaminases ≤ 5 × upper limit of normal
- Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin
- Adequate hematologic function (absolute neutrophil count ≥ 1,000/mm^3; platelets ≥ 50,000/mm^3; hemoglobin ≥ 8.5 g/dL)
- Serum amylase < 1.5 × the upper limit of the normal range
- Negative serum pregnancy test (females of childbearing potential only)
- Males and females of childbearing potential must agree to use highly effective contraception methods
- Age ≥ 18 years
- Life expectancy ≥ 1 year
- Ability to understand and sign a written informed consent form
Exclusion Criteria:
- New AIDS-defining condition diagnosed within the 30 days prior to screening
- Prior treatment with any HIV-1 integrase inhibitor
- Participants experiencing ascites
- Participants experiencing encephalopathy
- Females who are breastfeeding
- Positive serum pregnancy test at any time during the study (female of childbearing potential)
- Participants receiving ongoing therapy with any disallowed medication
- Current alcohol or substance use judged by the investigator to potentially interfere with study compliance
- Malignancy other than cutaneous Kaposi's sarcoma or basal cell carcinoma
- Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
- Participation in any other clinical trial (except for the etravirine or maraviroc expanded access program), without prior approval from sponsor
- Any other clinical condition or prior therapy that would make participants unsuitable for the study
- Known hypersensitivity to study drug, metabolites or formulation excipients
Sites / Locations
- Southwest Center for HIV/AIDS
- Health for Life Clinic, PLLC
- Pacific Oaks Medical Group
- AIDS Healthcare Foundation-Research Center
- Center for Special Immunology
- The Living Hope Foundation
- Kaiser Permanente
- Jeffrey Goodman Special Care Clinic
- University of Southern California, AIDS Clinical Trials Unit
- Peter J. Ruane, MD, Inc.
- Tony Mills, MD Internal Medicine
- Orange Coast Medical Group
- Alameda County Medical Center
- East Bay AIDS Center
- Kaiser Permanente
- David J. Shamblaw, MD Inc.
- Metropolis Medical
- San Francisco VA Medical Center/UCSF
- Connecticut Health Care Group
- Circle Medical LLC
- The Stamford Hospital - Stamford ID
- Whitman-Walker Clinic
- The George Washington University Medical Center
- South Florida Clinical Research
- Lifeway , Inc.
- NorthPoint Medical
- Therafirst Medical Centers
- Broward Health CCC
- Gary Richmond, MD, PA, Inc.
- Associates In Infectious Diseases
- The Kinder Medical Group
- University of Miami
- Wohlfeiler, Piperato and Associates, LLC
- Orlando Immunology Center
- Infectious Disease of Central Florida
- Barry M. Rodwick, M. D.
- St. Joseph's Comprehensive Research Institute
- Treasure Coast Infectious Disease Consultants
- AIDS Research Consortium of Atlanta
- The Emory Clinic, Inc., Division of Infectious Diseases
- Atlanta ID Group
- Infectious Disease Specialists of Atlanta (IDSA)
- Mercer Univ. School of Medicine
- Chatham County Health Department
- Hawaii AIDS Clinical Research Program HACRP
- The Ruth M. Rothstein CORE Center
- Howard Brown Health Center
- Northstar Medical Center
- University of Kentucky Healthcare/Bluegrass Care Clinic
- University of Maryland, Institute of Human Virology
- Community Research Initiative of New England
- Be Well Medical Center
- Wayne State University
- Henry Ford Hospital Div of Infectious Disease
- Washington University School of Medicine
- Southampton Healthcare, Inc.
- ID Care
- Saint Michael's Medical Center
- University of Medicine and Dentistry of New Jersey; University Hospital Infectious Disease Practice
- South Jersey Infectious Disease
- Southwest C.A.R.E. Center
- Albany Medical College
- Montefiore Medical Center
- STAR Health Care Center
- Greiger Clinic
- Beth Israel Medical Center
- Chelsea Village Medical, PC
- Ricky K. Hsu, MD, PC
- Mount Sinai School of Medicine
- AIDS Community HealthCenter
- University of North Carolina/ School of Medicine Division of Infectious Diseases/ AIDS Clinical Trials Unit
- Carolinas Medical Center
- Duke University
- Brody School of Medicine at East Carolina University
- Rosedale Infectious Diseases
- Wake Forest University Health Sciences
- Summa Health CARE Center
- University of Pennsylvania
- Philadelphia FIGHT
- Thomas Jefferson University Jefferson Alumni Hall
- Central Texas Clinical Research
- AIDS Arms/ Peabody Health Center
- Southwest Infectious Disease Clinical Research
- Presbyterian Hospital of Dallas
- North Texas Infectious Disease Consultants
- Tarrant County Infectious Disease Associates
- Garcia Family Health Group
- University of Texas Health Science Center at Houston
- Gordon E. Crofoot, MD, PA
- The Schrader Clinic
- Joseph C. Gathe, JR. MD, F.A.C.P.
- DCOL Center for Clinical Research
- Clinical Alliance for Research & Education - Infectious Diseases, LLC (CARE-ID)
- EHS Pulmonary and Critical Care
- Royal Prince Alfred Hospital
- Ground Zero Medical Centre
- Holdsworth House Medical Practice
- St. Vincent's Hospital, Sydney
- St George Hospital
- East Sidney Doctors
- Albion Street Centre
- Westmead Hospital
- Institute of Tropical Medicine
- C.H.U. St Pierre
- Hôpital Erasme
- CHU de Charleroi-Hopital civil
- Centre Hospitalier Universitaire de Liège
- Downtown Infectious Diseases Clinic
- Queen Elizabeth II Health Sciences Centre
- Sunnybrook Health Sciences Centre
- CascAids Research
- Canadian Immunodeficiency Research Collaborative (CIRC) Inc.
- University Health Network, Toronto General Hospital
- Clinique medicale l'Actuel
- Immunodeficiency Service, McGill University Health Centre (MUHC)
- University of Manitoba - Health Sciences Centre
- Hopital de Bicentre - Service de medecine Interne et Immunologie
- University Hospital of Montpellier - Gui de Chauliac
- CHU Nantes
- C.H.U. de Nice - Hopital de l'Archet 1
- Hopital Saint Louis
- Hopital Saint Antoine - Infectious Desease Department
- Hopital Pitie Salpetriere - Infectious Deseases Department
- APHP Hopital Bichat-Claude Bernard
- Hopital Tenon
- CHU Bordeaux
- Hopital Purpan - Service of Infectious Diseases
- Universitatsklinikum Bonn
- Universitatsklinikum Dusseldorf
- Universitatklinikum Essen
- Klinikum der J.W. Goethe-Universitat
- IFI-Institute
- Ambulanzzentrum am Universitatsklinikum Hamburg Eppendorf
- Medizinische Universitatsklinik Kiel
- Klinikum der Universitat zu Koln
- MUC Research
- Ospedali Riuniti Di Bergamo
- Spedali Civili di Brescia
- Fondazione Centro San Raffaele del Monte Tabor
- Ospedale L. Sacco
- Ospedale Luigi Sacco
- Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani I.R.C.C.S.
- Universita La Sapienza Policlinico Umberto I
- Universita' Cattolica Del Sacro Cuore
- Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (INCMYNSZ)
- Hospital Regional de Leon Guanajuato
- Hospital Civil de Guadalajara
- Hospital Central Morones Prieto
- Erasmus Medisch Centrum
- Hospital Fernando Fonseca
- Hospital Santo Antonio dos Capuchos
- Hospital de Santa Maria
- Hospital Pulido Valente
- Hospital de Sao Joao
- Instituto de Investigacion Cientifica del Sur
- Clinical Research Puerto Rico, Inc.
- HOPE Clinical Research
- VA Caribbean healthcare System
- University of Puerto Rico, School of Medicine, Proyecto ACTU
- Hospital General Universitario de Alicante
- Hospital de la Santa Creu i Sant Pau
- Hospital Clinic i Provincial de Barcelona
- Hospital Universitario Germans Trias i Pujol
- Hospital Reina Sofia
- Hospital General Universitario del Elche
- Hospital Clinico San Cecilio
- Hospital La Princesa
- Hospital General Universitario Gregorio Maranon
- Hospital Ramon y Cajal
- Hospital Doce De Octubre
- Hospital Universitario La Paz
- Hospital Virgen de la Victoria
- Hospital Universitario de Canarias
- Hospital Virgen del Rocio
- Complexo Hospitalario Xeral-Cies (Chuvi) Vigo
- Universitatsspital Zurich
- RIDU, Western General Hospital
- Imperial College Healthcare NHS Trust, St. Mary's Campus
- Royal Free and University College Medical School
- North Manchester General Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Elvitegravir
Raltegravir
EVG 85 mg or 150 mg + RAL placebo + background regimen in the Randomized Phase, followed by EVG 85 mg or 150 mg + background regimen in the Open-Label Phase. Participants receiving lopinavir/ritonavir (LPV/r) or atazanavir/ritonavir (ATV/r) as part of their background regimen will receive EVG 85 mg; all other participants will receive EVG 150 mg.
RAL 800 mg (400 mg twice daily) + EVG placebo + background regimen in the Randomized Phase, followed by EVG 85 mg or 150 mg + background regimen in the Open-Label Phase. Participants receiving LPV/r or ATV/r as part of their background regimen in the Open-Label Phase will receive EVG 85 mg; all other participants will receive EVG 150 mg.