Safety and Efficacy of E/C/F/TDF Versus RTV-Boosted ATV Plus FTC/TDF in HIV-1 Infected, Antiretroviral Treatment-Naive Women (WAVES)
Acquired Immunodeficiency Syndrome, HIV Infections
About this trial
This is an interventional treatment trial for Acquired Immunodeficiency Syndrome focused on measuring HIV-1, HIV, Treatment-Naive, Women, WAVES
Eligibility Criteria
Key Inclusion Criteria:
- Female (at birth), age ≥ 18 years
- Ability to understand and sign a written informed consent form
- Plasma HIV-1 RNA levels ≥ 500 copies/mL
- No prior use of any approved or investigational antiretroviral drug for any length of time
- Screening genotype report must show sensitivity to emtricitabine (FTC), tenofovir disoproxil fumarate (TDF) and atazanavir (ATV) boosted with ritonavir (RTV)
- Normal ECG
- Adequate renal function: Estimated glomerular filtration rate ≥ 70 mL/min according to the Cockcroft Gault formula
- Hepatic transaminases ≤ 5 x upper limit of normal (ULN)
- Total bilirubin ≤ 1.5 mg/dL
- Adequate hematologic function
- Serum amylase ≤ 5 x ULN
- Women of childbearing potential must agree to utilize protocol recommended contraception methods or be non-heterosexually active, or practice sexual abstinence from screening throughout the duration of the study period and for 30 days following the last dose of study drug
- Women who utilize hormonal contraceptive as one of their birth control methods must have used the same method for at least three months prior to study dosing.
Key Exclusion Criteria:
- A new AIDS defining condition diagnosed within the 30 days
- Females receiving drug treatment for Hepatitis C, or females who are anticipated to receive treatment for Hepatitis C during the course of the study
- Females experiencing decompensated cirrhosis
- Females who are breastfeeding
- Positive serum pregnancy test (female of childbearing potential)
- Have an implanted defibrillator or pacemaker
- Have an ECG pulse rate interval ≥ 220 msec
- Current alcohol or substance use which may potentially interfere with the female's study compliance
- History of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasive cutaneous squamous carcinoma
- Active, serious infections requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
- Participation in any other clinical trial without prior approval
- Any other clinical condition or prior therapy that would make the female unsuitable for the study or unable to comply with the dosing requirements
- Females receiving ongoing therapy with any disallowed medications, including drugs not to be used with elvitegravir, cobicistat, FTC, TDF, ATV, RTV; or females with any known allergies to the excipients of Stribild® tablets, Truvada® tablets, atazanavir capsules or ritonavir tablets
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- University of Southern California AIDS Clinical Trials Group
- University of California, Davis Medical Center
- Whitman-Walker Health
- George Washington University Medical Faculty Associates
- Midway Immunology and Research Center
- University of Miami
- Orlando Immunology Center
- IDOCF/ValuhealthMD
- St. Joseph's Hospital Comprehensive Research Institute
- Triple O Research Institute, P.A.
- AIDS Research Consortium of Atlanta
- Emory HIV/AIDS Clinical Trials Unit
- Infectious Disease Specialists of Atlanta
- Mercer University Mercer Medicine
- Chatham County Health Daprtment
- University of Louisville
- LSUHSC HIV Out-Patient Clinic Research
- Brigham and Women's Hospital
- The Research Institute
- Saint Michael's Medical Center
- New Jersey Medical School
- Montefiore Medical Center
- New York Hospital Queens
- University of Rochester
- University of North Carolina AIDS Clinical Trials Unit
- Duke University Medical Center
- East Carolina University The Brody School of Medicine Div. of Infectious Diseases
- Wake Forest University Health Sciences
- Wexner Medical Center at the Ohio State University
- The University of Toledo Medical Center
- Lehigh Valley Health Network
- Philadelphia FIGHT
- Thomas Jefferson University
- Temple University Hospital- Internal General Medicine
- The Miriam Hospital
- Medical University of South Carolina
- Central Texas Clinical Research
- UT - Physicians
- AIDS Arms, Inc./Trinity Health & Wellness Center
- North Texas Infectious Diseases Consultants, PA
- Therapeutic Concepts, PA
- Institute of Tropical Medicine
- Saint-Pierre University Hospital
- Hôpitaux IRIS SUD
- Instituto Dominicano de Estudio Virologicos - IDEV
- Salvador B Gautier Hospital, Infectious Diseases Department
- Hôpital Bichat Claude Bernard
- Hopital Tenon
- Maladies Infectieuses Dpt
- Hopitaux Universitaires Strasbourg
- Department of Health Sciences - University of Milan - San Paolo Hospital
- Luigi Sacco Hospital, Milan
- Clinica Malattie Infettive, Azienda Ospedaliero Universitaria
- Hospital Civil de Guadalajara Dr Juan I Menchaca
- Hospital Civil de Guadalajara
- Intituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
- Hospital Fernando Fonseca
- Hospital Dos Capuchos, Centro Hospitalar De Lisboa Central
- Hospital de Santa Maria - Serviço de Doenças Infecciosas
- centro Hospitalar S. João
- Centro Hospitalar do Porto - Hospital Joaquim Urbano
- Hospital de Santarém
- Maternal Infants Studies Center (CEMI)
- Republic of Altay Center for Prevention and Control of AIDS and Infectious Diseases
- Sverdlovsk Regional Center for Prevention and control of AIDS and Infectious Diseases
- GUZ "Irkutsk Regional Center for Prevention and Control of AIDS and Infectious Diseases
- Khabarovsk Territorial Center for Prevention and Control of AIDS and Infectious Diseases
- "Infectious Diseases Center", LLC
- State Budget Healthcare Institution "Clinical Centre for AIDS and Infectious Diseases Fight and Prevention" of Krasnodar regio Department for Healthcare
- GUZ "Krasnoyarsk Territorial Center for Prevention and Control of AIDS and Infectious Diseases"
- GUZ "Lipetsk Regional Center for Prevention and Control of AIDS and Infectious Diseases"
- Infectious Hospital 2
- State Healthcare Institution Infectious Clinical Hospital #2 of Moscow City Healthcare Department
- GKUZ MO "Center for Prevention and Treatment of AIDS and Infectious Diseases" (Moscow Regional AIDS Center)
- State Budget Health Institution of Nizhniy Novgorod "Nizhniy Novgorod Regional Center of prophylaxis and treatment of AIDS and Infectious Diseases
- Budgetary Medical Facility of the Orel Region "Orel Regional Center for Prevention and Control of AIDS and Infectious Diseases"
- Perm Regional Center for Prevention and Control of AIDS and Infectious Diseases
- St.Petersburg Center for Prevention and Control of AIDS and Infectious Diseases, In-patient Department
- St.Petersburg GUZ "Center for Prevention and Control of AIDS and Infectious Diseases", Out-patient Department
- Saint-Petersburg GUZ "Clinical Infectious Hospital named after S.P.Botkin"
- Federal State Budgetary Institution "Republic Clinical Infectious Hospital"
- Saratov Regional Centre for Treatment and Prevention of AIDS and Infectious Diseases
- Volgograd Regional Center for Prevention and Control of AIDS and Infectious Diseases
- GUZ "Voronezh Regional Center for Prevention and Control of AIDS and Infectious Diseases"
- The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT)
- Faculty of Medicine Ramathibodi Hospital, Mahidol University
- Department of Preventive and Social Medicine, Faculty of Medicine, Siriraj Hospital
- Chiang Mai University
- Bamrasnaradura lnfectious Disease Institute
- Joint Clinical Research Centre
- Barts Healthe NHS Trust
- Homerton University Hospital NHS Foundation Trust
- Royal Free London NHS Foundation Trust
- Queen Elizabeth Hospital, South London Healthcare NHS Trust
- Kings College London
- St George's Healthcare NHS Trust
- Imperial College Healthcare NHS Trust
- Mortimer Market Centre and Central and North West London NHS Foundation Trust
- Royal Berkshire NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Experimental
E/C/F/TDF
ATV + RTV+ FTC/TDF
Open-Label Extension Phase
E/C/F/TDF + ATV placebo + RTV placebo + FTC/TDF placebo
ATV + RTV + FTC/TDF + E/C/F/TDF placebo
After 48 weeks of blinded treatment, participants will continue to take blinded study drug for 12 weeks and return for an unblinding visit at Week 60. Participants who are virologically suppressed at Week 48 during the double-blinded treatment phase will have the option to enter the open-label extension phase. Participants randomized to the E/C/F/TDF arm will continue to receive open-label E/C/F/TDF and participants randomized to the ATV+ RTV + FTC/TDF arm will be re-randomized to receive either open-label elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) or open-label ATV + RTV+ FTC/TDF.