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Switching From TDF-based Antiretroviral Therapy Regimens to B/F/TAF in Virally Suppressed Adults With HIV-1 Infection

Primary Purpose

HIV-1-infection

Status
Recruiting
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
B/F/TAF
TDF-based triple ART regimen switching to B/F/TAF
Sponsored by
Shanghai Public Health Clinical Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV-1-infection focused on measuring Bictegravir/Emtricitabine/Tenofovir alafenamide, Tenofovir Disoproxil Fumarate, HIV-1 infection

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Meet the Diagnostic Criteria for AIDS or HIV Infection (WS 293-2019);
  • Age 18 or above (included 18);
  • Continuous administration of a TDF-based triple ART regimen with a backbone of non-nucleoside reverse transcriptase or protease inhibitors ≥24 weeks and ongoing use;
  • Maintaining virological suppression (viral load < 50 copies/mL) for ≥ 24 weeks, and maintaining virological suppression at present;
  • Glomerular filtration rate (eGFR) ≥ 50 mL/min/1.73 m2 (calculated according to the CKD-EPI formula);
  • ECG is normal;
  • White blood cell count ≥3×109/L, Neutrophil count ≥1.5×109/L, Hemoglobin ≥90 g/L, and Platelet count ≥ 75×109/L;
  • Alanine aminotransferase and aspartate aminotransferase ≤5×ULN, direct bilirubin ≤1.5×ULN, amylase≤2×ULN;
  • Those who volunteered for this study and were able to complete all follow-up visits and sign the informed consent form in accordance with the protocol.

Exclusion Criteria:

  • In the 30 days(inclusive) before the screening period, an AIDS-related opportunistic infection or tumor occurred;
  • History of known past HIV resistance (confirmed HIV viral load > 200 copies /ml) or resistance to any nucleoside (acid) analogues;
  • Decompensated liver cirrhosis;
  • Female subject who has a positive urine pregnancy test;
  • Lactating women;
  • Women who are unable to take a reasonable method of contraception during the trial (including the Screening Period and 30 days after discontinuation of experimental drugs);
  • Subjects had other medical conditions requiring treatment with either of the current ART regimens or other drugs which have drug-drug interaction with B/F/TAF and cannot be discontinued.
  • Being involved in other interventional clinical studies;
  • Those with allergic constitution or known allergy to the components of the drug;
  • Suffering from serious mental or neurological diseases;
  • Suspected or confirmed history of alcohol and drug abuse; Patients who were not considered by the investigator to be suitable for participating in this clinical trial (such as weak constitution, poor compliance, etc.).

Sites / Locations

  • Shanghai Public Health Clinical Center
  • Yunnan AIDS Care Center
  • Xixi hospital of HangzhouRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

B/F/TAF group

TDF-based triple ART regimen switching to B/F/TAF

Arm Description

Bictegravir/emtricitabine/tenofovir alafenamide for 48 weeks.

TDF-based triple ART regimen for 24 weeks, and all switch to bictegravir/emtricitabine/tenofovir alafenamide for the later 24 weeks.

Outcomes

Primary Outcome Measures

Percentage change from baseline in spine and hip bone mineral density (DXA) at 48 weeks

Secondary Outcome Measures

Percentage change from baseline in spine and hip bone mineral density (DXA) at Week 24
The percentage of subjects with spine or hip bone mineral density (DXA) that increased or decreased by more than 3% (not included) from baseline at Weeks 24 and 48
Changes from Baseline in Spine and Hip Bone Mineral Density T-Values (DXA) at Weeks 24 and 48
Changes from Baseline in eGFR at Weeks 24 and 48 (CKD-EPI Formula)
The percentage of subjects with HIV viral load < 50 copies /ml at Weeks 24 and 48
Changes from baseline in CD4 T cell count at Weeks 24 and 48
Changes from baseline in CD4/CD8 ratio at Weeks 24 and 48
Changes from baseline in blood lipid (TC, TG, LDL, HDL) at Weeks 24 and 48
Quality of life score (WHO QOL-BREF-HIV Scale) change from baseline at Weeks 24 and 48
Adherence (Visual Analog Scale) change from baseline at Weeks 24 and 48
Patients reported outcome using SSC-HIV-SC scale

Full Information

First Posted
October 21, 2021
Last Updated
December 1, 2022
Sponsor
Shanghai Public Health Clinical Center
Collaborators
Xixi Hospital of Hangzhou, Yunnan AIDS Care Center
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1. Study Identification

Unique Protocol Identification Number
NCT05122754
Brief Title
Switching From TDF-based Antiretroviral Therapy Regimens to B/F/TAF in Virally Suppressed Adults With HIV-1 Infection
Official Title
Switching From Tenofovir Disoproxil Fumarate-based Antiretroviral Therapy Regimens to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Virally Suppressed Adults With HIV-1 Infection
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 8, 2021 (Actual)
Primary Completion Date
February 28, 2023 (Anticipated)
Study Completion Date
April 28, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shanghai Public Health Clinical Center
Collaborators
Xixi Hospital of Hangzhou, Yunnan AIDS Care Center

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the safety and efficacy of bictegravir/emtricitabine/tenofovir alafenamide versus tenofovir disoproxil fumarate-based antiretroviral regimens in HIV-infected individuals with virological suppression.
Detailed Description
This study is a multicenter, randomized, controlled, open labeled clinical trial, which aims to evaluate the safety and efficacy of B/F/TAF versus TDF-based antiretroviral therapy in HIV-infected individuals with virological suppression, and to evaluate the changes in quality of life and adherence after switching from a TDF-based regimen to B/F/TAF in HIV-infected individuals with virological suppression.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV-1-infection
Keywords
Bictegravir/Emtricitabine/Tenofovir alafenamide, Tenofovir Disoproxil Fumarate, HIV-1 infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
B/F/TAF group
Arm Type
Experimental
Arm Description
Bictegravir/emtricitabine/tenofovir alafenamide for 48 weeks.
Arm Title
TDF-based triple ART regimen switching to B/F/TAF
Arm Type
Active Comparator
Arm Description
TDF-based triple ART regimen for 24 weeks, and all switch to bictegravir/emtricitabine/tenofovir alafenamide for the later 24 weeks.
Intervention Type
Drug
Intervention Name(s)
B/F/TAF
Intervention Description
Bictegravir/emtricitabine/tenofovir alafenamide once daily, 1 tablet at a time, with or without food for 48 weeks.
Intervention Type
Drug
Intervention Name(s)
TDF-based triple ART regimen switching to B/F/TAF
Intervention Description
Tenofovir disoproxil fumarate was administered once daily, one tablet at a time, with or without food. After Week 24, control subjects were also switched to bictegravir/emtricitabine/tenofovir alafenamide once daily, one tablet at a time, with or without food for the later 24 weeks.
Primary Outcome Measure Information:
Title
Percentage change from baseline in spine and hip bone mineral density (DXA) at 48 weeks
Time Frame
From baseline to Week 48
Secondary Outcome Measure Information:
Title
Percentage change from baseline in spine and hip bone mineral density (DXA) at Week 24
Time Frame
From baseline to Week 24
Title
The percentage of subjects with spine or hip bone mineral density (DXA) that increased or decreased by more than 3% (not included) from baseline at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Changes from Baseline in Spine and Hip Bone Mineral Density T-Values (DXA) at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Changes from Baseline in eGFR at Weeks 24 and 48 (CKD-EPI Formula)
Time Frame
From baseline to Week 24, 48
Title
The percentage of subjects with HIV viral load < 50 copies /ml at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Changes from baseline in CD4 T cell count at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Changes from baseline in CD4/CD8 ratio at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Changes from baseline in blood lipid (TC, TG, LDL, HDL) at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Quality of life score (WHO QOL-BREF-HIV Scale) change from baseline at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Adherence (Visual Analog Scale) change from baseline at Weeks 24 and 48
Time Frame
From baseline to Week 24, 48
Title
Patients reported outcome using SSC-HIV-SC scale
Time Frame
From baseline to Week 24, 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Meet the Diagnostic Criteria for AIDS or HIV Infection (WS 293-2019); Age 18 or above (included 18); Continuous administration of a TDF-based triple ART regimen with a backbone of non-nucleoside reverse transcriptase or protease inhibitors ≥24 weeks and ongoing use; Maintaining virological suppression (viral load < 50 copies/mL) for ≥ 24 weeks, and maintaining virological suppression at present; Glomerular filtration rate (eGFR) ≥ 50 mL/min/1.73 m2 (calculated according to the CKD-EPI formula); ECG is normal; White blood cell count ≥3×109/L, Neutrophil count ≥1.5×109/L, Hemoglobin ≥90 g/L, and Platelet count ≥ 75×109/L; Alanine aminotransferase and aspartate aminotransferase ≤5×ULN, direct bilirubin ≤1.5×ULN, amylase≤2×ULN; Those who volunteered for this study and were able to complete all follow-up visits and sign the informed consent form in accordance with the protocol. Exclusion Criteria: In the 30 days(inclusive) before the screening period, an AIDS-related opportunistic infection or tumor occurred; History of known past HIV resistance (confirmed HIV viral load > 200 copies /ml) or resistance to any nucleoside (acid) analogues; Decompensated liver cirrhosis; Female subject who has a positive urine pregnancy test; Lactating women; Women who are unable to take a reasonable method of contraception during the trial (including the Screening Period and 30 days after discontinuation of experimental drugs); Subjects had other medical conditions requiring treatment with either of the current ART regimens or other drugs which have drug-drug interaction with B/F/TAF and cannot be discontinued. Being involved in other interventional clinical studies; Those with allergic constitution or known allergy to the components of the drug; Suffering from serious mental or neurological diseases; Suspected or confirmed history of alcohol and drug abuse; Patients who were not considered by the investigator to be suitable for participating in this clinical trial (such as weak constitution, poor compliance, etc.).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jun Chen, M.D
Phone
021-37990333
Ext
3222
Email
qtchenjun@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Chen, M.D
Organizational Affiliation
Shanghai Public Health Clinical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shanghai Public Health Clinical Center
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
201508
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Yunnan AIDS Care Center
City
Kunming
State/Province
Yunnan
Country
China
Individual Site Status
Active, not recruiting
Facility Name
Xixi hospital of Hangzhou
City
Hangzhou
State/Province
Zhejiang
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianhua Yu, M.D
First Name & Middle Initial & Last Name & Degree
Jianhua Yu, M.D

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Switching From TDF-based Antiretroviral Therapy Regimens to B/F/TAF in Virally Suppressed Adults With HIV-1 Infection

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