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Test Albuvirtide in Experienced Patients (TALENT)

Primary Purpose

HIV Infections, AIDS

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
albuvirtide
lopinavir-ritonavir
tenofovir
lamivudine
Sponsored by
Frontier Biotechnologies Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV Infections focused on measuring HIV-1, AIDS, Albuvirtide, Treatment-experienced, Fusion inhibitor

Eligibility Criteria

16 Years - 60 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 16-60 years old, male or female.
  2. Those who meet the Diagnostic Criteria of AIDS and HIV Infection, the Health Industry Standard of the People's Republic of China (WS 293-2008).
  3. Those who have been undergoing antiretroviral treatment with nucleosides and non-nucleoside reverse transcriptase inhibitors (NRTIs+NNRTIs) for at least 6 months.
  4. HIV-RNA ≥ 1000 copies/mL.
  5. Those who have no serious hepatic or renal functional impairment and other parameters are generally in the normal ranges according to the comprehensive physical examinations (including general physical examination, routine blood and urine tests, blood chemistry tests, ECG, etc.).
  6. The subjects should have a full understanding of the objective, nature, methods of the trial and the possible reactions. He/She should participate in the trial voluntarily and should sign the informed consent form.

Exclusion Criteria:

  1. Those who are in an acute stage of infection, or have suffered from AIDS-related diseases (e.g. opportunistic infections or malignant tumors, etc.) at enrollment; or have suffered from opportunistic infections within 3 months prior to enrollment and the conditions have not reached a stable state within 2 weeks prior to enrollment.
  2. Those who have used protease inhibitors or HIV fusion inhibitors for antiretroviral treatment, and who have participated in HIV vaccine clinical trials or have participated in other drug trials within recent 3 months.
  3. Those who have been co-administered antiviral treatment for hepatitis.
  4. Those whose screening test results meet one of the following: hemoglobin < 9 g/dL, WBC count <2×109/L, neutrophil count < 1×109/L, PLT count < 75×109/L, transaminase > 3×ULN, total bilirubin > 2×ULN, creatinine > 1×ULN, serum creatine phosphokinase > 2×ULN.
  5. Those with allergic constitution or known allergic to ingredients of the investigational drug or ART drugs prescribed in the protocol.
  6. Currently suffering from serious chronic diseases, metabolic diseases (such as diabetes mellitus), neurological and psychiatric disorders.
  7. Patients with hemophilia A or B.
  8. Those with suspected or confirmed history of alcohol or drug abuse.
  9. Pregnant or lactating women; or women of childbearing age who refuse to take contraceptive measures during the trial.
  10. Those for whom the possibility of being enrolled is low according to the judgment of the investigator (e.g. weak physical condition, poor compliance, etc.).

Sites / Locations

  • 302 Hospital People's Liberation Army Of China
  • Beijing Ditan Hospital, Capital Medical University
  • Beijing Youan Hospital, Capital medical university
  • Guangzhou Eighth People's Hospital
  • The Third People'S Hospital Of Shenzhen
  • Henan Infectious Disease Hospital
  • The First Hospital of Changsha
  • The Second Xiangya Hospital of Central South University
  • Shanghai Public Health Clinical Center
  • Tangdu Hospital, Fourth Military Medical University
  • Affiliated Hangzhou Xixi Hospital,Zhejiang University School Of Medicine
  • The First Affiliated Hospital Zhejiang University School Of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

albuvirtide, lopinavir-ritonavir

lopinavir-ritonavir,tenofovir,lamivudine

Arm Description

albuvirtide once a week and lopinavir-ritonavir twice daily for 48 weeks

lopinavir-ritonavir twice daily, tenofovir once daily and lamivudine once daily for 48 weeks

Outcomes

Primary Outcome Measures

Percentage of participants of virological suppression at Week 48
Percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48

Secondary Outcome Measures

Changes of viral load
Changes of HIV-1 RNA relative to baseline at Week 48
Percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48
Percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48
Changes of CD4 cell count
Changes of CD4 cell count relative to baseline at Week 48

Full Information

First Posted
February 18, 2015
Last Updated
September 28, 2021
Sponsor
Frontier Biotechnologies Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02369965
Brief Title
Test Albuvirtide in Experienced Patients
Acronym
TALENT
Official Title
Efficacy and Safety of Albuvirtide for Injection Combined With LPV/r for Treatment of HIV-1-Infected Patients Failed First-line Antiretroviral Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
February 19, 2014 (Actual)
Primary Completion Date
April 2, 2018 (Actual)
Study Completion Date
April 2, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Frontier Biotechnologies Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of albuvirtide combined with lopinavir-ritonavir (LPV/r) in HIV-1-infected patients who failed first-line antiretroviral therapy (ART).
Detailed Description
This was a 48-week, multi-center, open-label, randomized and controlled, non-inferiority phase 3 clinical trial to evaluate the safety and efficacy of albuvirtide combined with LPV/r in HIV-1 infected patients who failed their first-line ART and had HIV-1 RNA levels ≥ 1000 copies/mL at screening. The trial was conducted in 12 sites in China. Subjects meeting inclusion criteria were randomized in a 1:1 ratio to ABT group and NRTI group, in which the ABT group received albuvirtide and LPV/r combination therapy, and NRTI group received the standard 3-drug regimen of LPV/r + Lamivudine (3TC) + Tenofovir (TDF). If TDF was used in the previous regimen or genotypic resistance histories showed primary mutation to TDF, zidovudine (AZT) or abacavir (ABC) would be used. Albuvirtide was given by weekly intravenous infusion and LPV/r was given twice daily orally. A total of 418 subjects were randomized, of whom 401 received at least one treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infections, AIDS
Keywords
HIV-1, AIDS, Albuvirtide, Treatment-experienced, Fusion inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
418 (Actual)

8. Arms, Groups, and Interventions

Arm Title
albuvirtide, lopinavir-ritonavir
Arm Type
Experimental
Arm Description
albuvirtide once a week and lopinavir-ritonavir twice daily for 48 weeks
Arm Title
lopinavir-ritonavir,tenofovir,lamivudine
Arm Type
Active Comparator
Arm Description
lopinavir-ritonavir twice daily, tenofovir once daily and lamivudine once daily for 48 weeks
Intervention Type
Drug
Intervention Name(s)
albuvirtide
Other Intervention Name(s)
ABT
Intervention Description
albuvirtide 320mg administered intravenously once a week
Intervention Type
Drug
Intervention Name(s)
lopinavir-ritonavir
Other Intervention Name(s)
Kaletra, LPV/r
Intervention Description
lopinavir-ritonavir 400/100mg administered orally twice daily
Intervention Type
Drug
Intervention Name(s)
tenofovir
Other Intervention Name(s)
TDF
Intervention Description
tenofovir 300mg administered orally once daily
Intervention Type
Drug
Intervention Name(s)
lamivudine
Other Intervention Name(s)
3TC
Intervention Description
lamivudine 300mg administered orally once daily
Primary Outcome Measure Information:
Title
Percentage of participants of virological suppression at Week 48
Description
Percentage of participants with HIV-1 RNA < 50 copies/mL at Week 48
Time Frame
Through Week 48
Secondary Outcome Measure Information:
Title
Changes of viral load
Description
Changes of HIV-1 RNA relative to baseline at Week 48
Time Frame
Baseline to Week 48
Title
Percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48
Description
Percentage of participants with HIV-1 RNA < 400 copies/mL at Week 48
Time Frame
Through Week 48
Title
Changes of CD4 cell count
Description
Changes of CD4 cell count relative to baseline at Week 48
Time Frame
Baseline to Week 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 16-60 years old, male or female. Those who meet the Diagnostic Criteria of AIDS and HIV Infection, the Health Industry Standard of the People's Republic of China (WS 293-2008). Those who have been undergoing antiretroviral treatment with nucleosides and non-nucleoside reverse transcriptase inhibitors (NRTIs+NNRTIs) for at least 6 months. HIV-RNA ≥ 1000 copies/mL. Those who have no serious hepatic or renal functional impairment and other parameters are generally in the normal ranges according to the comprehensive physical examinations (including general physical examination, routine blood and urine tests, blood chemistry tests, ECG, etc.). The subjects should have a full understanding of the objective, nature, methods of the trial and the possible reactions. He/She should participate in the trial voluntarily and should sign the informed consent form. Exclusion Criteria: Those who are in an acute stage of infection, or have suffered from AIDS-related diseases (e.g. opportunistic infections or malignant tumors, etc.) at enrollment; or have suffered from opportunistic infections within 3 months prior to enrollment and the conditions have not reached a stable state within 2 weeks prior to enrollment. Those who have used protease inhibitors or HIV fusion inhibitors for antiretroviral treatment, and who have participated in HIV vaccine clinical trials or have participated in other drug trials within recent 3 months. Those who have been co-administered antiviral treatment for hepatitis. Those whose screening test results meet one of the following: hemoglobin < 9 g/dL, WBC count <2×109/L, neutrophil count < 1×109/L, PLT count < 75×109/L, transaminase > 3×ULN, total bilirubin > 2×ULN, creatinine > 1×ULN, serum creatine phosphokinase > 2×ULN. Those with allergic constitution or known allergic to ingredients of the investigational drug or ART drugs prescribed in the protocol. Currently suffering from serious chronic diseases, metabolic diseases (such as diabetes mellitus), neurological and psychiatric disorders. Patients with hemophilia A or B. Those with suspected or confirmed history of alcohol or drug abuse. Pregnant or lactating women; or women of childbearing age who refuse to take contraceptive measures during the trial. Those for whom the possibility of being enrolled is low according to the judgment of the investigator (e.g. weak physical condition, poor compliance, etc.).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dong Xie
Organizational Affiliation
Frontier Biotechnologies Inc.
Official's Role
Study Director
Facility Information:
Facility Name
302 Hospital People's Liberation Army Of China
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Ditan Hospital, Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Youan Hospital, Capital medical university
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Guangzhou Eighth People's Hospital
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
The Third People'S Hospital Of Shenzhen
City
Shenzhen
State/Province
Guangdong
Country
China
Facility Name
Henan Infectious Disease Hospital
City
Zhengzhou
State/Province
Henan
Country
China
Facility Name
The First Hospital of Changsha
City
Changsha
State/Province
Hunan
Country
China
Facility Name
The Second Xiangya Hospital of Central South University
City
Changsha
State/Province
Hunan
Country
China
Facility Name
Shanghai Public Health Clinical Center
City
Shanghai
State/Province
Shanghai
Country
China
Facility Name
Tangdu Hospital, Fourth Military Medical University
City
Xi'an
State/Province
Shanxi
Country
China
Facility Name
Affiliated Hangzhou Xixi Hospital,Zhejiang University School Of Medicine
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
The First Affiliated Hospital Zhejiang University School Of Medicine
City
Hangzhou
State/Province
Zhejiang
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
33252379
Citation
Su B, Yao C, Zhao QX, Cai WP, Wang M, Lu HZ, Chen YY, Liu L, Wang H, He Y, Zheng YH, Li LH, Chen JF, Yu JH, Zhu B, Zhao M, Sun YT, Lun WH, Xia W, Sun LJ, Dai LL, Jiang TY, Wang MX, Zheng QS, Peng HY, Wang Y, Lu RJ, Hu JH, Xing H, Shao YM, Xie D, Zhang T, Zhang FJ, Wu H; TALENT Study Team. Efficacy and safety of the long-acting fusion inhibitor albuvirtide in antiretroviral-experienced adults with human immunodeficiency virus-1: interim analysis of the randomized, controlled, phase 3, non-inferiority TALENT study. Chin Med J (Engl). 2020 Nov 25;133(24):2919-2927. doi: 10.1097/CM9.0000000000001273.
Results Reference
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