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

HIV-1-infection Clinical Trial

Official title:

Switching From Tenofovir Disoproxil Fumarate-based Antiretroviral Therapy Regimens to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Virally Suppressed Adults With HIV-1 Infection

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05122754
• Other study ID #: B/F/TAF
• Status: Active, not recruiting
• Phase: Phase 4
• Start date: December 8, 2021
• Est. completion date: April 28, 2024

Study information

• Verified date: December 2023
• Source: Shanghai Public Health Clinical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 150
• Est. completion date: April 28, 2024
• Est. primary completion date: February 28, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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.).

Related Conditions & MeSH terms

• Communicable Diseases
• HIV Infections
• HIV-1-infection
• Infections

Intervention

Drug:
• B/F/TAF
Bictegravir/emtricitabine/tenofovir alafenamide once daily, 1 tablet at a time, with or without food for 48 weeks.
• TDF-based triple ART regimen switching to B/F/TAF
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.

Locations

Country	Name	City	State
China	Xixi hospital of Hangzhou	Hangzhou	Zhejiang
China	Yunnan AIDS Care Center	Kunming	Yunnan
China	Shanghai Public Health Clinical Center	Shanghai	Shanghai

Sponsors (3)

Lead Sponsor	Collaborator
Shanghai Public Health Clinical Center	Xixi Hospital of Hangzhou, Yunnan AIDS Care Center

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percentage change from baseline in spine and hip bone mineral density (DXA) at 48 weeks		From baseline to Week 48
Secondary	Percentage change from baseline in spine and hip bone mineral density (DXA) at Week 24		From baseline to Week 24
Secondary	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		From baseline to Week 24, 48
Secondary	Changes from Baseline in Spine and Hip Bone Mineral Density T-Values (DXA) at Weeks 24 and 48		From baseline to Week 24, 48
Secondary	Changes from Baseline in eGFR at Weeks 24 and 48 (CKD-EPI Formula)		From baseline to Week 24, 48
Secondary	The percentage of subjects with HIV viral load < 50 copies /ml at Weeks 24 and 48		From baseline to Week 24, 48
Secondary	Changes from baseline in CD4 T cell count at Weeks 24 and 48		From baseline to Week 24, 48
Secondary	Changes from baseline in CD4/CD8 ratio at Weeks 24 and 48		From baseline to Week 24, 48
Secondary	Changes from baseline in blood lipid (TC, TG, LDL, HDL) at Weeks 24 and 48		From baseline to Week 24, 48
Secondary	Quality of life score (WHO QOL-BREF-HIV Scale) change from baseline at Weeks 24 and 48		From baseline to Week 24, 48
Secondary	Adherence (Visual Analog Scale) change from baseline at Weeks 24 and 48		From baseline to Week 24, 48
Secondary	Patients reported outcome using SSC-HIV-SC scale		From baseline to Week 24, 48