跳至主要内容
临床试验/jRCT2051240046
jRCT2051240046进行中(未招募)不适用

Phase 3 Double-blind Multicenter Randomized Active-Controlled Study to Evaluate the Safety and Efficacy of Bictegravir/Lenacapavir Versus Biktarvy(R) (Bictegravir/Emtricitabine/Tenofovir Alafenamide) in Virologically Suppressed People With HIV-1

Gilead Sciences K.K.0 个研究点目标入组 546 人开始时间: 2024年7月25日最近更新:

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
546
主要终点
Proportion of Participants with HIV-1 RNA >= 50 copies/mL at Week 48 as Determined by the US FDA-defined Snapshot Algorithm

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomized Controlled Trial
干预模型
Parallel Assignment
主要目的
Treatment Purpose
盲法
Double Blind

入排标准

年龄范围
18age old over 至 No limit(—)
性别
All

入选标准

  • Currently receiving B/F/TAF for at least 6 months prior to screening.
  • If plasma human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) measurements in the last 6 months prior to screening are available, all levels must be < 50 copies/mL.
  • At least one documented HIV-1 RNA level measured between 6 and 12 months (+- 2 months) prior to screening. This and any other HIV-1 RNA measurements documented in this period must be < 50 copies/mL.
  • Plasma HIV-1 RNA levels < 50 copies/mL at screening.
  • No documented or suspected resistance to BIC (including integrase strand-transfer inhibitor resistant (INSTI-R) mutations T66A/I/K, E92G/Q, G118R, F121Y, Y143C/H/R, S147G, Q148H/K/R, N155H/S, or R263K in the integrase gene).
  • No documented or suspected resistance to tenofovir alafenamide (TAF) (TAF; mutations K65R, K65N, K70E, Q151M or T69 insertion, or >= 3 of the following thymidine analog mutations [M41L, D67N, K70R, L210W, T215Y/F, K219Q/E/N/R] in the reverse transcriptase gene).
  • Estimated glomerular filtration rate >= 30 mL/min according to the Cockcroft-Gault formula for creatinine clearance.

排除标准

  • Positive serum pregnancy test or pregnant at screening or a positive pregnancy test prior to Day 1 randomization.
  • Breastfeeding (nursing).
  • Prior use of, or exposure to, LEN.
  • Active, serious infections (other than HIV-1) requiring parenteral therapy < 30 days prior to randomization.
  • Active tuberculosis infection.
  • Acute hepatitis < 30 days before randomization.
  • Chronic hepatitis B virus (HBV) infection, as determined by either:
  • Positive HBV surface antigen and negative HBV surface antibody, regardless of HBV core antibody status, at the screening visit.
  • Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit.
  • Known hypersensitivity to the study drug, its metabolites, or any formulation excipient.
  • History of or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, or variceal bleeding).
  • Abnormal electrocardiogram (ECG) at the screening visit that is clinically significant as determined by the investigator.
  • Active malignancy requiring acute systemic therapy.
  • Any of the following laboratory values at screening:
  • Alanine aminotransferase > 5 x upper limit of normal (ULN).
  • Direct bilirubin > 1.5 x ULN.
  • Platelets < 50,000/mm^
  • Hemoglobin < 8.0 g/dL.
  • Requirement for ongoing therapy with or prior use of any prohibited medications listed in the protocol.
  • Participation or planned participation in any other clinical study (including observational studies) without prior approval from the sponsor.
  • Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the participant unsuitable for the study or unable to comply with dosing requirements.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

结局指标

主要结局

Proportion of Participants with HIV-1 RNA >= 50 copies/mL at Week 48 as Determined by the US FDA-defined Snapshot Algorithm

时间窗: Week 48

Proportion of Participants with HIV-1 RNA >= 50 copies/mL at Week 48 as Determined by the US FDA-defined Snapshot Algorithm

次要结局

未报告次要终点

研究者

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