Switching to a Fixed Dose Combination of Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF) in Human Immunodeficiency Virus Type 1 (HIV-1) Infected Adults Who Are Virologically Suppressed
A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Switching From a Regimen of Dolutegravir and Either Emtricitabine/Tenofovir Alafenamide or Emtricitabine/Tenofovir Disoproxil Fumarate to a Fixed Dose Combination of Bictegravir/ Emtricitabine/Tenofovir Alafenamide in HIV-1 Infected Subjects Who Are Virologically Suppressed
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Wien, Austria, 1090
- Medizinische Universitat Wien, Universitatsklinik fur Dermatologie
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Alberta
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Edmonton, Alberta, Canada, T6G 2G3
- Kaye Edmonton Clinic
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British Columbia
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Vancouver, British Columbia, Canada, 6Z 2T1
- Spectrum Health Clinic
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Manitoba
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Winnipeg, Manitoba, Canada, R3A 1R9
- Winnipeg Regional Health Authority - Health Sciences Centre Winnipeg
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Ontario
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Toronto, Ontario, Canada, M5G 1K2
- Maple Leaf Research / Maple Leaf Medical Clinic
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Quebec
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Montréal, Quebec, Canada, H2L 5B1
- Clinique de médecine Urbaine du Quartier Latin
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Montréal, Quebec, Canada, H4A 3J1
- Chronical Viral Illness Service/McGill University Health Care (MUHC)
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Bordeaux, France, 33075
- Hôpital Saint-André
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Lyon, France, 69004
- Hôpital Croix-Rousse
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Montpellier, France, 34295
- Hôpital Gui de Chauliac, CHU de Montpellier
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Nice, France, 06202
- CHU de Nice-l'Archet
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Paris, France, 75475
- Hopital Saint-Louis
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Paris, France, 75571
- Hôpital Saint-Antoine
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Paris, France, 75018
- CHU Bichat
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Paris, France, 75020
- AP-HP Hopital Tenon
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Berlin, Germany, 10439
- zibp Zentrum für Infektiologie Berlin Prenzlauer Berg
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Berlin, Germany, 12157
- EPIMED Gesellschaft fur epidemiologische und klinische Forschung in der Medizin mbH
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Bonn, Germany, 53127
- Universitätsklinikum Bonn, Medizinische Klinik und Poliklinik I, Klinisches Studienzentrum Immunologie
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Cologne, Germany, 50937
- Universitätsklinikum Köln - Klinik I fur Innere Medizin - Klinisches Studienzentrum fur Infektiologie I
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Essen, Germany, 45122
- Universitätsklinikum Essen - Klinik fur Dermatologie und Venerologie - HPSTD Ambulanz
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Frankfurt am Main, Germany, 60590
- Universitätsklinikum Frankfurt, Medizinische Klinik II, Schwerpunkt Infektiologie, Haus 68
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Frankfurt am Main, Germany, 60596
- Infektiologikum Frankfurt
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Hamburg, Germany, 20146
- ICH Study Center GmbH & Co. KG
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Hamburg, Germany, 20246
- Universitätsklinikum Hamburg- Eppendorf - Ambulanzzentrum des Universitatsklinikums Eppendorf GmbH - Bereich Infektiologie
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Ponce, Puerto Rico, 00730
- Instituto De Investigacion Cientifica Del Sur
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San Juan, Puerto Rico, 00909
- HOPE Clinical Research
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San Juan, Puerto Rico, 00935
- Proyecto ACTU
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San Juan, Puerto Rico, 909
- Clinical Research Puerto Rico
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Arizona
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Phoenix, Arizona, United States, 85012
- Spectrum Medical Group
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California
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Los Angeles, California, United States, 90069
- Mills Clinical Research
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Los Angeles, California, United States, 90036
- Ruane Clinical Research Group Inc.
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Oakland, California, United States, 94602
- Highland Hospital - Alameda Health System
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Sacramento, California, United States, 95825
- Kaiser Permanente
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Sacramento, California, United States, 95814
- Cares Community Health
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San Francisco, California, United States, 94118
- Kaiser Permanente
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San Francisco, California, United States, 94110
- Hepatitis/HIV Clinical Trials Group (HHCTG)
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San Leandro, California, United States, 94577
- Kaiser Permanente, Department of Infectious Diseases
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Denver, University of Colorado Hospital
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District of Columbia
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Washington, District of Columbia, United States, 20009
- Dupont Circle Physician's Group
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Washington, District of Columbia, United States, 20037
- The GW Medical Faculty Associates
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Washington, District of Columbia, United States, 20005
- Whitman-Walker Institute
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Washington, District of Columbia, United States, 20017
- Providence Hospital Center for Infectious Diseases
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Florida
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DeLand, Florida, United States, 32720
- Midland Florida Clinical Research Center, LLC
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Fort Lauderdale, Florida, United States, 33308
- Therafirst Medical Center
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Fort Lauderdale, Florida, United States, 33316
- Gary J. Richmond, M.D., P.A.
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Fort Pierce, Florida, United States, 34982
- Midway Immunology and Research Center
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Miami, Florida, United States, 33136
- University of Miami Divison of Infectious Diseases Clinical Research Unit
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Miami Beach, Florida, United States, 33140
- AIDS Healthcare Foundation - South Beach
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Orlando, Florida, United States, 32803
- Orlando Immunology Center
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Pensacola, Florida, United States, 32503
- AHF-Pensacola
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Tampa, Florida, United States, 33614
- Infectious Disease Research Institute Inc
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Tampa, Florida, United States, 33614
- St. Joseph's Hospital Comprehensive Research Institute
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Vero Beach, Florida, United States, 32960
- AIDS Research and Treatment Center of the Treasure Coast
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West Palm Beach, Florida, United States, 33407
- Triple O Research Institute, P.A.
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Georgia
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Atlanta, Georgia, United States, 30308
- Emory Hospital Midtown Infectious Disease Clinic
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Atlanta, Georgia, United States, 30312
- AIDS Research Consortium of Atlanta
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Augusta, Georgia, United States, 30912
- AU Medical Center
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Decatur, Georgia, United States, 30033
- Infectious Disease Specialists of Atlanta
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Macon, Georgia, United States, 31201
- Mercer University, Department of Internal Medicine
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Savannah, Georgia, United States, 31401
- Chatham County Health Department
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Hawaii
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Honolulu, Hawaii, United States, 96813
- John A. Burns School of Medicine, University of Hawaii Clinics at Kaka'ako
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Kentucky
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Louisville, Kentucky, United States, 40202
- University of Louisville 550 Clinic
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
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Boston, Massachusetts, United States, 02118
- Boston Medical Center
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Boston, Massachusetts, United States, 02129
- Community Research Initiative of New England
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Framingham, Massachusetts, United States, 01702
- Metro West Medical Center
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Springfield, Massachusetts, United States, 01105
- Claudia T Martorell, MD., LLC d/b/a The Research Institute
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Michigan
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Berkley, Michigan, United States, 48072
- Be Well Medical Center
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Minnesota
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Minneapolis, Minnesota, United States, 55407
- Abbott Northwestern Hospital part of Allina Health
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Minneapolis, Minnesota, United States, 55415
- Hennepin County Medical Center, Positive Care Clinic
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Missouri
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Kansas City, Missouri, United States, 64111
- Kansas City Care Clinic
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Saint Louis, Missouri, United States, 63139
- Southampton Healthcare, Inc.
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New Jersey
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Newark, New Jersey, United States, 07102
- Prime Healthcare Services - St. Michael's LLC d/b/a Saint Michael's Medical Center
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New Mexico
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Albuquerque, New Mexico, United States, 87109
- Southwest CARE Center
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Santa Fe, New Mexico, United States, 87505
- Southwest CARE Center
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New York
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Bronx, New York, United States, 10467
- Montefiore Medical Center
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Bronx, New York, United States, 10461
- Jacobi Medical Center
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Manhasset, New York, United States, 11030
- North Shore University Hospital/Division of Infectious Diseases
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North Carolina
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Chapel Hill, North Carolina, United States, 27514
- NC TraCS Institute - CTRC; University of North Carolina at Chapel Hill
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Durham, North Carolina, United States, 27710
- Duke University Heath System
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Greenville, North Carolina, United States, 27834
- East Carolina University (ECU), The Brody School of Medicine, Adult Specialty Care
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Huntersville, North Carolina, United States, 28078
- Rosedale Infectious Diseases
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest Baptist Health
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina (MUSC)
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Columbia, South Carolina, United States, 29203
- Palmetto Health Richland (Regulatory and Study Supply Shipping)
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Texas
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Austin, Texas, United States, 78705
- Central Texas Clinical Research
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Dallas, Texas, United States, 75246
- North Texas Infectious Diseases Consultants, P.A.
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Dallas, Texas, United States, 75208
- AIDS Arms Inc/ Trinity Health and Wellness Center
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Houston, Texas, United States, 77098
- The Crofoot Research Center, INC (DBA: Gordon E. Crofoot MD PA)
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Houston, Texas, United States, 77004
- Therapeutic Concepts, PA
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Houston, Texas, United States, 77098
- Research Access Network
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Longview, Texas, United States, 75605
- DCOL Center for Clinical Research
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Washington
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Seattle, Washington, United States, 98104
- Peter Shalit, M.D.
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Spokane, Washington, United States, 99204
- MultiCare Rockwood HIV Critical Care Clinic
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
Currently receiving an ARV regimen of DTG+F/TAF or DTG+F/TDF for the following minimum time periods:
- ≥ 6 months (if there is documented or suspected nucleoside/nucleotide reverse transcriptase inhibitor (NRTI) resistance prior to the screening visit)
- ≥ 3 months (if there is no documented or suspected NRTI resistance prior to the screening visit)
- Documented plasma HIV-1 ribonucleic acid (RNA) < 50 copies/mL during treatment with DTG+F/TAF or DTG+F/TDF (for a minimum period of ≥ 6 or ≥ 3 months, as applicable) preceding the screening visit
- Plasma HIV-1 RNA levels < 50 copies/mL at screening visit
- Estimated Glomerular Filtration Rate (eGFR) ≥ 30 mL/min according to the Cockcroft-Gault formula for creatinine clearance
- No documented resistance to integrase stand transfer inhibitors (INSTIs) or confirmed virologic failure
- Eligible adults with chronic hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infection are permitted to enroll
NOTE: Other protocol defined Inclusion/ Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: B/F/TAF
Bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) fixed-dose combination (FDC) tablet + dolutegravir (DTG) placebo tablet + emtricitabine/tenofovir alafenamide (F/TAF) placebo tablet administered without regard to food for at least 48 weeks.
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50/200/25 mg FDC tablet(s) administered orally once daily
Other Names:
Tablet(s) administered orally once daily
Tablet(s) administered orally once daily
|
|
Active Comparator: DTG + F/TAF
DTG 50 mg tablet + F/TAF FDC tablet + B/F/TAF placebo tablet administered without regard to food for at least 48 weeks.
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200/25 mg FDC tablet(s) administered orally once daily
Other Names:
50 mg tablet(s) administered orally once daily
Other Names:
Tablet(s) administered orally once daily
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Experimental: Open-label Phase B/F/TAF from B/F/TAF
Participants who received B/F/TAF in double-blind phase and from a country where B/F/TAF was not available were given the option to receive B/F/TAF orally once daily for up to 96 weeks in the open-label extension phase.
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50/200/25 mg FDC tablet(s) administered orally once daily
Other Names:
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Experimental: Open-label Phase B/F/TAF from DTG + F/TAF
Participants who received DTG + F/TAF in double-blind phase and from a country where B/F/TAF was not available were given the option to receive B/F/TAF orally once daily for up to 96 weeks in the open-label extension phase.
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50/200/25 mg FDC tablet(s) administered orally once daily
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Defined by the US FDA-Defined Snapshot Algorithm
Time Frame: Week 48
|
The percentage of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.
|
Week 48
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline in CD4+ Cell Count at Week 48
Time Frame: Baseline; Week 48
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Baseline; Week 48
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Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Defined by the US FDA-Defined Snapshot Algorithm
Time Frame: Week 48
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The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.
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Week 48
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Sax PE, Rockstroh JK, Luetkemeyer AF, Yazdanpanah Y, Ward D, Trottier B, Rieger A, Liu H, Acosta R, Collins SE, Brainard DM, Martin H; GS-US-380-4030 Investigators. Switching to Bictegravir, Emtricitabine, and Tenofovir Alafenamide in Virologically Suppressed Adults With Human Immunodeficiency Virus. Clin Infect Dis. 2021 Jul 15;73(2):e485-e493. doi: 10.1093/cid/ciaa988.
- Acosta RK, Willkom M, Andreatta K, Liu H, Martin R, Parvangada A, Martin H, Collins S, White KL. Switching to Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF) From Dolutegravir (DTG)+F/TAF or DTG+F/Tenofovir Disoproxil Fumarate (TDF) in the Presence of Pre-existing NRTI Resistance. J Acquir Immune Defic Syndr. 2020 Nov 1;85(3):363-371. doi: 10.1097/QAI.0000000000002454.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Reverse Transcriptase Inhibitors
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- HIV Integrase Inhibitors
- Integrase Inhibitors
- Emtricitabine tenofovir alafenamide
- Dolutegravir
Other Study ID Numbers
Other Study ID Numbers
- GS-US-380-4030
- 2017-000308-17 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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