- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01106586
Study to Evaluate the Safety and Efficacy of Stribild Versus Ritonavir-Boosted Atazanavir Plus Truvada in Human Immunodeficiency Virus, Type 1 (HIV-1) Infected, Antiretroviral Treatment-Naive Adults
October 9, 2015 updated by: Gilead Sciences
A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Emtricitabine/Tenofovir Disoproxil Fumarate/GS-9350 Versus Ritonavir-Boosted Atazanavir Plus Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
To evaluate the safety and efficacy of Stribild®, a single tablet regimen (STR) containing fixed doses of elvitegravir (EVG)/cobicistat (COBI [GS-9350])/emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF) versus ritonavir-boosted atazanavir (ATV/r) plus the standard of care nucleoside reverse transcriptase inhibitor (NRTI) backbone FTC/TDF (Truvada®).
ATV/r + FTC/TDF was selected as the active comparator for this study as it is a preferred protease inhibitor-based regimen in guidelines for the treatment of HIV-1 infected, antiretroviral treatment-naive adults.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
708
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Darlinghurst, Australia, N.S.W. 2011
- Taylor Square Private Clinica
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New South Wales
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Darlinghurst, New South Wales, Australia, 2010
- Holdsworth House Medical Practice
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Darlinghurst, New South Wales, Australia, 2010
- National Centre in HIV Epidemiology and Clinical Research (NCHECR), University of New South Wales
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Sydney, New South Wales, Australia, 2010
- Albion Street Centre
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Sydney, New South Wales, Australia, 2010
- East Sydney Doctors
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Victoria
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Carlton, Victoria, Australia, 3053
- Melbourne Health - Royal Melbourne Hospital Campus (Sexual Health Clinic)
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Melbourne, Victoria, Australia, 3004
- Alfred Hospital
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Melbourne, Victoria, Australia, 3068
- Northside Clinic
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Graz, Austria, A-8010
- LKH Graz West
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Vienna, Austria, 1140
- Interne Lungenabteilung, SMZ Baumgartner Hoehe - Otto-Wagner-Spital
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Vienna, Austria, 1090
- Department of Dermatology, Division of Immunology, Allergy & Inf. Diseases; Medical University Vienna
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Brussels, Belgium, 1000
- CHU Saint-Pierre University Hospital
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Brussels, Belgium, 1070
- Hôpital Universitaire Erasme - ULB
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Ghent, Belgium, 9000
- University of Ghent
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Alberta
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Calgary, Alberta, Canada, T2R0X7
- Southern Alberta 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, M4N 3M5
- Sunnybrook Health Sciences Centre
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Toronto, Ontario, Canada, M5G 2N2
- University Health Network, Toronto General Hospital
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Toronto, Ontario, Canada, M5B1L6
- Canadian Immunodeficiency Research Collaborative (CIRC) Inc.
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Quebec
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Montreal, Quebec, Canada, H2L 5B1
- Clinique Medicale du Quartier Latin
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Montreal, Quebec, Canada, H2L 4P9
- Clinique médicale l'Actuel
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Copenhagen, Denmark, 2000
- Epidemiklinikken 5112, Rigshospitalet
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Caen, France, 14033
- Service des Maladies Infectieuses, CHU de Caen
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Lyon, France, 69317
- Hôpital de la Croix Rousse - Maladies Infectieuses et Tropicales
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Montpellier, France, 34295
- CHU Gui de Chauliac, Maladies Infectieuses Dpt
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Nantes, France, 44093
- CHU de Nantes Hopital de l'Hotel Dieu
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Nice, France, 06200
- Centre Hospitalier Universitaire de Nice
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Paris, France, 75018
- Bichat Hospital
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Paris, France, 75651
- Hôpital Pitié-Salpétrière
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Paris, France, 75010
- Department of Infectious Diseases, Saint-Louis hospital
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Paris, France, 75012
- Hopital Saint Antoine, Service De Maladies Infectieuses
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Paris, France, 75020
- Tenon Hospital, UPMC
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Tourcoing, France, 59208
- Centre Hospitalier de Tourcoing
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Bonn, Germany, 53127
- University of Bonn, Dep. of Internal Medicine I, HIV-Outpatient Clinic
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Duesseldorf, Germany, 40237
- Center for HIV and Hepatogastroenterology
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Frankfurt am Main, Germany, 60311
- Infektio Research GmbH / Infektiologikum Frankfurt
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Frankfurt am Main, Germany, 60590
- Klinikum der Goethe-Universitaet, Medizinische Klinik II, Schwerpunkt HIV, Haus 68
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Hamburg, Germany, 20146
- ICH Study Center Hamburg
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Hamburg, Germany, 20246
- University Medical Center Hamburg-Eppendorf, Infectious Diseases Unit
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Köln, Germany, 50937
- University of Cologne, Department of Internal Medicine
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München, Germany, 80335
- MUC Research GmbH
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Milan, Italy, 20127
- Fondazione Centro San Raffaele del Monte Tabor
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Rome, Italy, 00149
- National Institute for Infectious Diseases "L. Spallanzani" IRCCS
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Torino, Italy, 10149
- Dipartimento di Malattie Infettive
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Jalisco
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Guadalajara, Jalisco, Mexico, 44280
- Unidad de VIH, Hospital Civil de Guadalajara, Fray Antonio Alcalde
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Amsterdam, Netherlands
- Onze lieve vrouw Gasthuis
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Rotterdam, Netherlands, 3000 CA
- Erasmus MC, Internal Medicine, Section of Infectious Diseases
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Porto, Portugal, 4202-451
- Serviço de Doenças Infecciosas, Hospital de São João
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San Juan, Puerto Rico, 00909
- Clinical Research Puerto Rico
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San Juan, Puerto Rico, 00921
- VA Caribbean Healthcare System
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Stockholm, Sweden, 11883
- Venhälsan, Södersjukhuset
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VD
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Lausanne, VD, Switzerland, 1011
- CHUV
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Bangkok, Thailand, 10700
- Siriraj Hospital
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Bangkok, Thailand, 10400
- Ramathibodi Hospital, Mahidol University
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London, United Kingdom, E1 1BB
- Barts and the London NHS Trust
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London, United Kingdom, E9 6SR
- Homerton University Hospital
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London, United Kingdom, SW10 9NH
- Chelsea and Westminster Hospital Foundation Trust
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London, United Kingdom, W2 1NY
- St. Mary's Hospital, London (Imperial College, London)
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East Sussex
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Brighton, East Sussex, United Kingdom, BN2 1ES
- Brighton and Sussex University Hospitals NHS Trust
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Lancashire
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Manchester, Lancashire, United Kingdom, M8 5RB
- North Manchester General Hospital
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Arizona
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Phoenix, Arizona, United States, 85012
- Spectrum Medical Group
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Arkansas
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Little Rock, Arkansas, United States, 72207
- Health For Life Clinic Pllc
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California
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Beverly Hills, California, United States, 90211
- AHF Research Center
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Costa Mesa, California, United States, 92626
- CSI Clinical Trials, Inc.
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Denver, California, United States, 80209
- Apex Research, LLC
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Hayward, California, United States, 94545
- Kaiser Permanente Hospital
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Long Beach, California, United States, 90813
- Living Hope Clinical Foundation
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Los Angeles, California, United States, 90048
- Cedars-Sinai Medical Center
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Los Angeles, California, United States, 90027
- Kaiser Permanente
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Los Angeles, California, United States, 90069
- Anthony Mills MD Inc
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Los Angeles, California, United States, 90028
- Los Angeles Gay and Lesbian Center DBA Jeffrey Goodman Special Care Clinic
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Los Angeles, California, United States, 90036
- Peter J Ruane, MD, Inc
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Newport Beach, California, United States, 92663
- Orange Coast Medical Group
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Oakland, California, United States, 94602
- Alameda County Medical Center
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Oakland, California, United States, 94609
- East Bay AIDS Center
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Palo Alto, California, United States, 94303
- Stanford University
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Sacramento, California, United States, 95817
- University of California, Davis Medical Center
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Sacramento, California, United States, 95825
- Kaiser Permanente Medical Group
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San Diego, California, United States, 92103
- La Playa Medical Group and Clinical Research
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San Francisco, California, United States, 94118
- Kaiser Permanente Medical Center, Clinical Trials Unit
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San Francisco, California, United States, 94115
- Metropolitan Medical
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Colorado
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Denver, Colorado, United States, 80206
- National Jewish Health
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Connecticut
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New Haven, Connecticut, United States, 06033
- Yale University HIV Clinical Trials Program
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Stamford, Connecticut, United States, 06902
- The Stamford Hospital
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District of Columbia
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Washington, District of Columbia, United States, 20037
- George Washington University Medical Faculty Associates
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Washington, District of Columbia, United States, 20009
- Whitman Walker Clinic
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Washington, District of Columbia, United States, 20009
- Dupont Circle Physicians Group
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Washington, District of Columbia, United States, 20036
- Capital Medical Associates, PC
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Florida
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Fort Lauderdale, Florida, United States, 33308
- Therafirst Medical Center
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Fort Lauderdale, Florida, United States, 33311
- Broward Health/Comprehensive Care 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, 33133
- The Kinder Medical Group
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Miami Beach, Florida, United States, 33139
- Wohlfeiler, Piperato and Associates, LLC
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Orlando, Florida, United States, 32803
- Orlando Immunology Center
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Orlando, Florida, United States, 32806
- IDOCF/ ValueHealthMD, LLC
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Tampa, Florida, United States, 33614
- Infectious Disease Research Institute Inc.
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Tampa, Florida, United States, 33602
- University of South Florida HIV Clinical Research Unit / Hillsborough County Health Department
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Tampa, Florida, United States, 33615
- St. Joseph's Comprehensive Research Institute
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Vero Beach, Florida, United States, 32960
- Treasure Coast Infectious Disease Consultants
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Georgia
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Atlanta, Georgia, United States, 30308
- AIDS Research Consortium of Atlanta
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Atlanta, Georgia, United States, 30309
- Infectious Disease Solutions, PC
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Macon, Georgia, United States, 31210
- Mercer University School of Medicine
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Hawaii
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Honolulu, Hawaii, United States, 96816
- Leahi Hospital
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Illinois
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Chicago, Illinois, United States, 60612
- Ruth M. Rothstein CORE Center
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Chicago, Illinois, United States, 60613
- Howard Brown Health Center
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Massachusetts
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Springfield, Massachusetts, United States, 01199
- Baystate Infectious Diseases Clinical Research
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Springfield, Massachusetts, United States, 01107
- 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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Detroit, Michigan, United States, 48202
- Henry Ford Health System
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Minnesota
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Minneapolis, Minnesota, United States, 55415
- Hennepin County Medical Center
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Missouri
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St. Louis, Missouri, United States, 63139
- Southampton Healthcare
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St. Louis, Missouri, United States, 63108
- CentralWest Clinical Research
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St. Louis, Missouri, United States, 63110
- Division of Infectious Diseases, St. Louis University Medical Center
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New Jersey
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Hillsborough, New Jersey, United States, 08844
- ID Care
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Newark, New Jersey, United States, 07102
- Saint Michaels Medical Center
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Somers Point, New Jersey, United States, 08244
- South Jersey Infectious Disease
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Voorhees, New Jersey, United States, 08043
- Garden State Infectious Diseases Associates, PA
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New York
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Albany, New York, United States, 12208
- Upstate ID Association
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Albany, New York, United States, 12209
- Albany Medical College
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Bronx, New York, United States, 10467
- Montiefiore Medical Center- AIDS Center
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Brooklyn, New York, United States, 11203
- STAR Health Care Center (SUNY Downstate)
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Manhasset, New York, United States, 11030
- North Shore University Hospital
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Mount Vernon, New York, United States, 10550
- Greiger Clinic
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New York, New York, United States, 10003
- Beth Israel Medical Center
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New York, New York, United States, 10011
- Chelsea Village Medical, PC
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Rochester, New York, United States, 14604
- Aids Care
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North Carolina
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Charlotte, North Carolina, United States, 28207
- Carolinas Medical Center-Myers Park
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Greenville, North Carolina, United States, 27834
- East Carolina University
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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 University Health Sciences
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Ohio
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Akron, Ohio, United States, 44304
- Summa Health System
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Philadelphia FIGHT
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Philadelphia, Pennsylvania, United States, 19107
- Division of Infectious Diseases, Thomas Jefferson University
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South Carolina
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Columbia, South Carolina, United States, 29203
- University of South Carolina
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Texas
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Dallas, Texas, United States, 75208
- Trinity Health and Wellness Center/AIDS Arms, Inc.
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Dallas, Texas, United States, 75204
- Nicholaos C. Bellos, MD, PA (Southwest Infectious Disease Clinical Research, Inc.)
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Fort Worth, Texas, United States, 76104
- Tarrant County Infectious Disease Associates
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Harlingen, Texas, United States, 78550
- Garcia's Family Health Group
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Houston, Texas, United States, 77098
- Gordon E. Crofoot MD PA
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Houston, Texas, United States, 77098
- Research Access Network
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Houston, Texas, United States, 77004
- Dr. Joseph C. Gathe MD (Therapeutic Concepts, PA)
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Longview, Texas, United States, 75605
- DCOL Center for Clinical Research
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Virginia
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Annandale, Virginia, United States, 22003
- Clinical Alliance for Research & Education, Infectious Diseases (CARE-ID)
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Washington
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Seattle, Washington, United States, 98104
- Peter Shalit, M.D.
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
- Plasma HIV-1 RNA levels ≥ 5,000 copies/mL at screening
- No prior use of any approved or investigational antiretroviral drug for any length of time
- Screening genotype report must show sensitivity to FTC, TDF, and ATV
- Normal electrocardiogram (ECG)
- Adequate renal function (estimated glomerular filtration rate ≥ 70 mL/min according to the Cockcroft Gault formula)
- Hepatic transaminases (aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5 x the upper limit of the normal range (ULN)
- Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin
- Adequate hematologic function
- Serum amylase ≤ 5 x ULN
- Males and Females of childbearing potential must agree to utilize highly effective contraception methods from screening throughout the duration of study treatment and for 30 days following the last dose of study drug
- Age ≥ 18 years
- Life expectancy ≥ 1 year
Exclusion Criteria:
- A new acquired immunodeficiency syndrome (AIDS)-defining condition diagnosed within the 30 days prior to screening
- Receiving drug treatment for hepatitis C, or anticipated to receive treatment for hepatitis C
- Subjects experiencing decompensated cirrhosis
- Females who are breastfeeding
- Positive serum pregnancy test (female of childbearing potential)
- Implanted defibrillator or pacemaker
- Current alcohol or substance use judged by the Investigator to potentially interfere with subject study compliance
- History of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, noninvasive cutaneous squamous carcinoma
- Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline
- Medications contraindicated for use with EVG, COBI, FTC, TDF, ATV, or ritonavir or subjects with any known allergies to the excipients of Stribild tablets, Truvada tablets, ATV capsules or ritonavir tablets
- Participation in any other clinical trial without prior approval
- Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the subject unsuitable for the study or unable to comply with the dosing requirements
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Stribild
|
Stribild (EVG 150 mg/COBI 150 mg/FTC 200 mg/TDF 300 mg) STR administered orally once daily
Placebo to match ATV administered orally once daily
Placebo to match RTV administered orally once daily
Placebo to match FTC/TDF administered orally once daily
|
ACTIVE_COMPARATOR: ATV/r + FTC/TDF
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Atazanavir 300 mg capsule administered orally once daily
Ritonavir (RTV; /r) 100 mg tablet administered orally once daily
Other Names:
FTC/TDF 200/300 mg tablet administered orally once daily
Other Names:
Placebo to match Stribild administered orally once daily
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The Percentage of Participants With Virologic Success Using the Food and Drug Administration (FDA)-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 Ribonucleic Acid (RNA) < 50 Copies/mL at Week 48
Time Frame: Week 48
|
Week 48
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 96
Time Frame: Week 96
|
Week 96
|
|
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 144
Time Frame: Week 144
|
Week 144
|
|
The Percentage of Participants With Virologic Success Using the FDA-Defined Snapshot Analysis as Determined by the Achievement of HIV-1 RNA < 50 Copies/mL at Week 192
Time Frame: Week 192
|
Week 192
|
|
The Percentage of Participants Achieving and Maintaining Confirmed HIV-1 RNA < 50 Copies/mL at Week 48 Using the FDA-defined Time to Loss of Virologic Response (TLOVR) Algorithm
Time Frame: Week 48
|
Week 48
|
|
The Change From Baseline in Cluster Determinant 4 (CD4) Cell Count at Weeks 48, 96, 144, and 192
Time Frame: Baseline; Weeks 48, 96, 144, and 192
|
Change = value of the relevant time point minus the baseline value
|
Baseline; Weeks 48, 96, 144, and 192
|
The Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
Time Frame: Week 48
|
Week 48
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- DeJesus E, Rockstroh JK, Henry K, Molina JM, Gathe J, Ramanathan S, Wei X, Yale K, Szwarcberg J, White K, Cheng AK, Kearney BP; GS-236-0103 Study Team. Co-formulated elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate versus ritonavir-boosted atazanavir plus co-formulated emtricitabine and tenofovir disoproxil fumarate for initial treatment of HIV-1 infection: a randomised, double-blind, phase 3, non-inferiority trial. Lancet. 2012 Jun 30;379(9835):2429-2438. doi: 10.1016/S0140-6736(12)60918-0.
- Rockstroh JK, DeJesus E, Henry K, Molina JM, Gathe J, Ramanathan S, Wei X, Plummer A, Abram M, Cheng AK, Fordyce MW, Szwarcberg J; GS-236-0103 Study Team. A randomized, double-blind comparison of coformulated elvitegravir/cobicistat/emtricitabine/tenofovir DF vs ritonavir-boosted atazanavir plus coformulated emtricitabine and tenofovir DF for initial treatment of HIV-1 infection: analysis of week 96 results. J Acquir Immune Defic Syndr. 2013 Apr 15;62(5):483-6. doi: 10.1097/QAI.0b013e318286415c.
- Clumeck N, Molina JM, Henry K, Gathe J, Rockstroh JK, DeJesus E, Wei X, White K, Fordyce MW, Rhee MS, Szwarcberg J; GS-236-0103 Study Team. A randomized, double-blind comparison of single-tablet regimen elvitegravir/cobicistat/emtricitabine/tenofovir DF vs ritonavir-boosted atazanavir plus emtricitabine/tenofovir DF for initial treatment of HIV-1 infection: analysis of week 144 results. J Acquir Immune Defic Syndr. 2014 Mar 1;65(3):e121-4. doi: 10.1097/QAI.0000000000000089. No abstract available.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
April 1, 2010
Primary Completion (ACTUAL)
September 1, 2011
Study Completion (ACTUAL)
September 1, 2014
Study Registration Dates
First Submitted
April 14, 2010
First Submitted That Met QC Criteria
April 19, 2010
First Posted (ESTIMATE)
April 20, 2010
Study Record Updates
Last Update Posted (ESTIMATE)
November 11, 2015
Last Update Submitted That Met QC Criteria
October 9, 2015
Last Verified
October 1, 2015
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Sexually Transmitted Diseases, Viral
- Sexually Transmitted Diseases
- Lentivirus Infections
- Retroviridae Infections
- Immunologic Deficiency Syndromes
- Immune System Diseases
- HIV Infections
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Protease Inhibitors
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 Enzyme Inhibitors
- HIV Protease Inhibitors
- Viral Protease Inhibitors
- Ritonavir
- Elvitegravir, Cobicistat, Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination
Other Study ID Numbers
- GS-US-236-0103
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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