Dose-finding Study of BMS-955176 to Treat HIV-1 Infected Treatment-naive Adults
A Phase 2b Randomized, Active-Controlled, Double-Blind Trial to Investigate Safety, Efficacy, and Dose-response of BMS-955176, Given on a Backbone of Tenofovir/Emtricitabine, in Treatment-Naive HIV-1 Infected Adults
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Buenos Aires, Argentina, 1141
- GSK Investigational Site
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Buenos Aires, Argentina, 1202
- GSK Investigational Site
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Córdoba, Argentina, X5000JJS
- GSK Investigational Site
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Buenos Aires
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Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina, C1181ACH
- GSK Investigational Site
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Santa Fe
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Rosario, Santa Fe, Argentina, 2000
- GSK Investigational Site
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Quebec, Canada, G1V 4G2
- GSK Investigational Site
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Alberta
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Edmonton, Alberta, Canada, T6G 2G3
- GSK Investigational Site
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Manitoba
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Winnipeg, Manitoba, Canada, R3A 1R9
- GSK Investigational Site
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- GSK Investigational Site
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Quebec
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Montreal, Quebec, Canada, H3A 1T1
- GSK Investigational Site
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Montreal, Quebec, Canada, H2L 4P9
- GSK Investigational Site
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Montreal, Quebec, Canada, H4A 3J1
- GSK Investigational Site
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Montreal, Quebec, Canada, H2L 5B1
- GSK Investigational Site
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Santiago, Chile, 8360159
- GSK Investigational Site
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Santiago, Chile, 7560994
- GSK Investigational Site
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Región Metro De Santiago
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Santiago, Región Metro De Santiago, Chile
- GSK Investigational Site
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London, Det Forenede Kongerige, E1 1BB
- GSK Investigational Site
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London, Det Forenede Kongerige, W2 1NY
- GSK Investigational Site
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London, Det Forenede Kongerige, SW10 9NH
- GSK Investigational Site
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Tooting, London, Det Forenede Kongerige, SW17 0QT
- GSK Investigational Site
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Midlothian
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Edinburgh, Midlothian, Det Forenede Kongerige, EH4 2XU
- GSK Investigational Site
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California
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Beverly Hills, California, Forenede Stater, 90211
- GSK Investigational Site
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Los Angeles, California, Forenede Stater, 90036
- GSK Investigational Site
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Florida
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DeLand, Florida, Forenede Stater, 32720
- GSK Investigational Site
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Georgia
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Atlanta, Georgia, Forenede Stater, 30312
- GSK Investigational Site
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Decatur, Georgia, Forenede Stater, 30033
- GSK Investigational Site
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New Mexico
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Santa Fe, New Mexico, Forenede Stater, 87505
- GSK Investigational Site
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Oklahoma
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Tulsa, Oklahoma, Forenede Stater, 74135
- GSK Investigational Site
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Texas
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Fort Worth, Texas, Forenede Stater, 76104
- GSK Investigational Site
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Le Kremlin-Bicêtre, Frankrig, 94276
- GSK Investigational Site
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Lyon cedex 04, Frankrig, 69317
- GSK Investigational Site
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Nantes, Frankrig, 44093
- GSK Investigational Site
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Nice, Frankrig, 06202
- GSK Investigational Site
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Paris, Frankrig, 75013
- GSK Investigational Site
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Paris, Frankrig, 75012
- GSK Investigational Site
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Paris Cedex 10, Frankrig, 75475
- GSK Investigational Site
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Lombardia
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Bergamo, Lombardia, Italien, 24127
- GSK Investigational Site
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Milano, Lombardia, Italien, 20127
- GSK Investigational Site
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Milano, Lombardia, Italien, 20157
- GSK Investigational Site
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Monza, Lombardia, Italien, 20900
- GSK Investigational Site
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DF, Mexico, 14000
- GSK Investigational Site
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Durango, Mexico, 34000
- GSK Investigational Site
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Mexico City, Mexico, CP 14080
- GSK Investigational Site
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Aguascalientes
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Fracc. Las Americas, Aguascalientes, Mexico, 20020
- GSK Investigational Site
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Guanajuato
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León, Guanajuato, Mexico, 37000
- GSK Investigational Site
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Bydgoszcz, Polen, 85-030
- GSK Investigational Site
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Szczecin, Polen, 71-252
- GSK Investigational Site
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Warszawa, Polen, 01-201
- GSK Investigational Site
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Wroclaw, Polen, 50-220
- GSK Investigational Site
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Alcala de Henares, Spanien, 28805
- GSK Investigational Site
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Badalona, Spanien, 08916
- GSK Investigational Site
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Madrid, Spanien, 28040
- GSK Investigational Site
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Madrid, Spanien, 28034
- GSK Investigational Site
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Santiago de Compostela, Spanien, 15706
- GSK Investigational Site
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Free State
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Bloemfontein, Free State, Sydafrika, 9301
- GSK Investigational Site
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Berlin, Tyskland, 13353
- GSK Investigational Site
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Berlin, Tyskland, 12157
- GSK Investigational Site
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Dortmund, Tyskland, 44137
- GSK Investigational Site
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Bayern
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Muenchen, Bayern, Tyskland, 80335
- GSK Investigational Site
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Muenchen, Bayern, Tyskland, 80336
- GSK Investigational Site
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Niedersachsen
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Hannover, Niedersachsen, Tyskland, 30625
- GSK Investigational Site
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Nordrhein-Westfalen
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Bonn, Nordrhein-Westfalen, Tyskland, 53127
- GSK Investigational Site
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Duesseldorf, Nordrhein-Westfalen, Tyskland, 40225
- GSK Investigational Site
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Essen, Nordrhein-Westfalen, Tyskland, 45122
- GSK Investigational Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com.
Inclusion Criteria:
- Men and non-pregnant women, at least 18 years of age
- Antiretroviral treatment-naïve; defined as no current or previous exposure to > 1 week of an antiretroviral drug
- Plasma HIV-1 RNA ≥ 1000 copies/mL
- CD4 T-cell count > 200 cells/mm3
Exclusion Criteria:
- Resistance or partial resistance to any study drug determined by tests at Screening
- Current or historical genotypic and/or phenotypic drug resistance testing showing certain resistance mutations to EFV, TDF, FTC, Protease Inhibitors
- Chronic hepatitis B virus (HBV)/ hepatitis C virus (HCV)
- Blood tests that indicate normal liver function
- Hemoglobin < 8.0 g/dL, platelets < 50,000 cells/mm3
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Arm 1: BMS-955176 60 mg + TDF/FTC
BMS-955176 at 60 mg active dose per day + BMS-955176 placebo matching 120 mg + efavirenz (EFV) placebo matching 600 mg + tenofovir/emtricitabine (TDF/FTC) 300/200 mg per day, orally
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HIV modningshæmmer
TDF/FTC
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Eksperimentel: Arm 2: BMS-955176 120 mg + TDF/FTC
BMS-955176 placebo matching 60 mg + BMS-955176 at 120mg active dose per day + EFV placebo matching 600mg + TDF/FTC 300/200mg per day, orally
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HIV modningshæmmer
TDF/FTC
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Eksperimentel: Arm 3: BMS-955176 180 mg + TDF/FTC
BMS-955176 at 60mg active dose per day + BMS-955176 at 120mg active dose per day + EFV placebo matching 600mg + TDF/FTC at 300/200mg per day, orally
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HIV modningshæmmer
TDF/FTC
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Aktiv komparator: Arm 4: EFV + TDF/FTC
BMS-955176 placebo matching 60mg + BMS-955176 placebo matching 120mg + EFV at 600mg per day + TDF/FTC 300/200mg per day
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TDF/FTC
EFV
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) <40 Copies Per Milliliter (c/mL) at Week 24 Using Food and Drug Administration (FDA) Snapshot Algorithm
Tidsramme: Week 24
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Blood samples were collected for quantitative analysis of plasma HIV-1 RNA.
The antiviral efficacy was determined by the number of participants with plasma HIV 1 RNA <40 c/mL at Week 24 using the FDA snapshot algorithm.
This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window (18 to 30 weeks) to determine response.
Analysis was performed on mITT Population, which comprised of randomized participants who received at least 1 dose of BMS-955176/GSK3532795 or EFV.
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Week 24
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of Participants With Plasma HIV-1 RNA < 40 c/mL at Weeks 48 and 96 Using FDA Snapshot Algorithm
Tidsramme: Weeks 48 and 96
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Blood samples were collected for quantitative analysis of plasma HIV-1 RNA.
The antiviral efficacy was determined by the number of participants with plasma HIV 1 RNA <40 c/mL at Weeks 48 and 96 using the FDA snapshot algorithm.
This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window to determine response.
The analysis was performed using mITT Population (observed), which consisted of participants in the mITT Population excluding participants who had no HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016).
The data was not collected for Week 96 analysis; as the study was terminated early.
Only those participants with data available at the specified time points were analyzed (represented by n=X in category titles).
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Weeks 48 and 96
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Number of Participants With Plasma HIV-1 RNA < 200 c/mL at Week 24 Using FDA Snapshot Algorithm
Tidsramme: Week 24
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Blood samples were collected for quantitative analysis of plasma HIV-1 RNA.
The antiviral efficacy was determined by the number of participants with plasma HIV-1 RNA <200 c/mL at Week 24 using the FDA snapshot algorithm.
This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window to determine response.
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Week 24
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Number of Participants With Plasma HIV-1 RNA < 200 c/mL at Weeks 48 and 96
Tidsramme: Weeks 48 and 96
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Blood samples were collected for quantitative analysis of plasma HIV-1 RNA.
The antiviral efficacy was determined by the number of participants with plasma HIV-1 RNA <200 c/mL at Weeks 48 and 96 using the FDA snapshot algorithm.
This used the last on-treatment plasma HIV-1 RNA measurement within an FDA-specified visit window to determine response.
The analysis was performed using mITT Population (observed), which consisted of participants in the mITT Population excluding participants who had no HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016).
The data was not collected for Week 96 analysis; as the study was terminated early.
Only those participants with data available at the specified time points were analyzed (represented by n=X in category titles).
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Weeks 48 and 96
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Number of Participants With Newly Emergent Genotypic Resistance Using All On-treatment Isolates
Tidsramme: Week 24
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The emergence of genotypic resistance among samples selected for drug resistance testing were assessed by searching for all reverse transcriptase substitutions and protease inhibitor substitutions listed in the International Acquired Immunodeficiency Syndrome (AIDS) Society-United States of America (IAS-USA) list of HIV-1 drug resistance mutations.
The outcome was originally designed to be assessed up to 96 weeks of treatment, but it was analyzed up to Week 24 as the study was terminated early.
The emergence of genotypic resistance is presented for participants in the mITT Population who had Baseline and on-treatment genotypic resistance testing and who had successful sequencing.
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Week 24
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Number of Participants With Newly Emergent Phenotypic Resistance Using All On-treatment Isolates
Tidsramme: Week 24
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Phenotypic resistance to a drug is defined as a fold change (i.e., ratio of the 50% inhibitory concentration (IC50) of the clinical isolate to the IC50 of the reference strain) which is greater than the cut-off for reduced susceptibility.
Emergent phenotypic resistance to BMS-955176/GSK3532795 was defined as a Baseline fold change IC50<= 3 and an on-treatment fold change IC50>3.
The number of participants with newly emergent phenotypic resistance is presented for participants in the mITT Population who had Baseline and on-treatment phenotypic resistance testing.
The outcome was originally designed to be assessed up to 96 weeks of treatment, but it was analyzed up to Week 24 as the study was terminated early.
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Week 24
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Change From Baseline in Logarithm to the Base 10 (log10) HIV-1 RNA Over Time
Tidsramme: Baseline (Day 1) and Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
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Blood samples were collected for analysis of HIV-1 RNA.
Values obtained at Day 1 were considered as Baseline value.
Change from Baseline was calculated as value at indicated time point minus Baseline value.
Change from Baseline in plasma HIV-1 RNA (log10) is summarized over time for the mITT Population using observed values, which excluded participants without HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016).
Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
NA indicates standard deviation could not be calculated as only one participant was analyzed at the specified time point.
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Baseline (Day 1) and Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
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Change From Baseline in Cluster of Differentiation (CD)4+ Thymus (T)-Cell Counts Over Time
Tidsramme: Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
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CD4+ T-cell counts was assessed using flow cytometry.
Values obtained at Day 1 were considered as Baseline value.
Change from Baseline was calculated as value at indicated time point minus Baseline value.
Change from Baseline in CD4+T- cell counts is summarized over time for the mITT Population using observed values, which excluded participants without HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016).
Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
NA indicates standard deviation could not be calculated as only one participant was analyzed at the specified time point.
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Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
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Change From Baseline in the Percentage of CD4+ T-cells Over Time
Tidsramme: Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
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CD4+ T-cell counts overall was assessed using flow cytometry.
Values obtained at Day 1 were considered as Baseline value.
Change from Baseline was calculated as value at indicated time point minus Baseline value.
Change from Baseline in percentage of CD4+T- cell counts is summarized over time for the mITT Population using observed values, which excluded participants without HIV-1 RNA result data in the assessment visit windows due to discontinuation and who discontinued on or after the date of site notification of study termination by the sponsor (10 October 2016).
Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
NA indicates standard deviation could not be calculated as only one participant was analyzed at the specified time point.
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Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
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Number of Participants With Serious Adverse Events (SAEs) and Adverse Events Leading to Discontinuation (AELD)
Tidsramme: Up to Week 96
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Any untoward medical occurrence that at any dose: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention were categorized as SAE.
Number of participants with SAEs and AELDs is summarized.
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Up to Week 96
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Number of Participants With at Least One Centers for Disease Control (CDC) Class C Events
Tidsramme: Up to Week 96
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The occurrence of new AIDS defining events that is CDC class C events is presented.
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Up to Week 96
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Maximum Observed Plasma Concentration (Cmax), Observed Pre-dose Plasma Concentration (C0) and Observed Plasma Concentration at the End of a Dosing Interval (Ctau) of BMS-955176/GSK3532795
Tidsramme: Pre-dose (morning) and at 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)
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Serial blood samples were collected at indicated time points for intensive pharmacokinetic (PK) assessment.
The PK assessments were performed on evaluable PK Population, a sub-population which included all treated participants who had adequate PK profiles.
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Pre-dose (morning) and at 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)
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Time of Maximum Observed Plasma Concentration (Tmax) of BMS-955176/GSK3532795
Tidsramme: Pre-dose (morning) and 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)
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Serial blood samples were collected at indicated time points for intensive PK assessment.
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Pre-dose (morning) and 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)
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Area Under the Concentration-time Curve in One Dosing Interval (AUC [Tau]) of BMS-955176/GSK3532795
Tidsramme: Pre-dose (morning) and at 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)
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Serial blood samples were collected at indicated time points for intensive PK assessment.
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Pre-dose (morning) and at 0.5, 1, 1.5, 2, 4, 4.5, 5, 6, 8, 12 (evening pre-dose) and 24 hours (morning pre-dose) at Week 2 (Days 12 to 16)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- RNA-virusinfektioner
- Virussygdomme
- Infektioner
- Blodbårne infektioner
- Overførbare sygdomme
- Seksuelt overførte sygdomme, virale
- Seksuelt overførte sygdomme
- Lentivirus infektioner
- Retroviridae infektioner
- Immunologiske mangelsyndromer
- Sygdomme i immunsystemet
- Langsomme virussygdomme
- HIV-infektioner
- Erhvervet immundefektsyndrom
- Anti-infektionsmidler
- Antivirale midler
- Anti-HIV-midler
- Anti-retrovirale midler
- BMS-955176
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 205891
- 2013-005487-26 (EudraCT nummer)
- AI468-038 (Anden identifikator: Bristol-Myers Squibb)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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