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
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Tipo de estudo
Tipo de estudo
Inscrição (Real)
Inscrição
Estágio
Estágio
- Fase 2
Contactos e Locais
Locais de estudo
-
-
-
Berlin, Alemanha, 13353
- GSK Investigational Site
-
Berlin, Alemanha, 12157
- GSK Investigational Site
-
Dortmund, Alemanha, 44137
- GSK Investigational Site
-
-
Bayern
-
Muenchen, Bayern, Alemanha, 80335
- GSK Investigational Site
-
Muenchen, Bayern, Alemanha, 80336
- GSK Investigational Site
-
-
Niedersachsen
-
Hannover, Niedersachsen, Alemanha, 30625
- GSK Investigational Site
-
-
Nordrhein-Westfalen
-
Bonn, Nordrhein-Westfalen, Alemanha, 53127
- GSK Investigational Site
-
Duesseldorf, Nordrhein-Westfalen, Alemanha, 40225
- GSK Investigational Site
-
Essen, Nordrhein-Westfalen, Alemanha, 45122
- GSK Investigational Site
-
-
-
-
-
Buenos Aires, Argentina, 1141
- GSK Investigational Site
-
Buenos Aires, Argentina, 1202
- GSK Investigational Site
-
Córdoba, Argentina, X5000JJS
- GSK Investigational Site
-
-
Buenos Aires
-
Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina, C1181ACH
- GSK Investigational Site
-
-
Santa Fe
-
Rosario, Santa Fe, Argentina, 2000
- GSK Investigational Site
-
-
-
-
-
Quebec, Canadá, G1V 4G2
- GSK Investigational Site
-
-
Alberta
-
Edmonton, Alberta, Canadá, T6G 2G3
- GSK Investigational Site
-
-
Manitoba
-
Winnipeg, Manitoba, Canadá, R3A 1R9
- GSK Investigational Site
-
-
Ontario
-
Ottawa, Ontario, Canadá, K1H 8L6
- GSK Investigational Site
-
-
Quebec
-
Montreal, Quebec, Canadá, H3A 1T1
- GSK Investigational Site
-
Montreal, Quebec, Canadá, H2L 4P9
- GSK Investigational Site
-
Montreal, Quebec, Canadá, H4A 3J1
- GSK Investigational Site
-
Montreal, Quebec, Canadá, H2L 5B1
- GSK Investigational Site
-
-
-
-
-
Santiago, Chile, 8360159
- GSK Investigational Site
-
Santiago, Chile, 7560994
- GSK Investigational Site
-
-
Región Metro De Santiago
-
Santiago, Región Metro De Santiago, Chile
- GSK Investigational Site
-
-
-
-
-
Alcala de Henares, Espanha, 28805
- GSK Investigational Site
-
Badalona, Espanha, 08916
- GSK Investigational Site
-
Madrid, Espanha, 28040
- GSK Investigational Site
-
Madrid, Espanha, 28034
- GSK Investigational Site
-
Santiago de Compostela, Espanha, 15706
- GSK Investigational Site
-
-
-
-
California
-
Beverly Hills, California, Estados Unidos, 90211
- GSK Investigational Site
-
Los Angeles, California, Estados Unidos, 90036
- GSK Investigational Site
-
-
Florida
-
DeLand, Florida, Estados Unidos, 32720
- GSK Investigational Site
-
-
Georgia
-
Atlanta, Georgia, Estados Unidos, 30312
- GSK Investigational Site
-
Decatur, Georgia, Estados Unidos, 30033
- GSK Investigational Site
-
-
New Mexico
-
Santa Fe, New Mexico, Estados Unidos, 87505
- GSK Investigational Site
-
-
Oklahoma
-
Tulsa, Oklahoma, Estados Unidos, 74135
- GSK Investigational Site
-
-
Texas
-
Fort Worth, Texas, Estados Unidos, 76104
- GSK Investigational Site
-
-
-
-
-
Le Kremlin-Bicêtre, França, 94276
- GSK Investigational Site
-
Lyon cedex 04, França, 69317
- GSK Investigational Site
-
Nantes, França, 44093
- GSK Investigational Site
-
Nice, França, 06202
- GSK Investigational Site
-
Paris, França, 75013
- GSK Investigational Site
-
Paris, França, 75012
- GSK Investigational Site
-
Paris Cedex 10, França, 75475
- GSK Investigational Site
-
-
-
-
Lombardia
-
Bergamo, Lombardia, Itália, 24127
- GSK Investigational Site
-
Milano, Lombardia, Itália, 20127
- GSK Investigational Site
-
Milano, Lombardia, Itália, 20157
- GSK Investigational Site
-
Monza, Lombardia, Itália, 20900
- GSK Investigational Site
-
-
-
-
-
DF, México, 14000
- GSK Investigational Site
-
Durango, México, 34000
- GSK Investigational Site
-
Mexico City, México, CP 14080
- GSK Investigational Site
-
-
Aguascalientes
-
Fracc. Las Americas, Aguascalientes, México, 20020
- GSK Investigational Site
-
-
Guanajuato
-
León, Guanajuato, México, 37000
- GSK Investigational Site
-
-
-
-
-
Bydgoszcz, Polônia, 85-030
- GSK Investigational Site
-
Szczecin, Polônia, 71-252
- GSK Investigational Site
-
Warszawa, Polônia, 01-201
- GSK Investigational Site
-
Wroclaw, Polônia, 50-220
- GSK Investigational Site
-
-
-
-
-
London, Reino Unido, E1 1BB
- GSK Investigational Site
-
London, Reino Unido, W2 1NY
- GSK Investigational Site
-
London, Reino Unido, SW10 9NH
- GSK Investigational Site
-
Tooting, London, Reino Unido, SW17 0QT
- GSK Investigational Site
-
-
Midlothian
-
Edinburgh, Midlothian, Reino Unido, EH4 2XU
- GSK Investigational Site
-
-
-
-
Free State
-
Bloemfontein, Free State, África do Sul, 9301
- GSK Investigational Site
-
-
Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Triplo
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
|
Experimental: 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
|
Inibidor da Maturação do HIV
TDF/FTC
|
|
Experimental: 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
|
Inibidor da Maturação do HIV
TDF/FTC
|
|
Experimental: 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
|
Inibidor da Maturação do HIV
TDF/FTC
|
|
Comparador Ativo: 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
|
TDF/FTC
EFV
|
O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
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
Prazo: Week 24
|
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.
|
Week 24
|
Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Number of Participants With Plasma HIV-1 RNA < 40 c/mL at Weeks 48 and 96 Using FDA Snapshot Algorithm
Prazo: Weeks 48 and 96
|
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).
|
Weeks 48 and 96
|
|
Number of Participants With Plasma HIV-1 RNA < 200 c/mL at Week 24 Using FDA Snapshot Algorithm
Prazo: Week 24
|
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.
|
Week 24
|
|
Number of Participants With Plasma HIV-1 RNA < 200 c/mL at Weeks 48 and 96
Prazo: Weeks 48 and 96
|
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).
|
Weeks 48 and 96
|
|
Number of Participants With Newly Emergent Genotypic Resistance Using All On-treatment Isolates
Prazo: Week 24
|
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.
|
Week 24
|
|
Number of Participants With Newly Emergent Phenotypic Resistance Using All On-treatment Isolates
Prazo: Week 24
|
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.
|
Week 24
|
|
Change From Baseline in Logarithm to the Base 10 (log10) HIV-1 RNA Over Time
Prazo: Baseline (Day 1) and Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
|
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.
|
Baseline (Day 1) and Weeks 2, 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
|
|
Change From Baseline in Cluster of Differentiation (CD)4+ Thymus (T)-Cell Counts Over Time
Prazo: Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
|
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.
|
Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
|
|
Change From Baseline in the Percentage of CD4+ T-cells Over Time
Prazo: Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
|
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.
|
Baseline (Day 1) and Weeks 4, 8, 12, 16, 24, 32, 40, 48, 60, 72 and 84
|
|
Number of Participants With Serious Adverse Events (SAEs) and Adverse Events Leading to Discontinuation (AELD)
Prazo: Up to Week 96
|
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.
|
Up to Week 96
|
|
Number of Participants With at Least One Centers for Disease Control (CDC) Class C Events
Prazo: Up to Week 96
|
The occurrence of new AIDS defining events that is CDC class C events is presented.
|
Up to Week 96
|
|
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
Prazo: 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)
|
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.
|
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)
|
|
Time of Maximum Observed Plasma Concentration (Tmax) of BMS-955176/GSK3532795
Prazo: 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)
|
Serial blood samples were collected at indicated time points for intensive PK assessment.
|
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)
|
|
Area Under the Concentration-time Curve in One Dosing Interval (AUC [Tau]) of BMS-955176/GSK3532795
Prazo: 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)
|
Serial blood samples were collected at indicated time points for intensive PK assessment.
|
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)
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Colaboradores
Colaboradores
Publicações e links úteis
Links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Real)
Conclusão Primária
Conclusão do estudo (Real)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Infecções por vírus de RNA
- Doenças Virais
- Infecções
- Infecções transmitidas pelo sangue
- Doenças Transmissíveis
- Doenças Sexualmente Transmissíveis, Virais
- Doenças Sexualmente Transmissíveis
- Infecções por Lentivírus
- Infecções por Retroviridae
- Síndromes de Deficiência Imunológica
- Doenças do sistema imunológico
- Doenças de Vírus Lento
- Infecções por HIV
- Síndrome da Imunodeficiência Adquirida
- Agentes Anti-Infecciosos
- Antivirais
- Agentes anti-HIV
- Antirretrovirais
- BMS-955176
Outros números de identificação do estudo
Outros números de identificação do estudo
- 205891
- 2013-005487-26 (Número EudraCT)
- AI468-038 (Outro identificador: Bristol-Myers Squibb)
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .