Comparison of Epzicom and Truvada for the Initial Once Daily HIV Treatment
A Randomized, Open Label, Multicenter Study Comparing the Safety and Efficacy of Once Daily Regimen Containing Epzicom or Truvada Combined With Ritonavir Boosted Atazanavir as Initial Therapy for HIV-1 Infection (ET Study)
研究概览
地位
条件
详细说明
In treatment naïve HIV-1-infected patients, once daily combination antiretroviral therapy containing ritonavir boosted atazanavir combined with Epzicom will offer non inferior antiretroviral efficacy compared to ritonavir boosted atazanavir combined with Truvada. This non inferiority hypothesis is studied by a randomized, open label, multicenter trial over 48 weeks as the primary endpoint and long term safety of both arms are followed for 144 weeks.
The primary endpoint is the antiretroviral effect over 48 weeks.
The secondary endpoints are;
- The immunologic effects from baseline at the 48th and 144th week
- Reasons of treatment failure by 144th week
- Adverse events and their rate of incidence by 144th week
- Serum concentration of tenofovir in selected patients
- Serum concentration of atazanavir in selected patients
- Renal complication in tenofovir arm
研究类型
注册 (实际的)
阶段
- 第四阶段
联系人和位置
学习地点
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Tokyo
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Shinjuku、Tokyo、日本、1628655
- International Medical Center of Japan
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-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Clinical diagnosis of HIV infection,
- Antiretroviral initiation is recommended by current clinical guidelines,
- Treatment naïve,
- Age over 20 years old Japanese,
- Able to obtain written informed consent
Exclusion Criteria:
- Current malabsorption condition,
- Prior use of lamivudine for hepatitis B treatment,
- Positive serology of Hepatitis B surface antigen,
Patients who have following abnormal laboratory results within 6 weeks prior enrollment;
- alanine aminotransferase is more than 2.5 times higher of upper normal limit
- estimated glomerular filtration rate is less than 60ml/min by Cockcroft-Gault equation
- serum phosphate level is less than 2.0mg/dl
- Patients with hemophilia, diabetes mellitus which require pharmacological treatment, congestive heart failure, cardiomyopathy or other serious medical condition
- Patients in pregnancy or breat feeding
- Patients who are taking medications contraindicated combine use of study medicine
- Patients whose primary care physicians consider inadequate to be enroll the study
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器:Epzicom Arm
Patients are treated with Epzicom (lamivudine 300mg and abacavir 600mg) combined with ritonavir 100mg boosted atazanavir 300mg
|
Patients are treated with Epzicom (lamivudine 300mg and abacavir 600mg) combined with ritonavir 100mg boosted atazanavir 300mg
|
|
有源比较器:Truvada Arm
Patients are treated with Truvada (emtricitabine 200mg and tenofovir 300mg) combined with ritonavir 100mg boosted atazanavir 300mg
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Patients are treated with Truvada (emtricitabine 200mg and tenofovir 300mg) combined with ritonavir 100mg boosted atazanavir 300mg.
|
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
antiretroviral effect over 48 weeks
大体时间:48 weeks
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48 weeks
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
The immunologic effects from baseline at the 48th and 144th week
大体时间:144 weeks
|
144 weeks
|
|
Reasons of treatment failure by 144th week
大体时间:144 weeks
|
144 weeks
|
|
Adverse events and their rate of incidence by 144th week
大体时间:144 weeks
|
144 weeks
|
合作者和调查者
调查人员
- 学习椅:Shinichi Oka, MD、International Medical Center of Japan
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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