E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 11 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10020161 |
E.1.2 | Term | <Manually entered code. Term in E.1.1> |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1) Evaluate the antiretroviral activity of once daily raltegravir, 800 mg q.d.,compared to twice daily raltegravir, 400 mg b.i.d., each in combination therapy with TRUVADA™, as measured by the proportion of patients achieving HIV RNA <50 copies/mL at Week 48. 2) Evaluate the tolerability of once daily raltegravir, 800 mg q.d., compared to twice daily raltegravir, 400 mg b.i.d., each in combination therapy with TRUVADA™, as assessed by review of the accumulated safety data. |
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E.2.2 | Secondary objectives of the trial |
1) Evaluate the antiretroviral activity of once daily raltegravir, 800 mg q.d., compared to twice daily raltegravir, 400 mg b.i.d., each in combination therapy with TRUVADA™, as measured by the following parameters at Week 48: and 96: - Proportion of patients achieving HIV RNA <400 copies/mL. - Change from baseline in CD4 cell counts. 2) Also at Week 96: - Proportion of patients achieving HIV RNA <50 copies/mL.
3) To evaluate the change in total cholesterol, triglycerides, non-HDL-C, and LDL-C associated with the use of raltegravir 800 mg q.d. compared with raltegravir 400 mg b.i.d., each in combination therapy with TRUVADA™, as measured by the mean change from baseline in total cholesterol, triglycerides, non-HDL-C, and LDL-C at Week 24.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patient is a male or female at least 18 years of age on the day of signing the informed consent. 2. Patient is HIV positive as determined by a positive result by enzyme-linked immunosorbent assay (ELISA) and has screening plasma HIV RNA (determined by the central laboratory) >5000 copies/mL within 45 days prior to the treatment phase of this study, and is indicated for treatment based on physician assessment. Local treatment guidelines should be considered in the decision to initiate therapy. 3. Patient is naïve to antiretroviral therapy (ART), defined as having received <7 days total of any ART and no ART within the 45 days prior to the treatment phase of this study. 4. Patient has the following laboratory values within 45 days prior to the treatment phase of this study: 4.1 Serum creatinine ≤2.0 x upper limit of normal 4.2 Alkaline phosphatase ≤5.0 x upper limit of normal 4.3 AST (SGOT) and ALT (SGPT) ≤5.0 x upper limit of normal 5. Patient has a calculated creatinine clearance at time of screening >30 mL/min 6. Patient who is of reproductive potential agrees remain abstinent or use (or have their partner use) 2 acceptable methods of birth control throughout the study. Acceptable methods of birth control are: oral contraceptives, intrauterine device (IUD), diaphragm with spermicide, contraceptive sponge, condom, vasectomy (All forms of hormonal contraception are acceptable, a condom with spermicide is considered 2 forms of birth control). 7. Patient must not have met the protocol definition for virologic failure prior to Week 120 defined as: non-response, HIV RNA > 50 copies/mL by the COBAS® AMPLICOR® v1.5 through Week 24 or rebound, HIV RNA > 50 copies/mL by the COBAS® AMPLICOR® v1.5 (on 2 consecutive measurements at least 1 week apart) after initial response with HIV RNA < 50 copies/mL. The patient should also have documented HIV RNA < 50 copies/ml by the COBAS® AMPLICOR® v1.5 at their last visit (Week 108 or subsequent unscheduled visit if the Patient is > 50 copies/ml at Week 108), prior to the Week 120 visit. Thus, no patients with confirmed virologic failure prior to Week 120 will be allowed to enter the open-label portion of the amendment. |
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E.4 | Principal exclusion criteria |
1. Patient has a history or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the patient’s participation for the full duration of the study, such that it is not in the best interest of the patient to participate. 2. Patient is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within the last year) of drug or alcohol abuse or dependence. The nature and potential clinical context of the patients illicit drug use, in relation to their exclusion from this trial, will be at the discretion of the Investigator. 3. Patient has been treated for viral infection other than HIV, such as hepatitis B, with an agent that is active against HIV inclusing but not limited to adefovir, tenofovir, emtricitabine or lamivudine. 4. Patient has documented resistance to tenofovir, and/or emtricitabine. 5. Patient is currently participating or has participated in a study with an investigational compound or device within 45 days of signing informed consent. 6. Patient has used another experimental HIV-integrase inhibitor. 7. Patient has used systemic immunosuppressive therapy within one month prior to treatment in this study. 8. Patient requires hemodialysis 9. Patient has a current (active) diagnosis of acute hepatitis due to any cause. Patients with chronic hepatitis, including chronic hepatitis B and/or C, may enter the study as long as they have stable liver function tests, no significant impairment of hepatic synthetic function (defined as a serum albumin <2.8 mg/dL or an INR >1.7 in the absence of another explanation for the abnormal laboratory value) and meet all other inclusion criteria. 10. Patient is pregnant or breastfeeding, or expecting to conceive (within the duration of the study). Patient is expecting to donate eggs (within the duration of the study). Patient is expecting to donate sperm (within the duration of the study). |
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E.5 End points |
E.5.1 | Primary end point(s) |
Proportion of patients achieving HIV RNA <50 copies/mL at Week 48. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 9 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |