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    Summary
    EudraCT Number:2011-004483-30
    Sponsor's Protocol Code Number:GS-US-236-0115
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2012-03-02
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2011-004483-30
    A.3Full title of the trial
    A Phase 3b Randomized, Open Label Study to Evaluate Switching from Regimens Consisting of a Ritonavir-boosted Protease Inhibitor (PI/r) plus Emtricitabine/Tenofovir Fixed-Dose Combination (FTC/TDF) to the Elvitegravir/Cobicistat/ Emtricitabine/Tenofovir Disoproxil Fumarate Single-Tablet Regimen (EVG/COBI/FTC/TDF) in Virologically Suppressed, HIV-1 Infected Patients.
    Studio di fase 3, in aperto, randomizzato per valutare il passaggio da regimi costituiti da un inibitore della proteasi (PI/r) associato a una combinazione a dose fissa di emtricitabina/tenofovir (FTC/TDF) a un regime monocompressa di elvitegravir/cobicistat/emtricitabina/tenofovir disoproxil fumarato (EVG/COBI/FTC/TDF) in pazienti infetti da HIV-1 virologicamente soppressi.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    This open label trial will recruit patients with HIV who are already receiving anti-HIV treatment which includes ritonavir and emtricitabine/tenofovir disoproxil fumurate (Truvada). Patients will remain on the same anti-HIV drugs as prior to the study (ritonavir and Truvada)or switch to receive an investigational single tablet regimen (EVG/COBI/FTC/TDF).
    Studio in aperto in pazienti con HIV gia' in trattamento con ritonavir ed emitricitabina/tenofovir disoproxil fumarato (Truvada). I pazienti o continueranno la stessa terapia che seguivano prima dello studio (Ritonavir e Truvada) o passeranno al trattamento con farmaco sperimentale in una sola compressa, a base di elvitegravir/cobicitat/emtricitabina/tenofovir.
    A.4.1Sponsor's protocol code numberGS-US-236-0115
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorGILEAD SCIENCE INC.
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportGilead Sciences Inc
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGilead Sciences International Ltd
    B.5.2Functional name of contact pointClinical Trials Mailbox
    B.5.3 Address:
    B.5.3.1Street AddressFlowers Building, Granta Park
    B.5.3.2Town/ cityGreat Abington, Cambridge
    B.5.3.3Post codeCB21 6GT
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number+44 01223 897 300
    B.5.5Fax number+44 01223 897 284
    B.5.6E-mailclinical.trials@gilead.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameEVG/COBI/FTC/TDF
    D.3.2Product code NA
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNElvitegravir
    D.3.9.1CAS number 697761-98-1
    D.3.9.2Current sponsor codeGS-9370
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeNA
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCobicistat
    D.3.9.1CAS number 1004316-88-4
    D.3.9.2Current sponsor codeGS-9350
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeNA
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNEMTRICITABINE
    D.3.9.1CAS number 143491-57-0
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeSUB01882MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNTENOFOVIR DISOPROXIL FUMARATE
    D.3.9.1CAS number 202138-50-9
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeSUB12607MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number300
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name TRUVADA*30CPR RIV 200MG/245MG
    D.2.1.1.2Name of the Marketing Authorisation holderGILEAD SCIENCES Srl
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNEMTRICITABINE
    D.3.9.1CAS number 143491-57-0
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeSUB01882MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNTENOFOVIR DISOPROXIL FUMARATE
    D.3.9.1CAS number 202138-50-9
    D.3.9.4EV Substance CodeSUB12607MIG
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number300
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.2Country which granted the Marketing AuthorisationItaly
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.4Pharmaceutical form
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRITONAVIR
    D.3.9.1CAS number 155213-67-5
    D.3.9.2Current sponsor codeNA
    D.3.9.3Other descriptive nameNA
    D.3.9.4EV Substance CodeSUB10342MIG
    D.3.10 Strength
    D.3.10.3Concentration numberNA
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product Yes
    D.3.11.13.1Other medicinal product typetrattamento PI non definito nel protocollo
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Human Immunodeficiency Virus (HIV-1) Infections
    Infezione da virus dell'immunodeficienza umana (HIV-1)
    E.1.1.1Medical condition in easily understood language
    HIV-1 infection
    Infezione da HIV-1
    E.1.1.2Therapeutic area Diseases [C] - Immune System Diseases [C20]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 14.1
    E.1.2Level PT
    E.1.2Classification code 10020161
    E.1.2Term HIV infection
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 14.1
    E.1.2Level SOC
    E.1.2Classification code 10021881
    E.1.2Term Infections and infestations
    E.1.2System Organ Class 10021881 - Infections and infestations
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the non-inferiority of EVG/COBI/FTC/TDF relative to regimens consisting of a ritonavir-boosted protease inhibitor (PI/r) plus FTC/TDF in maintaining HIV-1 RNA < 50 copies/mL at Week 48 (Snapshot Analysis) in virologically suppressed, HIV-1 infected subjects.
    Valutare la non inferiorità di EVG/COBI/FTC/TDF rispetto ai regimi costituiti da un inibitore della proteasi potenziato con ritonavir (PI/r) combinato con FTC/TDF nel mantenere livelli di HIV-1 RNA&lt;50copie/ml alla Settimana 48 (analisi snapshot) nei soggetti infetti da HIV-1 virologicamente soppressi.
    E.2.2Secondary objectives of the trial
    - To evaluate the change in CD4 cell count. - To evaluate the safety and tolerability of the regimens.
    - Valutare le variazioni nella conta delle cellule CD4. - Valutare la sicurezza e la tollerabilità dei regimi.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Age ≥ 18 years. - Be on a stable antiretroviral regimen consisting of a ritonavir boosted PI plus FTC/TDF continuously for ≥ 6 consecutive months preceding the screening visit. - Documented undetectable plasma HIV-1 RNA levels (according to the local assay being used) for ≥ 6 months preceding the screening visit (measured at least twice). - Be on the first or second antiretroviral drug regimen; if on the second regimen, must not have had HIV-1 RNA above detectable levels (according to the local assay being used) at the time of change in antiretroviral drugs nor ever experienced two consecutive HIV-1 RNA above detectable levels(according to the local assay being used) after first achieving a confirmed HIV-1 RNA below detectable levels. - Documented historical genotype prior to starting initial antiretroviral therapy showing no known resistance to TDF or FTC, including, but not limited to the presence of reverse transcriptase resistance mutants K65R, M184V/I, or 3 or more thymidine analog-associated mutations (M41L, D67N, K70R, L210W, T215Y/F, K219Q/E/N/R). - No previous use of any approved or experimental integrase strand transfer inhibitor (INSTI) for any length of time. - HIV RNA < 50 copies/mL at the screening visit. - Estimated glomerular filtration rate ≥ 90 mL/min according to the Cockcroft-Gault formula at the screening visit.
    -Età ≥ 18anni. - Assumere una terapia antiretrovirale stabile costituita da un PI potenziato con ritonavir in combinazione con FTC/TDF in modo continuativo da ≥ 6 mesi consecuitivi precedenti la visita di screening. -Livello plasmatico di HIV-1 RNA non rilevabile documentato (in base all'analisi locale utilizzata) per ≥ 6 mesi precedenti la visita di screening (valore misurato almeno due volte). -Primo o secondo regime con farmaco antiretrovirale; se si tratta del secondo regime, non devono avere presentato RNA di HIV-1 rilevabile (in accordo all'analisi locale effettuata) al momento del cambiamento di farmaco antiretrovirale né devono avere sperimentato due occorrenze consecutive di RNA di HIV rilevabile (in accordo all'analisi locale effettuata) dopo avere ottenuto un livello di RNA non rilevabile. -Genotipo storico documentato prima di inizare la prima terapia antiretrovirale che dimostri l'assenza di resistenza a TDF o FTC incluse, in modo non limitativo, le mutazioni di resistenza alla transcriptasi inversa K65R, M184V/I, o 3 o più mutazioni associate agli analoghi della timidina (M41L, D67N, K70R, L210W, T215Y/F, K219Q/E/N/R). - Non devono aver fatto alcun utlizzo in precedenza, per periodi di qualsiasi durata, di un inibitore dell'attività di strand transfer dell'integrasi (INSTI) approvato o sperimentale. - HIV RNA &lt;50 copie/ml alla visita di screening. -Velocità di filtrazione glomerulare stimata (eGFR) ≥ 90ml/min con la formula di Cockcroft-Gault (C-G) alla visita di screening.
    E.4Principal exclusion criteria
    - A new AIDS-defining condition diagnosed within the 30 days prior to screening (except CD4 cell count and/or percentage criteria). - Females who are breastfeeding. - Positive serum pregnancy test (female of childbearing potential). - Receiving drug treatment for Hepatitis C, or subjects who are anticipated to receive treatment for Hepatitis C during the course of the study. -Experiencing decompensated cirrhosis (e.g., ascites, encephalopathy, etc.). - Have an implanted defibrillator or pacemaker. - Current alcohol or substance abuse judged by the Investigator to potentially interfere with subject compliance. - A history of malignancy within the past 5 years (prior to screening) or ongoing malignancy other than cutaneous Kaposi's sarcoma (KS), basal cell carcinoma, or resected, non-invasive cutaneous squamous carcinoma. Subjects with cutaneous KS are eligible, but must not have received any systemic therapy for KS within 30 days of Baseline and must not be anticipated to require systemic therapy during the study. - Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to Baseline, except for intramuscular penicillin for the treatment of syphilis. - Have been treated with immunosuppressant therapies or chemotherapeutic agents within 3 months of study screening, or expected to receive these agents or systemic steroids during the study. - Subjects receiving ongoing therapy with any of the medications in the table listed in the Study Protocol, including drugs not to be used with EVG, COBI, FTC, TDF; or subjects with any known allergies to the excipients of EVG/COBI/FTC/TDF tablets, or Truvada tablets. - No anticipated need to initiate drugs during the study that are contraindicated. - Receiving other investigational drugs. - Participation in any other clinical trial without prior approval from the sponsor is prohibited while participating in this trial. - 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.
    - Nuova diagnosi di AIDS entro i 30 giorni prima dello screening (ad eccezione della conta delle cellule CD4 e/o criteri percentuali). - Donne durante l'allattamento. - Positività al test sierico di gravidanza (donne in età fertile). - Pazienti che assumono farmaci per il trattamento dell'epatite C, o che si prevede possano ricevere un trattamento per l'epatite C durante il corso dello studio. - Storia di cirrosi scompensata (ad esempio: ascite, encefalopatia, ecc.). - Soggetti cui è stato impiantato un defibrillatore o pacemaker. -Soggetti che fanno abuso di alcool o di sostanze che lo sperimentatore valuta come potenziali interferenti con l'aderenza al protocollo. -Storia di tumore maligno diagnosticato negli ultimi 5 anni (prima dello screening) o di neoplasie in corso diverse da sarcoma cutaneo di Kaposi (KS), carcinoma a cellule basali, o resecato, carcinoma squamoso cutaneo non invasivo. Soggetti con KS cutaneo sono elegibili, ma non devono aver ricevuto alcuna terapia sistemica per il KS 30 giorni prima del basale e non possono essere sottoposti a terapia sistemica durante lo studio. -Infezioni gravi, attive (diverse da HIV-1) che richiedono una terapia antibiotica parenterale o antifungina nei 30 giorni precedenti al basale, ad eccezione delle somministrazioni intramuscolari di penicillina per il trattamento della sifilide. -Soggetti che sono stati trattati con terapie immunosoppressive o agenti chemioterapici entro 3 mesi dallo screening dello studio o atti a ricevere questi farmaci o steroidi sistemici durante lo studio (ad es, corticosteroidi, immunoglobuline, e altre terapie a base di citochine). -Soggetti che sono in terapia con uno qualsiasi dei farmaci elencati nel protocollo alla sezione 4.3, inclusi i farmaci che non possono essere utilizzati con EVG, COBI, FTC, TDF, oppure soggetti con eventuali allergie note agli eccipienti delle compresse di EVG/COBI/FTC/TDF o compresse di Truvada. -Nessuna necessità prevista di assumere farmaci controindicati durante lo studio. -Soggetti in trattamento con altri farmaci sperimentali. -Partecipazione ad altre sperimentazioni cliniche senza l'approvazione preventiva da parte dello sponsor. -Altre condizioni cliniche o precedenti terapie che, a giudizio dello sperimentatore, rendono il soggetto inadatto allo studio o non in grado di rispettare la posologia.
    E.5 End points
    E.5.1Primary end point(s)
    The primary efficacy endpoint is the proportion of subjects who have HIV-1 RNA < 50 copies/mL as defined by the FDA snapshot analysis.
    L'endpoint primario è valutare l'efficacia in termini di valori di HIV-1 RNA < 50 copie/ml definito dall'analisi istantanea della FDA.
    E.5.1.1Timepoint(s) of evaluation of this end point
    48 weeks
    48 settimane
    E.5.2Secondary end point(s)
    1. The safety and tolerability of each treatment arm by assessing adverse events and clinical laboratory tests (haematology, chemistry and urinalysis). 2. The change from baseline in CD4 cell count in each treatment arm.
    1. Valutare l'efficacia e la sicurezza di entrambi i bracci di trattamento, sulla base della valutazione degli eventi avversi e degli esami clinici di laboratorio (ematologia, chimica e urinanalisi). 2. Stabilire la variazione nella conta delle cellule CD4 al basale in ogni braccio di trattamento.
    E.5.2.1Timepoint(s) of evaluation of this end point
    1. The safety and tolerability of each treatment arm over 48 weeks, namely at baseline, 4, 8, 12, 24, 36 and 48 weeks. 2. The change from baseline in CD4 cell count in each treatment arm at 48 weeks.
    1. efficacia e sicurezza di entrambi i bracci di trattamento, al basale, a 4, 8, 12, 24, 36 e 48 settimane. 2. Variazione rispetto al basale della conta delle cellule CD4 in entrambi i bracci di trattamento alla settimana 48.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    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 Yes
    E.8.4.1Number of sites anticipated in Member State concerned6
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA50
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Canada
    Puerto Rico
    United States
    E.8.7Trial has a data monitoring committee No
    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
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months24
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months30
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1Number of subjects for this age range: 0
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 378
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 42
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state48
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 250
    F.4.2.2In the whole clinical trial 420
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    After a patient has completed/terminated their study partecipation, long term care for the partecipant will remain the responsibility of their primary treating physician.
    Dopo che i pazienti avranno completato/terminato la loro partecipazione allo studio, la terapia a lungo termine sarà sotto la responsabilità del loro medico curante.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2012-02-22
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2011-12-15
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2014-12-16
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