E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10068341 |
E.1.2 | Term | HIV-1 infection |
E.1.2 | System Organ Class | 100000004862 |
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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 |
To evaluate antiviral efficacy of 3 doses (60, 120 and 180 mg) of BMS-
955176, and EFV, each when given in combination with TDF/FTC in
treatment-naïve subjects by determining the proportion of treatmentnaïve
subjects with plasma HIV-1 RNA < 40 c/mL at Week 24 |
Valutare l’efficacia antivirale di 3 dosi (60, 120 and 180 mg) di BMS-955176, e di EFV, ciascuna somministrata in combinazione con TDF/ FTC in soggetti naïve al trattamento, mediante la determinazione della proporzione di soggetti naive al trattamento con HIV-1 RNA plasmatico < 40 c/mL alla Settimana 24. |
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E.2.2 | Secondary objectives of the trial |
- To assess the antiviral efficacy of BMS-955176 and EFV by determining
the proportion of subjects with plasma
HIV-1 RNA < 40 c/mL at Weeks 48, and 96
- To assess the antiviral efficacy of BMS-955176 and EFV by determining
the proportion of subjects with plasma
HIV-1 RNA < 200 c/mL at Weeks 24, 48, and 96
- To assess the emergence of HIV drug resistance among samples
selected for drug resistance testing
- To assess efficacy of BMS-955176 and EFV, by using mean changes
from baseline in log10 HIV-1 RNA, CD4+ T-cell counts, and percentage of
CD4+ T-cells
- To assess the safety and tolerability of BMS-955176 in treatment-naïve
subjects by measuring frequency of SAEs and AEs leading to
discontinuation
- To assess disease progression as measured by the occurrence of new
AIDS defining events (CDC Class C events)
- To characterize the pharmacokinetics of BMS-955176 when coadministered
with TDF and FTC in treatment-naïve HIV-1 infected
subjects. |
1. Valutare l’efficacia antivirale di BMS-955176 e EFV determinando la proporzione di soggetti con HIV-1 RNA plasmatico < 40 c/mL alle Settimane 48 e 96 2. Valutare l’efficacia antivirale di BMS-955176 e EFV mediante la determinazione della proporzione di soggetti con HIV-1 RNA plasmatico < 200 c/mL alle Settimane 24, 48 e 96 3. Valutare l’insorgenza di resistenza al farmaco HIV tra campioni selezionati per il test di farmaco resistenza 4. Valutare l’efficacia di BMS-955176 e EFV, utilizzando i cambiamenti medi dal basale in log10 HIV-1 RNA, conta cellule T CD4+, e percentuale di cellule T CD4+ 5. Valutare la sicurezza e la tollerabilità di BMS-955176 nel trattamento di soggetti naïve misurando la frequenza di SAEs eAEs che portano a interruzione definitiva del farmaco 6. Valutare la progressione di malattia misurata dalla insorgenza di nuovi eventi che definiscono AIDS (CDC eventi Class C) 7. Caratterizzare la farmacocinetica di BMS-955176 quando somministrato insieme a T |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
Optional Week 2 Intensive PK Substudy:
Subjects with anemia, defined as Hemoglobin < 11.0 g/dL, should be
excluded from participation in the Week 2 Intensive PK Substudy.
Subjects in all arms will have the opportunity to participate in an elective
Intensive PK Substudy visit at Week 2 (window for visit: Day 12-16).
Approximately 48 subjects, 12 subjects from each arm, are expected to
participate in the substudy; BMS may allow the substudy to over-enroll
in an effort to have a sufficient number of complete datasets. |
Sottostudio facoltativo di PK intensiva alla Settimana 2.
Dovrebbero essere esclusi dalla partecipazione al sottostudio di PK intensiva alla Settimana 2 i soggetti con anemia, definita come emoglobina <11.0 g/dL. I soggetti in tutti i bracci di trattamento avranno l’opportunità di partecipare ad una visita elettiva per il sottostudio di PK intensiva alla Settimana 2 (finestra per la visita: Giorno 12-16). E’ attesa la partecipazione nel sottostudio di circa 48 soggetti, 12 soggetti da ogni braccio di trattamento; BMS può consentire che il sottostudio abbia un arruolamento superiore nel tentativo di avere un numero sufficiente di dati completi.
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E.3 | Principal 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 > or = to 1000 copies/mL
- CD4 T-cell count > 200 cells/mm3 |
- Uomini e donne non in stato di gravidanza, di almeno 18 anni di età
- Naive al trattamento antiretrovirale; definito come non attuale o precedente esposizione a > 1 settimana di farmaco antiretrovirale HIV-1 RNA plasmatico > o = 1000 copie/mL
- Numero di cellule T CD4 > 200/mm3
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E.4 | Principal 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, (Please see protocol for further information on these
exclusionary mutations)
- Chronic HBV/HCV
- Blood tests that inidcate normal liver function (see protocol)
- Hemoglobin < 8.0 g/dL and Platelets < 50,000 cells/mm3 |
- Resistenza o parziale resistenza a qualsiasi farmaco in studio determinate da test allo Screening
- Test di resistenza ai farmaci genotipica e/o fenotipica attuale o storica che mostri alcune mutazioni che conferiscono resistenza a EFV, TDF, FTC, Inibitori delle Proteasi (si prega di riferirsi al protocollo per ulteriori informazioni su queste mutazioni che causano esclusione)
- HBV/HCV cronico
- Test ematici che indicano funzionalità epatica anormale (si prega di riferirsi al protocollo )
- Emoglobina < 8.0 g/dL e Piastrine < 50,000 cell/mm3
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the proportion of subjects with plasma HIV-1 RNA < 40 c/mL at Week 24. This will be conducted as a sensitivity analysis that compliments the snapshot analysis. This uses the last on treatment plasma HIV-1 RNA measurement within an FDA-specified visit window to determine response. |
L’Endpoint Primario è la proporzione di soggetti con HIV-1 RNA plasmatico < 40 c/mL alla Settimana 24. Questo verrà condotto mediante un’analisi di sensibilità che complementi l’analisi snapshot. Per determinare la risposta questo algoritmo usa l’ultima misurazione di HIV-1 RNA plasmatico entro una finestra temporale di visita specificata da FDA |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
The antiviral efficacy will also be assessed by the proportion of subjects with plasma HIV-1 RNA < 200 c/mL at Weeks 24, 48, and 96 using the FDA snapshot algorithm approach with positive response defined as HIV-1 RNA < 200 c/mL |
L’efficacia antivirale verrà valutata anche dalla proporzione di soggetti con HIV-1 RNA plasmatico <200 c/mL alle Settimane 24, 48 e 96 utilizzando l’approccio dell’ algoritmo FDA snapshot con risposta positiva definita come HIV-1 RNA < 200 c/mL
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
at Weeks 24, 48 and 96 |
Settimane 24, 48 e 96 |
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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 | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
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 | Yes |
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 | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 43 |
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 |
Argentina |
Canada |
Chile |
Mexico |
South Africa |
Thailand |
United States |
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E.8.7 | Trial 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
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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 | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 0 |