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CompletedNCT00544128Updated Mar 30, 2015

Comparison of Epzicom and Truvada for the Initial Once Daily HIV Treatment

A Phase 4 interventional study of lamivudine, abacavir , ritonavir, atazanavir and emtricitabine, tenofovir, ritonavir, atazanavir in HIV Infections, sponsored by International Medical Center of Japan. Completed at 1 site in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2015-03-30.

Sponsored by International Medical Center of Japan · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
109
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

A non-inferiority randomized control trial in treatment naïve HIV patients to compare virologic effect of two backbone regimens with Epzicom (lamivudine and abacavir) and Truvada (emtricitabine and tenofovir). Both arms are treated with fixed combination of ritonavir boosted atazanavir as key drugs.

Read the detailed description

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;

  1. The immunologic effects from baseline at the 48th and 144th week
  2. Reasons of treatment failure by 144th week
  3. Adverse events and their rate of incidence by 144th week
  4. Serum concentration of tenofovir in selected patients
  5. Serum concentration of atazanavir in selected patients
  6. Renal complication in tenofovir arm
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Conditions studied

  • HIV Infections

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Keywords

  • HIV
  • initial therapy
  • once daily
  • randomized trial
  • non inferiority
  • Treatment Naive
03

In context

Infections

6,688 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 109 is close to the median of 120 across 4,201 interventional studies indexed under Infections.

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Lead sponsor

International Medical Center of Japan is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

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;

    1. alanine aminotransferase is more than 2.5 times higher of upper normal limit
    2. estimated glomerular filtration rate is less than 60ml/min by Cockcroft-Gault equation
    3. 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
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
109 participants (actual)

Study arms

  • Active comparator
    Epzicom Arm

    Patients are treated with Epzicom (lamivudine 300mg and abacavir 600mg) combined with ritonavir 100mg boosted atazanavir 300mg

    Drug: lamivudine, abacavir , ritonavir, atazanavir

  • Active comparator
    Truvada Arm

    Patients are treated with Truvada (emtricitabine 200mg and tenofovir 300mg) combined with ritonavir 100mg boosted atazanavir 300mg

    Drug: emtricitabine, tenofovir, ritonavir, atazanavir

Interventions

  • Druglamivudine, abacavir , ritonavir, atazanavir

    Patients are treated with Epzicom (lamivudine 300mg and abacavir 600mg) combined with ritonavir 100mg boosted atazanavir 300mg

  • Drugemtricitabine, tenofovir, ritonavir, atazanavir

    Patients are treated with Truvada (emtricitabine 200mg and tenofovir 300mg) combined with ritonavir 100mg boosted atazanavir 300mg.

06

What researchers measure

Primary outcomes

  1. antiretroviral effect over 48 weeks

    Time frame: 48 weeks

Secondary outcomes

  1. The immunologic effects from baseline at the 48th and 144th week

    Time frame: 144 weeks

  2. Reasons of treatment failure by 144th week

    Time frame: 144 weeks

  3. Adverse events and their rate of incidence by 144th week

    Time frame: 144 weeks

07

Study locations

1 site
  • International Medical Center of Japan
    Shinjuku, Tokyo 1628655, Japan
08

References and documents

Publications

  • Nishijima T, Takano M, Ishisaka M, Komatsu H, Gatanaga H, Kikuchi Y, Endo T, Horiba M, Kaneda S, Uchiumi H, Koibuchi T, Naito T, Yoshida M, Tachikawa N, Ueda M, Yokomaku Y, Fujii T, Higasa S, Takada K, Yamamoto M, Matsushita S, Tateyama M, Tanabe Y, Mitsuya H, Oka S; Epzicom-Truvada study team. Abacavir/lamivudine versus tenofovir/emtricitabine with atazanavir/ritonavir for treatment-naive Japanese patients with HIV-1 infection: a randomized multicenter trial. Intern Med. 2013;52(7):735-44. doi: 10.2169/internalmedicine.52.9155. Epub 2013 Apr 1. PubMed 23545667 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 30, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00544128
Lead sponsor
International Medical Center of Japan
Collaborators
Ministry of Health, Labour and Welfare, Japan
Responsible party
Shinichi Oka, M.D. (Shinichi Oka, Director general, AIDS Clinical Center, International Medical Center of Japan) — Principal investigator
First posted
Oct 16, 2007
Start date
Oct 2007
Primary completion
Feb 2012
Completion
Feb 2012
Last update
Mar 30, 2015

Study contacts

Shinichi Oka, MD
study chair · International Medical Center of Japan

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.

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