A Phase 3 interventional study of COBI and RTV in HIV and HIV Infections, sponsored by Gilead Sciences. Completed at 134 sites in 19 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-05-23.
Sponsored by Gilead Sciences · Phase 3, Interventional, and Treatment
The objective of this study is to evaluate the safety and efficacy of a regimen containing cobicistat-boosted atazanavir (ATV+COBI) plus emtricitabine/tenofovir disoproxil fumarate (Truvada®; FTC/TDF) fixed-dose combination (FDC) versus ritonavir-boosted atazanavir (ATV+RTV) plus FTC/TDF FDC in HIV-1 infected, antiretroviral treatment-naive adults.
Participants will be randomized in a 1:1 ratio. Randomization will be stratified by HIV-1 RNA level (≤ 100,000 copies/mL or > 100,000 copies/mL) at screening.
4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.
This study's enrollment of 698 is above the median of 83 across 3,251 interventional studies indexed under HIV Infections.
Browse HIV Infections studies →Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.
Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
COBI + RTV placebo + ATV + FTC/TDF once daily
Drug: COBI · Drug: ATV · Drug: FTC/TDF · Drug: RTV placebo
RTV + COBI placebo + ATV + FTC/TDF once daily
Drug: RTV · Drug: ATV · Drug: FTC/TDF · Drug: COBI placebo
Cobicistat (COBI) 150 mg tablet administered orally once daily
Also known as: Tybost®, GS-9350
Ritonavir (RTV) 100 mg tablet administered orally once daily
Also known as: Norvir®
Atazanavir (ATV) 300 mg capsule administered orally once daily
Also known as: Reyataz®
Emtricitabine (FTC) 200 mg/tenofovir disoproxil fumarate (TDF) 300 mg fixed-dose combination tablet administered orally once daily
Also known as: Truvada®
Placebo to match COBI administered orally once daily
Placebo to match RTV administered orally once daily
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the prespecified time point within an allowed window of time, along with study drug discontinuation status.
Time frame: Week 48
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 96 was analyzed using the snapshot algorithm.
Time frame: Week 96
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 144
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 144 was analyzed using the snapshot algorithm.
Time frame: Week 144
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 192
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 192 was analyzed using the snapshot algorithm.
Time frame: Week 192
Change From Baseline in CD4 Cell Count at Week 48
Time frame: Baseline to Week 48
Change From Baseline in CD4 Cell Count at Week 96
Time frame: Baseline to Week 96
Change From Baseline in CD4 Cell Count at Week 144
Time frame: Baseline to Week 144
Change From Baseline in CD4 Cell Count at Week 192
Time frame: Baseline to Week 192
Participants were enrolled in a total of 144 study sites in Asia, Australia, Europe, and South and North America. The last study visit occurred on 17 April 2015.
| Milestone | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Started | 349 | 349 |
| Completed | 70 | 81 |
| Not completed | 279 | 268 |
| Withdrew: Randomized but not treated | 5 | 1 |
| Withdrew: Joined another gilead-sponsored study | 186 | 195 |
| Withdrew: Adverse event | 26 | 19 |
| Withdrew: Lost to follow-up | 20 | 17 |
| Withdrew: Withdrew consent | 21 | 15 |
| Withdrew: Investigator's discretion | 12 | 10 |
| Withdrew: Participant noncompliance | 5 | 7 |
| Withdrew: Lack of efficacy | 3 | 0 |
| Withdrew: Pregnancy | 0 | 3 |
| Withdrew: Death | 1 | 1 |
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the prespecified time point within an allowed window of time, along with study drug discontinuation status.
| percentage of participants | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 | 85.2 | 87.4 |
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 96 was analyzed using the snapshot algorithm.
| percentage of participants | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96 | 77.9 | 79.3 |
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 144 was analyzed using the snapshot algorithm.
| percentage of participants | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 144 | 72.1 | 74.1 |
The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 192 was analyzed using the snapshot algorithm.
| percentage of participants | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 192 | 71.6 | 79.7 |
| cells/μL | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Change From Baseline in CD4 Cell Count at Week 48 | 213 ± 151.0 | 219 ± 150.4 |
| cells/μL | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Change From Baseline in CD4 Cell Count at Week 96 | 277 ± 176.8 | 287 ± 181.5 |
| cells/μL | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Change From Baseline in CD4 Cell Count at Week 144 | 310 ± 188.0 | 332 ± 199.8 |
| cells/μL | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Change From Baseline in CD4 Cell Count at Week 192 | 350 ± 191.3 | 343 ± 190.7 |
Collected over Baseline through end of study drug treatment (average exposure: ATV+COBI+FTC/TDF group = 141.3 weeks; ATV+RTV+FTC/TDF group = 143.0 weeks) plus 30 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ATV+COBI+FTC/TDF | — | 64/344 (18.6%) | 311/344 (90.4%) |
| ATV+RTV+FTC/TDF | — | 50/348 (14.4%) | 312/348 (89.7%) |
| Event | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| Subcutaneous abscessInfections and infestations | 4/344 | 0/348 |
| Renal failure acuteRenal and urinary disorders | 1/344 | 4/348 |
| Chest painGeneral disorders | 3/344 | 3/348 |
| PyrexiaGeneral disorders | 3/344 | 3/348 |
| Herpes zosterInfections and infestations | 3/344 | 0/348 |
| DepressionPsychiatric disorders | 3/344 | 1/348 |
| GastroenteritisInfections and infestations | 1/344 | 3/348 |
| ColitisGastrointestinal disorders | 2/344 | 0/348 |
| CellulitisInfections and infestations | 2/344 | 2/348 |
| InfluenzaInfections and infestations | 2/344 | 0/348 |
| Event | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF |
|---|---|---|
| DiarrhoeaGastrointestinal disorders | 76/344 | 96/348 |
| Ocular icterusEye disorders | 69/344 | 79/348 |
| NasopharyngitisInfections and infestations | 59/344 | 79/348 |
| JaundiceHepatobiliary disorders | 76/344 | 61/348 |
| HeadacheNervous system disorders | 57/344 | 73/348 |
| Upper respiratory tract infectionInfections and infestations | 67/344 | 65/348 |
| NauseaGastrointestinal disorders | 66/344 | 66/348 |
| HyperbilirubinaemiaHepatobiliary disorders | 42/344 | 39/348 |
| Back painMusculoskeletal and connective tissue disorders | 34/344 | 42/348 |
| FatigueGeneral disorders | 38/344 | 34/348 |
Safety Analysis Set: participants who were randomized and received at least on dose of study drug
| Age, Continuous(years) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| Mean | 37 ± 9.8 | 38 ± 9.6 | 37 ± 9.7 |
| Sex: Female, Male(Participants) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| Female | 57 | 61 | 118 |
| Male | 287 | 287 | 574 |
| Ethnicity (NIH/OMB)(Participants) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| Hispanic or Latino | 97 | 92 | 189 |
| Not Hispanic or Latino | 245 | 253 | 498 |
| Unknown or Not Reported | 2 | 3 | 5 |
| Race/Ethnicity, Customized(participants) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 2 | 3 |
| Asian | 44 | 37 | 81 |
| Black or African Heritage | 65 | 63 | 128 |
| Native Hawaiian or Pacific Islander | 1 | 1 | 2 |
| White | 198 | 215 | 413 |
| Not Permitted | 2 | 3 | 5 |
| Other | 33 | 27 | 60 |
| Region of Enrollment(participants) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| Australia | 7 | 8 | 15 |
| Austria | 13 | 5 | 18 |
| Belgium | 7 | 11 | 18 |
| Brazil | 18 | 17 | 35 |
| Canada | 26 | 18 | 44 |
| Denmark | 0 | 2 | 2 |
| Dominican Republic | 27 | 31 | 58 |
| France | 12 | 19 | 31 |
| Germany | 17 | 21 | 38 |
| Italy | 6 | 15 | 21 |
| Mexico | 18 | 17 | 35 |
| Netherlands | 0 | 1 | 1 |
| Portugal | 9 | 5 | 14 |
| Spain | 3 | 4 | 7 |
| Switzerland | 3 | 12 | 15 |
| Thailand | 35 | 31 | 66 |
| United Kingdom | 14 | 18 | 32 |
| United States | 134 | 114 | 248 |
| HIV-1 RNA(log10 copies/mL) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| Mean | 4.81 ± 0.585 | 4.84 ± 0.594 | 4.83 ± 0.589 |
| HIV-1 RNA Category(participants) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| ≤ 100,000 copies/mL | 212 | 205 | 417 |
| > 100,000 copies/mL | 132 | 143 | 275 |
| Cluster of differentiation (CD4) Cell Count(cells/µL) | ATV+COBI+FTC/TDF | ATV+RTV+FTC/TDF | Total |
|---|---|---|---|
| Mean | 353 ± 170.5 | 351 ± 175.5 | 352 ± 172.9 |
4 further baseline measures are reported on the registry.
Showing the first 100 of 134 sites across 19 countries.
This study is completed, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.
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Gilead Sciences