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E/C/F/TAF

Phase 3

HIV | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Apr 13, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials6
Total Enrollment3,578
FDA Designations
PRIORITY_REVIEWACCELERATED_APPROVAL
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02071082Efficacy and Safety of E/C/F/TAF (Genvoya®) in HIV-1/Hepatitis B Co-infected AdultsPHASE3 COMPLETED 79Feb 25, 2014Oct 26, 2016Nov 16, 201824 United States, Canada +1
NCT01815736Study to Evaluate Switching From a TDF-Containing Combination Regimen to a TAF-Containing Fixed Dose Combination (FDC) in Virologically-Suppressed, HIV-1 Positive ParticipantsPHASE3 COMPLETED 1,443Mar 27, 2013Apr 1, 2020Apr 13, 2021167 United States, Australia +18
NCT01818596Open-label Safety Study of E/C/F/TAF (Genvoya®) in HIV-1 Positive Patients With Mild to Moderate Renal ImpairmentPHASE3 COMPLETED 252Mar 27, 2013Jul 18, 2018Mar 2, 202070 United States, Australia +7
NCT01797445Study to Evaluate the Safety and Efficacy of E/C/F/TAF Versus E/C/F/TDF in HIV-1 Positive, Antiretroviral Treatment-Naive AdultsPHASE3 COMPLETED 872Mar 12, 2013Oct 3, 2018Mar 2, 2020117 United States, Canada +9
NCT01780506Study to Evaluate the Safety and Efficacy of E/C/F/TAF (Genvoya®) Versus E/C/F/TDF (Stribild®) in HIV-1 Positive, Antiretroviral Treatment-Naive AdultsPHASE3 COMPLETED 872Dec 26, 2012Sep 6, 2017Nov 19, 2018117 United States, Australia +10
NCT02276612Efficacy and Safety of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide in HIV-1 Infected AdolescentsPHASE2 COMPLETED 60Dec 3, 2014Oct 23, 2017Nov 19, 20187 United States, South Africa
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Study Endpoints
Primary Endpoints
Percentage of Participants With Plasma HIV-1 RNA Level < 50 Copies/mL
Week 24

The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 24 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentage of Participants With Plasma HBV DNA Levels < 29 IU/mL
Week 24

The percentage of participants with HBV DNA \< 29 IU/mL at Week 24 was calculated using the missing = failure method.

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48
Week 48

The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Change From Baseline in the Estimated Glomerular Filtration Rate Calculated by the Cockcroft-Gault Formula (eGFR_CG) at Week 24
Baseline; Week 24

eGFR is a measurement of the kidney's ability to filter blood.

Change From Baseline in eGFR Calculated by the Chronic Kidney Disease Epidemiology Collaboration Method Based on Cystatin C (eGFR_CKD-EPI,cysC) at Week 24
Baseline; Week 24

eGFR is a measurement of the kidney's ability to filter blood. The eGFR\_CKD-EPI,cysC method is adjusted for age and sex.

Change From Baseline in eGFR Calculated by the CKD-EPI Method Based on Serum Creatinine (eGFR_CKD-EPI,Creatinine) at Week 24
Baseline; Week 24

eGFR is a measurement of the kidney's ability to filter blood. The eGFR\_CKD-EPI,creatinine method is adjusted for age, race, and sex.

Percentage of Participants Achieving HIV-1 RNA < 50 Copies/mL at Week 48
Week 48

The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Incidence of Treatment-Emergent Serious Adverse Events
Up to Week 48

The percentage of participants experiencing any treatment-emergent serious adverse event was summarized.

Incidence of Treatment-Emergent Adverse Events
Up to Week 48

The percentage of participants experiencing any treatment-emergent adverse event was summarized.

Secondary Endpoints
Percentage of Participants With Plasma HIV-1 RNA Level < 50 Copies/mL
Week 48
Percentage of Participants With Plasma HBV DNA Levels < 29 IU/mL
Week 48
Percentage of Participants With Normalized Alanine Aminotransferase (ALT) at Week 24
Baseline; Week 24
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
HIV treatment-naive and HBV treatment-naiveEXPERIMENTALHIV/HBV coinfected participants who are HIV treatment-naive and HBV treatment-naive will receive E/C/F/TAF for 48 weeks.
HIV-suppressedEXPERIMENTALHIV/HBV coinfected participants who are HIV-suppressed will receive E/C/F/TAF for 48 weeks.
E/C/F/TAFEXPERIMENTALRandomized Phase: Elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) for up to 96 weeks. Extension Phase: After completing 96 weeks of randomized treatment, all participants will be given the opportunity to receive open-label E/C/F/TAF until it becomes commercially available, or until Gilead elects to terminate the development of E/C/F/TAF.
Stay on Baseline Treatment Regimen (SBR)ACTIVE_COMPARATORRandomized Phase: Participants stayed on their baseline emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF)-containing regimen E/C/F/TDF; efavirenz (EFV)/FTC/TDF; ritonavir (RTV)-boosted atazanavir (ATV)+FTC/TDF; or cobicistat (COBI-boosted ATV+FTC/TDF) administered according to prescribing information for up to 96 weeks. Extension Phase: After completing 96 weeks of randomized treatment (SBR), all participants will be given the opportunity to receive open-label E/C/F/TAF until it becomes commercially available, or until Gilead elects to terminate the development of E/C/F/TAF.
E/C/F/TAF (Double-Blind)EXPERIMENTALE/C/F/TAF plus E/C/F/TDF placebo for 144 weeks After 144 weeks, participants will continue to take their blinded study drug until treatment assignments have been unblinded.
E/C/F/TDF (Double-Blind)ACTIVE_COMPARATORE/C/F/TDF plus E/C/F/TAF placebo for 144 weeks After 144 weeks, participants will continue to take their blinded study drug until treatment assignments have been unblinded.
Open-Label E/C/F/TAFEXPERIMENTALAfter the unblinding visit, in countries where E/C/F/TAF is not commercially available, participants (except in UK) who complete 144 weeks of study will be given the option to receive open-label E/C/F/TAF and attend study visits every 12 weeks until it becomes commercially available, or until Gilead terminates the study in that country.
E/C/F/TAF (Double-Blind Phase)EXPERIMENTALE/C/F/TAF plus E/C/F/TDF placebo for 144 weeks
E/C/F/TDF (Double-Blind Phase)ACTIVE_COMPARATORE/C/F/TDF plus E/C/F/TAF placebo for 144 weeks
Open-Label Extension PhaseEXPERIMENTALAfter study unblinding, participants who complete 144 weeks of the study had the option to receive open-label E/C/F/TAF until commercially available, or until Gilead Sciences terminated the study in that country.
Interventions
NameTypeDescription
E/C/F/TAFDRUGE/C/F/TAF (150/150/200/10 mg) FDC tablet administered orally once daily with food
E/C/F/TDFDRUG150/150/200/300 mg FDC tablet administered orally once daily
EFV/FTC/TDFDRUG600/200/300 mg FDC tablet administered orally once daily
RTVDRUG100 mg tablet administered orally once daily
ATVDRUG300 mg capsule administered orally once daily
FTC/TDFDRUG200/300 mg tablet administered orally once daily
COBIDRUG150 mg tablet administered orally once daily
E/C/F/TDF PlaceboDRUGTablet administered orally once daily
E/C/F/TAF PlaceboDRUGTablet administered orally once daily
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites24

Key Inclusion Criteria: * Both Cohorts 1 and 2: * The ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures * HIV/HBV co-infected adult males and non-pregnant and non-lactating females * No evidence of hepatocellular ca...

Countries:United StatesCanadaJapanAustraliaAustriaBelgiumBrazilDenmarkDominican RepublicFranceGermanyItalyMexicoNetherlandsPortugalPuerto RicoSpainSwedenSwitzerlandThailandUnited KingdomSouth Africa
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