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EVG

Phase 2FDA approved 2014

Acquired Immunodeficiency Syndrome | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Trials Updated: Aug 17, 2018

EVG development status

FDA approval Sep 24, 2014 as Vitekta
Approval holderGilead Sciences Inc
ApplicationNDA203093
Highest phase Phase 2
Registered trials 2 across 1 sponsor since Mar 2007

EVG target and mechanism

ModalitySmall molecule

Also known as Vitekta®, GS-9137

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials2
Total Enrollment242

FDA Designations

No designations recorded

EVG clinical trials

EVG · 2 trials · 2 indications

Phase 2 2
NCT01721109Pharmacokinetics, Safety, and Efficacy of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil Fumarate Single Tablet Regimen (STR) in AdolescentsAcquired Immunodeficiency Syndrome
COMPLETED50 Analytics
NCT00445146Safety of EVG+RTV Administered With Other Antiretroviral Agents for the Treatment of HIV-1 InfectionHIV Infections
COMPLETED192 Analytics
PHASE2COMPLETED
Pharmacokinetics, Safety, and Efficacy of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil Fumarate Single Tablet Regimen (STR) in Adolescents
Acquired Immunodeficiency SyndromeUnlock trial analytics
PHASE2COMPLETED
Safety of EVG+RTV Administered With Other Antiretroviral Agents for the Treatment of HIV-1 Infection
HIV InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

For Part A, Pharmacokinetic (PK) Parameter: AUCtau of EVG
Predose, 2, 4, 4.5, 5, 8, and 12 hours postdose on Day 10

AUCtau is defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).

Incidence of Treatment-Emergent Serious Adverse Events (SAEs) and All Treatment-Emergent Adverse Events (AEs)
Up to Week 48 plus 30 days
Percentage of Participants Experiencing Any Treatment-Emergent Study Dug-Related Adverse Event
Up to Week 408 plus 30 days

Secondary Endpoints

For Part A, PK Parameter: Ctau of EVG, FTC, Tenofovir (TFV), and COBI
Predose, 2, 4, 4.5, 5, 8, and 12 hours postdose on Day 10
For Part A, PK Parameter: Cmax of EVG, FTC, TFV, and COBI
Predose, 2, 4, 4.5, 5, 8, and 12 hours postdose on Day 10
For Part A, PK Parameter: AUCtau of FTC, TFV, and COBI
Predose, 2, 4, 4.5, 5, 8, and 12 hours postdose on Day 10
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EVG/COBI/FTC/TDFEXPERIMENTALParticipants will receive treatment for 48 weeks and then had the option to enter an Extension Phase to receive EVG/COBI/FTC/TDF until 1) the age of 18, 2) EVG/COBI/FTC/TDF becomes commercially available in the country the participant is enrolled, or 3) Gilead elects to terminate the development of EVG/COBI/FTC/TDF in that country.
EVG+RTVEXPERIMENTALEVG 85 mg or 150 mg + RTV + ARV regimen Participants receiving lopinavir/ritonavir (LPV/r) or atazanavir/ritonavir (ATV/r) as part of their ARV regimen will receive EVG 85 mg and all other participants will receive EVG 150 mg. Some participants may receive EVG 300 mg during the course of protocol amendment 2.

Interventions

NameTypeDescription
EVG/COBI/FTC/TDFDRUG150/150/200/300 mg STR administered orally once daily with food
EVGDRUGElvitegravir (EVG) tablet administered orally once daily with food
RTVDRUGRitonavir (RTV; /r) 100 mg capsule administered orally once daily with food
ARV regimenDRUGThe components of the ARV regimen will be selected by the investigator without input from the sponsor. The antiretroviral regimen must consist of at least 2 agents, not including the non-nucleoside reverse transcriptase inhibitors (NNRTIs) efavirenz, nevirapine, or delavirdine; the protease inhibitors saquinavir, nelfinavir, or indinavir; or investigational agents (without sponsor approval).
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Eligibility Criteria

Age Range12 Years to 17 Years
SexALL
Healthy VolunteersNo
Study Sites18

Key Inclusion Criteria: * 12 years to \< 18 years of age at baseline * Able to give written assent prior to any screening evaluations * Parent or guardian able to give written informed consent prior to any screening evaluations and willing to comply with study requirements * Plasma HIV-1 RNA levels...

Countries:United StatesSouth AfricaThailandPuerto Rico
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Frequently asked questions about EVG

What is EVG?

EVG, or elvitegravir, is an investigational small molecule antiviral developed by Gilead Sciences for the treatment of HIV infections and acquired immunodeficiency syndrome. It has been studied in Phase 2 clinical trials, including as part of a fixed-dose combination regimen with cobicistat, emtricitabine, and tenofovir disoproxil fumarate.

What is EVG used for in HIV Infections?

EVG is being developed for the treatment of HIV-1 infection and acquired immunodeficiency syndrome. Clinical studies have evaluated it both as a single agent boosted with ritonavir and as part of a single tablet regimen combining elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate in adolescents and adults.

Who makes EVG?

EVG is developed by Gilead Sciences, Inc., which trades on the Nasdaq under the ticker GILD. Gilead sponsored the Phase 2 clinical trials of elvitegravir, including studies of the single tablet regimen containing elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate.

What phase is EVG in?

EVG is in Phase 2 clinical development. It is an investigational agent and has not been approved by the FDA for the studied HIV indications based on the trials conducted to date. The completed Phase 2 studies enrolled participants in the United States, Puerto Rico, South Africa, and Thailand.

What clinical trials is EVG in?

EVG has been studied in two completed Phase 2 trials: NCT01721109, which evaluated the pharmacokinetics, safety, and efficacy of the elvitegravir, cobicistat, emtricitabine, and tenofovir disoproxil fumarate single tablet regimen in adolescents, and NCT00445146, which assessed the safety of EVG plus ritonavir with other antiretroviral agents in HIV-1 infection.