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FTC/RPV/TDF

Phase 3

HIV-1 Infection | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Mar 12, 2020

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials6
Total Enrollment3,512

FDA Designations

No designations recorded

Clinical trial landscape

FTC/RPV/TDF · 6 trials · 1 indication

Phase 3 5Phase 2 1
NCT02345226Study to Evaluate Switching From a Regimen Consisting of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate (EFV/FTC/TDF) Fixed Dose Combination (FDC) to Emtricitabine/Rilpivirine/Tenofovir Alafenamide (FTC/RPV/TAF) FDC in Virologically-Suppressed, HIV-1 Infected AdultsHIV-1 Infection
COMPLETED881 Analytics
NCT02345252Switch Study to Evaluate the Safety and Efficacy of Emtricitabine/Rilpivirine/Tenofovir Alafenamide (FTC/RPV/TAF) Fixed Dose Combination (FDC) in HIV-1 Positive Adults Who Are Virologically Suppressed on Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate (FTC/RPV/TDF)HIV-1 Infection
COMPLETED632 Analytics
NCT02121795Switch Study to Evaluate F/TAF in HIV-1 Positive Participants Who Are Virologically Suppressed on Regimens Containing FTC/TDFHIV-1 Infection
COMPLETED668 Analytics
NCT01309243Study to Evaluate the Safety and Efficacy of a Single Tablet Regimen of Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate Compared With a Single Tablet Regimen of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive AdultsHIV-1 Infection
COMPLETED799 Analytics
NCT01252940Study to Evaluate Switching From Regimens Consisting of a Ritonavir-boosted Protease Inhibitor (PI) and Two Nucleoside Reverse Transcriptase Inhibitors (NRTIs) to a Fixed-dose Tablet Containing Emtricitabine/Rilpivirine/Tenofovir DFHIV-1 Infection
COMPLETED482 Analytics
PHASE3COMPLETED
Study to Evaluate Switching From a Regimen Consisting of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate (EFV/FTC/TDF) Fixed Dose Combination (FDC) to Emtricitabine/Rilpivirine/Tenofovir Alafenamide (FTC/RPV/TAF) FDC in Virologically-Suppressed, HIV-1 Infected Adults
HIV-1 InfectionUnlock trial analytics
PHASE3COMPLETED
Switch Study to Evaluate the Safety and Efficacy of Emtricitabine/Rilpivirine/Tenofovir Alafenamide (FTC/RPV/TAF) Fixed Dose Combination (FDC) in HIV-1 Positive Adults Who Are Virologically Suppressed on Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate (FTC/RPV/TDF)
HIV-1 InfectionUnlock trial analytics
PHASE3COMPLETED
Switch Study to Evaluate F/TAF in HIV-1 Positive Participants Who Are Virologically Suppressed on Regimens Containing FTC/TDF
HIV-1 InfectionUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Safety and Efficacy of a Single Tablet Regimen of Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate Compared With a Single Tablet Regimen of Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Infected, Antiretroviral Treatment-Naive Adults
HIV-1 InfectionUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate Switching From Regimens Consisting of a Ritonavir-boosted Protease Inhibitor (PI) and Two Nucleoside Reverse Transcriptase Inhibitors (NRTIs) to a Fixed-dose Tablet Containing Emtricitabine/Rilpivirine/Tenofovir DF
HIV-1 InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Defined by the US FDA-defined Snapshot Algorithm
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.

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Defined by the FDA Snapshot Analysis
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 participant's virologic response 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 HIV-1 RNA < 50 Copies/mL at Week 48
Week 48

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

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 24 (FDA Snapshot Analysis)
Week 24

The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 24 was analyzed using the FDA snapshot analysis.

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 12 (FDA Snapshot Analysis)
Week 12

The percentage of participants with HIV-1 RNA \< 50 copies/mL at Week 12 was analyzed using the FDA snapshot analysis.

Secondary Endpoints

Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Defined by the US FDA-defined Snapshot Algorithm
Week 48
Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 96 as Defined by the US FDA-defined Snapshot Algorithm
Week 96
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96 as Defined by the US FDA-defined Snapshot
Week 96
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
FTC/RPV/TAFEXPERIMENTALFTC/RPV/TAF plus EFV/FTC/TDF placebo for at least 96 weeks.
EFV/FTC/TDFACTIVE_COMPARATOREFV/FTC/TDF plus FTC/RPV/TAF placebo for at least 96 weeks.
Open Label Extension PhaseEXPERIMENTALAfter the Week 96 visit, participants will be given the option to receive open label FTC/RPV/TAF for up to an additional 48 weeks. In countries where FTC/RPV/TAF is not yet commercially available, participants will be given the option to receive open-label FTC/RPV/TAF and attend visits every 12 weeks until FTC/RPV/TAF becomes commercially available, or until Gilead elects to discontinue the study, whichever occurs first.
FTC/RPV/TDFACTIVE_COMPARATORFTC/RPV/TDF plus FTC/RPV/TAF placebo for at least 96 weeks.
F/TAF + 3rd AgentEXPERIMENTALParticipants will receive F/TAF (200/25 mg or 200/10 mg) plus FTC/TDF placebo while remaining on an allowed third antiretroviral agent of the participant's pre-existing treatment regimen, for 96 weeks. Dosing of F/TAF will be dependent on the third agent of the participants' pre-existing treatment regimen.
FTC/TDF + 3rd AgentACTIVE_COMPARATORParticipants will receive FTC/TDF plus F/TAF placebo while remaining on an allowed third antiretroviral agent of the participant's pre-existing treatment regimen, for 96 weeks.
SBR/Delayed SwitchEXPERIMENTALParticipants will stay on baseline regimen (SBR; their existing treatment regimen of PI+RTV plus 2 NRTIs) at the beginning of the study through Week 24, and may switch to the FTC/RPV/TDF STR (Delayed Switch) at the Week 24 visit.

Interventions

NameTypeDescription
FTC/RPV/TAFDRUG200/25/25 mg FDC tablets administered orally once daily
EFV/FTC/TDF PlaceboDRUGTablets administered orally once daily
EFV/FTC/TDFDRUG600/200/300 mg FDC tablets administered orally once daily
FTC/RPV/TAF PlaceboDRUGTablets administered orally once daily
FTC/RPV/TDF PlaceboDRUGTablets administered orally once daily
FTC/RPV/TDFDRUG200/25/300 mg FDC tablets administered orally once daily
FTC/TDFDRUG200/300 mg FDC tablets administered orally once daily
F/TAFDRUGTablets administered orally once daily
Allowed third antiretroviral agentDRUGAn allowed third antiretroviral agent of the participant's pre-existing regimen may include one of the following: ritonavir-boosted atazanavir (ATV/r), ritonavir-boosted lopinavir (LPV/r), ritonavir-boosted darunavir (DRV/r), efavirenz (EFV; Sustiva®), rilpivirine (RPV; Edurant®), nevirapine (NVP;Viramune®), raltegravir (RAL; Isentress®), dolutegravir (DTG;Tivicay®), and maraviroc (MVC; Selzentry®).
FTC/TDF PlaceboDRUGTablets administered orally once daily
F/TAF PlaceboDRUGTablets administered orally once daily
PIDRUGProtease inhibitors (PIs) included amprenavir, atazanavir, darunavir, fosamprenavir, Kaletra (lopinavir/ritonavir, coformulated), ritonavir, and saquinavir. PIs were administered according to prescribing information.
RTVDRUGRitonavir (RTV) was administered according to prescribing information.
NRTIsDRUGNRTIs included abacavir, emtricitabine, Combivir (lamivudine/zidovudine, coformulated), Epzicom (abacavir/lamivudine, coformulated), lamivudine, stavudine, tenofovir DF, Truvada® (emtricitabine/tenofovir DF, coformulated), and zidovudine. NRTIs were administered according to prescribing information.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites117

Key Inclusion Criteria: * The ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures * Currently receiving EFV/FTC/TDF FDC for ≥ 6 consecutive months preceding the screening visit * Documented plasma HIV-1 RNA levels \< 50 copi...

Countries:United StatesBelgiumCanadaFranceGermanyPuerto RicoSpainSwitzerlandUnited KingdomItalyNetherlandsSwedenAustraliaAustriaPortugal
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Frequently asked questions about FTC/RPV/TDF

What is FTC/RPV/TDF used for?

FTC/RPV/TDF is a fixed-dose combination of emtricitabine, rilpivirine, and tenofovir disoproxil fumarate being developed for chronic hepatitis B and HIV-1 infection. It is an investigational small molecule therapy studied in clinical trials for these infectious disease indications.

What does FTC/RPV/TDF target?

FTC/RPV/TDF combines three antiretroviral agents: emtricitabine and tenofovir disoproxil fumarate are nucleoside reverse transcriptase inhibitors, and rilpivirine is a non-nucleoside reverse transcriptase inhibitor. Together they target HIV reverse transcriptase to block viral replication.

Who makes FTC/RPV/TDF?

FTC/RPV/TDF is developed by Gilead Sciences, Inc., a biopharmaceutical company traded on NASDAQ under the ticker GILD. Gilead is conducting clinical trials to evaluate the combination for chronic hepatitis B and HIV-1 infection.

What phase is FTC/RPV/TDF in?

FTC/RPV/TDF is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. Gilead has completed six trials, including Phase 2 and Phase 3 studies, with a total enrollment of 3,512 participants.

What clinical trials is FTC/RPV/TDF in?

FTC/RPV/TDF has been studied in six completed trials. Key studies include NCT01252940, a Phase 3 trial in HIV-1 infection, and NCT00507689, a Phase 2 trial in chronic hepatitis B. Other trials include NCT00936715 and NCT01286740, all completed.

Is FTC/RPV/TDF the same as Complera or Atripla?

FTC/RPV/TDF is a combination of emtricitabine, rilpivirine, and tenofovir disoproxil fumarate. It is not the same as Complera or Atripla, which contain different components. Complera includes emtricitabine, rilpivirine, and tenofovir disoproxil fumarate, while Atripla contains efavirenz instead of rilpivirine.