©2022 Stanford Medicine
FTC/RPV/TDF on T-Cell Activation, CD4+ T-Cell Count, Inflammatory Biomarkers and Viral Reservoir
Not Recruiting
Trial ID: NCT01777997
Purpose
This study was done with people who were infected with HIV, but did not show any signs of
having HIV. They were also feeling well without taking HIV medication and had low or
undetectable levels of the virus in the blood. The purpose of this study was to see if taking
HIV medication (antiretroviral therapy [ART]) would reduce immune activation (a signal that
the body is fighting an infection) in people who have HIV, but did not show symptoms. Also
this study helped determine how safe the drug was and how well people reacted to the drug.
For this study, the following antiretroviral therapy (ART) was be provided in the form of a
single tablet that contains three different drugs: emtricitabine/rilpivirine/tenofovir
disoproxil fumarate (FTC/RPV/TDF). These drugs were combined as one tablet which was approved
by the Food and Drug Administration (FDA) as a single pill to treat HIV infection. The HIV
medication provided was one of the recommended treatments for HIV, including people with low
viral loads (how much HIV you have in your body) who were taking HIV drugs for the first
time. The risks seen with this HIV medication were the same that one would encounter when
taking these drugs outside of the study.
Official Title
A Prospective, Single-Arm, Open-Label Study to Evaluate the Effect of Fixed-Dose Emtricitabine/Rilpivirine/Tenofovir Disoproxil Fumarate on T-Cell Activation, Absolute CD4+ T-Cell Count, Inflammatory Biomarkers and Viral Reservoir in Treatment-Naïve HIV-1 Controllers
Stanford Investigator(s)
Philip Grant
Assistant Professor of Medicine (Infectious Diseases)
Eligibility
Inclusion Criteria:
Step 1
- HIV-1 infection
- ART-naïve defined as ≤7 days of antiretroviral (ARV) treatment at any time prior to
entry
- Documentation of HIV-1 RNA <500 copies/mL verified by at least two measurements prior
to the screening RNA specimen
- Screening HIV-1 RNA <500 copies/mL using an US FDA-approved assay obtained within 60
days prior to study entry by any laboratory that has a CLIA certification or its
equivalent
- Laboratory values obtained within 60 days prior to entry by any laboratory that has a
CLIA certification or its equivalent:
- Absolute neutrophil count (ANC) >=500/mm^3
- Hemoglobin >=8.0 g/dL
- Platelet count >=40,000/mm^3
- Aspartate aminotransferase (AST) (SGOT), alanine aminotransferase (ALT) (SGPT),
and alkaline phosphatase <=5 X Upper Limit of Normal (ULN)
- Total bilirubin <=2.5 X ULN
- Calculated creatinine clearance (CrCl) >=60 mL/min
- For females of reproductive potential, negative serum or urine pregnancy test within
48 hours prior to study entry by any clinic or laboratory that has a CLIA
certification or its equivalent
- Female subjects of reproductive potential, who are participating in sexual activity
that could lead to pregnancy, must agree to use at least one reliable form of
contraceptive (ie, condoms (male or female) with or without a spermicidal agent; a
diaphragm or cervical cap with spermicide; an intrauterine device (IUD); or
hormone-based contraceptive) while receiving the protocol-specified treatment and for
6 weeks after stopping the medications
- No evidence of any exclusionary resistance mutations based on results from any
genotype assay from any laboratory that has a Clinical Laboratory Improvement
Amendments (CLIA) certification or its equivalent
Step 2
- Completion of Step 1
- Ability and willingness of subject to choose to receive either open-label ART FDC
(FTC/RPV/TDF) or no study treatment for an additional 48 weeks
- For females of reproductive potential, negative serum or urine pregnancy test within
48 hours prior to the week 60 visit by any clinic or laboratory that has a CLIA
certification or its equivalent
Exclusion Criteria:
Step 1
- Chronic hepatitis B virus (HBV) infection (documented by hepatitis B surface antigen
(HBsAg) seropositivity)
- Breastfeeding
- Use of immunomodulators (eg, interleukins, interferons, cyclosporine), topical
imiquimod, HIV vaccine, systemic cytotoxic chemotherapy, or investigational therapy
within 30 days prior to study entry or plans to start immunomodulators, topical
imiquimod, HIV vaccine, systemic cytotoxic chemotherapy, or investigational therapy
during the study
- Known allergy/sensitivity or any hypersensitivity to components of study drug(s) or
their formulation
- Active drug or alcohol use or dependence that, in the opinion of the site
investigator, would interfere with adherence to study requirements
- Acute or serious illness requiring systemic treatment and/or hospitalization within 30
days prior to entry
- Symptomatic HIV disease and/or AIDS-defining illness.
- Vaccinations within 7 days prior to study entry
- Plans to initiate hepatitis C treatment during the study
- Perinatally-acquired HIV
- Use of any of the following medications within 7 days prior to study entry:
- St. John's wort (Hypercium perforatum)
- Anticonvulsants (eg, oxacarbazepine, phenobarbital, phenytoin)
- Anti-infectives (eg, rifabutin, rifampin, rifapentine)
- Corticosteroids (eg, dexamethasone (more than 1 dose))
- Proton pump inhibitors (eg, esomeprazole, lansoprazole, omeprazole, pantoprazole,
rabeprazole)
Step 2
- Plans to start immunomodulators, topical imiquimod, HIV vaccine, systemic cytotoxic
chemotherapy, or investigational therapy during Step 2 of the study
- Plans to initiate hepatitis C treatment during Step 2 of the study
NOTE: Please refer to the protocol for detailed eligibility criteria.
Intervention(s):
drug: Emtricitabine/rilpivirine/tenofovir disoproxil fumarate
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Debbie Slamowitz
650 723-2804