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NCT00487188·Phase 4·INTERVENTIONAL

A Study to Evaluate the Safety and Efficacy of Adding Enfuvirtide to Oral Highly Active Antiretroviral Therapy (HAART) in Human Immunodeficiency Virus (HIV) Patients With Prior Treatment Experience

Status

Completed

Phase

Phase 4

Enrollment

47

Locations

39

Results

Posted

Publications

1

Study summary

What the protocol is testing.

To assess the efficacy of enfuvirtide (Fuzeon) added to HAART compared to treatment with HAART alone in achieving and maintaining viral load suppression.

Full detailed description

This study consisted of two phases. In the Induction phase patients were randomized at Baseline 1 (BL1) in a 1:2 ratio to receive: * I1: HAART or * I2: Enfuvirtide (90 mg twice a day) + HAART. Participants who achieved viral suppression \< 50 copies/mL by week 24, confirmed by week 28 or earlier, qualified to enter the Maintenance Phase which started at Baseline 2 (BL2), four weeks after confirmation of response. The Maintenance Phase consisted of three treatment groups: * M1: HAART continued (patients from I1) Patients on ENF+HAART (I2) were re-randomized (at a 1:1 ratio) at BL2 to: * M2: Enfuvirtide stopped and HAART continued * M3: Enfuvirtide + HAART continued. The duration of the Maintenance Phase was from BL2 up to 48 weeks after BL1. BL2 could start at the earliest at Week 12 and at the latest Week 32.

Interventions

Treatment arms and agents.

DRUG

Enfuvirtide

90 mg subcutaneous injection twice a day

DRUG

Highly active antiretroviral treatment (HAART)

An oral HAART regimen of 3-5 antiretrovirals was chosen by the physician and patient, based on the patient's prior treatment history and genotypic antiretroviral resistance testing.

Timeline

From registration to results.

  1. First posted

    Jun 15, 2007

  2. Study start

    Nov 2005

  3. Primary completion

    Nov 2007

  4. Study completion

    Apr 2008

  5. Results posted

    Sep 2, 2011

  6. Registry updated

    Aug 13, 2015

Outcomes

What the study measures.

Primary outcomes

Number of Participants With Viral Suppression: HIV-1 RNA < 50 Copies/mL During the Induction Phase

Time frame · From Baseline 1 to Week 28

Participants whose viral load achieved suppression (HIV-1 RNA \< 50 copies/mL) at Week 24 at the latest, confirmed at Week 28 (2 consecutive assessments ≥ 28 days apart) were defined as responders. Patients who discontinued the study or did not respond to assigned treatment by week 28 were considered as non-responders.

Secondary outcomes

Time to Achieving HIV-1 RNA < 50 Copies/mL During the Induction Phase

Time frame · Baseline 1 until Week 28.

The time to achieving HIV-1 RNA \<50 copies/mL was counted from Baseline 1 until the first of the two consecutive \<50 copies/mL measurements. Patients who discontinued from the study or patients who did not have confirmed virological response by week 28 were classed as non-responders and censored at Week 24.

Number of Participants With Viral Suppression HIV-1 RNA < 400 Copies/mL During the Induction Phase

Time frame · From Baseline 1 to Week 28

Participants whose viral load achieved suppression (HIV-1 RNA \< 400 copies/mL) by Week 24 at the latest, confirmed at Week 28 (2 consecutive assessments ≥ 28 days apart) were defined as responders. Patients who discontinued the study or did not respond to assigned treatment by Week 28 were considered as non-responders.

Change From Baseline to Week 24 in Viral Load

Time frame · Baseline and Week 24

Change from Baseline in log10 HIV-1 RNA at Week 24. Least squares means were calculated from an analysis of covariance (ANCOVA) model with treatment, a flag variable "removed ENF at re-randomization" and Baseline viral load as independent variables.

Change From Baseline to Week 24 in Cluster Differentiation Antigen Four Positive (CD4+) Cell Counts

Time frame · Baseline and Week 24

Change from Baseline in CD4+ Cell Counts at Week 24. Least squares means were calculated from an ANCOVA model with treatment as an independent variable.

Percentage of Induction Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks

Time frame · Week 48

The percentage of participants from the Induction Phase who maintained HIV-1 RNA \< 50 Copies/mL at Week 48. Patients who discontinued from the study, rebounded to ≥ 50 copies/mL (i.e., had two consecutive readings ≥ 50 copies/mL), had missing data or had virological failure by Week 48 were classed as non-responders.

Percentage of Maintenance Phase Participants With Viral Load < 50 Copies/mL at 48 Weeks

Time frame · Week 48

The percentage of participants from the Maintenance Phase who maintained HIV-1 RNA \< 50 copies/mL at Week 48. Patients who discontinued from the study, rebounded to ≥ 50 copies/mL (i.e., had two consecutive readings ≥ 50 copies/mL), had missing data or had virological failure by Week 48 were classed as non-responders.

Change From Baseline to Week 48 in Cluster Differentiation Antigen Four Positive (CD4) Cell Counts

Time frame · Baseline 1 and Week 48

Change from Baseline in CD4 Cell Counts at Week 48. Least squares means were calculated from an ANCOVA model with treatment and baseline CD4 count as independent variables.

Time to Loss of Viral Response During the Maintenance Phase

Time frame · From Baseline 2 to Week 48.

The time to loss of viral response (defined as HIV-1 RNA \<50 copies/mL) was counted from Baseline 2 until the first of two consecutive ≥50 copies/mL measurements. Only patients who were qualified for entering the Maintenance Phase were included in the analysis.

Time to Virological Failure During the Maintenance Phase

Time frame · From Baseline 2 to Week 48.

Time to virological failure (defined as HIV-1 RNA ≥ 400 copies/mL) was counted from Baseline 2 until the first of the two consecutive ≥400 copies/mL measurements. Only patients who were qualified for entering the Maintenance Phase were included in the analyses.

Number of Participants With Virological Failure During the Maintenance Phase

Time frame · From Baseline 2 to Week 48.

Virological failure was defined by 2 consecutive HIV-1 RNA values ≥ 400 copies/mL during the Maintenance Phase.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: * HIV-1 infected adults \>=18 years of age; * currently on antiretroviral (ARV) therapy; * previously treated with 2 or 3 different antiretroviral classes; * HIV-1 Ribonucleic acid (RNA) \>=1,000 copies/mL; * Cluster differentiation antigen four (CD4) lymphocyte count \>=200 cells/mm\^3; * females of childbearing potential must be willing to use a reliable form of effective barrier contraception for the duration of the study and for 30 days after the last dose of study drug. Exclusion Criteria: * history of prior use of enfuvirtide or T-1249; * women who are pregnant, breastfeeding or planning to become pregnant during the study; * active, untreated opportunistic infection; * patients on treatment interruption, or patients interrupting ARV therapy within 4 weeks of screening or during the screening period for reasons either than toxicity management.

Study locations

39 registered sites.

Canada · France · Germany · Israel · Italy · Mexico · Netherlands · Spain · Switzerland · United States. Showing up to 24 locations stored in the fast local snapshot.

Facility not named

Cleveland, Ohio, United States

Facility not named

Austin, Texas, United States

Facility not named

Dallas, Texas, United States

Facility not named

Vancouver, British Columbia, Canada

Facility not named

Le Kremlin-Bicêtre, France

Facility not named

Nantes, France

Facility not named

Paris, France

Facility not named

Poitiers, France

Facility not named

Villeneuve-sur-Lot, France

Facility not named

Berlin, Germany

Facility not named

Bonn, Germany

Facility not named

Erlangen, Germany

Facility not named

Frankfurt am Main, Germany

Facility not named

Ramat Gan, Israel

Facility not named

Bagno a Ripoli, Italy

Facility not named

Bari, Italy

Facility not named

Brescia, Italy

Facility not named

Milan, Italy

Facility not named

Milan, Italy

Facility not named

Roma, Italy

Facility not named

Roma, Italy

Facility not named

Mexico City, Mexico

Facility not named

Amsterdam, Netherlands

Facility not named

Tilburg, Netherlands

Related trials

More studies on Enfuvirtide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.