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Study to Evaluate the Safety and Efficacy of E/C/F/TAF Versus E/C/F/TDF in HIV-1 Positive, Antiretroviral Treatment-Naive Adults

A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Versus Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil Fumarate in HIV-1 Positive, Antiretroviral Treatment-Naïve Adults

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01797445
Enrollment
872
Registered
2013-02-22
Start date
2013-03-12
Completion date
2018-10-03
Last updated
2020-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV, HIV Infections

Keywords

HIV, Treatment Naive, HIV 1 Infected, Women, Female

Brief summary

The primary objective of this study is to evaluate the efficacy of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) fixed-dose combination (FDC) versus elvitegravir/cobicistat/emtricitabine/tenofovir disoproxil fumarate (E/C/F/TDF) in HIV-1 positive, antiretroviral treatment-naive adults.

Interventions

150/150/200/10 mg FDC tablet administered orally once daily

150/150/200/300 mg FDC tablet administered orally once daily

Tablet administered orally once daily

Tablet administered orally once daily

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures * Plasma HIV-1 RNA levels ≥ 1,000 copies/mL at screening * No prior use of any approved or investigational antiretroviral drug for any length of time, except the use for pre-exposure prophylaxis (PREP), or post-exposure prophylaxis (PEP) up to 6 months prior to screening * Screening genotype report must show sensitivity to elvitegravir, emtricitabine, tenofovir DF * Normal electrocardiogram (ECG) * Estimated glomerular filtration rate (eGFR) ≥ 50 mL/min according to the Cockcroft-Gault formula for creatinine clearance * Hepatic transaminases (AST and ALT) ≤ 5 × upper limit of normal (ULN) * Total bilirubin ≤ 1.5 mg/dL, or normal direct bilirubin * Adequate hematologic function * Serum amylase ≤ 5 × ULN * Males and females of childbearing potential must agree to utilize highly effective contraception methods or be non-heterosexually active or practice sexual abstinence from screening throughout the duration of study treatment and for 30 days following the last dose of study drug * Females who utilize hormonal contraceptive as one of their birth control methods must have used the same method for at least three months prior to study dosing * Females who have stopped menstruating for ≥ 12 months but do not have documentation of ovarian hormonal failure must have a serum follicle stimulating hormone (FSH) level at screening within the post-menopausal range based on the Central Laboratory reference range * Age ≥ 18 years Key

Exclusion criteria

* A new AIDS-defining condition diagnosed within the 30 days prior to screening * Hepatitis B surface antigen (HBsAg) positive * Hepatitis C antibody positive * Individuals experiencing decompensated cirrhosis * Females who are breastfeeding * Positive serum pregnancy test * Have an implanted defibrillator or pacemaker * Current alcohol or substance use judged by the Investigator to potentially interfere with study compliance * History of malignancy within the past 5 years or ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, noninvasive cutaneous squamous carcinoma * Active, serious infections (other than HIV-1 infection) requiring parenteral antibiotic or antifungal therapy within 30 days prior to baseline * Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements * Participation in any other clinical trial (including observational trials) without prior approval * Receiving ongoing therapy with drugs not to be used with elvitegravir, cobicistat, emtricitabine, tenofovir DF, and TAF or participants with any known allergies to the excipients of E/C/F/TDF or E/C/F/TAF Note: Other protocol defined Inclusion/

Design outcomes

Primary

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

Secondary

MeasureTime frameDescription
Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96Weeks 48 and 96The percentage of participants achieving HIV-1 RNA \< 20 copies/mL at Weeks 48 and 96 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 CD4+ Cell Count at Week 48Baseline; Week 48
Change From Baseline in CD4+ Cell Count at Week 96Baseline; Week 96
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48Baseline; Week 48Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan.
Percent Change From Baseline in Hip BMD at Week 96Baseline; Week 96Hip BMD was assessed by DXA scan.
Percent Change From Baseline in Spine BMD at Week 48Baseline; Week 48Spine BMD was assessed by DXA scan.
Percent Change From Baseline in Spine BMD at Week 96Baseline; Week 96Spine BMD was assessed by DXA scan.
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96Week 96The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 96 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 Serum Creatinine at Week 96Baseline; Week 96
Percentage of Participants With Treatment-emergent Proteinuria Through Week 48Baseline to Week 48Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.
Percentage of Participants With Treatment-emergent Proteinuria Through Week 96Baseline to Week 96Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.
Percent Change From Baseline in Urine Retinol Binding Protein (RBP) to Creatinine Ratio at Week 48Baseline; Week 48Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.
Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 96Baseline; Week 96Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 48Baseline; Week 48Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.
Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 96Baseline; Week 96Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.
Change From Baseline in Serum Creatinine at Week 48Baseline; Week 48

Countries

Canada, Dominican Republic, France, Italy, Mexico, Netherlands, Portugal, Puerto Rico, Sweden, United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled at study sites in North America and Europe. The first participant was screened on 12 March 2013. The last study visit occurred on 03 October 2018.

Pre-assignment details

1070 participants were screened.

Participants by arm

ArmCount
E/C/F/TAF
E/C/F/TAF (150/150/200/10 mg) FDC tablet plus E/C/F/TDF placebo tablet administered orally once daily for 144 weeks
431
E/C/F/TDF
E/C/F/TDF (150/150/200/300 mg) FDC tablet plus E/C/F/TAF placebo tablet administered orally once daily for 144 weeks
435
Total866

Withdrawals & dropouts

PeriodReasonFG000FG001
Double-Blind PhaseAdverse Event30
Double-Blind PhaseDeath54
Double-Blind PhaseInvestigator's Discretion1517
Double-Blind PhaseLack of Efficacy12
Double-Blind PhaseLost to Follow-up3426
Double-Blind PhaseNoncompliance with Study Drug51
Double-Blind PhasePregnancy01
Double-Blind PhaseProtocol Violation01
Double-Blind PhaseRandomized but Not Treated42
Double-Blind PhaseWithdrew Consent2035
Open-Label Extension PhaseInvestigator's Discretion10

Baseline characteristics

CharacteristicE/C/F/TDFTotalE/C/F/TAF
Age, Continuous36 years
STANDARD_DEVIATION 10.9
36 years
STANDARD_DEVIATION 10.9
35 years
STANDARD_DEVIATION 10.8
CD4 Cell Count431 cells/µL
STANDARD_DEVIATION 226.8
423 cells/µL
STANDARD_DEVIATION 217.1
414 cells/µL
STANDARD_DEVIATION 206.8
CD4 Cell Count Category
≥ 200 to < 350 cells/μL
89 Participants204 Participants115 Participants
CD4 Cell Count Category
≥ 350 to < 500 cells/μL
149 Participants283 Participants134 Participants
CD4 Cell Count Category
≥ 500 cells/μL
133 Participants260 Participants127 Participants
CD4 Cell Count Category
< 50 cells/μL
15 Participants29 Participants14 Participants
CD4 Cell Count Category
≥ 50 to < 200 cells/μL
49 Participants89 Participants40 Participants
CD4 Cell Count Category
Missing
0 Participants1 Participants1 Participants
HIV-1 RNA4.50 log10 copies/mL
STANDARD_DEVIATION 0.69
4.52 log10 copies/mL
STANDARD_DEVIATION 0.669
4.53 log10 copies/mL
STANDARD_DEVIATION 0.647
HIV-1 RNA Category
≤ 100,000 copies/mL
336 Participants675 Participants339 Participants
HIV-1 RNA Category
> 100,000 to ≤ 400,000 copies/mL
82 Participants150 Participants68 Participants
HIV-1 RNA Category
> 400,000 copies/mL
17 Participants41 Participants24 Participants
HIV Disease Status
AIDS
19 Participants41 Participants22 Participants
HIV Disease Status
Asymptomatic
394 Participants771 Participants377 Participants
HIV Disease Status
Symptomatic HIV Infection
19 Participants49 Participants30 Participants
HIV Disease Status
Unknown
3 Participants5 Participants2 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
3 Participants4 Participants1 Participants
Race/Ethnicity, Customized
Asian
12 Participants27 Participants15 Participants
Race/Ethnicity, Customized
Black
132 Participants261 Participants129 Participants
Race/Ethnicity, Customized
Hispanic or Latino
97 Participants204 Participants107 Participants
Race/Ethnicity, Customized
Missing
1 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
1 Participants5 Participants4 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
336 Participants659 Participants323 Participants
Race/Ethnicity, Customized
Not Permitted
1 Participants2 Participants1 Participants
Race/Ethnicity, Customized
Other
44 Participants91 Participants47 Participants
Race/Ethnicity, Customized
White
243 Participants478 Participants235 Participants
Region of Enrollment
Canada
22 Participants41 Participants19 Participants
Region of Enrollment
Dominican Republic
35 Participants65 Participants30 Participants
Region of Enrollment
France
18 Participants34 Participants16 Participants
Region of Enrollment
Italy
8 Participants18 Participants10 Participants
Region of Enrollment
Mexico
12 Participants28 Participants16 Participants
Region of Enrollment
Netherlands
8 Participants14 Participants6 Participants
Region of Enrollment
Portugal
16 Participants37 Participants21 Participants
Region of Enrollment
Sweden
3 Participants11 Participants8 Participants
Region of Enrollment
United Kingdom
31 Participants56 Participants25 Participants
Region of Enrollment
United States
282 Participants562 Participants280 Participants
Sex: Female, Male
Female
71 Participants133 Participants62 Participants
Sex: Female, Male
Male
364 Participants733 Participants369 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
5 / 4314 / 4350 / 1410 / 119
other
Total, other adverse events
374 / 431366 / 43532 / 14127 / 119
serious
Total, serious adverse events
54 / 43168 / 4354 / 1412 / 119

Outcome results

Primary

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

Time frame: Week 48

Population: The Full Analysis Set included participants who were randomized and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
E/C/F/TAFPercentage of Participants Achieving HIV-1 RNA < 50 Copies/mL at Week 4891.6 percentage of participants
E/C/F/TDFPercentage of Participants Achieving HIV-1 RNA < 50 Copies/mL at Week 4888.5 percentage of participants
Comparison: Null hypothesis: the E/C/F/TAF group was ≥ 12% worse than the E/C/F/TDF group with respect to the percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 48; alternative hypothesis: the E/C/F/TAF group was \< 12% worse than the E/C/F/TDF group.p-value: 0.1395.002% CI: [-1, 7.1]Cochran-Mantel-Haenszel
Secondary

Change From Baseline in CD4+ Cell Count at Week 48

Time frame: Baseline; Week 48

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFChange From Baseline in CD4+ Cell Count at Week 48225 cells/µLStandard Deviation 171.2
E/C/F/TDFChange From Baseline in CD4+ Cell Count at Week 48200 cells/µLStandard Deviation 162.5
Secondary

Change From Baseline in CD4+ Cell Count at Week 96

Time frame: Baseline; Week 96

Population: Participants in the Full Analysis Set with available data were analyzed.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFChange From Baseline in CD4+ Cell Count at Week 96274 cells/µLStandard Deviation 184
E/C/F/TDFChange From Baseline in CD4+ Cell Count at Week 96260 cells/µLStandard Deviation 179.6
Secondary

Change From Baseline in Serum Creatinine at Week 48

Time frame: Baseline; Week 48

Population: The Safety Analysis Set included participants who were randomized and received at least 1 dose of study drug. The missing-equals-excluded approach where participants with missing data were excluded from the analysis.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFChange From Baseline in Serum Creatinine at Week 480.08 mg/dLStandard Deviation 0.136
E/C/F/TDFChange From Baseline in Serum Creatinine at Week 480.12 mg/dLStandard Deviation 0.283
Secondary

Change From Baseline in Serum Creatinine at Week 96

Time frame: Baseline; Week 96

Population: Participants in the Safety Analysis Set were analyzed. The missing-equals-excluded approach where participants with missing data were excluded from the analysis.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFChange From Baseline in Serum Creatinine at Week 960.04 mg/dLStandard Deviation 0.119
E/C/F/TDFChange From Baseline in Serum Creatinine at Week 960.07 mg/dLStandard Deviation 0.122
Secondary

Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96

The percentage of participants achieving HIV-1 RNA \< 20 copies/mL at Weeks 48 and 96 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.

Time frame: Weeks 48 and 96

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
E/C/F/TAFPercentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96Week 4882.4 percentage of participants
E/C/F/TAFPercentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96Week 9678.7 percentage of participants
E/C/F/TDFPercentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96Week 4880.7 percentage of participants
E/C/F/TDFPercentage of Participants With HIV-1 RNA < 20 Copies/mL at Weeks 48 and 96Week 9676.8 percentage of participants
Secondary

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96

The percentage of participants achieving HIV-1 RNA \< 50 copies/mL at Week 96 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.

Time frame: Week 96

Population: Participants in the Full Analysis Set were analyzed.

ArmMeasureValue (NUMBER)
E/C/F/TAFPercentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 9684.0 percentage of participants
E/C/F/TDFPercentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 9682.3 percentage of participants
Secondary

Percentage of Participants With Treatment-emergent Proteinuria Through Week 48

Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.

Time frame: Baseline to Week 48

Population: Participants in the Safety Analysis Set with at least 1 postbaseline urine protein value were analyzed.

ArmMeasureGroupValue (NUMBER)
E/C/F/TAFPercentage of Participants With Treatment-emergent Proteinuria Through Week 48Grade 127.3 percentage of participants
E/C/F/TAFPercentage of Participants With Treatment-emergent Proteinuria Through Week 48Grade 24.7 percentage of participants
E/C/F/TAFPercentage of Participants With Treatment-emergent Proteinuria Through Week 48Grade 30 percentage of participants
E/C/F/TDFPercentage of Participants With Treatment-emergent Proteinuria Through Week 48Grade 131.6 percentage of participants
E/C/F/TDFPercentage of Participants With Treatment-emergent Proteinuria Through Week 48Grade 24.6 percentage of participants
E/C/F/TDFPercentage of Participants With Treatment-emergent Proteinuria Through Week 48Grade 30 percentage of participants
Secondary

Percentage of Participants With Treatment-emergent Proteinuria Through Week 96

Grades 1 (mild), 2 (moderate), and 3 (severe) were the highest treatment-emergent postbaseline grades for urine protein using the dipstick method. The worst postbaseline value is presented for each participant.

Time frame: Baseline to Week 96

Population: Participants in the Safety Analysis Set with at least 1 postbaseline urine protein value were analyzed.

ArmMeasureGroupValue (NUMBER)
E/C/F/TAFPercentage of Participants With Treatment-emergent Proteinuria Through Week 96Grade 131.8 percentage of participants
E/C/F/TAFPercentage of Participants With Treatment-emergent Proteinuria Through Week 96Grade 25.4 percentage of participants
E/C/F/TAFPercentage of Participants With Treatment-emergent Proteinuria Through Week 96Grade 30 percentage of participants
E/C/F/TDFPercentage of Participants With Treatment-emergent Proteinuria Through Week 96Grade 136.9 percentage of participants
E/C/F/TDFPercentage of Participants With Treatment-emergent Proteinuria Through Week 96Grade 25.1 percentage of participants
E/C/F/TDFPercentage of Participants With Treatment-emergent Proteinuria Through Week 96Grade 30 percentage of participants
Secondary

Percent Change From Baseline in Hip BMD at Week 96

Hip BMD was assessed by DXA scan.

Time frame: Baseline; Week 96

Population: Participants in the Hip DXA Analysis Set were analyzed. Participants were grouped according to the treatment they actually received. The missing-equals-excluded approach where participants with missing data were excluded from the analysis.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFPercent Change From Baseline in Hip BMD at Week 96-0.364 percent changeStandard Deviation 3.899
E/C/F/TDFPercent Change From Baseline in Hip BMD at Week 96-3.023 percent changeStandard Deviation 3.9796
Secondary

Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48

Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan.

Time frame: Baseline; Week 48

Population: The Hip DXA Analysis Set included all participants who were randomized and received at least 1 dose of study drug, and have nonmissing baseline hip BMD values. Participants were grouped according to the treatment they actually received. The missing-equals-excluded approach where participants with missing data were excluded from the analysis.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFPercent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48-0.420 percent changeStandard Deviation 3.2268
E/C/F/TDFPercent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48-2.603 percent changeStandard Deviation 3.1482
Secondary

Percent Change From Baseline in Spine BMD at Week 48

Spine BMD was assessed by DXA scan.

Time frame: Baseline; Week 48

Population: The Spine DXA Analysis Set included all participants who were randomized and received at least 1 dose of study drug, and have nonmissing baseline spine BMD values. Participants were grouped according to the treatment they actually received. The missing-equals-excluded approach where participants with missing data were excluded from the analysis.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFPercent Change From Baseline in Spine BMD at Week 48-1.278 percent changeStandard Deviation 3.0098
E/C/F/TDFPercent Change From Baseline in Spine BMD at Week 48-2.759 percent changeStandard Deviation 3.0024
Secondary

Percent Change From Baseline in Spine BMD at Week 96

Spine BMD was assessed by DXA scan.

Time frame: Baseline; Week 96

Population: Participants in the Spine DXA Analysis Set were analyzed. Participants were grouped according to the treatment they actually received. The missing-equals-excluded approach where participants with missing data were excluded from the analysis.

ArmMeasureValue (MEAN)Dispersion
E/C/F/TAFPercent Change From Baseline in Spine BMD at Week 96-1.017 percent changeStandard Deviation 3.3957
E/C/F/TDFPercent Change From Baseline in Spine BMD at Week 96-2.516 percent changeStandard Deviation 3.8612
Secondary

Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 48

Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.

Time frame: Baseline; Week 48

Population: Participants in the Safety Analysis Set with available data were analyzed.

ArmMeasureValue (MEDIAN)
E/C/F/TAFPercent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 48-29.3 percent change
E/C/F/TDFPercent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 4832.3 percent change
Secondary

Percent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 96

Urine Beta-2-microglobulin is a renal biomarker which is used to detect drug-induced kidney injury.

Time frame: Baseline; Week 96

Population: Participants in the Safety Analysis Set with available data were analyzed.

ArmMeasureValue (MEDIAN)
E/C/F/TAFPercent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 96-31.0 percent change
E/C/F/TDFPercent Change From Baseline in Urine Beta-2-microglobulin to Creatinine Ratio at Week 9635.2 percent change
Secondary

Percent Change From Baseline in Urine RBP to Creatinine Ratio at Week 96

Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.

Time frame: Baseline; Week 96

Population: Participants in the Safety Analysis Set with available data were analyzed.

ArmMeasureValue (MEDIAN)
E/C/F/TAFPercent Change From Baseline in Urine RBP to Creatinine Ratio at Week 9616.9 percent change
E/C/F/TDFPercent Change From Baseline in Urine RBP to Creatinine Ratio at Week 9673.7 percent change
Secondary

Percent Change From Baseline in Urine Retinol Binding Protein (RBP) to Creatinine Ratio at Week 48

Urine RBP is a renal biomarker which is used to detect drug-induced kidney injury.

Time frame: Baseline; Week 48

Population: Participants in the Safety Analysis Set with available data were analyzed.

ArmMeasureValue (MEDIAN)
E/C/F/TAFPercent Change From Baseline in Urine Retinol Binding Protein (RBP) to Creatinine Ratio at Week 4813.3 percent change
E/C/F/TDFPercent Change From Baseline in Urine Retinol Binding Protein (RBP) to Creatinine Ratio at Week 4851.7 percent change

Source: ClinicalTrials.gov · Data processed: Mar 17, 2026