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Phase III Clinical Study of Azvudine in Hiv-infected Treatment Naive Patients

A Randomized, Double-blind, Double-simulated, Active-controlled,Phase III Clinical Study Evaluating the Efficacy and Safety of Azvudine Combined With Tenofovir Fumarate and Efavirenz in Hiv-infected Treatment Naive Patients

Status
UNKNOWN
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04303598
Enrollment
720
Registered
2020-03-11
Start date
2020-04-01
Completion date
2022-08-01
Last updated
2020-03-11

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

Conditions

HIV-infection/Aids

Keywords

FNC, HIV-infection, Aids

Brief summary

Azvudine,(FNC), new nuclear nucleoside reverse transcriptase inhibitors, FNC make itself a better candidate to be co-formulated in other anti-HIV therapies, thus to improve patient's compliance, approved by state drug administration (NMPA) for clinical research. FNC has completed its phase I、II clinical studies with desirable results.This is a multi-center, randomized, double-blind,double-placebo,active-control clinical trial. Subjects in experimental arm receives FNC+TDF+EFV+3TC placebo, while the subjected in active control arm receives 3TC+TDF+EFV+FNC placebo. The background drugs in both arms are conducted in open-label design while FNC and 3TC are conducted in double-blinded design.

Interventions

DRUGFNC

3mg, 1 tablet,QD

DRUG3TC

300mg, 1 tablet,QD

DRUGTDF

300mg, 1 tablet,QD

DRUGEFV

200mg, 1 tablet,QD

DRUGFNC placebo

1 tablet,QD

DRUG3TC placebo

1 tablet,QD

Sponsors

Henan Genuine Biotech Co., Ltd.
Lead SponsorINDUSTRY

Study design

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

Masking description

The experiment was conducted under a randomized method, each center disputed into the group via competition. Treatment assignment was carried out in accordance with a central randomization schedule generated with SAS (version 9.4). Randomization was done by a computer-generated system (IWRS). The randomization table (1st blind code) and second blind code were sealed and stored in triplicate offices of the sponsor, investigator and the independent statistician.

Eligibility

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

Inclusion criteria

1. 18-65 years old, regardless of gender; 2. Participant must have an positive HIV test; 3. Have not received anti-HIV treatment; 4. HIV-1 RNA≥1000 copies/ml and the investigators determined that the subjects were eligible for HAART therapy. 5. Who have no recent family planning and agree to take effective non-drug contraceptive measures during the trial period and within 3 months after the end of administration; 6. The subjects could fully understand the purpose, nature, method and possible adverse reactions of the test, and voluntarily participate in and sign the informed consent.

Exclusion criteria

1. History of allergy to any ingredient or excipient of the research drug or have a high sensitivity constitution; 2. Patients with severe opportunistic infection or tumor; 3. Clinically Hepatitis b surface antigen/hepatitis c antibody positive; 4. Clinically Alanine transaminase and/or alanine transaminase ≥5× normal upper limit (ULN); 5. Clinically Alanine aminotransferase ≥3×ULN and total bilirubin ≥2×ULN (direct bilirubin/total bilirubin \> 35%); 6. Glomerular filtration rate \< 70ml/min/1.73m2 (calculated by ckd-epi Creatinine 2009 Equation), or Creatinine ≥ULN; 7. Clinically significant diseases serious chronic diseases , metabolic diseases (such as diabetes), neurological and psychiatric diseases; 8. History of pancreatitis; 9. Women in pregnancy and breastfeeding; 10. History of drug abuse, alcohol abuse and drug abuse; 11. Participating in clinical trials of other drugs within the first three months of screening; 12. Other factors considered inappropriate by the investigator to be included in the study

Design outcomes

Primary

MeasureTime frameDescription
Rate of subjects with plasma HIV-1 Ribonucleic acid (RNA) <50 copies/milliliter (c/mL) at Week 4848 WeeksRate of participants with a HIV-1 RNA \< 50 copies per mL .If HIV RNA level is \< 50 copies per mL at Week 48, it is considered as virologic success as per the snapshot approach.

Secondary

MeasureTime frameDescription
Rate of subjects with plasma HIV-1 Ribonucleic acid (RNA) <400 copies/milliliter (c/mL) at Week 24 ,Week 48 and Week 96;Week 24 and Week 48 and Week 96,Rate of participants with a HIV-1 RNA \< 50 copies per mL at Week 24,Week 48 and Week 96
Change of CD4+ cell count from baseline at Week 48 and Week 96Week 48 and Week 96The immunologic change was determined by changes in Cluster of CD4+ cell count. Change from baseline in CD4+ cell count at Weeks 48 and 96 were assessed
Time to achieve virologic failure(HIV-1 RNA<50 copies/ml)Baseline and Week 96Time to HIV-1 RNA\<50 copies/ml from baseline
Rate of subjects with plasma HIV-1 Ribonucleic acid (RNA) <50 copies/milliliter (c/mL) at Week 24 and Week 96Week 24 and Week 96Rate of participants with a HIV-1 RNA \< 50 copies per mL at Week 24 and Week 96
Diachronic change of CD4+T、 CD8+T cell count from baselineBaseline and Week 96The immunologic change was determined by changes in Cluster of CD4+ cell count. Change from baseline in CD4+ cell count to Weeks 96 were assessed
Safety outcome of subjects at Week 48 and Week 96。Week 48 and Week 96Rate of participants discontinuing therapy due to AEs were reported. An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship.
Diachronic change of logarithm (log) HIV-RNA reduction from baselineBaseline and Week 96The Diachronic change of logarithm (log) HIV-RNA change was determined by changes in Cluster of logarithm (log) HIV-RNA count. Change from baseline in logarithm (log) HIV-RNA at Weeks 96 were assessed

Countries

China

Contacts

Primary ContactWu Hao
whdoc@sina.com+86 13601242523
Backup ContactWan Yuanhao
wanyuanhao@zsswkj.net+86 13601242523

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 11, 2026