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 (INTENSE)

Roche

Status and phase: Completed; Phase 4

Conditions: HIV Infections

Treatments: Drug: Highly active antiretroviral treatment (HAART); Drug: Enfuvirtide

Study type: Interventional

Funder types: Industry

Identifiers

NCT00487188

MV18406

Details and patient eligibility

About

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

Full 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.

Enrollment: 47 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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47 participants in 2 patient groups

ENF + HAART

Experimental group

Description:

Participants received Enfuvirtide (ENF) 90 mg administered by subcutaneous injection twice a day for up to 48 weeks in addition to an oral highly active antiretroviral treatment (HAART) regimen for up to 48 weeks.

Treatment:

Drug: Enfuvirtide

Drug: Highly active antiretroviral treatment (HAART)

HAART

Active Comparator group

Description:

Participants received an oral highly active antiretroviral treatment (HAART) regimen, consisting of 3-5 antivirals for up to 48 weeks.

Treatment:

Drug: Highly active antiretroviral treatment (HAART)