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Trial registered on ANZCTR
Registration number
ACTRN12612000263897
Ethics application status
Approved
Date submitted
21/02/2012
Date registered
5/03/2012
Date last updated
8/06/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomised, double-blind, placebo-controlled, clinical trial to compare the safety and efficacy of reduced dose efavirenz (EFV) with standard dose EFV plus 2N(t)RTI in antiretroviral-naive HIV-infected individuals over 96 weeks. Encore1 intensive pharmacokinetics sub-study
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Scientific title
A randomised, double-blind, placebo-controlled, clinical trial to compare the safety and efficacy of reduced dose efavirenz (EFV) with standard dose EFV plus 2N(t)RTI in antiretroviral-naive HIV-infected individuals over 96 weeks. Encore1 intensive pharmacokinetics sub-study
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Secondary ID [1]
280011
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NCT01271894 (ClinicalTrials.gov)
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Universal Trial Number (UTN)
U1111-1128-3627
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Trial acronym
Encore1 intensive PK sub-study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HIV infection
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Condition category
Condition code
Infection
286110
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0
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Acquired immune deficiency syndrome (AIDS / HIV)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Efavirenz 600 mg orally once daily or efavirenz 400 mg orally once daily in combination with daily tenofovir/emtricabine (300/200 mg) fixed-drug combination for 96 weeks
http://clinicaltrials.gov/ct2/show/NCT01011413?term=Encore1&rank=2
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Intervention code [1]
284316
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Treatment: Drugs
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Comparator / control treatment
600 mg (given as 3 x 200 mg tablets) plus tenofovir/emtricitabine (300/200 mg) fixed drug combination once daily for 96 weeks
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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To compare the pharmacokinetic parameters of EFV determined from blood collected over a 24-hour dosing interval in blinded samples from participants taking either EFV 600 mg or 400 mg once daily in combination with Truvada.
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Assessment method [1]
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Timepoint [1]
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48 weeks
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Secondary outcome [1]
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To compare the safety and tolerability of EFV 400 mg versus 600 mg given once daily by between-group comparison of adverse event and serious adverse event frequency, clinical assessment and results of DASS-21 and subject experience questionnaires.
Adverse events are those commonly observed with EFV therapy and included central nervous system events such as dizziness, vivid dreams, poor of concentration. Events will be assessed by clinical examination and use of questionnaires as above.
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Assessment method [1]
296183
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Timepoint [1]
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48 weeks
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Secondary outcome [2]
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To compare pharmacokinetic parameters (AUC0-24, t1/2, Cmax, Tmax, Cmin, CL/F) between EFV 400 mg and 600 mg dosed once daily.
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Assessment method [2]
296184
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Timepoint [2]
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48 weeks
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Eligibility
Key inclusion criteria
Main study participants at selected sites are eligible:
provide written sub-study consent at or before week 0
taken randomized study drugs for at least 4 weeks but less than 8 weeks
taken EFV in the evening for at least 7 days
taken all EFV doses over the 3 preceding days.
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
nil
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomization by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization by using a randomization table created by a computer software (i.e. computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
20/12/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4150
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Argentina
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State/province [1]
4150
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Buenos Aires
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Country [2]
4151
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Thailand
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State/province [2]
4151
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Bangkok
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Country [3]
4152
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South Africa
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State/province [3]
4152
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Cape Town
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Country [4]
4153
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United Kingdom
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State/province [4]
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London
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
University
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Name
Kirby Institute/University of New South Wales
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Address
UNSW
Sydney NSW 2052
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
283656
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Marta Boffito
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Address [1]
260559
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Chelsea & Westminster Hospital
Fulham Road
London SW7
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Country [1]
260559
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United Kingdom
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of New South Wales Human Research Ethics Committee
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Ethics committee address [1]
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UNSW Sydney NSW 2052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
286752
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Approval date [1]
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19/12/2011
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Ethics approval number [1]
286752
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HC11447
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Summary
Brief summary
Safety and efficacy are key issues in antiretroviral therapy (ART) selection. Efavirenz (EFV) is an important component of combination ART in treatment naive individuals. Like many drugs, EFV demonstrates inter-individual differences in its efficacy and tolerability. The Encore1 study provides an opportunity to examine the pharmacokinetics (PK)(processes by which a drug is absorbed, distributed, metabolized, and eliminated by the body) of EFV in blood samples collected over a 24-hour dosing interval in participants receiving either standard 600 mg or reduced 400 mg dose EFV once daily. This sub-study will investigate the relationships between EFV dosage, EFV plasma concentrations, toxicity and virological efficacy. EFV concentrations in dried blood spots and matched plasma and will be evaluated to determine the utility of dried blood spot measurements in measuring EFV plasma concentrations. Measurements dried blood spots could potentially be a cheap and easy alternative to measurements in plasma. Dried blood spots can be easily collected from venous blood or fingerprick, do not need plasma separation and potentially need less stringent storage conditions during shipment. http://clinicaltrials.gov/ct2/show/NCT01271894?term=Encore1&rank=3
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Trial website
nil
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Dianne Carey
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Address
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Kirby Institute
c/- CFI Building
cnr West and Boundary Sts
Darlinghurst NSW 2010
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Country
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Australia
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Phone
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+ 61 2 9385 0908
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Fax
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+61 2 9385 0910
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Rebekah Puls
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Address
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Kirby Institute
c/- CFI Building
cnr West and Boundary Sts
Darlinghurst NSW 2010
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Country
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Australia
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Phone
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+ 61 2 9385 0900
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Fax
7984
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+ 61 2 9385 0910
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Email
7984
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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