Status:

COMPLETED

Clinical Opportunities and Management to Exploit Biktarvy as Asynchronous Connection Key (COMEBACK)

Lead Sponsor:

Gregory Huhn

Collaborating Sponsors:

Gilead Sciences

Conditions:

Hiv

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

COMEBACK is an investigator-initiated, 48-week study. The study will be conducted in 100 persons living with HIV (PLWH) who have been off ART for two or more weeks. All enrolled participants will be p...

Detailed Description

In most settings in the US when patients out of care and off of ART reengage with clinical providers routine labs are collected, including CMP, CD4, VL, and HIV resistance testing when indicated, heal...

Eligibility Criteria

Inclusion

  • HIV-infected
  • Not on ART for \>2 weeks
  • History of estimated eGFR \> 30 ml3/min
  • Baseline labs (CBC, CMP, CD4+, HIV-1 RNA) and resistance genotype test collected \<2 weeks or on day of Biktarvy ART reinitiation
  • 18 years or older

Exclusion

  • No history of primary integrase inhibitor mutations, \>3 TAMs, K70E, Q151M, T69 insertion, or K65R + M184V/I on prior resistance testing
  • Drug-drug interactions with Biktarvy
  • Pregnancy
  • Unable or unwilling to provide consent for study participation
  • Any condition that, in the opinion of the Investigator of Record (IoR), would make participation in the study unsafe, complicate interpretation of outcome data, or otherwise interfere with achieving the study objective.
  • Current participation in another ART adherence study
  • Allergy to bictegravir, emtricitabine or tenofovir alafenamide
  • Signs or symptoms of opportunistic infection with cryptococcal meningitis, tuberculosis or other infection that requires delay of reinitiation of antiretroviral therapy
  • Concomitant use of medications that are contraindicated with bictegravir, emtricitabine and tenofovir alafenamide including adefovir, carbamazepine, cladribine, dofetilide, fosphenytoin-phenytoin, oxcarbazepine, phenobarbital, primidone, rifampin, rifabutin, rifapentine, St. John's Wort, tipranavir

Key Trial Info

Start Date :

September 3 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 6 2024

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT04519970

Start Date

September 3 2020

End Date

April 6 2024

Last Update

March 25 2025

Active Locations (1)

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1

Ruth M. Rothstein CORE Center

Chicago, Illinois, United States, 60612