Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR202003492130332 Date of Approval: 12/03/2020
Trial Status: Retrospective registration - This trial was registered after enrolment of the first participant
TRIAL DESCRIPTION
Public title HPTN 084 (Kisumu, Kenya Clinical Research Site)
Official scientific title A Phase 3 Double Blind Safety and Efficacy Study of Long-Acting Injectable Cabotegravir Compared to Daily Oral TDF/FTC for Pre-Exposure Prophylaxis in HIV-Uninfected Women
Brief summary describing the background and objectives of the trial This study is a Phase 3 double-blind study designed to evaluate the efficacy of the long-acting injectable integrase inhibitor, cabotegravir (CAB LA), for human immunodeficiency virus (HIV) prevention when compared to oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) in a population of sexually-active HIV-uninfected women at risk for HIV and interested in using pre-exposure prophylaxis (PrEP) (oral or injectable).This study has a similar design to an efficacy study in HIV-uninfected men who have sex with men (MSM) and transgender women (TGW) (HPTN 083) and will provide complementary information on uptake, usage and efficacy of CAB LA vs. daily oral TDF/FTC in HIV-uninfected women to be submitted as a single package for licensure of CAB LA for HIV prevention. Small single-dose and multiple-dose studies and Phase 2a safety/tolerability studies have been performed for CAB LA. A parallel development program for use of cabotegravir (CAB) (oral and injectable) for treatment of HIV-infected individuals is currently in Phase 2b studies with a salutary safety and efficacy profile to date. a) Efficacy: To evaluate the relative efficacy of daily oral Cabotegravir (CAB)/Long Acting Cabotegravir Injection (CAB LA) versus daily oral TDF/FTC for HIV prevention. b) Safety: To evaluate the relative safety of daily oral Cabotegravir (CAB)/Long Acting Cabotegravir Injection (CAB LA) versus daily oral TDF/FTC for HIV prevention.
Type of trial RCT
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Infections and Infestations
Sub-Disease(s) or condition(s) being studied HIV/AIDS
Purpose of the trial Prevention
Anticipated trial start date 01/11/2018
Actual trial start date
Anticipated date of last follow up 14/02/2020
Actual Last follow-up date
Anticipated target sample size (number of participants) 200
Actual target sample size (number of participants)
Recruitment status Active, not recruiting
Publication URL
Secondary Ids Issuing authority/Trial register
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Parallel: different groups receive different interventions at same time during study Randomised Dynamic (adaptive) random allocation such as minimization Allocation was determined by the holder of the sequence who is situated off site Masking/blinding used Care giver/Provider,Participants
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Control Group Oral cabotegravir and long acting Cabotegravir Arm A: Oral CAB tablets, 30 mg, one tablet orally daily for five weeks, with or without food AND placebo for TDF/FTC tablets, one tablet orally daily for five weeks, with or without food 1.6 – 3.6 years HIV-uninfected women at risk for acquiring HIV, 18 to 45 years old. 3200 Active-Treatment of Control Group
Experimental Group Tenofovir Disopril Fumarate Emtricitabine 300 mg/200mg fixed-dose combination tablets 1.6 – 3.6 years Arm B: TDF/FTC 300 mg/200 mg fixed dose combination tablet, one tablet orally daily for five weeks, with or without food AND placebo for oral CAB tablet, one tablet orally daily for five weeks, with or without food 3200
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
Born female 18-45 years at the time of screening Willing and able to provide informed consent Willing and able to undergo all required study procedures Non-reactive HIV test results at Screening and Enrollment* Sexually active (i.e., vaginal intercourse on a minimum of two separate days in the 30 days prior to Screening) Score of >5 using a modified VOICE risk score51 No plans to re-locate or travel away from the site for >8 consecutive weeks during study participation Creatinine clearance ≥60 mL/min (using Cockcroft-Gault equation) (use sex at birth for calculation) Although not protocol exclusionary, sites should carefully consider the advisability of enrolling participants with calculated creatinine clearance between 60-70 mL/min, as limited changes in creatinine clearance during study conduct will lead to protocol-mandated product holds and may alter the risk-benefit considerations of study participation Hepatitis B virus (HBV) surface antigen (HBsAg) negative and accepts vaccination Alanine aminotransferase (ALT) < 2x upper limit of normal (ULN) and total bilirubin (Tbili) ≤ 2.5 x ULN HCV antibody negative If of reproductive potential (defined as pre-menopausal women who have not had a sterilization procedure per self-report, such as hysterectomy, bilateral oophorectomy, tubal ligation or salpingectomy), must have a negative beta human chorionic gonadotropin (βHCG) pregnancy test (sensitivity of ≤ 25 mIU/mL) performed (and results known) on the same day as and before initiating the protocol-specified study product(s) at Enrollment. One or more reactive HIV test results at Screening or Enrollment, even if HIV infection is not confirmed • Pregnant or currently breastfeeding, or intends to become pregnant and/or breastfeed during the study • Co-enrollment in any other HIV interventional research study (provided by self-report or other available documentation), with one exception: IMPAACT 2026 (co-enrollment in IMPAACT 2026 is permitted for participants who become pregnant) • Current or past enrollment in an HIV vaccine or broadly neutralizing antibody trial • Current or chronic history of liver disease (e.g., non-alcoholic or alcoholic steatohepatitis) or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome, asymptomatic gallstones, or cholecystectomy) HPTN 084, FINAL, Version 2.0 46 of 150 6 November 2019 • History of seizure disorder, per self-report • Clinically significant cardiovascular disease, as defined by history/evidence of symptomatic arrhythmia, angina/ischemia, coronary artery bypass grafting (CABG) surgery or percutaneous transluminal coronary angioplasty (PTCA) or any clinically significant cardiac disease • Inflammatory skin conditions that compromise the safety of IM injections, per the discretion of the Investigator of Record (IoR). Mild skin conditions may not be exclusionary at the discretion of the IoR or designee • Has a tattoo or other dermatological condition overlying the buttock region which in the opinion of the IoR or designee may interfere with interpretation of ISRs • Coagulopathy (primary or iatrogenic) which would contraindicate IM injection • Active or planned use of prohibited medications as described in the IB or listed in the SSP Manual (provided by self-report, or obtained from medical history or medical records) • Known or suspected allergy to study product components (active or placebo), including egg or soy products (egg and soy products are contained in Intralipid) • If potentially able to conceive, unwilling to adhere to long a Adult: 19 Year-44 Year 18 Year(s) 45 Year(s) Female
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 14/08/2017 Kenya Medical Research Institute Scientific and Ethics Review Unit
Ethics Committee Address
Street address City Postal code Country
Nairobi off Mbagathi Road Nairobi 00200 Kenya
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome To evaluate the relative efficacy of oral CAB/CAB LA (oral run-in and injections At the end of study
Secondary Outcome To compare HIV incidence among participants receiving oral CAB/CAB LA vs. daily oral TDF/FTC At the end of study
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Jaramogi Oginga Odinga Teaching and referral Hospital Off Kisumu Busia Road, PO BOX 1578 Kisumu Kisumu 40100 Kenya
FUNDING SOURCES
Name of source Street address City Postal code Country
National Institute of Allergy and Infectious Diseases N/A NA United States of America
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Division of HIV and AIDS N/A NA United States of America Funding Agency
COLLABORATORS
Name Street address City Postal code Country
Kenya Medical Research Institute PO BOX 1578 Kisumu Kisumu 40100 Kenya
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Samuel Ouma SOuma@kemricdc.org +254722957050 off Kisumu Busia RoadPO BOX 1578
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya MEDICAL DOCTOR
Role Name Email Phone Street address
Public Enquiries Francis Angira Fangira@kemricdc.org +254722834973 off Kisumu Busia Road PO BOX 1578
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya Study Coordinator
Role Name Email Phone Street address
Scientific Enquiries Grace Mboya gmboya@kemrocdc.org +254705300452 off Kisumu Busia Road PO BOX 1578
City Postal code Country Position/Affiliation
Kisumu 40100 Kenya MEDICAL DOCTOR
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
Yes Information will be made available in the HPTN trials network website once released https://www.hptn.org/research/studies/hptn084 Analytic Code,Clinical Study Report,Informed Consent Form,Statistical Analysis Plan,Study Protocol 1-2 years after study completion N/A
URL Results Available Results Summary Result Posting Date First Journal Publication Date
No
Result Upload 1: Result Upload 2: Result Upload 3: Result Upload 4: Result Upload 5:
Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information