The study is conducted in two stages and open-label stage of the study. At the first stage of the study, the main purpose was to choose the optimal dose of VM-1500 (20 mg or 40 mg per day) in addition to standard-of-care basic antiretroviral therapy consisting of two NRTIs, in terms of reduction of viral load at Week 12 (\<400 copies/ml) in treatment-naïve HIV-1-infected patients. At the second stage of the study, the main purpose was to evaluate efficacy of VM- 1500 (in the optimal dose selected at the first stage of the study) in comparison to Efavirenz added to standard-of-care antiretroviral therapy of two NRTIs, in terms of reduction of viral load at Week 24 to the undetectable level (\<50 copies/ml) in treatment-naïve HIV-1 infected patients. Open-label stage of the study continued evaluation of viral load and immunological and safety parameters in HIV-1 patients receiving VM-1500 up to Week 96 and additional PK up to Week 100.
This project is an international, multicenter, randomized, partially blind clinical study to evaluate efficacy and safety of two different doses of VM-1500 in comparison with Efavirenz added to standard antiretroviral therapy including two NRTIs in treatment-naïve HIV-1-infected patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
150
Kaluga regional center for AIDS prevention
Kaluga, Kaluga Oblast, Russia
Lipetsk regional center for AIDS prevention
Lipetsk, Lipetsk Oblast, Russia
Perm Regional center for AIDS prevention
Perm, Perm Krai, Russia
Ryazan Regional Clinical Dermatovenerologic Dispensary
Ryazan, Ryazan Oblast, Russia
City center for AIDS prevention
Tolyatti, Samara Oblast, Russia
Republican hospital for AIDS prevention
Kazan', Tatarstan Republic, Russia
Udmurtia Republican hospital for AIDS prevention
Izhevsk, Udmurtia Republic, Russia
Volgograd regional center for AIDS prevention
Volgograd, Volgograd Oblast, Russia
Central Scientific Research Institute of Epidemiology
Moscow, Russia
Moscow Infectional Clinical Hospital #2
Moscow, Russia
...and 3 more locations
Reduction of HIV-1 RNA level in blood plasma <400 copies/ml
Comparison of the percentage of patients with reduced viral load to \< 400 copies/ml at Week 12 in VM-1500 20 mg, VM-1500 40 mg and Efavirenz treatment groups
Time frame: 12 weeks
Reduction of HIV-1 RNA level in blood plasma <50 copies/ml
Comparison of the percentage of patients with reduced viral load to an undetectable level (\< 50 copies/ml) at Week 24 in VM-1500 group with the selected dose and Efavirenz group.
Time frame: 24 weeks
Reduction of HIV-1 RNA level in blood plasma <50 copies/ml
Comparison of the percentage of patients with reduced viral load to an undetectable level (\< 50 copies/ml) at Week 48 in VM-1500 group with the selected dose and Efavirenz group.
Time frame: 48 weeks
Change in the absolute CD4+ lymphocytes count
Change in the absolute CD4+ lymphocytes count from Baseline to Week 48 in VM-1500 group with the selected dose and Efavirenz group.
Time frame: 48 weeks
Change in the absolute CD8+ lymphocytes count
Change in the absolute CD8+ lymphocytes count from Baseline to Week 48 in VM-1500 group with the selected dose and Efavirenz group.
Time frame: 48 weeks
The percent of patients with study therapy-resistant HIV-1 development
The proportion of patients who develop study therapy-resistant HIV-1 from Baseline to Week 48 in VM-1500 group with the selected dose and Efavirenz group.
Time frame: 48 weeks
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