Long Acting Cabotegravir Plus Rilpivirine in People Living with HIV-1 Aged ≥ 60 Years for 24 Months. (LOVER60)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Enrique Bernal Morell Jefe de Servicio de Medicina Interna. Hospital General Univer, MD
- Phone Number: 968 35 90 00
- Email: ebm.hgurs@gmail.com
Study Locations
-
-
-
Murcia, Spain, 30003
- Recruiting
- Hospital General Universitario Reina Sofia
-
Contact:
- Enrique Bernal Morel, MD
- Email: ebm.hgurs@gmail.com
-
Murcia, Spain, 30008
- Not yet recruiting
- Hospital General Universitario Morales Meseguer
-
Contact:
- Joaquín Bravo Urbieta, MD
- Phone Number: 968 36 09 00
- Email: jokinbravo@hotmail.com
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Murcia, Spain, 30100
- Not yet recruiting
- Hospital Clinico Universitario Virgen de la Arrixaca Murcia
-
Contact:
- Carlos Galera, MD
- Phone Number: 968369500
- Email: carlosgalerap@gmail.com
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-
Alicante
-
Elche, Alicante, Spain, 03203
- Not yet recruiting
- Hospital General Universitario de Elche
-
Contact:
- Mar Masiá Canuto, MD
- Phone Number: 966 61 69 00
- Email: marmasiac@gmail.com
-
Villajoyosa, Alicante, Spain, 03570
- Not yet recruiting
- Hospital Marina Baixa
-
Contact:
- María Inmaculada Concepción Amador, MD
- Phone Number: 966 90 72 00
- Email: concha.amador@gmail.com
-
-
Murcia
-
Cartagena, Murcia, Spain, 30202
- Not yet recruiting
- Hospital General Universitario Santa Lucía
-
Contact:
- Francisco Jesús Vera Méndez, MD
- Phone Number: 968 12 86 00
- Email: franciscovera72@gmail.com
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Lorca, Murcia, Spain, 30813
- Not yet recruiting
- Hospital Universitario Rafael Mendéz de Lorca
-
Contact:
- Ana Isabel Peláez Ballesta, MD
- Phone Number: 968 44 55 00
- Email: anapelaezballesta@gmail.com
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Pozo Aledo, Murcia, Spain, 30739
- Not yet recruiting
- Hospital General Universitario Los Arcos del Mar Menor
-
Contact:
- Diana Piñar Cabezos, MD
- Phone Number: 968 56 50 00
- Email: dianapinar@hotmail.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Be able to understand and comply with protocol requirements, instructions, and restrictions.
- Understand the long-term commitment to the study and be likely to complete the study as planned.
- Be considered appropriate candidates for participation in an investigative clinical trial with oral and intramuscularly injectable medications (e.g., no active substance use disorder, acute major organ disease, or planned long-term work assignments out of the country, etc.).
- Must be on a stable antiretroviral regimen without present or past evidence of viral resistance to, and no prior virological failure with agents of the NNRTI and INI class.
- Plasma HIV-1 RNA <50 copies/mL at screening.
- A female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum hCG test at screen and a negative urine hCG test at randomization) and not lactating
Exclusion Criteria:
- Plasma HIV-1 RNA measurement ≥50 copies/mL within 6 months prior to screening. Blips are allowed (increased viral load ≥50 copies/mL but <200 copies/mL preceded and followed by a viral load less than 50 copies/mL)
- Any drug holiday during the window between initiating first HIV ART and 6 months prior to screening, except for brief periods (less than 1 month) where all ART was stopped due to tolerability and/or safety concerns.
- Any switch to a second line regimen, defined as change of a single drug or multiple drugs simultaneously, due to virologic failure to NNRTI or INSTI (defined as a confirmed plasma HIV-1 RNA measurement ≥200 copies/mL after initial suppression to <50 copies/mL while on first line HIV therapy regimen)
- Subjects who are currently participating in or anticipate being selected for any other interventional study. Observational studies and intervention studies that do not include treatments are allowed unless they interfere with scheduled visits.
- Participants receiving any prohibited medication and who are unwilling or unable to switch to an alternative medication
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: CAB LA + RPV LA
the proportion of participants ≥60 years on stable oral ART that switch to CAB LA + RPV LA with plasma HIV-1 RNA ≥50 copies/mL at month 12 in the intention-to- treat exposed (ITT-E) population
|
Cabotegravir (CAB) LA 600mg and Rilpivirine (RPV) LA 900mg will be administered intramuscularly every 2 months after an induction phase with a single administration in months 1 and 2.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Numer of patients on stable oral ART that switch to CAB LA + RPV LA with plasma HIV-1 RNA ≥50 copies/mL
Time Frame: Up to 12 Months
|
Proportion of participants ≥60 years on stable oral ART that switch to CAB LA + RPV LA with plasma HIV-1 RNA ≥50 copies/mL at month 12 in the intention-to-treat exposed (ITT-E) population, per the FDA Snapshot algorithm.
|
Up to 12 Months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Levels of HIV-1 RNA Copies
Time Frame: 6, 12 and 24 Months
|
To evaluate other estimations of virological control and number of episodes of plasma HIV-1 RNA ≥50 copies/mL that do not meet the criteria for confirmed virological failure
|
6, 12 and 24 Months
|
|
Levels of HIV-1 RNA Copies (plasma HIV-1 RNA ≥200 copies/mL)
Time Frame: 12 and 24 Months
|
To determine the proportion of participants experiencing confirmed virologic failure
|
12 and 24 Months
|
|
Number of Participants with experienced CVF (confirmed virologic failure)
Time Frame: 6, 12 and 24 Months
|
To asses treatment emergent genotypic and phenotypic resistance in participants experiencing CVF.
Levels of hiv-1 RNA copies
|
6, 12 and 24 Months
|
|
To evaluate the immune effects of switching to CAB LA + RPV LA
Time Frame: 6, 12 and 24 Months
|
Plasma levels of (CD4 and CD4/CD8),
|
6, 12 and 24 Months
|
|
Number of SAES/SUSAR in patients treated with CAB LA + RPV LA
Time Frame: 6, 12 and 24 Months
|
evaluation of parameters ensuring efficacy and security of patients, Number of SAES/SUSAR
|
6, 12 and 24 Months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
CD4/CD8 ratio
Time Frame: 6, 12 and 24 Months
|
To assess the change in CD4/CD8 ratio
|
6, 12 and 24 Months
|
|
HIV Status
Time Frame: 6, 12 and 24 Months
|
Questionnaire status version (HIVTSQs),
|
6, 12 and 24 Months
|
|
HIV Treatment Satisfaction
Time Frame: 6, 12 and 24 Months
|
Perception of injection questionnaire (PIN)
|
6, 12 and 24 Months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Infections
- Virus Diseases
- Sepsis
- Systemic Inflammatory Response Syndrome
- Inflammation
- Viremia
- Anti-Infective Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Nucleic Acid Synthesis Inhibitors
- Antiviral Agents
- Reverse Transcriptase Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- HIV Integrase Inhibitors
- Integrase Inhibitors
- Rilpivirine
- Cabotegravir
Other Study ID Numbers
Other Study ID Numbers
- IMIB-LOVER60-2022-03
- 2022-502882-53-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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