En undersøgelse til evaluering af effektivitet, sikkerhed og tolerabilitet i antiretroviral terapi (ART)-erfarne deltagere på mindst 50 år, der lever med humant immundefektvirus (HIV) med virologisk suppression, som skifter til DTG/3TC FDC fra BIC/FTC/TAF (EYEWITNESS)
Et fase 3b, multicenter, enkeltarmet, åbent studie, der evaluerer effektiviteten, sikkerheden og tolerabiliteten af at skifte til DTG/3TC enkelttabletbehandling administreret én gang dagligt fra en Bictegravir/Emtricitabin/Tenofovir Alafenamid enkelttabletbehandling hos mennesker, der lever med HIV på mindst 50 år, der er virologisk undertrykte
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: US GSK Clinical Trials Call Center
- Telefonnummer: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
Undersøgelse Kontakt Backup
- Navn: EU GSK Clinical Trials Call Center
- Telefonnummer: +44 (0) 20 89904466
- E-mail: GSKClinicalSupportHD@gsk.com
Studiesteder
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Brussels, Belgien, 1200
- GSK Investigational Site
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Ghent, Belgien, 9000
- GSK Investigational Site
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Ontario
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Toronto, Ontario, Canada, M5G 2N2
- GSK Investigational Site
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Quebec
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Montreal, Quebec, Canada, H4A 3J1
- GSK Investigational Site
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Montreal, Quebec, Canada, H2L 1N9
- GSK Investigational Site
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Liverpool, Det Forenede Kongerige, L7 8XP
- GSK Investigational Site
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London, Det Forenede Kongerige, SE1 9RT
- GSK Investigational Site
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London, Det Forenede Kongerige, SW7 2AZ
- GSK Investigational Site
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Arizona
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Phoenix, Arizona, Forenede Stater, 85015
- GSK Investigational Site
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California
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Bakersfield, California, Forenede Stater, 93301
- GSK Investigational Site
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Palm Springs, California, Forenede Stater, 92262
- GSK Investigational Site
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District of Columbia
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Washington D.C., District of Columbia, Forenede Stater, 20005
- GSK Investigational Site
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Florida
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Ft. Pierce, Florida, Forenede Stater, 34982
- GSK Investigational Site
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Miami, Florida, Forenede Stater, 33133
- GSK Investigational Site
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West Palm Beach, Florida, Forenede Stater, 33407
- GSK Investigational Site
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Georgia
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Augusta, Georgia, Forenede Stater, 30912
- GSK Investigational Site
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Decatur, Georgia, Forenede Stater, 30033
- GSK Investigational Site
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Macon, Georgia, Forenede Stater, 31201
- GSK Investigational Site
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02043
- GSK Investigational Site
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Michigan
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Berkley, Michigan, Forenede Stater, 48072
- GSK Investigational Site
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Detroit, Michigan, Forenede Stater, 48202
- GSK Investigational Site
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Missouri
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Kansas City, Missouri, Forenede Stater, 64111
- GSK Investigational Site
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Nebraska
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Omaha, Nebraska, Forenede Stater, 68198
- GSK Investigational Site
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Nevada
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Las Vegas, Nevada, Forenede Stater, 89106
- GSK Investigational Site
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New York
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The Bronx, New York, Forenede Stater, 10467
- GSK Investigational Site
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North Carolina
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Charlotte, North Carolina, Forenede Stater, 28204
- GSK Investigational Site
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Greensboro, North Carolina, Forenede Stater, 27401
- GSK Investigational Site
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Wilmington, North Carolina, Forenede Stater, 28401-7684
- GSK Investigational Site
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Ohio
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Akron, Ohio, Forenede Stater, 44304
- GSK Investigational Site
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Oregon
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Portland, Oregon, Forenede Stater, 97239
- GSK Investigational Site
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- GSK Investigational Site
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Texas
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Austin, Texas, Forenede Stater, 78705
- GSK Investigational Site
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Nice, Frankrig, 6202
- GSK Investigational Site
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Orléans, Frankrig, 45100
- GSK Investigational Site
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Paris, Frankrig, 75004
- GSK Investigational Site
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Amsterdam, Holland, 1105 AZ
- GSK Investigational Site
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Rotterdam, Holland, 3079 DZ
- GSK Investigational Site
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Utrecht, Holland, 3584 CX
- GSK Investigational Site
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Milan, Italien, 20142
- GSK Investigational Site
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Modena, Italien, 41100
- GSK Investigational Site
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Roma, Italien, 161
- GSK Investigational Site
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Torino, Italien, 10149
- GSK Investigational Site
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Monterrey, Mexico, 64460
- GSK Investigational Site
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Mérida, Mexico, 97070
- GSK Investigational Site
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Porto, Portugal, 4099-001
- GSK Investigational Site
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Porto, Portugal, 4200-319
- GSK Investigational Site
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Vila Nova de Gaia, Portugal, 4434-502
- GSK Investigational Site
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Guadalajara, Spanien, 19002
- GSK Investigational Site
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Zaragoza, Spanien, 50009
- GSK Investigational Site
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Catalonia
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Manresa, Catalonia, Spanien, 08243
- GSK Investigational Site
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Sabadell, Catalonia, Spanien, 8208
- GSK Investigational Site
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Freiburg im Breisgau, Tyskland, 79106
- GSK Investigational Site
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Hanover, Tyskland, 30625
- GSK Investigational Site
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München, Tyskland, 80336
- GSK Investigational Site
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Innsbruck, Østrig, 6020
- GSK Investigational Site
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Vienna, Østrig, 1100
- GSK Investigational Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Deltagere, der lever med HIV-1 med dokumenteret plasma HIV-1 RNA <50 c/ml inden for 3 måneder før screening.
- Deltagerne skal have været i uafbrudt antiretroviral behandling (ART) i ≥1 år (undtagen i korte perioder [mindre end 30 dage], hvor al ART blev stoppet på grund af tolerabilitet og/eller sikkerhedsproblemer).
- Deltagerne skal være på uafbrudt BIC/FTC/TAF i mindst 6 måneder før screening.
- Deltagere med plasma HIV-1 RNA <50 c/ml ved screening.
- Deltagere uden kendte tidligere regimeskift på grund af dokumenteret virologisk svigt (defineret som et bekræftet plasma HIV 1 RNA ≥200 c/ml).
- Deltagere med ukendt fuld behandling/klinisk historie ud over 5 år før screening kan være berettigede efter drøftelse og aftale med den medicinske monitor.
Ekskluderingskriterier:
- Kvindedeltagere, der er gravide eller ammer eller planlægger at blive gravide eller ammer under undersøgelsen.
- Deltagere med ethvert bevis på en aktiv Centers for Disease Control and Prevention (CDC) trin 3 sygdom, UNDTAGET kutan Kaposis sarkom, der ikke kræver systemisk terapi. Historiske eller nuværende CD4-celletal mindre end 200 celler/kubikmillimeter (mm^3) er ikke udelukkende.
- Deltagere med tegn og symptomer, som efter efterforskerens mening tyder på aktiv alvorlig akut respiratorisk syndrom-relateret coronavirus (SARS-CoV-2) infektion inden for 14 dage før tilmelding.
- Deltagere med svær leverinsufficiens (klasse C) som bestemt ved Child-Pugh klassificering.
Bevis for hepatitis B virus (HBV) infektion baseret på resultaterne af test ved screening for hepatitis B overfladeantigen (HBsAg), hepatitis B kerneantistof (anti-HBc), hepatitis B overfladeantistof (anti-HBs) og HBV deoxyribonukleinsyre ( DNA) som følger:
- Deltagere positive for HBsAg er udelukket;
- Deltagere, der er negative for anti-HB'er, men positive for anti-HBc (negativ HBsAg-status), uanset om de er negative eller positive for HBV-DNA, er udelukket;
- Deltagere, der er positive for anti-HBc (negativ HBsAg-status) og positive for anti-HB'er (tidligere og/eller nuværende beviser), er immune over for HBV og er ikke udelukket.
- Deltagere med ustabil leversygdom (som defineret ved et af følgende: tilstedeværelse af ascites, encefalopati, koagulopati, hypoalbuminæmi, esophageal eller gastrisk varicer, eller vedvarende gulsot eller skrumpelever), kendte galde abnormiteter (med undtagelse af Gilberts syndrom eller asymptomatiske galdesten ellers stabil kronisk leversygdom pr. investigator vurdering).
- Deltagere med tidligere levercirrhose med eller uden hepatitis viral co-infektion.
- Deltagere med ubehandlet syfilisinfektion (positivt hurtigt plasma reagin [RPR] ved Screening uden klar dokumentation for behandling). Deltagere, der er mindst 7 dage efter afsluttet behandling, er berettigede.
- Deltagere med historie eller tilstedeværelse af allergi eller intolerance over for undersøgelsesbehandlingen eller deres komponenter eller lægemidler i deres klasse eller en historie med lægemidler eller anden allergi, som efter investigatorens eller Medical Monitors mening kontraindikerer deres deltagelse.
- Igangværende malignitet bortset fra kutan Kaposis sarkom, basalcellecarcinom eller resekeret, ikke-invasiv kutant pladecellecarcinom eller cervikal, anal eller penis intraepitelial neoplasi.
- Deltagere, der efter efterforskerens vurdering udgør en betydelig suicidalitetsrisiko. Deltagerens historie med selvmordsadfærd og/eller selvmordstanker bør tages i betragtning, når der vurderes for selvmordsrisiko.
- Deltagere med tegn på større 3TC-resistensassocierede mutationer (M184V/I og/eller K65R og/eller MDR) eller tilstedeværelse af enhver større Integrase streng transfer inhibitor (INSTI) resistensassocieret mutation i et hvilket som helst tilgængeligt tidligere resistensgenotypeassay-testresultat. Alle tilgængelige historiske resistensrapporter med HIV-1 revers transkriptase eller integrase genotypiske data skal leveres til ViiV efter screening og før tilmelding til gennemgang af ViiV Virology.
- Deltagere med enhver verificeret grad 4 laboratorieabnormitet med undtagelse af grad 4 lipid abnormiteter.
- Alaninaminotransferase (ALT) ≥5 gange den øvre grænse for normal (ULN) eller ALT ≥3xULN og bilirubin ≥1,5xULN (med mere end [>]35 procent [%] direkte bilirubin).
- Deltageren har estimeret kreatinclearance <30 milliliter pr. minut (mL/min) pr. 1,73 kvadratmeter (m^2) ved hjælp af den ombyggede, race-neutrale Chronic Kidney Disease Epidemiology Collaboration (CKD-EPIcr_R) metode.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Participants Receiving Dolutegravir/Lamivudine (DTG/3TC) Fixed-dose combination (FDC)
Participants living with HIV switched from Bictegravir/Emtricitabine/Tenofovir alafenamide (BIC/FTC/TAF) on Day 1 and received once daily dose of DTG/3TC FDC for 96 weeks.
At Week 96, all participants switched to locally available DTG/3TC FDC or local standard of care (SOC) Antiretroviral Therapy (ART).
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DTG/3TC FDC was administered once daily.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) Greater Than or Equal to (>=)50 Copies/Millilitre (c/mL) at Week 48
Tidsramme: At Week 48
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Participants with HIV-1 RNA >= 50 c/mL were evaluated.
Virologic outcome was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the Week 48 Window.
The analysis was done using the modified Snapshot algorithm.
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At Week 48
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of Participants With Plasma HIV-1 RNA >= 50 c/mL at Week 24
Tidsramme: At Week 24
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The number of participants with plasma HIV-1 RNA >/=50 c/mL at Week 24 was analyzed using the Snapshot Algorithm.
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At Week 24
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Number of Participants With Plasma HIV-1 RNA >= 50 c/mL at Week 96
Tidsramme: At Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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At Week 96
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Number of Participants With Plasma HIV-1 RNA Less Than (<) 50 c/mL at Week 24
Tidsramme: At Week 24
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The number of participants with plasma HIV-1 RNA <50 c/mL at Week 24 was analyzed using the Snapshot Algorithm.
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At Week 24
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Number of Participants With Plasma HIV-1 RNA < 50 c/mL at Week 48
Tidsramme: At Week 48
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The number of participants with plasma HIV-1 RNA < 50 c/mL at Week 48 was analyzed using the modified Snapshot Algorithm.
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At Week 48
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Number of Participants With Plasma HIV-1 RNA < 50 c/mL at Week 96
Tidsramme: At Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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At Week 96
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Absolute Values for Cluster of Differentiation 4 (CD4+) Cells Count at Week 24
Tidsramme: At Week 24
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At Week 24
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Absolute Values for CD4+ Cells Count at Week 48
Tidsramme: At Week 48
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At Week 48
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Absolute Values for CD4+ Cells Count at Week 96
Tidsramme: At Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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At Week 96
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Absolute Values for CD4: Cluster of Differentiation 8 (CD8) Ratio at Week 24
Tidsramme: At Week 24
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The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.
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At Week 24
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Absolute Values for CD4:CD8 Ratio at Week 48
Tidsramme: At Week 48
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The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.
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At Week 48
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Absolute Values for CD4:CD8 Ratio at Week 96
Tidsramme: At Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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At Week 96
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Change From Baseline in CD4+ Cells Count at Week 24
Tidsramme: At Week 24 compared to Baseline
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At Week 24 compared to Baseline
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Change From Baseline in CD4+ Cells Count at Week 48
Tidsramme: At Week 48 compared to Baseline
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At Week 48 compared to Baseline
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Change From Baseline in CD4+ Cells Count at Week 96
Tidsramme: At Week 96 compared to baseline
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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At Week 96 compared to baseline
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Change From Baseline in CD4:CD8 Ratio at Week 24
Tidsramme: At Week 24 compared to Baseline
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The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.
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At Week 24 compared to Baseline
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Change From Baseline in CD4:CD8 Ratio at Week 48
Tidsramme: At Week 48 compared to Baseline
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The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.
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At Week 48 compared to Baseline
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Change From Baseline in CD4:CD8 Ratio at Week 96
Tidsramme: At Week 96 compared to baseline
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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At Week 96 compared to baseline
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Number of Participants With Disease Progression (HIV-associated Conditions, AIDS, and Death) Through Week 24
Tidsramme: Up to Week 24
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Occurrence of disease progression was evaluated through HIV-associated conditions and incidence of disease progression to United States Centers for Disease Control and Prevention (CDC) stage 3 or death.
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Up to Week 24
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Number of Participants With Disease Progression (HIV-associated Conditions, AIDS, and Death) Through Week 48
Tidsramme: Up to Week 48
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Up to Week 48
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Number of Participants With Disease Progression (HIV-associated Conditions, AIDS, and Death) Through Week 96
Tidsramme: Week 96
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Week 96
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Number of Participants With Viral Resistance After Meeting Confirmed Virologic Withdrawal (CVW) Criterion
Tidsramme: Up to Week 48
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Confirmed virologic withdrawal criteria is defined as two consecutive assessments with HIV-1 RNA greater than or equal to (>=)200 c/mL after Day 1 visit.
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Up to Week 48
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Number of Participants With Viral Resistance After Meeting CVW Criterion
Tidsramme: From Week 48 to Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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From Week 48 to Week 96
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Number of Participants With Treatment Related Non-serious Adverse Events (AEs)
Tidsramme: Up to Week 48
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A treatment related non-serious AE is defined as any untoward medical occurrence in a clinical study participant considered related to the study treatment.
Any = occurrence of the event regardless of intensity grade
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Up to Week 48
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Number of Participants With Treatment Related Non-serious AEs
Tidsramme: From Week 48 to Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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From Week 48 to Week 96
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Number of Participants With Any Serious Adverse Events (SAEs)
Tidsramme: Up to Week 48
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An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, results in abnormal pregnancy outcomes or any other situation based on appropriate medical or scientific judgement.
Any = occurrence of the event regardless of intensity grade.
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Up to Week 48
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Number of Participants With SAEs
Tidsramme: From Week 48 to Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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From Week 48 to Week 96
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Number of Participants With AEs Leading to Treatment Discontinuation
Tidsramme: Up to Week 48
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Up to Week 48
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Number of Participants With AEs Leading to Treatment Discontinuation
Tidsramme: From Week 48 to Week 96
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Data not available at the time of posting, will be updated at the final results disclosure stage.
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From Week 48 to Week 96
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Blodbårne infektioner
- Urogenitale sygdomme
- Genitale sygdomme
- Sygdomme i immunsystemet
- Infektioner
- RNA-virusinfektioner
- Virussygdomme
- Overførbare sygdomme
- Seksuelt overførte sygdomme, virale
- Seksuelt overførte sygdomme
- Lentivirus infektioner
- Retroviridae infektioner
- Immunologiske mangelsyndromer
- Langsomme virussygdomme
- HIV-infektioner
- Erhvervet immundefektsyndrom
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 219516
- 2022-503137-66-00 (Anden identifikator: EU CT number)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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