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Follow-up a lungo termine di Cabotegravir a lunga durata d'azione (CAB LA) per la PrEP (profilassi pre-esposizione) nei partecipanti a rischio di contrarre l'HIV (virus dell'immunodeficienza umana) (PALISADE)

4 novembre 2026 aggiornato da: ViiV Healthcare

Un follow-up a lungo termine di Fase IIIB del CAB LA per i partecipanti agli studi HPTN 083 e HPTN 084 CAB PrEP a rischio di acquisizione dell'HIV

The purpose of this study is long-term evaluation of long-acting injectable cabotegravir (CAB LA) for HIV pre-exposure prophylaxis (PrEP) in eligible participants who have completed DAIDS (Division of AIDS) sponsored studies HPTN 083 and HPTN 084 and associated sub-studies. Participants will continue receiving CAB LA and be followed for new HIV diagnosis, SAEs (serious adverse events), Grade 3 and Grade 4 ISRs (injection site reactions), and AEs (adverse events) leading to withdrawal.

Panoramica dello studio

Stato

Attivo, non reclutante

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Effettivo)

2998

Fase

  • Fase 3

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

      • Almagro, Argentina, C1427CEA
        • GSK Investigational Site
      • Buenos Aires, Argentina, 1221
        • GSK Investigational Site
      • Francistown, Botswana
        • GSK Investigational Site
      • Rio de Janeiro, Brasile, 21040-360
        • GSK Investigational Site
      • São Paulo, Brasile, 05403-000
        • GSK Investigational Site
      • São Paulo, Brasile, 04121-000
        • GSK Investigational Site
    • Rio Grande do Sul
      • Porto Alegre, Rio Grande do Sul, Brasile, 91350-200
        • GSK Investigational Site
      • Kisumu, Kenya, 40100
        • GSK Investigational Site
      • Blantyre, Malawi
        • GSK Investigational Site
      • Lilongwe, Malawi, CLW
        • GSK Investigational Site
      • Lima, Perù, 15001
        • GSK Investigational Site
      • Lima, Perù, 15024
        • GSK Investigational Site
      • Lima, Perù, 15088
        • GSK Investigational Site
      • Lima, Perù, Lima 04
        • GSK Investigational Site
      • Piura, Perù, 20000
        • GSK Investigational Site
      • Cape Town, Sud Africa, 7505
        • GSK Investigational Site
      • City of Cape Town, Sud Africa, 755
        • GSK Investigational Site
      • City of Cape Town, Sud Africa, 792
        • GSK Investigational Site
      • City of Johannesburg, Sud Africa, 2001
        • GSK Investigational Site
      • Durban, Sud Africa, 4110
        • GSK Investigational Site
      • Durban, Sud Africa, 4400
        • GSK Investigational Site
      • Isipingo, Sud Africa, 4110
        • GSK Investigational Site
      • Sol Plaatjie, Sud Africa, 8301
        • GSK Investigational Site
      • Mbabane, Swaziland, H103
        • GSK Investigational Site
      • Pathum Wan, Tailandia, 10330
        • GSK Investigational Site
    • Chiang Mai
      • Chiang Mai, Chiang Mai, Tailandia, 50200
        • GSK Investigational Site
      • Entebbe, Uganda, 49
        • GSK Investigational Site
      • Kampala, Uganda
        • GSK Investigational Site
      • Hanoi, Vietnam
        • GSK Investigational Site
      • Chitungwiza, Zimbabwe, 00263
        • GSK Investigational Site
      • Chitungwiza, Zimbabwe, 230221
        • GSK Investigational Site
      • Chitungwiza, Zimbabwe, 263
        • GSK Investigational Site
      • Harare, Zimbabwe
        • GSK Investigational Site

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Bambino
  • Adulto
  • Adulto più anziano

Accetta volontari sani

Sì

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion criteria:

Type of participant

  1. Participants must have recently completed or be currently enrolled and ongoing in one of the following studies on the CAB LA arm:

    • HPTN 083 open label extension
    • HPTN 084 open label extension (including pregnancy sub-study)

    Participants that completed study participation ≥3 months ago must be discussed with the Medical Monitor prior to enrolment.

    Participants who have prematurely withdrawn from prior CAB PrEP studies cannot enroll into this study.

  2. Evidence of continued benefit (HIV negative and at risk) from CAB LA during participation in the parent study/sub-study.

  3. Participants must have nonreactive HIV tests at Screening (rapid test, immunoassay [antigen/antibody] test and HIV-1 RNA results must all be available and nonreactive) and Day 1 (at least one of rapid test and immunoassay [antigen/antibody test] results must be available and nonreactive). Participants who have one or more reactive or positive HIV test result(s) will not be enrolled, even if subsequent confirmatory testing indicates they are not HIV-infected.

    Sex

  4. Males and Females:

    All participants who are engaging in sexual activity should be counselled on safer sexual practices including the use and benefit/risk of effective barrier methods (e.g., male condom) and on the risk of acquiring HIV and other STIs.

    Females:

    Cisgender female participants who are of childbearing potential and who are engaging in sexual activity that could lead to pregnancy, must talk to the investigator about recommended contraception options. Contraception will be optional in this study. Condoms are recommended in addition, because their appropriate use is the only contraception method effective for preventing HIV-1 transmission.

    Pregnant participants from the HPTN 084 study are eligible to enroll into this study if they meet all eligibility criteria.

    Informed consent

  5. Participant or caregiver/legal guardian is able and willing to provide signed informed consent as described in Protocol Section 11.1.5, which includes compliance with the requirements and restrictions listed in the consent form and in this protocol. Where applicable, participants must provide written assent.

Exclusion Criteria:

Concurrent conditions/medical history (includes liver function)

  1. Participants who are currently enrolled in the eligible studies on the TDF/FTC arm are not eligible to enroll into this study. Participants receiving short-term oral TDF/FTC bridging may be enrolled following consultation with the Medical Monitor.

  2. Previous premature discontinuation from IP in the parent study/sub-study.

  3. ALT >5 × ULN; or ALT>3 × ULN and bilirubin >1.5 × ULN (with >35% direct bilirubin) in the screening liver chemistry test result.

  4. Participants with known active hepatitis B infection (as indicated by a positive HBsAg and/or quantifiable HBV DNA). Participants negative for HBsAg but positive for anti-HBc and positive for anti-HBs (past and/or current evidence) are immune to HBV and are not excluded.

  5. Unstable liver disease (as defined by any of the following: presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice or cirrhosis), known biliary abnormalities (with the exception of hyperbilirubinemia or jaundice due to Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease per investigator).

  6. Known history of cirrhosis with or without viral hepatitis co-infection.

  7. Participant is currently participating in or has participated in a study (other than the studies listed in Inclusion Criteria 1) with a compound or device that is not commercially available within 30 days prior to signing informed consent, unless permission from the Medical Monitor is granted.

  8. Presence of or any history of allergy/sensitivity to the study drug or its components.

  9. Inflammatory skin conditions that compromise the safety of IM injections, per the discretion of the investigator. Mild skin conditions may not be exclusionary at the discretion of the investigator or designee.

  10. Participant has a gluteal implant, tattoo or other dermatological condition overlying the buttock region which in the opinion of the investigator or designee may interfere with the injection or interpretation of ISRs.

  11. Coagulopathy (primary or iatrogenic) which would contraindicate IM injection. Concomitant medications

  12. Participant is receiving any protocol-defined prohibited medication and is unwilling or unable to switch to an alternate medication.

  13. Anticipated need for HCV therapy with interferon or any drugs that have potential for adverse drug: drug interactions with study treatment throughout the entire study period.

    Relevant habits

  14. Participant is unlikely to adhere to the study procedures, keep appointments, or is planning to relocate during the study.

  15. Any condition (i(including but not limited to substance use disorder) that would, in the opinion of the site investigator, place the participant at an unacceptable risk of injury or render the participant unable to meet the requirements of the protocol.

    Other

  16. Participant has in the last 14 days prior to screening presented with signs and symptoms, which, in the opinion of the investigator, are suggestive of acute HIV infection. Participants may only be enrolled if clinical suspicion of HIV is ruled out with non-reactive results using appropriate HIV tests as per Inclusion Criterion #3.

  17. Participant is a ward of the state (e.g. child in care).

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Prevenzione
  • Assegnazione: N / A
  • Modello interventistico: Assegnazione di gruppo singolo
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: CAB LA 600 mg (Q8W)

All enrolled participants have previously received CAB LA as part of the HPTN 083 and HPTN 084 parent studies or their sub-studies. Participants will continue receiving CAB LA 600 mg via gluteal intramuscular (IM) injection.

Participants will receive CAB LA 600 mg via gluteal IM injection, once every 8 weeks (Q8W).

Altri nomi:
  • Apretezza
  • CAB LA per la PrEP

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Numero di partecipanti con nuova infezione da HIV
Lasso di tempo: Dal primo giorno fino alla fine dello studio (fino a circa [circa] 3 anni)
Dal primo giorno fino alla fine dello studio (fino a circa [circa] 3 anni)
Number of participants with new HIV infection by characteristic
Lasso di tempo: From Day 1 up to end of study (up to approx. 3 years)

Relevant characteristics of new HIV infections will be assessed, including presence of viral resistance to CAB.

From Day 1 up to end of study (up to approx. 3 years)

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Number of participants with serious adverse events (SAE) by severity
Lasso di tempo: From Day 1 up to end of study (up to approx. 3 years)

The severity scale is assessed as following: Grade 1 = mild symptoms causing no or minimal interference with usual social and functional activities with intervention not indicated. Grade 2 = moderate symptoms causing greater than minimal interference with usual social and functional activities with intervention indicated. Grade 3 = severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. Grade 4 = potentially life-threatening symptoms causing inability to perform self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death.

From Day 1 up to end of study (up to approx. 3 years)
Number of participants with Grade 3 and Grade 4 injection site reactions (ISRs)
Lasso di tempo: From Day 1 up to end of study (up to approx. 3 years)

ISRs may occur following intramuscular administration of CAB LA. Grade 3 refers to severe symptoms causing inability to perform usual social & functional activities with intervention or hospitalization indicated. Grade 4 refers to potentially life-threatening symptoms causing inability to perform basic self-care functions with intervention indicated to prevent permanent impairment, persistent disability or death.

From Day 1 up to end of study (up to approx. 3 years)
Number of participants with any clinical or laboratory AE leading to discontinuation of CAB LA, by severity
Lasso di tempo: From Day 1 up to end of study (up to approx. 3 years)

Any clinical or laboratory AE that leads the participant to permanently discontinue CAB LA will be assessed. The severity scale is assessed as following: Grade 1 = mild symptoms causing no or minimal interference with usual social and functional activities with intervention not indicated. Grade 2 = moderate symptoms causing greater than minimal interference with usual social and functional activities with intervention indicated. Grade 3 = severe symptoms causing inability to perform usual social and functional activities with intervention or hospitalization indicated. Grade 4 = potentially life-threatening symptoms causing inability to perform self-care functions with intervention indicated to prevent permanent impairment, persistent disability, or death.

From Day 1 up to end of study (up to approx. 3 years)

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Collaboratori

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

14 maggio 2024

Completamento primario (Stimato)

14 marzo 2029

Completamento dello studio (Stimato)

14 marzo 2029

Date di iscrizione allo studio

Primo inviato

10 novembre 2023

Primo inviato che soddisfa i criteri di controllo qualità

10 novembre 2023

Primo Inserito (Effettivo)

18 novembre 2023

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

5 novembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

4 novembre 2026

Ultimo verificato

1 novembre 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • 221163

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Descrizione del piano IPD

Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.viiv-studyregister.com/documents/About_ViiV_Patient_Level_Data_Sharing_Final_25Sep2023.pdf

Periodo di condivisione IPD

Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or terminated asset(s) across all indications.

Criteri di accesso alla condivisione IPD

Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension may be granted, when justified, for up to 6 months.

Tipo di informazioni di supporto alla condivisione IPD

  • STUDIO_PROTOCOLLO
  • LINFA
  • ICF
  • RSI

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .