이 페이지는 자동 번역되었으며 번역의 정확성을 보장하지 않습니다. 참조하십시오 영문판 원본 텍스트의 경우.

A Phase IIIb Study of the Safety, Efficacy, and Tolerability of Switching to a Fixed-dose Combination of Abacavir/Dolutegravir/ Lamivudine From Current Antiretroviral Regimen

2016년 11월 7일 업데이트: ViiV Healthcare

201147: a Phase IIIb, Randomized, Open-label Study of the Safety, Efficacy, and Tolerability of Switching to a Fixed-dose Combination of Abacavir/Dolutegravir/ Lamivudine From Current Antiretroviral Regimen Compared With Continuation of the Current Antiretroviral Regimen in HIV-1 Infected Adults Who Are Virologically Suppressed, The STRIIVING Study.

This study is a 48-week, Phase IIIb, randomly assigned, open-label, active-controlled, multicenter, parallel group, non-inferiority study. This study is designed to demonstrate the non-inferior antiviral activity of switching to the Abacavir (ABC) 600 milligrams (mg)/Dolutegravir(DTG) 50 mg/Lamivudine (3TC) 300 mg fixed-dose combination (FDC) compared with continuing the subject's current suppressive regimen through 24 weeks. The study will be conducted in approximately 538 Human Immunodeficiency Virus -1 (HIV-1) infected individuals who are on stable suppressive combination antiretroviral therapy (cART) with 2 Nucleoside reverse transcriptase inhibitors (NRTIs) plus either a protease inhibitor (PI), an non-nucleoside reverse transcriptase inhibitor (NNRTI), or an integrase inhibitor (INI). Eligible subjects will be randomly assigned 1:1 to continue their current regimen (approximately 269 subjects) or be switched to ABC/DTG/3TC FDC (approximately 269 subjects) once daily for 24 weeks. At Week 24, individuals originally randomly assigned to continue their current regimen will switch to ABC/DTG/3TC FDC and be followed for an additional 24 weeks. Individuals initially randomly assigned to ABC/DTG/3TC FDC will continue on that treatment arm for an additional 24 weeks. A pharmacokinetic (PK) substudy will be conducted at a small number of sites (approximately 10) to evaluate predose DTG concentrations as well as residual drug concentrations of efavirenz (EFV), nevaripine (NVP), amprenavir (APV) and tipranavir (TPV) in a subgroup of subjects who switch from EFV, NVP, fosamprenavir/ritonavir (FPV/r) or tipranavir/ritonavir (TPV/r).

연구 개요

연구 유형

중재적

등록 (실제)

555

단계

  • 3단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • Arizona
      • Phoenix, Arizona, 미국, 85015
        • GSK Investigational Site
      • Phoenix, Arizona, 미국, 85012
        • GSK Investigational Site
    • California
      • Bakersfield, California, 미국, 93301
        • GSK Investigational Site
      • Beverly Hills, California, 미국, 90211
        • GSK Investigational Site
      • Long Beach, California, 미국, 90813
        • GSK Investigational Site
      • Los Angeles, California, 미국, 90069
        • GSK Investigational Site
      • Los Angeles, California, 미국, 90033
        • GSK Investigational Site
      • Los Angeles, California, 미국, 90036
        • GSK Investigational Site
      • Los Angeles, California, 미국, 90028
        • GSK Investigational Site
      • Los Angeles, California, 미국, 90035
        • GSK Investigational Site
      • Newport Beach, California, 미국, 92663
        • GSK Investigational Site
      • Oakland, California, 미국, 94602
        • GSK Investigational Site
      • Sacramento, California, 미국, 95825
        • GSK Investigational Site
      • San Diego, California, 미국, 92103
        • GSK Investigational Site
      • San Francisco, California, 미국, 94115
        • GSK Investigational Site
      • San Francisco, California, 미국, 94109
        • GSK Investigational Site
      • San Francisco, California, 미국, 94118
        • GSK Investigational Site
      • San Leandro, California, 미국, 94577
        • GSK Investigational Site
      • Torrance, California, 미국, 90502
        • GSK Investigational Site
    • Colorado
      • Denver, Colorado, 미국, 80209
        • GSK Investigational Site
      • Denver, Colorado, 미국, 80205-5422
        • GSK Investigational Site
    • Connecticut
      • Norwalk, Connecticut, 미국, 06850
        • GSK Investigational Site
    • District of Columbia
      • Washington, District of Columbia, 미국, 20007
        • GSK Investigational Site
      • Washington, District of Columbia, 미국, 20037
        • GSK Investigational Site
      • Washington, District of Columbia, 미국, 20009
        • GSK Investigational Site
      • Washington, District of Columbia, 미국, 20036
        • GSK Investigational Site
    • Florida
      • Fort Lauderdale, Florida, 미국, 33316
        • GSK Investigational Site
      • Fort Pierce, Florida, 미국, 34982
        • GSK Investigational Site
      • Jacksonville, Florida, 미국, 32209
        • GSK Investigational Site
      • Miami, Florida, 미국, 33136
        • GSK Investigational Site
      • Miami, Florida, 미국, 33133
        • GSK Investigational Site
      • Orlando, Florida, 미국, 32803
        • GSK Investigational Site
      • Pensacola, Florida, 미국, 32504
        • GSK Investigational Site
      • Tampa, Florida, 미국, 33614
        • GSK Investigational Site
      • Vero Beach, Florida, 미국, 32960-6571
        • GSK Investigational Site
      • West Palm Beach, Florida, 미국, 33401
        • GSK Investigational Site
    • Georgia
      • Atlanta, Georgia, 미국, 30312
        • GSK Investigational Site
      • Atlanta, Georgia, 미국, 30308
        • GSK Investigational Site
      • Atlanta, Georgia, 미국, 30339
        • GSK Investigational Site
      • Augusta, Georgia, 미국, 30912-3130
        • GSK Investigational Site
      • Decatur, Georgia, 미국, 30033
        • GSK Investigational Site
      • Savannah, Georgia, 미국, 31405
        • GSK Investigational Site
    • Hawaii
      • Honolulu, Hawaii, 미국, 96813
        • GSK Investigational Site
    • Illinois
      • Chicago, Illinois, 미국, 60612
        • GSK Investigational Site
      • Chicago, Illinois, 미국, 60612-3833
        • GSK Investigational Site
    • Indiana
      • Indianapolis, Indiana, 미국, 46202
        • GSK Investigational Site
    • Iowa
      • Iowa City, Iowa, 미국, 52242
        • GSK Investigational Site
    • Louisiana
      • New Orleans, Louisiana, 미국, 70121
        • GSK Investigational Site
    • Massachusetts
      • Springfield, Massachusetts, 미국, 01105
        • GSK Investigational Site
    • Michigan
      • Ann Arbor, Michigan, 미국, 48109
        • GSK Investigational Site
      • Berkley, Michigan, 미국, 48072
        • GSK Investigational Site
    • Minnesota
      • Minneapolis, Minnesota, 미국, 55407
        • GSK Investigational Site
      • Minneapolis, Minnesota, 미국, 55415
        • GSK Investigational Site
    • Missouri
      • Kansas City, Missouri, 미국, 64111
        • GSK Investigational Site
      • Saint Louis, Missouri, 미국, 63108
        • GSK Investigational Site
      • St. Louis, Missouri, 미국, 63110
        • GSK Investigational Site
      • St. Louis, Missouri, 미국, 63139
        • GSK Investigational Site
    • Nevada
      • Las Vegas, Nevada, 미국, 89031
        • GSK Investigational Site
    • New Jersey
      • Camden, New Jersey, 미국, 08103
        • GSK Investigational Site
      • Hillsborough, New Jersey, 미국, 08844
        • GSK Investigational Site
      • Newark, New Jersey, 미국, 07102
        • GSK Investigational Site
    • New Mexico
      • Santa Fe, New Mexico, 미국, 87505
        • GSK Investigational Site
    • New York
      • Bronx, New York, 미국, 10467
        • GSK Investigational Site
      • Buffalo, New York, 미국, 14215
        • GSK Investigational Site
      • Manhasset, New York, 미국, 11030
        • GSK Investigational Site
      • New York, New York, 미국, 10001
        • GSK Investigational Site
      • Valhalla, New York, 미국, 10595
        • GSK Investigational Site
    • North Carolina
      • Charlotte, North Carolina, 미국, 28207
        • GSK Investigational Site
      • Greensboro, North Carolina, 미국, 27401
        • GSK Investigational Site
    • Ohio
      • Akron, Ohio, 미국, 44304
        • GSK Investigational Site
      • Cincinnati, Ohio, 미국, 45267-0405
        • GSK Investigational Site
    • Oklahoma
      • Tulsa, Oklahoma, 미국, 74127
        • GSK Investigational Site
    • Pennsylvania
      • Allentown, Pennsylvania, 미국, 18102
        • GSK Investigational Site
      • Philadelphia, Pennsylvania, 미국, 19107
        • GSK Investigational Site
      • Pittsburgh, Pennsylvania, 미국, 15212
        • GSK Investigational Site
    • South Carolina
      • Charleston, South Carolina, 미국, 29425
        • GSK Investigational Site
    • Texas
      • Austin, Texas, 미국, 78705
        • GSK Investigational Site
      • Bellaire, Texas, 미국, 77401
        • GSK Investigational Site
      • Dallas, Texas, 미국, 75246
        • GSK Investigational Site
      • Dallas, Texas, 미국, 75208
        • GSK Investigational Site
      • Dallas, Texas, 미국, 75390-9113
        • GSK Investigational Site
      • Fort Worth, Texas, 미국, 76104
        • GSK Investigational Site
      • Houston, Texas, 미국, 77098
        • GSK Investigational Site
      • Longview, Texas, 미국, 75605
        • GSK Investigational Site
    • Virginia
      • Annandale, Virginia, 미국, 22003
        • GSK Investigational Site
      • Lynchburg, Virginia, 미국, 24501
        • GSK Investigational Site
    • Washington
      • Seattle, Washington, 미국, 98104
        • GSK Investigational Site
    • Alberta
      • Calgary, Alberta, 캐나다, T2R 0X7
        • GSK Investigational Site
    • British Columbia
      • Vancouver, British Columbia, 캐나다, V6Z 2T1
        • GSK Investigational Site
      • Vancouver, British Columbia, 캐나다, V6Z 2C7
        • GSK Investigational Site
      • Victoria, British Columbia, 캐나다, V8W 1M8
        • GSK Investigational Site
    • Manitoba
      • Winnipeg, Manitoba, 캐나다, R3A 1R9
        • GSK Investigational Site
    • Ontario
      • Toronto, Ontario, 캐나다, M4N 3M5
        • GSK Investigational Site
      • Toronto, Ontario, 캐나다, M5G 1K2
        • GSK Investigational Site
      • Toronto, Ontario, 캐나다, M5G 2N2
        • GSK Investigational Site
      • Toronto, Ontario, 캐나다, M4T 3A7
        • GSK Investigational Site
    • Quebec
      • Montreal, Quebec, 캐나다, H3A 1T1
        • GSK Investigational Site
      • Montreal, Quebec, 캐나다, H2L 4P9
        • GSK Investigational Site
      • Montreal, Quebec, 캐나다, H2L 5B1
        • GSK Investigational Site
      • Ponce, 푸에르토 리코, 00717-1567
        • GSK Investigational Site
      • Rio Piedras, 푸에르토 리코, 00935
        • GSK Investigational Site
      • San Juan, 푸에르토 리코, 00909
        • GSK Investigational Site
      • San Juan, 푸에르토 리코, 00936-8344
        • GSK Investigational Site

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

  • Be able to understand and comply with protocol requirements, instructions, and restrictions;
  • Be likely to complete the study as planned;
  • Be considered appropriate candidates for participation in an investigative clinical trial with oral medication (e.g., no active substance abuse, acute major organ disease, or planned long-term work assignments out of the country, etc.).
  • Signed and dated written informed consent is obtained from the subject or the subject's legal representative prior to screening
  • HIV-1 infected men or women >=18 years of age;
  • A female may be eligible to enter and participate in the study if she: a. Is of non-childbearing potential either defined as post-menopausal (12 months of spontaneous amenorrhea and >=45 years of age) or physically incapable of becoming pregnant with documented tubal ligation, hysterectomy, or bilateral oophorectomy or,
  • A female may be eligible to enter and participate in the study if she: b. Is of childbearing potential with a negative pregnancy test at both Screening and Day 1 and agrees to use one of the following methods of contraception to avoid pregnancy: Complete abstinence from intercourse from 2 weeks prior to administration of study drug, throughout the study, and for at least 2 weeks after discontinuation of all study drugs; Double barrier method (e.g., male condom/spermicide, male condom/diaphragm, diaphragm/spermicide); Any intrauterine device (IUD) with published data showing that the expected failure rate is <1% per year ; Male partner sterilization prior to the female subject's entry into the study and this male is the sole partner for that subject; Approved hormonal contraception for subjects randomly assigned to the ABC/DTG/3TC arm or approved hormonal contraception plus a barrier method for subjects assigned to continued antiretroviral therapy arm; Any other method with published data showing that the expected failure rate is <1% per year.
  • Any contraception method must be used consistently, in accordance with the approved product label and for at least 2 weeks after discontinuation of study drug. A childbearing potential female subject who starts the study using complete abstinence as her contraceptive method and decides to become sexually active must use the double barrier method either as a bridge to an approved hormonal contraception (if possible) or as a method of choice to be maintained from that moment onwards.
  • All subjects participating in the study should be counselled on safer sexual practices including the use of effective barrier methods (e.g., male condom/spermicide).
  • Within the last year, 2 consecutive plasma HIV-1 Ribonucleic acid (RNA) measurements <50 copies/millilitres (c/mL) and plasma HIV-1 RNA<50 c/mL at Screening (<75 b Deoxyribonucleic acid [bDNA] is considered equal to <50 c/mL); Subjects who present at initial screening with a viral load between 50 to 200 c/mL can be retested once within the screening period.
  • Must be on current regimen (whether first or second line Combination antiretroviral therapy [cART]) for at least 6 months prior to Screening;
  • Acceptable stable cART regimens prior to Screening include: • Boosted PI (or Atazanavir [ATV]) unboosted) + 2 NRTIs, NNRTI + 2 NRTIs, • INI + 2 NRTIs. For subjects on an INI, their INI at Screening must be RAL or Elvitegravir (EVG)
  • Any switch to a second line regimen, defined as change of a single drug or multiple drugs simultaneously, must have occurred due to tolerability and/or safety concerns.
  • Subject must have achieved plasma HIV-1 RNA level <50 c/mL within 6 months of start of initial cART regimen with no plasma HIV-1 RNA level >200 c/mL following initial suppression;
  • Documentation that the subject is negative for the human leukocyte antigen (HLA) B*5701 allele;

Exclusion Criteria:

Exclusionary Medical Conditions

  • Women who are breastfeeding;
  • Any evidence of an active (Centers for Disease Control and Prevention [CDC] Category C) disease. Exceptions include cutaneous Kaposi's sarcoma not requiring systemic therapy and historic CD4+ cell counts of <200 cells/cubic millimeter (mm).
  • Subjects with any degree of hepatic impairment;
  • Subjects positive for hepatitis B virus surface antigen (+HBsAg) at Screening or with an anticipated need for hepatitis C virus (HCV) therapy during the study;
  • History or presence of allergy to the study drugs or their components or drugs of their class;
  • Ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, non-invasive cutaneous squamous cell carcinoma, or cervical intraepithelial neoplasia; other localized malignancies require agreement between the investigator and the study medical monitor for inclusion of the subject;
  • Subjects who, in the investigator's judgment, pose a significant suicidality risk. Recent history of suicidal behavior and/or suicidal ideation may be considered as evidence of serious suicide risk;

Exclusionary Treatments Prior to Screening or Day 1

  • Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening;
  • Treatment with any of the following agents within 28 days of Screening: radiation therapy, cytotoxic chemotherapeutic agents, any immunomodulators that alter immune responses;
  • Exposure to an experimental drug or experimental vaccine within either 28 days, 5 half-lives of the test agent, or twice the duration of the biological effect of the test agent, whichever is longer, prior to the first dose of study drug;
  • A history of use of only mono or dual NRTI therapy prior to starting cART;
  • Use of etravirine at time of switch;
  • Use of DTG at time of switch;
  • Subjects receiving any prohibited medication listed in the protocol and who are unwilling or unable to switch to an alternate medication

Exclusionary Laboratory Values or Clinical Assessments at Screening

  • Evidence of primary viral resistance based on the presence of any resistance-associated major PI or any NRTI, NNRTI, or INI mutation in any prior resistance genotype assay result;
  • Any verified Grade 4 laboratory abnormality, with the exception of Grade 4 triglyceride abnormalities. A single repeat test is allowed during the screening period to verify a result;
  • Any acute laboratory abnormality at Screening, which, in the opinion of the investigator, would preclude the subject's participation in the study of an investigational compound;
  • Alanine aminotransferase (ALT) >=5 times the upper limit of normal (ULN), or ALT >=3 × ULN and bilirubin >=1.5 × ULN (with >35% direct bilirubin);
  • Subject has CrCl of <50 mL/min using Modification of Diet in Renal Disease (MDRD);
  • QTc (Bazett) >=450 msec or QTc (Bazett) >=480 msec for subjects with bundle branch block. The QTc is the QT interval corrected for heart rate according to Bazett's formula (QTcB). The QTc should be based on a single QTc value electrocardiogram (ECG) obtained.
  • Eligibility of subjects for study participation will be decided by the investigators after taking into consideration various country specific guidelines, and notwithstanding the above mentioned minimum inclusion and exclusion criteria.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: ABC/DTG/3TC
Subject will take ABC 600 mg/DTG 50 mg/3TC 300 mg FDC once daily in the morning or the evening, at approximately the same time each day for 24 weeks. After Week 24, subjects will continue on this treatment arm for an additional 24 weeks.
Purple, oval, biconvex tablets containing 702 mg Abacavir sulphate which is equivalent to 600 mg ABC, 52.62 mg Dolutegravir sodium which is equivalent to 50 mg Dolutegravir free acid and 300 mg 3TC
활성 비교기: Comparator
Subjects will continue on their current Combination antiretroviral therapy (cART) regimen for 24 weeks. At Week 24, subjects will switch to ABC/DTG/3TC FDC for an additional 24 weeks.
Stable cART regimens including boosted PI (or ATV unboosted) + 2 NRTIs; NNRTI + 2 NRTIs, or INI (RAL or EVG)+ 2 NRTIs

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Number of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) <50 Copies Per Milliliter (c/mL) at Week 24 Using the Snapshot Algorithm
기간: Week 24
The Food and Drug Administration (FDA) snapshot (Missing, Switch or Discontinuation = Failure) algorithm is intended to be primarily a virologic assessment of the endpoint, and as such follows a "virology first" hierarchy. Virologic Success (e.g., <50 c/mL) or virologic failure within an analysis window is typically determined by the last available HIV-1 RNA measurement in that window and in the treatment phase of interest (e.g., Week 24 snapshot outcomes of the early switch phase will not use HIV-1 RNA data from the late switch phase, even if such data is within the Week 24 analysis window). A virologic failure occurs when a participant changes to their ART regimen (e.g., addition of other ARTs to the study-specified regimens, or switches in components of the current ART regimen).
Week 24

2차 결과 측정

결과 측정
측정값 설명
기간
Change From Baseline in Cluster of Differentiation 4+ (CD4+) Cell Counts at Week 24
기간: Baseline and Week 24
Change from Baseline in CD4+ cell counts were assessed at Baseline, Weeks 4, 8, 16 and 24. No imputation for missing data or premature discontinuation was performed and the observed values were used. Baseline value is defined as the last pre-treatment value observed. Change from Baseline was calculated as the observed value minus the Baseline value. The Week 24 data were summarized.
Baseline and Week 24
Number of Participants in the Virologic Non-response Category From the Snapshot Analysis at Week 24
기간: Week 24
Virologic non-responders were defined as the participants with a viral load >=50 c/mL in the Week 24 analysis window. Virologic non-response includes participants who had HIV-1 RNA >=50 c/mL, who discontinued for lack of efficacy, who discontinued for other reasons while not suppressed, data in window but not <50 c/mL, and who changed ART regimen at Week 24. Difference is calculated as the proportion on ABC/DTG/3TC - proportion on current ART regimen.
Week 24
Number of Participants With Incidence and Severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) up to 24 Weeks
기간: Baseline and up to 24 weeks
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, based on medical or scientific judgment and all events of possible drug-induced liver injury with hyperbilirubinemia. The DAIDS table for grading the severity of adult and pediatric AEs was utilized for AE reporting. The DAIDS estimates the severity grade as Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (potentially life threatening) for each parameter.
Baseline and up to 24 weeks
Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities up to 24 Weeks
기간: Baseline and up to 24 weeks
The number of participants with maximum post-Baseline emergent chemistry toxicities for each grade were summarized by parameter. A toxicity is considered emergent if it develops or increases in intensity from Baseline. For participants who were originally randomized to current ART regimen on Day 1 and then switched to ABC/DTG/3TC on Week 24, Baseline is defined as the last non-missing value from the early switch phase and maximum post-Baseline emergent during the late switch phase was determined relative to this Baseline. The DAIDS table for grading the severity of adult and pediatric AEs was utilized for AE reporting. The DAIDS defined the severity grade as Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (potentially life threatening) for each parameter.
Baseline and up to 24 weeks
Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities up to 24 Weeks
기간: Baseline and up to 24 weeks
The number of participants with maximum post-Baseline emergent hematology toxicities for each grade were summarized by parameter. A toxicity is considered emergent if it develops or increases in intensity from Baseline. For participants who were originally randomized to current ART regimen on Day 1 and then switched to ABC/DTG/3TC on Week 24, Baseline is defined as the last non-missing value from the early switch phase and maximum post-Baseline emergent during the late switch phase was determined relative to this Baseline. The DAIDS table for grading the severity of adult and pediatric AEs was utilized for AE reporting. The DAIDS defined the severity grade as Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (potentially life threatening) for each parameter.
Baseline and up to 24 weeks
Number of Participants With AEs Leading to Withdrawal Over 24 Weeks
기간: Baseline and up to 24 weeks
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, based on medical or scientific judgment and all events of possible drug-induced liver injury with hyperbilirubinemia.
Baseline and up to 24 weeks
Change From Baseline in Fasting Lipids (Cholesterol, LDL Cholesterol, HDL Cholesterol, and Triglycerides) at Week 24
기간: Baseline and Week 24
Change from Baseline for each fasting lipid parameters included cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides. Adjusted mean is the estimated mean change from Baseline in each parameter at Week 24 in each arm calculated from an analysis of covariance (ANCOVA) model which includes the following covariates: treatment, original ART third agent class, interaction of treatment and original ART 3rd agent, use of lipid modifying agent and Baseline lipid level. Difference is calculated as ABC/DTG/3TC - Current ART regimen. For fasting lipid assessments, an overnight fast is preferred; however, a minimum of a 6-hour fast was acceptable for participants with afternoon appointments.
Baseline and Week 24
Change From Baseline in Fasting Lipids (Total Cholesterol/HDL Cholesterol Ratio) at Week 24
기간: Baseline and Week 24
Change from Baseline for fasting lipid parameter total cholesterol/HDL cholesterol ratio. Adjusted mean is the estimated mean change from Baseline at Week 24 in each arm calculated from an analysis of covariance (ANCOVA) model which includes the following covariates: treatment, original ART third agent class, interaction of treatment and original ART 3rd agent, use of lipid modifying agent and Baseline lipid level. Difference is calculated as ABC/DTG/3TC - Current ART regimen. For fasting lipid assessments, an overnight fast is preferred; however, a minimum of a 6-hour fast was acceptable for participants with afternoon appointments.
Baseline and Week 24
Change From Baseline in Treatment Satisfaction at Week 4 and Week 24
기간: Baseline, Week 4 and Week 24
The HIV treatment satisfaction questionnaire (TSQ) is a 10 item self-reported scale. Individual item scores range from 6 (very satisfied) to 0 (very dissatisfied). The treatment satisfaction total score (range 0-60) is the sum of all the 10 individual items. The general satisfaction/Clinical subscale (range 0-30) is the sum of the 5 clinical items and the lifestyle/ease subscale (range 0-30) is the sum of the remaining 5 lifestyle items. Last observation carried forward (LOCF) were used for the analysis. If a participant had a missing value at Week 24, his previous non-missing available value while on the same treatment was carried forward (ie the Week 4 or withdrawal value is used in the Week 24 summary for participants in the ABC/DTG3TC with missing Week 24 value). Data were analyzed using an ANCOVA model with factors including treatment, Baseline score and stratification factor. Treatment group difference (ABC/DTG/3TC-cART) estimate and 95% CI were presented.
Baseline, Week 4 and Week 24
Change From Baseline in Creatinine at Week 24
기간: Baseline and Week 24
Renal markers included creatinine and summarized based on an observed case (OC) data set at Week 24. Adjusted mean is the estimated mean change from Baseline in each biomarker at Week 24 in each arm calculated from an ANCOVA analysis of covariance model including the following covariates: treatment, original ART third agent class, interaction of treatment and original ART third agent class, and Baseline biomarker level. Differences are calculated as ABC/DTG/3TC - Current ART regimen.
Baseline and Week 24
Change From Baseline in Glomerular Filtration Rate (GFR) From Creatinine Adjusted Using CKD-EPI Equation at Week 24
기간: Baseline and Week 24
Renal markers included GFR from creatinine adjusted using chronic kidney disease epidemiology collaboration (CKD-EPI) equation and summarized based on an OC data set at Week 24. Adjusted mean is the estimated mean change from Baseline in each biomarker at Week 24 in each arm calculated from an ANCOVA analysis of covariance model including the following covariates: treatment, original ART third agent class, interaction of treatment and original ART third agent class, and Baseline biomarker level. Differences are calculated as ABC/DTG/3TC - Current ART regimen.
Baseline and Week 24
Change From Baseline in GFR From Creatinine Adjusted Using MDRD Enzymatic Equation at Week 24
기간: Baseline and Week 24
Renal markers included GFR from creatinine adjusted using modification of diet in renal disease (MDRD) enzymatic equation and summarized based on an OC data set at Week 24. Adjusted mean is the estimated mean change from Baseline in each biomarker at Week 24 in each arm calculated from an ANCOVA analysis of covariance model including the following covariates: treatment, original ART third agent class, interaction of treatment and original ART third agent class, and Baseline biomarker level. Differences are calculated as ABC/DTG/3TC - Current ART regimen.
Baseline and Week 24
Change From Baseline in Urea at Week 24
기간: Baseline and Week 24
Renal markers included urea and summarized based on an OC data set at Week 24. Adjusted mean is the estimated mean change from Baseline in each biomarker at Week 24 in each arm calculated from an ANCOVA analysis of covariance model including the following covariates: treatment, original ART third agent class, interaction of treatment and original ART third agent class, and Baseline biomarker level. Differences are calculated as ABC/DTG/3TC - Current ART regimen.
Baseline and Week 24
Change From Baseline in Urine Albumin/Creatinine Ratio at Week 24
기간: Baseline and Week 24
Renal markers included urine albumin/creatinine ratioand summarized based on an OC data set at Week 24. Adjusted mean is the estimated mean change from Baseline in each biomarker at Week 24 in each arm calculated from an ANCOVA analysis of covariance model including the following covariates: treatment, original ART third agent class, interaction of treatment and original ART third agent class, and Baseline biomarker level. Differences are calculated as ABC/DTG/3TC - Current ART regimen.
Baseline and Week 24
Percent Change From Baseline in Bone Marker Analytes at Week 24
기간: Baseline and Week 24
Outcome Measure Description: Bone biomarkers analytes include bone specific alkaline phosphatase, osteocalcin, procollagen 1 n-terminal propeptide, type I collagen c-telopeptides and were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, age, sex (male or female), body mass index (BMI) (<25 kilogram per meter [kg/m] or >=25 kg/m), smoking status (never smoked or former smoker or current smoker), Baseline vitamin D (no vitamin D use at Baseline or vitamin D use at Baseline), and Baseline biomarker level.
Baseline and Week 24
Percent Change From Baseline in Cardiovascular Marker Analytes at Week 24
기간: Baseline and Week 24
Cardiovascular biomarkers were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, sex, race (white, black or African American, Other), and Baseline biomarker level.
Baseline and Week 24
Percent Change From Baseline in Cardiovascular Marker Analyte, C-reactive Protein at Week 24
기간: Baseline and Week 24
Cardiovascular biomarkers were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, sex, race (white, black or African American, Other), and Baseline biomarker level.
Baseline and Week 24
Percent Change From Baseline in Cardiovascular Marker Analyte, D-Dimer at Week 24
기간: Baseline and Week 24
Cardiovascular biomarkers were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, sex, race (white, black or African American, Other), and Baseline biomarker level.
Baseline and Week 24
Percent Change From Baseline in Cardiovascular Marker Analyte, Homostat Model Assess of Insulin Resistance at Week 24
기간: Baseline and Week 24
Cardiovascular biomarkers were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, sex, race (white, black or african american, other), and Baseline biomarker level.
Baseline and Week 24
Percent Change From Baseline in Cardiovascular Marker Analyte, Insulin at Week 24
기간: Baseline and Week 24
Cardiovascular biomarkers were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, sex, race (white, black or african american, other), and Baseline biomarker level.
Baseline and Week 24
Percent Change From Baseline in Cardiovascular Marker Analyte, Soluble CD163 at Week 24
기간: Baseline and Week 24
Cardiovascular biomarkers were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, sex, race (white, black or african american, other), and Baseline biomarker level.
Baseline and Week 24
Percent Change From Baseline in Cardiovascular Marker Analyte, Glucose at Week 24
기간: Baseline and Week 24
Cardiovascular biomarkers were analyzed based on log transformed data. Estimates were from an ANCOVA model adjusting for ART third agent class, interaction of treatment and original ART third agent class, sex, race (white, black or african american, other), and Baseline biomarker level.
Baseline and Week 24
Number of Participants With Incidence of Genotypic and Phenotypic Resistance Meeting Confirmed Virologic Withdrawal Criteria Over 24 Weeks
기간: Baseline and up to 24 weeks
Genotypic and phenotypic testing was conducted for participants who met the confirmed virologic withdrawal criteria, i.e., confirmed HIV-1 RNA >=400 c/mL any time after Day 1. The sample from the "suspected virologic withdrawal criterion" visit was tested for HIV-1 PRO and RT genotype and phenotype and HIV-1 integrase genotype and phenotype (i.e., the first of the two consecutive results >=400 c/mL). At the time of the data cut-off for this Week 24 analysis, no participants met the confirmed virologic withdrawal criteria over 24 weeks; therefore, the virologic analyses were not assessed.
Baseline and up to 24 weeks

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스폰서

협력자

PPD

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연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2014년 4월 1일

기본 완료 (실제)

2015년 4월 1일

연구 완료 (실제)

2015년 12월 1일

연구 등록 날짜

최초 제출

2014년 4월 3일

QC 기준을 충족하는 최초 제출

2014년 4월 3일

처음 게시됨 (추정)

2014년 4월 7일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2017년 1월 4일

QC 기준을 충족하는 마지막 업데이트 제출

2016년 11월 7일

마지막으로 확인됨

2016년 11월 1일

추가 정보

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ABC/DTG/3TC FDC에 대한 임상 시험

구독하다