Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Long-acting Cabotegravir Plus Long-acting Rilpivirine From Current Antiretroviral Regimen in Virologically Suppressed HIV-1-infected Adults
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ClinicalTrials.gov Identifier: NCT02951052 |
Recruitment Status :
Active, not recruiting
First Posted : November 1, 2016
Results First Posted : June 13, 2019
Last Update Posted : November 23, 2022
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Sponsor:
ViiV Healthcare
Collaborators:
Janssen Pharmaceuticals
GlaxoSmithKline
Information provided by (Responsible Party):
ViiV Healthcare
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Infection, Human Immunodeficiency Virus HIV Infections |
Interventions |
Drug: Cabotegravir (CAB) tablet Drug: Rilpivirine (RPV) tablet Drug: Cabotegravir - Injectable Suspension (CAB LA) Drug: Rilpivirine - Injectable Suspension (RPV LA) Drug: 2 NRTIs plus an INI, NNRTI, or PI |
Enrollment | 618 |
Participant Flow
Recruitment Details | This was a phase III, randomized, open-label, active-controlled, multi-center, parallel-group, non-inferiority study to evaluate the antiviral activity and safety of two long-acting (LA) injectable drugs, cabotegravir (CAB) plus rilpivirine (RPV) when compared to current standard of care conducted in virologically suppressed human immunodeficiency. |
Pre-assignment Details | A total of 618 participants were enrolled in the study. Two randomized participants did not receive study treatment. A total of 616 participants contributed to the Intent-to-treat exposed Population and Safety Population. The results presented are based on Week 48 primary analysis. |
Arm/Group Title | CAB LA+RPV LA (Q4W) | Current ART |
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During Maintenance phase (Day 1-Week 52), participants received oral CAB 30 milligram (mg)+RPV 25 mg once daily from Day 1 for 4 weeks. At Week 4B, the participants were given the last dose of oral CAB+RPV and the first dose of CAB LA 600 mg+RPV LA 900 mg injections within 2 hours of the final oral dose. Participants received intramuscular (IM) injections of CAB LA 400 mg and RPV LA 600 mg every four weeks (Q4W) through Week 52. After completion of Maintenance phase, participants who chose to enter Extension phase continued to receive both CAB LA and RPV LA. Participants withdrawn from study treatment who received at least one CAB LA+RPV LA injection were required to enter a 52-week long term follow-up period | During Maintenance phase (Day 1 - Week 52), participants continued to receive current antiretroviral therapy (ART) (protease inhibitor [PI] or integrase inhibitor [INI] or non-nucleoside reverse transcriptase inhibitor [NNRTI]) plus 2 NRTIs for 52 weeks. After completion of the Maintenance phase, participants who chose to enter the Extension phase switched to CAB LA+RPV LA |
Period Title: Overall Study | ||
Started | 308 | 308 |
Completed | 281 | 290 |
Not Completed | 27 | 18 |
Reason Not Completed | ||
Adverse Event | 13 | 5 |
Withdrawal by Subject | 1 | 5 |
Physician Decision | 2 | 0 |
Lost to Follow-up | 1 | 1 |
Protocol-specified withdrawal criterion | 1 | 0 |
Protocol Violation | 5 | 3 |
Lack of Efficacy | 3 | 4 |
Ongoing | 1 | 0 |
Baseline Characteristics
Arm/Group Title | CAB LA+RPV LA (Q4W) | Current ART | Total | |
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During Maintenance phase (Day 1-Week 52), participants received oral CAB 30 milligram (mg)+RPV 25 mg once daily from Day 1 for 4 weeks. At Week 4B, the participants were given the last dose of oral CAB+RPV and the first dose of CAB LA 600 mg+RPV LA 900 mg injections within 2 hours of the final oral dose. Participants received intramuscular (IM) injections of CAB LA 400 mg and RPV LA 600 mg every four weeks (Q4W) through Week 52. After completion of Maintenance phase, participants who chose to enter Extension phase continued to receive both CAB LA and RPV LA. Participants withdrawn from study treatment who received at least one CAB LA+RPV LA injection were required to enter a 52-week long term follow-up period | During Maintenance phase (Day 1 - Week 52), participants continued to receive current antiretroviral therapy (ART) (protease inhibitor [PI] or integrase inhibitor [INI] or non-nucleoside reverse transcriptase inhibitor [NNRTI]) plus 2 NRTIs for 52 weeks. After completion of the Maintenance phase, participants who chose to enter the Extension phase switched to CAB LA+RPV LA | Total of all reporting groups | |
Overall Number of Baseline Participants | 308 | 308 | 616 | |
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[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 308 participants | 308 participants | 616 participants | |
41.6 (9.99) | 43.2 (11.43) | 42.4 (10.76) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 308 participants | 308 participants | 616 participants | |
Female |
99 32.1%
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104 33.8%
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203 33.0%
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Male |
209 67.9%
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204 66.2%
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413 67.0%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 308 participants | 308 participants | 616 participants |
American Indian (AI) or Alaska Native (AN) |
8 2.6%
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8 2.6%
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16 2.6%
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Asian-Central South Asian Heritage |
1 0.3%
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0 0.0%
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1 0.2%
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Asian-Japanese/East/South-East Asian Heritage |
21 6.8%
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13 4.2%
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34 5.5%
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Black or African American |
62 20.1%
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77 25.0%
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139 22.6%
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Native Hawaiian or other Pacific Islander |
0 0.0%
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1 0.3%
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1 0.2%
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White |
214 69.5%
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207 67.2%
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421 68.3%
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AI or AN & Black/African American |
0 0.0%
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1 0.3%
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1 0.2%
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AI or AN & Black/African American & White |
1 0.3%
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1 0.3%
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2 0.3%
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Black/African American or White |
1 0.3%
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0 0.0%
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1 0.2%
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