Doravirine/Islatravir (DOR/ISL) in Heavily Treatment-Experienced (HTE) Participants for Human Immunodeficiency Virus Type 1 (HIV-1) Infection (MK-8591A-019)
- Registration Number
- NCT04233216
- Lead Sponsor
- Merck Sharp & Dohme LLC
- Brief Summary
This is a 2-part, phase 3 clinical study evaluating the antiretroviral activity and safety/tolerability of islatravir (ISL), doravirine (DOR), and a fixed dose combination (FDC) of DOR/ISL (also known as MK-8591A) in heavily treatment-experienced (HTE) participants with human immunodeficiency virus type 1 (HIV-1) infection. It is hypothesized that the percentage of participants receiving DOR/ISL to achieve ≥0.5 log10 decrease in HIV-1 ribonucleic acid (RNA) from study baseline (Day 1) to Day 8 is superior to placebo, each given in combination with failing antiretroviral therapy (ART).
- Detailed Description
Part 1 of this study (Day 1 to Day 7) is the double-blind period in which participants receive either ISL, DOR, DOR/ISL, or placebo. Part 2 of this study (Day 8 to Week 97) is the open-label period in which all participants receive DOR/ISL + optimized background therapy (OBT).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 35
- Is HIV-1 positive.
- Has been receiving the same baseline ART for ≥3 months prior to signing the Informed Consent Form/Assent Form.
- Weighs ≥35 kg.
- Has at least triple-class resistance (must include nucleoside reverse transcriptase inhibitor [NRTI], non-nucleoside reverse transcriptase inhibitor [NNRTI], and resistance to either protease inhibitor (PI) or integrase strand transfer inhibitor (InSTI), based on central laboratory-based resistance or proviral DNA resistance testing at the Screening Visit, or historical resistance testing within 12 months of screening.
- Has ≤2 fully active antiretroviral drugs remaining among all antiretroviral classes that can be effectively combined to form a viable regimen based on resistance, tolerability, safety, drug access, or acceptability to participant.
- If female, is not pregnant or breastfeeding, and is: 1) not a woman of childbearing potential (WOCBP); 2) a WOCBP and uses an acceptable method of contraception/is abstinent; or 3) a WOCBP and has a negative pregnancy test within 24 hours of the first dose of study medication.
- Has HIV type 2 (HIV-2) infection.
- Has hypersensitivity or other contraindication to any of the components of the study interventions as determined by the investigator.
- Has hepatitis B virus (HBV) co-infection (defined as hepatitis B surface antigen [HBsAg]-positive or HBV deoxyribonucleic acid [DNA] positive) and is not currently being treated for HBV.
- Has a history or current evidence of any condition, therapy (including active TB co-infection), laboratory abnormality or other circumstance (including drug or alcohol abuse or dependence) that might, in the opinion of the investigator, confound the results of the study or interfere with study participation for the full study duration.
- Is taking or is anticipated to require any of the prohibited therapies from the Screening Visit and throughout the study treatment period.
- Is taking DOR as part of his/her current failing antiretroviral regimen.
- Is taking efavirenz (EFV), etravirine, or nevirapine.
- Is currently participating in or has participated in an interventional clinical study with an investigational compound or device from the Screening Visit through the study treatment period.
- Is female and is expecting to conceive or donate eggs at any time during the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description ISL + ART DOR/ISL HTE participants with HIV-1 infection take ISL 0.75 mg once daily (QD) in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL fixed dose combination (FDC) QD + OBT from Day 8 to Week 97. DOR + ART DOR HTE participants with HIV-1 infection take DOR 100 mg QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97. DOR + ART DOR/ISL HTE participants with HIV-1 infection take DOR 100 mg QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97. DOR/ISL + ART DOR/ISL HTE participants with HIV-1 infection take 100 mg DOR/0.75 mg ISL FDC QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97. Placebo + ART DOR/ISL HTE participants with HIV-1 infection take placebo QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97. Placebo + ART Placebo to ISL HTE participants with HIV-1 infection take placebo QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97. Placebo + ART Placebo to DOR HTE participants with HIV-1 infection take placebo QD in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL FDC QD + OBT from Day 8 to Week 97. ISL + ART ISL HTE participants with HIV-1 infection take ISL 0.75 mg once daily (QD) in combination with failing ART from Day 1 to Day 7; followed by open-label 100 mg DOR/0.75 mg ISL fixed dose combination (FDC) QD + OBT from Day 8 to Week 97.
- Primary Outcome Measures
Name Time Method Percentage of Participants Receiving Doravirine/Islatravir (DOR/ISL) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in Human Immunodeficiency Virus Type 1 (HIV-1) Ribonucleic Acid (RNA) Compared to Placebo Treatment Day 1 (baseline) and Day 8 Participants with a ≥0.5 log10 decrease from Day 1 baseline to Day 8 in HIV-1 RNA were identified by the central laboratory with an Abbott Real Time Polymerase Chain Reaction (PCR) assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL FDC or placebo were analyzed in this outcome measure.
Percentage of Participants With ≥1 AEs Through Week 49 Up to 49 weeks An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Percentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 25 Up to 25 weeks An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Percentage of Participants With ≥1 Adverse Events (AEs) Through Week 25 Up to 25 weeks An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
Percentage of Participants Withdrawing From Study Treatment Due to AE(s) Through Week 49 Up to 49 weeks An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
- Secondary Outcome Measures
Name Time Method Percentage of Participants With ≥1 Adverse Events (AEs) Through Week 97 Up to 97 weeks An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Percentage of Participants Discontinuing From Study Therapy Due to AE(s) Through Week 97 Up to 97 weeks An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Percentage of Participants Receiving DOR or ISL (Given With Antiretroviral Therapy [ART]) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment Day 1 (baseline) and Day 8 Participants with a ≥0.5 log10 decrease from Day 1 baseline to Day 8 in HIV-1 RNA were identified by the central laboratory with an Abbott Real Time PCR assay which has a LLOD of 40 copies/mL Only participants treated with either DOR or ISL or placebo (given with ART) were analyzed in this outcome measure. Participants treated with DOR/ISL FDC were not analyzed in this outcome measure.
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNA Day 1 (baseline) and Week 97 The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNA Day 8 (baseline) and Week 49 The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 49 in HIV-1 RNA Day 8 (baseline) and Week 49 The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNA Day 8 (baseline) and Week 97 The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART), DOR, or ISL Compared to Placebo Treatment Day 1 (baseline) and Day 8 The change from baseline Day to Day 8 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution.
Percentage of Participants Receiving DOR/ISL (Given With ART), DOR, or ISL With ≥1.0 log10 Change From Day 1 Baseline to Day 8 HIV-1 RNA Compared to Placebo Treatment Day 1 (baseline) and Day 8 Participants with a ≥1.0 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time Polymerase Chain Reaction (PCR) assay which has a LLOD of 40 copies/mL
Percentage of Participants Receiving DOR/ISL (Given With ART) With ≥0.5 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment Day 1 (baseline) and Day 8 Participants with a ≥0.5 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time PCR assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL or DOR alone or ISL alone were analyzed in this outcome measure. Participants treated with placebo were not analyzed in this outcome measure.
Percentage of Participants Receiving DOR/ISL (Given With ART) With ≥1.0 log10 Change From Day 1 Baseline to Day 8 in HIV-1 RNA Compared to DOR or ISL Treatment Day 1 (baseline) and Day 8 Participants receiving DOR/ISL with a ≥1.0 log10 decrease from baseline (Day 1) to Day 8 in HIV-1 RNA were identified by at the central laboratory with an Abbott Real Time PCR assay which has a lower limit of detection (LLOD) of 40 copies/mL Only participants treated with DOR/ISL or DOR alone or ISL alone were analyzed in this outcome measure. Participants treated with placebo were not analyzed in this outcome measure.
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNA Day 1 (baseline) and Week 25 The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNA Day 1 (baseline) and Week 49 The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 97 in HIV-1 RNA Day 1 (baseline) and Week 97 The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNA Day 8 (baseline) and Week 25 The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 8 to Week 49 in HIV-1 RNA From the Pooled Treatment Group Day 8 (baseline) and Week 49 The change from baseline Day 8 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 1 to Day 8 in HIV-1 RNA Following Treatment With DOR/ISL (Given With ART) Compared to DOR or ISL Treatment Day 1 (baseline) and Day 8 The change from baseline Day 1 to Day 8in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the t-distribution. The group treated with placebo were not analyzed in this outcome measure.
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 1 Baseline to Week 49 in HIV-1 RNA Day 1 (baseline) and Week 49 The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <40 Copies mL Day 1 (baseline) and Day 8 The percentage of participants with HIV-1 RNA \<40 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 25 in HIV-1 RNA Day 8 (baseline) and Week 25 The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥0.5 log10 Change From Day 8 Baseline to Week 97 in HIV-1 RNA Day 8 (baseline) and Week 97 The percentage of participants in the pooled treatment group with ≥0.5 log10 change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With ≥1.0 log10 Change From Day 1 Baseline to Week 25 in HIV-1 RNA Day 1 (baseline) and Week 25 The percentage of participants in the pooled treatment group with ≥1.0 log10 change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 1 to Week 49 in HIV-1 RNA From the Pooled Treatment Group Day 1 (baseline) and Week 49 The change from baseline Day 1 to Week 49 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 8 to Week 25 in HIV-1 RNA From the Pooled Treatment Group Day 8 (baseline) and Week 25 The change from baseline Day 8 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <200 Copies mL Day 1 (baseline) and Day 8 The percentage of participants with HIV-1 RNA \<200 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 25 Week 25 The percentage of participants with HIV-1 RNA \<40 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 49 Week 49 The percentage of participants with HIV-1 RNA \<40 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol.
Mean Change From Baseline Day 1 to Week 25 in HIV-1 RNA From the Pooled Treatment Group Day 1 (baseline) and Week 25 The change from baseline Day 1 to Week 25 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 1 to Week 97 in HIV-1 RNA From the Pooled Treatment Group Day 1 (baseline) and Week 97 The change from baseline Day 1 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Mean Change From Baseline Day 8 to Week 97 in HIV-1 RNA From the Pooled Treatment Group Day 8 (baseline) and Week 97 The change from baseline Day 8 to Week 97 in HIV-1 RNA was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% confidence intervals (CIs) were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From Day 1 Baseline to Day 8 With HIV-1 RNA <50 Copies mL Day 1 (baseline) and Day 8 The percentage of participants with HIV-1 RNA \<50 copies mL was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method.
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 25 Week 25 The percentage of participants with HIV-1 RNA \<200 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 49 Week 49 The percentage of participants with HIV-1 RNA \<200 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <200 Copies/mL at Week 97 Week 97 The percentage of participants with HIV-1 RNA \<200 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 49 Week 49 The percentage of participants with HIV-1 RNA \<50 copies mL at week 49 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 8 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment Group Day 8 (baseline) and Week 49 The change from baseline Day 8 to Week 49 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 8 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment Group Day 8 (baseline) and Week 97 The change from baseline Day 8 to Week 97 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 25 Week 25 The percentage of participants with HIV-1 RNA \<50 copies mL at week 25 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <50 Copies/mL at Week 97 Week 97 The percentage of participants with HIV-1 RNA \<50 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 25 Week 25 The prevalence of viral drug resistance to ISL was based on the percentage of participants with TE RAS, which is calculated by dividing the number of participants with TE RAS by the number of participants tested for resistance, multiplied by 100. The RAS for ISL, M184V was determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to ISL at Week 49 Week 49 The prevalence of viral drug resistance to ISL was based on the percentage of participants with TE RAS, which is calculated by dividing the number of participants with TE RAS by the number of participants tested for resistance, multiplied by 100. The RAS for ISL, M184V was determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to Optimized Background Therapy (OBT) Components at Week 25 Week 25 The prevalence of viral drug resistance to OBT components was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. The RASs for OBT components were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to OBT Components at Week 49 Week 49 The prevalence of viral drug resistance to OBT components was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. The RASs for OBT components were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Number of Participants From the Pooled Treatment Group With Viral Resistance-associated Substitutions (RASs) at Week 25 Week 25 The number of participants from the pooled treatment group who had HIV-1 RNA ≥200 copies/mL with treatment emergent RAS at week 25 showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group With Viral RASs at Week 49 Week 49 The number of participants from the pooled treatment group who had HIV-1 RNA ≥200 copies/mL with treatment emergent RAS at week 49 showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With HIV-1 RNA <40 Copies/mL at Week 97 Week 97 The percentage of participants with HIV-1 RNA \<40 copies mL at week 97 was determined by the central laboratory using an Abbott Real Time PCR assay with a LLOD of 40 copies/mL. The within-group 95% CIs were calculated based on the Clopper-Pearson method. Analysis of the pooled treatment group was planned per protocol,
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 25 Week 25 The prevalence of viral drug resistance to DOR was based on the percentage of participants with treatment-emergent (TE) resistance-associated substitutions (RASs), which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance multiplied by 100. RASs for DOR were as follows: V106A/M, Y188C/L, F227C/H/I/L, M230I/L, L234I, Y318F, V108I, Y188F/H, G190E, H221Y, P236, and were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Percentage of Participants From the Pooled Treatment Group With Treatment-emergent Resistance-associated Substitutions to DOR at Week 49 Week 49 The prevalence of viral drug resistance to DOR was based on the percentage of participants with TE RASs, which is calculated by dividing the number of participants with TE RASs by the number of participants tested for resistance, multiplied by 100. RASs for DOR were as follows: V106A/M, Y188C/L, F227C/H/I/L, M230I/L, L234I, Y318F, V108I, Y188F/H, G190E, H221Y, P236, and were determined by the central laboratory with the GenoSure Prime assay on post randomization samples from participants with HIV-1 RNA ≥200 copies/mL Analysis of the pooled treatment group was planned per protocol.
Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 97 Week 97 The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 97 is presented. .Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 1 to Week 25 in Cluster of Differentiation 4+ (CD4+) T-cell Counts From the Pooled Treatment Group Day 1 (baseline) and Week 25 The change from baseline Day 1 to Week 25 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 1 to Week 49 in CD4+ T-cell Counts From the Pooled Treatment Group Day 1 (baseline) and Week 49 The change from baseline Day 1 to Week 49 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 1 to Week 97 in CD4+ T-cell Counts From the Pooled Treatment Group Day 1 (baseline) and Week 97 The change from baseline Day 1 to Week 97 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Change From Baseline Day 8 to Week 25 in CD4+ T-cell Counts From the Pooled Treatment Group Day 8 (baseline) and Week 25 The change from baseline Day 8 to Week 25 in CD4+ T-cell counts was determined by the central laboratory.. The within-group 95% CIs were calculated based on the t-distribution. Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group With Viral RASs at Week 97 Week 97 The number of participants from the pooled treatment group with treatment emergent RAS at week 97 are presented, showing the type of RAS .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 25 Week 25 The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 25 is presented. .Analysis of the pooled treatment group was planned per protocol,
Number of Participants From the Pooled Treatment Group Exhibiting Antiviral Resistance of HIV-1 RNA ≥200 Copies/mL at Week 49 Week 49 The number of participants from the pooled treatment group exhibiting antiviral resistance of HIV-1 RNA ≥200 copies/mL at Week 49 is presented. .Analysis of the pooled treatment group was planned per protocol,
Trial Locations
- Locations (98)
Triple O Research Institute, P.A. ( Site 4020)
🇺🇸West Palm Beach, Florida, United States
North Texas Infectious Diseases Consultants, PA ( Site 4005)
🇺🇸Dallas, Texas, United States
St Vincent's Hospital ( Site 5309)
🇦🇺Sydney, New South Wales, Australia
Northstar Healthcare ( Site 4004)
🇺🇸Chicago, Illinois, United States
University of Maryland ( Site 4023)
🇺🇸Baltimore, Maryland, United States
Chatham County Health Department ( Site 4029)
🇺🇸Savannah, Georgia, United States
Hamilton Health Sciences ( Site 4115)
🇨🇦Hamilton, Ontario, Canada
Royal Free Hospital ( Site 5202)
🇬🇧London, Camden, United Kingdom
King Edward Hospital ( Site 4802)
🇿🇦Durban, Kwazulu-Natal, South Africa
Kherson City Clinical Hospital n.a. Y.Y. Karabelesh ( Site 5620)
🇺🇦Kherson, Khersonska Oblast, Ukraine
University of Alabama at Birmingham 1917 Research Clinic ( Site 4031)
🇺🇸Birmingham, Alabama, United States
CHU de Rouen ( Site 4705)
🇫🇷Rouen, Haute-Normandie, France
Icahn School of Medicine at Mount Sinai ( Site 4000)
🇺🇸New York, New York, United States
Howard Brown Health Center ( Site 4006)
🇺🇸Chicago, Illinois, United States
Men's Health Foundation ( Site 4018)
🇺🇸Los Angeles, California, United States
Palmtree Clinical Research, Inc. ( Site 4016)
🇺🇸Palm Springs, California, United States
Yale School of Medicine ( Site 4007)
🇺🇸New Haven, Connecticut, United States
Orlando Immunology Center ( Site 4012)
🇺🇸Orlando, Florida, United States
The Kinder Medical Group ( Site 4014)
🇺🇸Miami, Florida, United States
Georgetown University Hospital ( Site 4015)
🇺🇸Washington, District of Columbia, United States
The University of Mississippi Medical Center ( Site 4036)
🇺🇸Jackson, Mississippi, United States
Saint Michael's Medical Center-Research - Infectious Disease ( Site 4035)
🇺🇸Newark, New Jersey, United States
University of North Carolina at Chapel Hill ( Site 4026)
🇺🇸Chapel Hill, North Carolina, United States
Saint Hope Foundation, Inc. ( Site 4034)
🇺🇸Bellaire, Texas, United States
Holdsworth House Medical Practice ( Site 5300)
🇦🇺Sydney, New South Wales, Australia
Dr. Peter Shalit, MD ( Site 4002)
🇺🇸Seattle, Washington, United States
The Alfred Hospital ( Site 5304)
🇦🇺Melbourne, Victoria, Australia
Monash Health-Monash Medical Centre ( Site 5313)
🇦🇺Clayton, Victoria, Australia
Holdsworth House Medical Practice - Brisbane ( Site 5312)
🇦🇺Brisbane, Queensland, Australia
Vancouver ID Research and Care Centre Society ( Site 4100)
🇨🇦Vancouver, British Columbia, Canada
McGill University Health Center - Research Institute-CVIS Clinical Research Unit ( Site 4102)
🇨🇦Montreal, Quebec, Canada
Ottawa Hospital Research Institute ( Site 4111)
🇨🇦Ottawa, Ontario, Canada
Toronto General Hospital - University Health Network ( Site 4105)
🇨🇦Toronto, Ontario, Canada
Clinica Colsanitas S.A. Sede Clinica Universitaria Colombia ( Site 4306)
🇨🇴Bogota, Distrito Capital De Bogota, Colombia
CHU de Bordeaux- Hopital Saint Andre ( Site 4715)
🇫🇷Bordeaux, Gironde, France
CHU de Nice Hopital Archet 1 ( Site 4703)
🇫🇷Nice, Alpes-Maritimes, France
Hopital Europeen Marseille ( Site 4717)
🇫🇷Marseille, Bouches-du-Rhone, France
Centre Hospitalier de Tourcoing ( Site 4700)
🇫🇷Tourcoing, Nord, France
CHU de Montpellier - Hopital Saint-Eloi ( Site 4721)
🇫🇷Montpellier, Herault, France
Hopital Hotel Dieu [Paris, France] ( Site 4723)
🇫🇷Paris, France
A.P.H. Paris, Hopital Saint Louis ( Site 4714)
🇫🇷Paris, France
Hopital Avicenne ( Site 4702)
🇫🇷Bobigny, Seine-Saint-Denis, France
Universitaetsklinikum Essen ( Site 4607)
🇩🇪Essen, Nordrhein-Westfalen, Germany
ZIBP-Zentrum fur Infektiologie Berlin Prenzlauer Berg GmbH ( Site 4603)
🇩🇪Berlin, Germany
EPIMED GmbH ( Site 4608)
🇩🇪Berlin, Germany
Universitaetsklinikum Bonn ( Site 4600)
🇩🇪Bonn, Nordrhein-Westfalen, Germany
Azienda Ospedaliero Universitaria di Modena Policlinico ( Site 5004)
🇮🇹Modena, Emilia-Romagna, Italy
ICH Study Center GmbH & Co.KG ( Site 4609)
🇩🇪Hamburg, Germany
Ospedale San Gerardo ASST Monza ( Site 5012)
🇮🇹Monza, Monza E Brianza, Italy
Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico ( Site 5001)
🇮🇹Milano, Italy
Azienda Ospedaliera San Paolo ( Site 5003)
🇮🇹Milano, Italy
Universita' Vita Salute. Ospedale San Raffaele ( Site 5002)
🇮🇹Milano, Italy
Istituto Nazionale per Le Malattie Infettive Lazzaro Spallanzani ( Site 5005)
🇮🇹Roma, Italy
ASST Fatebenefratelli-Ospedale Sacco ( Site 5000)
🇮🇹Milano, Italy
IRCCS Policlinico San Matteo ( Site 5010)
🇮🇹Pavia, Italy
Center Hospital of the National Center for Global Health and Medicine ( Site 5401)
🇯🇵Tokyo, Japan
Policlinico Gemelli Instituto di Clinica Chirurgica ( Site 5006)
🇮🇹Roma, Italy
The Catholic University of Korea. Seoul St. Mary s Hospital ( Site 5502)
🇰🇷Seoul, Korea, Republic of
Severance Hospital Yonsei University Health System ( Site 5500)
🇰🇷Seoul, Korea, Republic of
Pusan National University Hospital ( Site 5503)
🇰🇷Busan, Pusan-Kwangyokshi, Korea, Republic of
INMENSA ( Site 4506)
🇵🇪Lima, Muni Metro De Lima, Peru
Policlinico Universidad Nacional Mayor de San Marcos ( Site 4501)
🇵🇪Lima, Peru
Hospital de Nossa Senhora da Oliveira- EPE ( Site 4905)
🇵🇹Guimaraes, Braga, Portugal
Hospital Dr. Fernando Fonseca, EPE - Amadora/Sintra ( Site 4902)
🇵🇹Amadora, Lisboa, Portugal
Centro Hospitalar de Lisboa Norte Hospital de Santa Maria ( Site 4913)
🇵🇹Lisboa, Portugal
Hospital Geral de Santo Antonio ( Site 4908)
🇵🇹Porto, Portugal
Centro Hospitalar de Sao Joao. EPE - Hospital de Sao Joao ( Site 4907)
🇵🇹Porto, Portugal
HOPE Clinical Research ( Site 5700)
🇵🇷San Juan, Puerto Rico
Infectious Clinical Hospital #2 ( Site 5114)
🇷🇺Moscow, Moskva, Russian Federation
Saint Petersburg Center for Prophylactic of AIDS and Inf. Diseases ( Site 5101)
🇷🇺Saint Petersburg, Leningradskaya Oblast, Russian Federation
Gbuz Samarskiy Oblastnoy Klinicheskiy Tsentr Profilaktiki I Bor'by So Spid ( Site 5113)
🇷🇺Samara, Samarskaya Oblast, Russian Federation
FGU Republican Clinical Infectious Hospital of Roszdrav ( Site 5100)
🇷🇺Saint Petersburg, Sankt-Peterburg, Russian Federation
Smolensk Center On Aids And Infectious Diseases Prophylaxis ( Site 5115)
🇷🇺Smolensk, Smolenskaya Oblast, Russian Federation
Regional Center for Prevent. and Control of AIDS and Inf. Diseases ( Site 5106)
🇷🇺Yekaterinburg, Sverdlovskaya Oblast, Russian Federation
Wits Clinical HIV Research Unit ( Site 4804)
🇿🇦Johannesburg, Gauteng, South Africa
Republican Clinical Hospital of Infectious Diseases n. a. A.F.Agafonov ( Site 5104)
🇷🇺Kazan, Tatarstan, Respublika, Russian Federation
FARMOVS ( Site 4805)
🇿🇦Bloemfontein, Free State, South Africa
Hospital Universitari Germans Trias i Pujol ( Site 5600)
🇪🇸Badalona, Barcelona, Spain
Ezintsha ( Site 4806)
🇿🇦Johannesburg, Gauteng, South Africa
Hospital Clinic i Provincial ( Site 5601)
🇪🇸Barcelona, Cataluna, Spain
Hospital Santa Lucia ( Site 5603)
🇪🇸Cartagena, Murcia, Region De, Spain
Dnipropetrovsk Regional Center of Socially Significant Diseases ( Site 5619)
🇺🇦Dnipro, Dnipropetrovska Oblast, Ukraine
Hospital Universitario La Paz ( Site 5604)
🇪🇸Madrid, Spain
Institute of Epidemiology and Infect Diseases of the NAMS of Ukraine ( Site 5615)
🇺🇦Kyiv, Kyivska Oblast, Ukraine
MNE Odesa Regional Center of Socially Significant Diseases ( Site 5611)
🇺🇦Odesa, Odeska Oblast, Ukraine
MI Vinnytsia Regional Center of AIDS Prevention and Care ( Site 5618)
🇺🇦Berezina, Vinnytska Oblast, Ukraine
Western General Hospital ( Site 5201)
🇬🇧Edinburgh, Edinburgh, City Of, United Kingdom
Medizinische Hochschule Hannover ( Site 4612)
🇩🇪Hannover, Niedersachsen, Germany
Hospital Dr. Hernan Henriquez Aravena ( Site 4405)
🇨🇱Temuco, Araucania, Chile
Hopital Edouard Herriot ( Site 4726)
🇫🇷Lyon, Ain, France
Fundacion Valle del Lili ( Site 4301)
🇨🇴Cali, Valle Del Cauca, Colombia
Regional Clinical Infectious Hospital ( Site 5614)
🇺🇦Kharkiv, Kharkivska Oblast, Ukraine
Fundacion Arriaran ( Site 4401)
🇨🇱Santiago, Region M. De Santiago, Chile
Centro Cardiovascular Cardiosur ( Site 4407)
🇨🇱Santiago, Region M. De Santiago, Chile
A.P.H. Paris. Hopital Bichat Claude Bernard ( Site 4724)
🇫🇷Paris, Ain, France
Via Libre ( Site 4500)
🇵🇪Lima, Peru
Mykolaiv center of paliative assistance and integrated services ( Site 5621)
🇺🇦Mykolaiv, Mykolaivska Oblast, Ukraine
Kyiv City Clinical Hospital 5 ( Site 5616)
🇺🇦Kyiv, Ukraine