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A Trial to compare dolutegravir with pharmaco-enhanced darunavir versus dolutegravir with predetermined nucleosides versus recommended standard of care antiretroviral regimens in patients with HIV-1 infection who have failed recommended first line therapy.

Phase 3
Conditions
Health Condition 1: B20- Human immunodeficiency virus [HIV]disease
Registration Number
CTRI/2019/10/021504
Lead Sponsor
niversity of New South Wales
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. HIV-1 positive by licensed diagnostic test

2. Aged >=18 years of age

3. Failed first-line non-nucleoside reverse transcriptase inhibitor (NNRTI) + 2NRTI combination therapy according to virological criteria, defined as at least two consecutive (>=7 days apart) pVL results >500 copies/mL after a minimum period of exposure to continuous NNRTI + 2NRTI firstline therapy of 24 weeks (only the second pVL result needs to be within 45 days of randomisation)

4. For women of child-bearing potential, willingness to use appropriate contraception

5. Able to provide written informed consent

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
In HIV-infected patients who have virologically failed first-line ART a regimen of second-line ART incorporating ritonavir boosted darunavir (DRV/r) with dolutegravir (DTG) or dolutegravir with tenofovir and emtricitabine or lamivudine (DTG+2NRTI) will provide non-inferior antiretroviral efficacy over 48 weeks compared with WHO-recommended standard of care (SOC) therapy of 2NRTIs plus a ritonavir-boosted PI.Timepoint: Time points in this study are Week 4, Week 12, Week 24, Week 48 and Week 96
Secondary Outcome Measures
NameTimeMethod
ATimepoint: NA
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