Multicenter, single-arm, open-label clinical trial to evaluate the efficacy, the safety and the tolerability of 50 mg dolutegravir once daily (q.d.) given in combination with 2 NRTIs backbone in HIV-2 positive, treatment-naïve subjects.
Subjects who fulfill all inclusion criteria and none of the exclusion criteria, after giving informed consent, will be eligible for participation in this study. At the Visit 2 (Day1) subjects will receive the study medication and instructions for its administration. Thereafter, subjects will return to the investigational site at week 4, 12, 24, 36 and 48, for efficacy and safety assessments. Subjects who meet the virologic failure criteria will return to the investigational site approximately one week later to repeat viral RNA testing (Virologic Failure Confirmation visit). If virologic failure is confirmed and the viral load meets the criteria for resistance testing, viral resistance testing will then be performed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Dolutegravir will be used in combination with 2 nucleoside reverse transcriptase inhibitors (NRTIs). The NRTIs used in combination with DTG will be abacavir (ABC) plus lamivudine (3TC) or tenofovir (TDF) plus emtricitabine (FTC), which is in line with the current standard of care. The combination ABC/3TC/DTG will be preferential except in case of hepatitis B co-infection or in case the subject has a positive HLA-B\*5701 allele screening assessment.
Centro Hospitalar de Lisboa Central Hospital Curry Cabral
Lisbon, Portugal
Centro Hospitalar de Lisboa Ocidental Hospital de Egas Moniz
Lisbon, Portugal
Centro Hospitalar Lisboa Norte Hospital de Santa Maria
Lisbon, Portugal
Hospital Beatriz Ângelo Loures
Lisbon, Portugal
Efficacy analysis- treatment efficacy, as measured by the "overall treatment success defined as proportion of patients with "global success" at week 48.
The primary objective of this study is to evaluate the efficacy of DTG in combination with two NRTIs \[ABC/3TC or TDF/FTC\] in the treatment of HIV-2 treatment-naïve subjects, as measured by the proportion of subjects achieving a plasma viral load of \<40 copies/mL and/or by the change from baseline in CD4 cell count and in CD4/CD8 ratio at Week 48. Global success" is a composite variable defined as a plasma HIV-2 RNA viral load \<40 copies/mL and a delta of CD4 depending on the initial CD4 count (CD4 delta \>+100 cells/mm3 for initial CD4s ≤ 500 cells/mm3; or CD4delta \> +50 cells/mm3 for initial CD4s \> 500 cells/mm3).
Time frame: 48 Weeks
Study treatment immunological effect
To evaluate the study treatment immunological effect, as measured by the change from baseline in CD4 cell count and the CD4/CD8 ratio at Week 48. as measured by the change from baseline in CD4 cell count and the CD4/CD8 ratio at Week 48. Change from Baseline in CD4 Cell Count and CD4/CD8 ratio Change from baseline in CD4 cell count and the CD4/CD8 ratio will be estimated at each time point with CD4 and CD8 cell count collection with a key interest at Week 12, 24 and 48.
Time frame: 12, 24 and 48 Weeks
Study treatment immunological effect
Proportions of subjects achieving HIV-2 RNA \< 40 copies/mL. The proportions of subjects achieving HIV-2 RNA \<40 copies/mL will be estimated at Week 12, 24 and 48.
Time frame: 12, 24 and 48 Weeks
Safety and tolerability of the study treatment, as assessed by review of the accumulated safety data.
The following clinical and laboratory adverse experiences will be summarized: Subjects with at least one adverse experience. Subjects with at least one drug related adverse experience. Subjects with at least one serious adverse experience. Subjects with at least one serious and drug related adverse experience, Subjects who discontinued study therapy due to an adverse experience.
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Hospital Garcia de Orta
Lisbon, Portugal
Hospital Professor Doutor Fernando Fonseca Amadora
Lisbon, Portugal
Time frame: 24 weeks or rebounder at least one week apart afte rinitial response