For a few years, there has been a keen interest of clinicians and patients for "lighter" antiretroviral strategies based on two- or even single drug regimens rather than the canonical triple therapy, both as initial and maintenance therapy, despite the possibility that ongoing viral replication may occur in some patients under triple-therapy. We will therefore propose such simplification strategy (DTG/3TC) while maintaining triple-therapy (DTG/ABC/3TC) in a control group and will perform an in depth analysis of the replication-competent reservoir in blood and in tissues as well as measurements of residual viremia and immune chronic activation/inflammation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Switch from 3 drug regimen (DTG/ABC/3TC) to 2 drug regimen
Liège university hospital
Liège, Liège, Belgium
The impact of dual-therapy Dolutegravir (DTG) + Lamivudine (3TC) at the level of replication-competent reservoir (RCR) in blood and in tissues.
Measurements of RCR in the blood and tissues (rectal biopsies)
Time frame: 1 year
The impact of dual-therapy Dolutegravir (DTG) + Lamivudine (3TC) on residual viremia.
Time frame: 1 year
The impact of dual-therapy Dolutegravir (DTG) + Lamivudine (3TC) at the level of chronic immune activation/inflammation.
Time frame: 1 year
The correlation between blood and tissues RCR in a high number of patients under suppressive antiretroviral therapy.
Time frame: 1 year
The level of clonal expansion in the blood and tissue RCR
Time frame: 1 year
The correlation between the size of the blood/tissues RCR and the level of chronic immune activation/inflammation.
Time frame: 1 year
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