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Infection, Human Immunodeficiency VirusPhase 3NCT01910402

A Study to Determine Safety and Efficacy of Dolutegravir/Abacavir/Lamivudine (DTG/ABC/3TC) in Human Immunodeficiency Virus (HIV)-1 Infected Antiretroviral Therapy (ART) Naïve Women (ARIA)

A Phase 3 study testing Dolutegravir/abacavir/lamivudine FDC, Atazanavir and Ritonavir in people with Infection, Human Immunodeficiency Virus and HIV Infections, run by ViiV Healthcare at 90 sites in 13 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is designed to demonstrate the non-inferior antiviral activity of DTG/ABC/3TC fixed dose combination (FDC) once daily (OD) compared to atazanavir plus ritonavir (ATV+RTV) and tenofovir disoproxil fumarate/emtricitabine fixed dose combination (TDF/FTC FDC) OD in HIV-1 infected, ART-naïve women over 48 weeks. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Dolutegravir/abacavir/lamivudine FDC, Atazanavir and Ritonavir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
499 participants
Where
90 sitesin 13 countries
Study dates
22 Aug 2013to 18 Aug 2022
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • HIV-1 infected females (gender at birth) >=18 years of age
  • Women capable of becoming pregnant must use appropriate contraception during the study (as defined by the protocol)
  • HIV-1 infection as documented by Screening plasma HIV-1 RNA >=500 c/mL.
  • Documentation that the subject is negative for the HLA-B*5701 allele.
  • Antiretroviral-naïve (<=10 days of prior therapy with any antiretroviral agent following a diagnosis of HIV-1 infection).
  • Signed and dated written informed consent is obtained from the subject or the subject's legal representative prior to screening.

Who cannot join

  • Women who are pregnant or breastfeeding
  • Women who plan to become pregnant during the first 48 weeks of the study
  • Any subject who has had a medical intervention for gender reassignment
  • Any evidence of an active Centers for Disease Control and Prevention (CDC) Category C disease
  • Subjects with any degree of hepatic impairment
  • Subjects positive for hepatitis B at Screening, or anticipated need for HCV therapy during the study
Show all 20Show fewer
  • History or presence of allergy to the study drugs or their components or drugs of their class
  • Ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, non-invasive cutaneous squamous cell carcinoma, or cervical intraepithelial neoplasia
  • poses a significant suicidality risk
  • History of osteoporosis with fracture or requiring pharmacologic therapy
  • Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening
  • Treatment with any of the following agents within 28 days of Screening: radiation therapy; cytotoxic chemotherapeutic agents; any immunomodulators that alter immune responses;
  • Treatment with any agent, with documented activity against HIV-1 in vitro within 28 days of first dose of investigational product (IP)
  • Exposure to an experimental drug or experimental vaccine within either 28 days, 5 half-lives of the test agent, or twice the duration of the biological effect of the test agent, whichever is longer, prior to the first dose of IP
  • Any evidence of primary viral resistance based on the presence of any major resistance-associated mutation in the Screening result or, if known, any historical resistance test result
  • Any verified Grade 4 laboratory abnormality, with the exception of Grade 4 lipid abnormalities (total cholesterol, triglycerides, High Density Lipoprotein (HDL) cholesterol, Low Density Lipoprotein (LDL) cholesterol)
  • Any acute laboratory abnormality at Screening, which, in the opinion of the Investigator, would preclude the subject's participation in the study of an investigational compound
  • Alanine aminotransferase (ALT) ≥5 times the upper limit of normal (ULN), or ALT ≥ 3xULN and bilirubin ≥ 1.5xULN (with >35% direct bilirubin)
  • Subject has CrCL of <50 mL/min via Cockroft-Gault method
  • Corrected QT interval (QTc (Bazett)) ≥450msec or QTc (Bazett) ≥480msec for subjects with bundle branch block.

Trial locations and contacts

90 sites in 13 countries.

90 sites in 13 countries

United States37 sites
  • GSK Investigational Site

    Allentown, Pennsylvania, 18102

  • GSK Investigational Site

    Atlanta, Georgia, 30309

  • GSK Investigational Site

    Augusta, Georgia, 30912-3130

  • GSK Investigational Site

    Bakersfield, California, 93301

  • GSK Investigational Site

    Bellaire, Texas, 77401

  • GSK Investigational Site

    Beverly Hills, California, 90211

  • GSK Investigational Site

    Buffalo, New York, 14215

  • GSK Investigational Site

    Chapel Hill, North Carolina, 27514

  • GSK Investigational Site

    Charlotte, North Carolina, 28207

  • GSK Investigational Site

    Dallas, Texas, 75235

  • GSK Investigational Site

    Dallas, Texas, 75246

  • GSK Investigational Site

    Decatur, Georgia, 30033

  • GSK Investigational Site

    Detroit, Michigan, 48202

  • GSK Investigational Site

    El Paso, Texas, 79905

  • GSK Investigational Site

    Fort Worth, Texas, 76104

  • GSK Investigational Site

    Ft. Pierce, Florida, 34982

  • GSK Investigational Site

    Greensboro, North Carolina, 27401-1209

  • GSK Investigational Site

    Indianapolis, Indiana, 46202

  • GSK Investigational Site

    Kansas City, Missouri, 64111

  • GSK Investigational Site

    Las Vegas, Nevada, 89106

  • GSK Investigational Site

    Lynchburg, Virginia, 24501

  • GSK Investigational Site

    Miami, Florida, 33133

  • GSK Investigational Site

    Neptune City, New Jersey, 7754

  • GSK Investigational Site

    Newark, New Jersey, 07103

  • GSK Investigational Site

    Omaha, Nebraska, 68198

  • GSK Investigational Site

    Orlando, Florida, 32803

  • GSK Investigational Site

    Philadelphia, Pennsylvania, 19104

  • GSK Investigational Site

    Philadelphia, Pennsylvania, 19107

  • GSK Investigational Site

    Philadelphia, Pennsylvania, 19140

  • GSK Investigational Site

    Phoenix, Arizona, 85015

  • GSK Investigational Site

    Savannah, Georgia, 31401

  • GSK Investigational Site

    Springfield, Massachusetts, 01199

  • GSK Investigational Site

    St Louis, Missouri, 63110

  • GSK Investigational Site

    Tampa, Florida, 33602

  • GSK Investigational Site

    Valhalla, New York, 10595

  • GSK Investigational Site

    Washington D.C., District of Columbia, 20007

  • GSK Investigational Site

    West Palm Beach, Florida, 33401

Other trials in United States

Spain11 sites
  • GSK Investigational Site

    (Móstoles) Madrid, 28935

  • GSK Investigational Site

    Alicante, 03010

  • GSK Investigational Site

    Badalona, 08916

  • GSK Investigational Site

    Barcelona, 08035

  • GSK Investigational Site

    Barcelona, 08907

  • GSK Investigational Site

    Granada, 18012

  • GSK Investigational Site

    Madrid, 28034

  • GSK Investigational Site

    Madrid, 28046

  • GSK Investigational Site

    Málaga, 29010

  • GSK Investigational Site

    Murcia, 30003

  • GSK Investigational Site

    Seville, 41013

Other trials in Spain

Italy7 sites
  • GSK Investigational Site

    Bergamo, Lombardy, 24127

  • GSK Investigational Site

    Brescia, Lombardy, 25123

  • GSK Investigational Site

    Busto Arsizio (VA), Lombardy, 21052

  • GSK Investigational Site

    Genoa, Liguria, 16128

  • GSK Investigational Site

    Milan, Lombardy, 20127

  • GSK Investigational Site

    Milan, Lombardy, 20157

  • GSK Investigational Site

    Turin, Piedmont, 10149

Other trials in Italy

Russia6 sites
  • GSK Investigational Site

    Moscow, 115035

  • GSK Investigational Site

    Oryol, 302040

  • GSK Investigational Site

    Saint Petersburg, 190103

  • GSK Investigational Site

    Saint Petersburg, 196645

  • GSK Investigational Site

    Smolensk, 214006

  • GSK Investigational Site

    Toliyatti, 445846

Other trials in Russia

United Kingdom6 sites
  • GSK Investigational Site

    Birmingham, B9 5SS

  • GSK Investigational Site

    London, E1 1BB

  • GSK Investigational Site

    London, NW3 2QG

  • GSK Investigational Site

    London, W2 1NY

  • GSK Investigational Site

    Sheffield, S10 2JF

  • GSK Investigational Site

    Tooting, London, SW17 0QT

Other trials in United Kingdom

Canada5 sites
  • GSK Investigational Site

    Montreal, Quebec, H2X 2P4

  • GSK Investigational Site

    Ottawa, Ontario, K1H 8L6

  • GSK Investigational Site

    Toronto, Ontario, M4N 3M5

  • GSK Investigational Site

    Toronto, Ontario, M5G 2N2

  • GSK Investigational Site

    Vancouver, British Columbia, V6Z 1Y6

Other trials in Canada

Argentina3 sites
  • GSK Investigational Site

    Buenos Aires, 1141

  • GSK Investigational Site

    Ciudad Autónoma de Buenos Aires, Buenos Aires, C1405CKC

  • GSK Investigational Site

    Ciudad de Buenos Aires, Buenos Aires, C1202ABB

Other trials in Argentina

France3 sites
  • GSK Investigational Site

    Bobigny, 93009

  • GSK Investigational Site

    Nantes, 44093

  • GSK Investigational Site

    Paris, 75475

Other trials in France

Portugal3 sites
  • GSK Investigational Site

    Amadora, 2720-276

  • GSK Investigational Site

    Lisbon, 1150

  • GSK Investigational Site

    Porto, 4200-319

Other trials in Portugal

Puerto Rico3 sites
  • GSK Investigational Site

    Ponce, 00717

  • GSK Investigational Site

    Rio Piedras, 00936

  • GSK Investigational Site

    San Juan, 00909

Other trials in Puerto Rico

Mexico2 sites
  • GSK Investigational Site

    Guadalajara, Jalisco, 44280

  • GSK Investigational Site

    México, 14000

Other trials in Mexico

South Africa2 sites
  • GSK Investigational Site

    Mamelodi East, 122

  • GSK Investigational Site

    Observatory, Cape Town, Western Province, 7925

Other trials in South Africa

Thailand2 sites
  • GSK Investigational Site

    Bangkok, 10330

  • GSK Investigational Site

    Nonthaburi, 11000

Other trials in Thailand

About this study

Official title: A Phase IIIb, Randomized, Open-label Study of the Safety and Efficacy of Dolutegravir/Abacavir/Lamivudine Once Daily Compared to Atazanavir and Ritonavir Plus Tenofovir/Emtricitabine Once Daily in HIV-1 Infected Antiretroviral Therapy Naïve Women

This study is designed to demonstrate the non-inferior antiviral activity of DTG/ABC/3TC fixed dose combination (FDC) once daily (OD) compared to atazanavir plus ritonavir (ATV+RTV) and tenofovir disoproxil fumarate/emtricitabine fixed dose combination (TDF/FTC FDC) OD in HIV-1 infected, ART-naïve women over 48 weeks. This study will also characterize the safety and tolerability of DTG/ABC/3TC FDC compared to ATV+RTV+TDF/FTC FDC. Sufficient number of subjects will be screened in order to ensure a total of approximately 474 subjects will be randomized (237 in each study arm)

Being tested
Dolutegravir/abacavir/lamivudine FDC, Atazanavir, Ritonavir, Tenofovir/emtricitabine FDC
Keywords
antiretroviral therapy naïve, women, once daily, HIV infection, atazanavir, tenofovir/emtricitabine, dolutegravir/abacavir/lamivudine fixed dose combination, integrase inhibitor, ritonavir
Medical subject headings
Infections, Acquired Immunodeficiency Syndrome, HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dolutegravir/abacavir/lamivudine FDCDrug

    Dolutegravir/abacavir/lamivudine FDC tablets, 50 mg/600 mg/300 mg

  • AtazanavirDrug

    Atazanavir capsule 300 mg

  • RitonavirDrug

    Ritonavir tablet 100 mg

  • Tenofovir/emtricitabine FDCDrug

    Tenofovir/emtricitabine FDC tablet 300 mg/200 mg of FTC

Study groups in NCT01910402
Study groupRoleWhat they receive
DTG/ABC/3TC FDCExperimentalAs per the randomization schedule subjects will be administered with DTG/ABC/3TC (50mg/600mg/300mg) FDC tablet OD up to Week 48 and if continued if applicable in the Continuation Phase. DTG/ABC/3TC FDC may be administered with or without food
Receives: Drug: Dolutegravir/abacavir/lamivudine FDC
ATV +RTV +TDF/FTC FDCActive comparatorAs per the randomization schedule subjects will be administered with ATV (300mg capsule) +RTV (100mg tablet) + TDF/FTC (300mg/200mg tablet) FDC OD up to Week 48. ATV+RTV+ TDF/FTC FDC must be taken with food
Receives: Drug: Atazanavir; Drug: Ritonavir; Drug: Tenofovir/emtricitabine FDC

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48

    Percentage of participants with plasma human immunodeficiency virus type 1(HIV-1) ribonucleic acid (RNA) <50 copies per milliliter (c/mL) were assessed at Week 48 using the Snapshot algorithm. Analysis was performed using a stratified analysis with Cochran-Mantel-Haenszel (CMH) weights, adjusting for Baseline plasma HIV-1 RNA ( =<vs. >100,000 c/mL) and CD4+ cell count (=<350 cells per millimeter cube (cells/mm^3) or >350 cells/mm^3). Intent-to-Treat Exposed (ITT-E) Population comprised of all randomized participants who received at least one dose of study medication. Percentage values are rounded off.

    Measured: Week 48

Secondary outcomes (45)
  1. Percentage of Participants With Plasma HIV-1 RNA <50 and <400 c/mL Over Time-Randomized Phase

    Percentage of participants with plasma HIV-1 RNA <50 and <400 c/mL were assessed at Baseline, Weeks 4, 12, 24 , 36 and 48 using the Snapshot algorithm (Missing, Switch or Discontinuation = Failure). The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Percentage values are rounded off.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  2. Percentage of Participants With Plasma HIV-1 RNA <50 c/mL in Continuation Phase

    Plasma samples were collected for quantitative analysis of HIV-1 RNA. Percentage of participants with plasma HIV-1 RNA <50 c/mL were reported. Percentage values are rounded off.

    Measured: Week 96 and Week 432

  3. Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase

    Change from the Baseline in plasma HIV-1 RNA were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  4. Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase

    Change from the Baseline in plasma HIV-1 RNA were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 96 and Week 432

  5. Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase

    Absolute Values in plasma HIV-1 RNA were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  6. Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase

    Absolute Values in plasma HIV-1 RNA were assessed at indicated time points.

    Measured: Week 96 and Week 432

  7. Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Randomized Phase

    Change from Baseline in cluster of differentiation 4 (CD4+) cell count were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  8. Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Continuation Phase

    Change from Baseline in cluster of differentiation 4(CD4+) cell count were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 96, Week 432

  9. Absolute Values in CD4+ Cell Count at Indicated Timepoints-Randomized Phase

    Absolute values in CD4+ cell count were assessed at indicated time points. The Baseline value was defined as the latest pre-dose assessment (Day 1) value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  10. Absolute Values in CD4+ Cell Count at Indicated Timepoints-Continuation Phase

    Absolute values in CD4+ cell count were assessed at indicated time points.

    Measured: Week 96 and Week 432

  11. Change From Baseline in Carbon Dioxide, Electrolytes, Lipids, Glucose, Urea at Indicated Time Points

    Clinical chemistry parameters were assessed at Baseline (Day 1), Weeks 4, 12, 24, 36 and 48. Change from Baseline in carbon dioxide, electrolytes (chloride, hyperkalemia, hypernatremia, hypokalemia, hyponatremia, phosphate, potassium, sodium), lipids (cholesterol [CHLS], high density lipoprotein [HDL] CHLS direct, low density lipoprotein (LDL) CHLS calculation, LDL CHLS direct, triglycerides), glucose (hyperglycaemia, hypoglycaemia) and urea are summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. Laboratory parameters were assessed in Safety Population which comprised of all participants who received at least one dose of study treatment.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  12. Change From Baseline in Bilirubin and Creatinine at Indicated Timepoints

    Clinical chemistry parameters were assessed at Baseline (Day 1), Weeks 4, 12, 24, 36 and 48. Change from Baseline in bilirubin and creatinine are summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  13. Change From Baseline in Albumin at Indicated Timepoints

    Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in albumin is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  14. Change From Baseline in Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Creatine Kinase at Indicated Time Points

    Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, creatine kinase is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  15. Change From Baseline in Creatinine Clearance at Indicated Time Points

    Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in creatinine clearance is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  16. Change From Baseline in Lipase at Indicated Timepoints

    Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in lipase is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  17. Change From Baseline in Total CHLS/HDL CHLS Ratio at Indicated Timepoints

    Clinical chemistry parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in Total CHLS/HDL CHLS ratio is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  18. Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes at Indicated Time Points

    Hematology parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in basophils, eosinophils, lymphocytes, monocytes is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  19. Change From Baseline in Erythrocytes at Indicated Time Points

    Hematology parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in erythrocytes is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  20. Change From Baseline in Hematocrit Count at Indicated Time Points

    Hematology parameters were assessed at Baseline (Day 1), Weeks 4, 12, 24, 36 and 48. Change from Baseline in hematocrit is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  21. Change From Baseline in Erythrocyte Mean Corpuscular Volume at Indicated Time Points

    Hematology parameters were assessed at Baseline (Day 1), Week 4, 12, 24, 36 and Week 48. Change from Baseline in erythrocyte mean corpuscular volume (EMCV) is summarized. Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48

  22. Change From Baseline in Triglycerides at Week 48

    Change from Baseline in mean triglycerides is summarized at Week 48. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. Adjusted mean is the estimated mean change from Baseline in fasted triglycerides at Week 48 in each arm calculated from a model adjusted for the following covariates: treatment, Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, age and triglycerides at Baseline. Participants on lipid lowering therapy at Baseline were excluded from analysis. Measurements collected after a participant initiates lipid lowering therapy were set to missing. Missing values were imputed using multiple imputation under a multivariate normal model adjusting for Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, fasted triglycerides and TC/HDL ratio at Baseline, Week 12 and Week 36.

    Measured: Baseline (Day 1) and Week 48

  23. Change From Baseline in TC/HDL Ratio at Week 48

    Change from Baseline in mean total cholesterol (TC)/HDL ratio is summarized at Week 48. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value. Adjusted mean is the estimated mean change from Baseline in fasted TC/HDL at Week 48 in each arm calculated from a model adjusted for the following covariates: treatment, Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, age and triglycerides/HDL at Baseline. Participants on lipid lowering therapy at Baseline were excluded from analysis. Measurements collected after a participant initiates lipid lowering therapy were set to missing. Missing values were imputed using multiple imputation under a multivariate normal model adjusting for Baseline plasma HIV-1 RNA, Baseline CD4+ cell count, fasted triglycerides and TC/HDL ratio at Baseline, Week 12 and Week 36.

    Measured: Baseline (Day 1) and Week 48

  24. Change From Baseline in Urine Albumin Creatinine Ratio at Indicated Time Points

    Change from Baseline in urine albumin creatinine ratio at Week 24 and Week 48 is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Week 24 and Week 48

  25. Number of Participants With AEs by Maximum Toxicity-Randomized Phase

    Number of participants with Grade 1-4 AEs by maximum toxicity were assessed from the start of study treatment and until end of the Randomization phase. AEs are categorized into following grades as per The Division of Aqcuired Immuno Deficiency Syndrome (AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms.

    Measured: Up to Week 48

  26. Number of Participants With AEs by Maximum Toxicity-Continuation Phase

    Number of participants with Grade 1-4 AEs were assessed in Continuation Phase. AEs are categorized into following grades as per The Division of Aqcuired Immuno Deficiency Syndrome (AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms.

    Measured: From Weeks 48 to 432

  27. Number of Participants With Any Adverse Events (AEs), and Serious Adverse Events (SAEs)-Randomized Phase

    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or other events that may jeopardize the participant or may require medical or surgical intervention to prevent one of the outcome listed above, liver injury and impaired liver function and grade 4 laboratory abnormalities. Number of participants with any AEs, and SAEs have been presented.

    Measured: Up to Week 48

  28. Number of Participants With Any AEs, and SAEs in Continuation Phase

    An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or other events that may jeopardize the participant or may require medical or surgical intervention to prevent one of the outcome listed above, liver injury and impaired liver function and grade 4 laboratory abnormalities. Number of participants with any AEs, and SAEs have been presented.

    Measured: From Weeks 48 to 432

  29. Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Randomized Phase

    Number of participants with Grade 1-4 emergent chemistry toxicities were assessed from the start of study treatment and end of Randomized Phase. Chemistry toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hyperglycaemia, hyperkalemia, hypernatremia, hypoglycaemia, hypokalemia, hyponatremia, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, carbon dioxide, cholesterol, creatine kinase, creatinine, LDL cholesterol calculation, LDL cholesterol direct, lipase, phosphate, potassium, sodium, triglycerides and glucose.

    Measured: Up to Week 48

  30. Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Continuation Phase

    Number of participants with grades 1-4 emergent chemistry toxicities were assessed in Continuation Phase. Chemistry toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hyperglycaemia, hypernatremia, hypoglycaemia, hypokalemia, hyponatremia, alanine aminotransferase, albumin, alkaline phosphatase, aspartate aminotransferase, bilirubin, carbon dioxide, cholesterol, creatine kinase, creatinine, LDL cholesterol calculation, LDL cholesterol direct, lipase, phosphate, potassium, sodium, triglycerides and glucose.

    Measured: From Weeks 48 to 432

  31. Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Randomized Phase

    Number of participants with Grade 1-4 emergent hematology toxicities were assessed from the start of study treatment and end of Randomized Phase. Hematology toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hemoglobin, leukocytes, neutrophils and platelets.

    Measured: Up to Week 48

  32. Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Continuation Phase

    Number of participants with Grade 1-4 emergent hematology toxicities were assessed in Continuation Phase. Hematology toxicities were categorized into following grades as per The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table)- Grade 1- mild, Grade 2- moderate; Grade 3- severe and Grade 4- potentially life-threatening. Higher the grade, more severe the symptoms. Data has been reported for clinical chemistry parameters including hemoglobin, leukocytes, neutrophils and platelets.

    Measured: From Weeks 48 to 432

  33. Number of Participants Who Withdrew From Treatment Due to AEs-Randomized Phase

    An AE is defined as any untoward medical occurrence in a participant temporally associated with the use of a medicinal product (MP), whether or not considered related to the MP. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of an MP. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, is an important medical event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in the above definition, or is associated with liver injury and impaired liver function.

    Measured: Up to Week 48

  34. Number of Participants Who Withdrew From Treatment Due to AEs-Continuation Phase

    An AE is defined as any untoward medical occurrence in a participant temporally associated with the use of a medicinal product (MP), whether or not considered related to the MP. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of an MP. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, is an important medical event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in the above definition, or is associated with liver injury and impaired liver function.

    Measured: From Weeks 48 to 432

  35. Change From Baseline in Bone Specific Alkaline Phosphatase, Osteocalcin and Procollagen 1 N-terminal Propeptide at Indicated Timepoints

    Bone markers were assessed at Baseline (Day 1), Weeks 24, 48. Change from Baseline in bone specific alkaline phosphatase (BSAP), osteocalcin and procollagen 1 N-terminal propeptide (PTP) is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Weeks 24 and 48

  36. Change From Baseline in Type I Collagen C-telopeptides at Indicated Timepoints

    Bone markers were assessed at Baseline (Day 1), Weeks 24, 48. Change from Baseline in Type I collagen C-telopeptides (T-1 CCT) is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Weeks 24 and 48

  37. Change From Baseline in Vitamin D, Vitamin D2 and Vitamin D3 at Week 24 and Week 48

    Bone markers were assessed at Baseline (Day 1), Weeks 24, 48. Change from Baseline in vitamin D, vitamin D2 and vitamin D3 is summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1), Weeks 24 and 48

  38. Bone Specific Alkaline Phosphatase, Osteocalcin, Procollagen 1 N-terminal Propeptide, Type 1 Collagen C-Telopeptide, Vitamin D Ratio of Week 48 Results Over Baseline

    Bone markers were assessed at indicated timepoints. Bone specific alkaline phosphatase (BSAP), osteocalcin and procollagen 1 N-terminal propeptide (PTP), Type 1 Collagen C-Telopeptide, vitamin D ratio of Week 48 results over Baseline is calculated. Bone biomarkers were analyzed based on log transformed data. Estimates of adjusted mean and difference were calculated from an Analysis of covariance (ANCOVA) model adjusting for age, baseline viral load Baseline CD4+ cell count, Baseline biomarker level, body mass index category, smoking status and baseline Vitamin D use. Adjusted mean of log-transformed change from Baseline are transformed back to Week 48/Baseline ratio for each treatment group. Adjusted difference of log-transformed change from Baseline between treatment groups is transformed back to the ratio of Week 48/Baseline ratio in DTG/ABC/3TC FDC to ATV+RTV+TDF/FTC FDC.

    Measured: Baseline (Day 1) and Week 48

  39. Change From Baseline at Week 48 in SF-12 Total Score, MCS and PCS

    The 12-Item Short Form Health Survey (SF-12) is 12 item abbreviated form of SF-36 survey. SF-12 questions make up 8 scales: Physical Functioning, Role Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role Emotional, Mental Health. SF-12 is a self-reported outcome measure assessing psychological wellness and the impact of health on an individual's everyday life. SF-12 total score ranges from 20 to 60 and higher score indicate a higher level of functioning. SF-12 total score was calculated by a clinician scoring 12-question survey filled by participants. Transformed physical component summary score (PCS) and transformed mental component summary score (MCS) are derived using the sum of all 12 items and scored onto a 0-100 scale such that a higher score indicates a better health state and better functioning. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Change from Baseline was calculated as post-dose visit value minus Baseline value.

    Measured: Baseline (Day 1) and Week 48

  40. HIVTSQs Total Score at Indicated Timepoints

    The HIV treatment satisfaction questionnaire (HIVTSQ) is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g. convenience, flexibility. The HIVTSQ items are summed up to produce a treatment satisfaction total score (0 to 60) and an individual satisfaction rating for each item (0 to 6) and two subscales: general satisfaction/clinical and lifestyle/ease subscales. The higher the score, the greater the improvement in treatment satisfaction as compared to the past few weeks. A smaller score represents a decline in treatment satisfaction compared to the past few weeks. Statistical analysis was performed based on Wilcoxon rank sum test.

    Measured: Weeks 4, 12, 24 and 48

  41. Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48 by Subgroups

    Percentage of participants with plasma HIV-1 RNA <50 copies/mL at Week 48 by subgroups (age, race, country, Baseline plasma HIV-1 RNA [BPHR], Baseline CD4+ cell count [BCCC], Baseline Centers for Disease Control and Prevention [CDC] category and HIV-1 subtype) were assessed using the Snapshot algorithm (Missing, Switch or Discontinuation = Failure). Analysis was performed using a stratified analysis with CMH weights, adjusting for Baseline plasma HIV-1 RNA ( =<versus [vs]. >100,000 c/mL) and CD4+ cell count (=<350 cells/mm^3 or >350 cells/mm^3). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT population. Percentage values are rounded off.

    Measured: Week 48

  42. Number of Participants With Post-Baseline HIV-1 Disease Progression-Randomized Phase

    Number of participants with post-Baseline HIV-1disease progression were assessed during study period. The CDC Classification System for HIV Infection is the medical classification system used by the United States Centers for Disease Control and Prevention (CDC) to classify HIV disease and infection. The clinical categories of HIV infection are defined as follows: Category A: Mildly symptomatic, Category B: Moderately symptomatic, Category C: Severely symptomatic. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Only those participants available at the specified time points were analyzed. Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT population.

    Measured: Up to week 48

  43. Number of Participants With Post-Baseline HIV-1 Disease Progression for DTG 50 mg/ABC 600 mg/3TC 300 mg QD (Randomized + Continuation Phase)

    Number of participants with post-Baseline HIV-1disease progression were assessed during study period. The CDC Classification System for HIV Infection is the medical classification system used by the United States Centers for Disease Control and Prevention (CDC) to classify HIV disease and infection. The clinical categories of HIV infection are defined as follows: Category A: Mildly symptomatic, Category B: Moderately symptomatic, Category C: Severely symptomatic. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. Only those participants available at the specified time points were analyzed. Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the ITT population.

    Measured: Up to week 432

  44. Number of Participants With Treatment Emergent Resistances for DTG 50 mg/ABC 600 mg/3TC 300 mg QD (Randomized + Continuation Phase)

    Number of participants, who meet confirmed virologic withdrawal criteria, with treatment emergent genotypic resistance to integrase strand transfer inhibitor (INSTI), Non-nucleoside reverse transcriptase inhibitor (NNRTI), nucleoside reverse transcriptase inhibitor (NRTI), protease inhibitors (PI) will be summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. On-treatment Genotypic Resistance Population comprised of all participants in the ITTE population with available On-treatment genotypic resistance data at the time confirmed virologic withdrawal criterion was met.

    Measured: Up to week 432

  45. Number of Participants With Treatment Emergent Resistances for ATV 300 mg+RTV 100 mg+TDF 300 mg/FTC 200mg QD (Randomized Phase)

    Number of participants, who meet confirmed virologic withdrawal criteria, with treatment emergent genotypic resistance to integrase strand transfer inhibitor (INSTI), Non-nucleoside reverse transcriptase inhibitor (NNRTI), nucleoside reverse transcriptase inhibitor (NRTI), protease inhibitors (PI) will be summarized. The Baseline value was defined as the latest pre-dose assessment (Day 1) value. On-treatment Genotypic Resistance Population comprised of all participants in the ITTE population with available On-treatment genotypic resistance data at the time confirmed virologic withdrawal criterion was met.

    Measured: Up to week 48

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jul 2013 (estimated)
  2. Study start22 Aug 2013
  3. Primary completion22 Sep 2015
  4. Study completion18 Aug 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
499 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01910402
Sponsor's protocol ID
117172
Other IDs
2012-005823-34
Status last verified
Feb 2024
First submitted
25 Jul 2013
Last updated
20 Feb 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on ViiV's data sharing criteria can be found at: https://viivhealthcare.com/about-viiv/corporate-ethics-compliance/commitment-to-data-transparency/

Publications

  • Orrell C, Hagins DP, Belonosova E, Porteiro N, Walmsley S, Falco V, Man CY, Aylott A, Buchanan AM, Wynne B, Vavro C, Aboud M, Smith KY; ARIA study team. Fixed-dose combination dolutegravir, abacavir, and lamivudine versus ritonavir-boosted atazanavir plus tenofovir disoproxil fumarate and emtricitabine in previously untreated women with HIV-1 infection (ARIA): week 48 results from a randomised, open-label, non-inferiority, phase 3b study. Lancet HIV. 2017 Dec;4(12):e536-e546. doi: 10.1016/S2352-3018(17)30095-4. Epub 2017 Jul 17.

    PubMed 28729158

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Dolutegravir/abacavir/lamivudine FDC, Atazanavir and Ritonavir in people with Infection, Human Immunodeficiency Virus and HIV Infections, run by ViiV Healthcare at 90 sites in 13 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 90 sites in United States, Spain, Italy, Russia, United Kingdom and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Oct 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48 (time frame: Week 48). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01910402, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Feb 2024.

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