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.
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
- Conditions the study is for
- Infection, Human Immunodeficiency Virus, HIV Infections
- 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
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
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
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
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
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
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
France3 sites
GSK Investigational Site
Bobigny, 93009
GSK Investigational Site
Nantes, 44093
GSK Investigational Site
Paris, 75475
Portugal3 sites
GSK Investigational Site
Amadora, 2720-276
GSK Investigational Site
Lisbon, 1150
GSK Investigational Site
Porto, 4200-319
Puerto Rico3 sites
GSK Investigational Site
Ponce, 00717
GSK Investigational Site
Rio Piedras, 00936
GSK Investigational Site
San Juan, 00909
Mexico2 sites
GSK Investigational Site
Guadalajara, Jalisco, 44280
GSK Investigational Site
México, 14000
South Africa2 sites
GSK Investigational Site
Mamelodi East, 122
GSK Investigational Site
Observatory, Cape Town, Western Province, 7925
Thailand2 sites
GSK Investigational Site
Bangkok, 10330
GSK Investigational Site
Nonthaburi, 11000
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 group | Role | What they receive |
|---|---|---|
| DTG/ABC/3TC FDC | Experimental | As 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 FDC | Active comparator | As 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.
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)
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
- First posted29 Jul 2013 (estimated)
- Study start22 Aug 2013
- Primary completion22 Sep 2015
- Study completion18 Aug 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Infection, Human Immunodeficiency VirusStudies of the same condition, open and under way.
- More trials run by ViiV HealthcareThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- ViiV Healthcare
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, ViiV Healthcare
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 20 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT01910402
- Acronym / sponsor ID
- 117172
- Keywords
- antiretroviral therapy naïve, women, once daily, HIV infection, atazanavir, tenofovir/emtricitabine, dolutegravir/abacavir/lamivudine fixed dose combination, integrase inhibitor
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 499 participants (actual)
- Lead sponsor
- ViiV HealthcareIndustry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- 22 Aug 2013 (actual)
- Primary completion
- 22 Sep 2015 (actual)
- Study completion
- 18 Aug 2022 (actual)
- First posted
- 29 Jul 2013 (estimated)
- Results
- Posted 31 Oct 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| DTG/ABC/3TC FDC | Experimental | Drug: Dolutegravir/abacavir/lamivudine FDCAs 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 |
| ATV +RTV +TDF/FTC FDC | Active comparator | Drug: Atazanavir, Drug: Ritonavir, Drug: Tenofovir/emtricitabine FDCAs 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 |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 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).
Key exclusion criteria (20 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dolutegravir/abacavir/lamivudine FDCDolutegravir/abacavir/lamivudine FDC tablets, 50 mg/600 mg/300 mg | Drug | DTG/ABC/3TC FDC |
| AtazanavirAtazanavir capsule 300 mg | Drug | ATV +RTV +TDF/FTC FDC |
| RitonavirRitonavir tablet 100 mg | Drug | ATV +RTV +TDF/FTC FDC |
| Tenofovir/emtricitabine FDCTenofovir/emtricitabine FDC tablet 300 mg/200 mg of FTC | Drug | ATV +RTV +TDF/FTC FDC |
Primary outcome
Percentage of Participants With Plasma HIV-1 RNA <50 Copies/mL at Week 48
Time frame: 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.
45 secondary outcomes
Percentage of Participants With Plasma HIV-1 RNA <50 and <400 c/mL Over Time-Randomized Phase
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Percentage of Participants With Plasma HIV-1 RNA <50 c/mL in Continuation Phase
Time frame: Week 96 and Week 432
Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase
Time frame: Baseline (Day 1), Week 96 and Week 432
Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Randomized Phase
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Absolute Values in Plasma HIV-1 RNA at Indicated Time Points-Continuation Phase
Time frame: Week 96 and Week 432
Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Randomized Phase
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in CD4+ Cell Count at Indicated Timepoints-Continuation Phase
Time frame: Baseline (Day 1), Week 96, Week 432
Absolute Values in CD4+ Cell Count at Indicated Timepoints-Randomized Phase
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Absolute Values in CD4+ Cell Count at Indicated Timepoints-Continuation Phase
Time frame: Week 96 and Week 432
Change From Baseline in Carbon Dioxide, Electrolytes, Lipids, Glucose, Urea at Indicated Time Points
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Bilirubin and Creatinine at Indicated Timepoints
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Albumin at Indicated Timepoints
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Creatine Kinase at Indicated Time Points
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Creatinine Clearance at Indicated Time Points
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Lipase at Indicated Timepoints
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Total CHLS/HDL CHLS Ratio at Indicated Timepoints
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes at Indicated Time Points
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Erythrocytes at Indicated Time Points
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Hematocrit Count at Indicated Time Points
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Erythrocyte Mean Corpuscular Volume at Indicated Time Points
Time frame: Baseline (Day 1), Week 4, Week 12, Week 24, Week 36 and Week 48
Change From Baseline in Triglycerides at Week 48
Time frame: Baseline (Day 1) and Week 48
Change From Baseline in TC/HDL Ratio at Week 48
Time frame: Baseline (Day 1) and Week 48
Change From Baseline in Urine Albumin Creatinine Ratio at Indicated Time Points
Time frame: Baseline (Day 1), Week 24 and Week 48
Number of Participants With AEs by Maximum Toxicity-Randomized Phase
Time frame: Up to Week 48
Number of Participants With AEs by Maximum Toxicity-Continuation Phase
Time frame: From Weeks 48 to 432
Number of Participants With Any Adverse Events (AEs), and Serious Adverse Events (SAEs)-Randomized Phase
Time frame: Up to Week 48
Number of Participants With Any AEs, and SAEs in Continuation Phase
Time frame: From Weeks 48 to 432
Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Randomized Phase
Time frame: Up to Week 48
Number of Participants With Maximum Post-Baseline Emergent Chemistry Toxicities-Continuation Phase
Time frame: From Weeks 48 to 432
Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Randomized Phase
Time frame: Up to Week 48
Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities-Continuation Phase
Time frame: From Weeks 48 to 432
Number of Participants Who Withdrew From Treatment Due to AEs-Randomized Phase
Time frame: Up to Week 48
Number of Participants Who Withdrew From Treatment Due to AEs-Continuation Phase
Time frame: From Weeks 48 to 432
Change From Baseline in Bone Specific Alkaline Phosphatase, Osteocalcin and Procollagen 1 N-terminal Propeptide at Indicated Timepoints
Time frame: Baseline (Day 1), Weeks 24 and 48
Change From Baseline in Type I Collagen C-telopeptides at Indicated Timepoints
Time frame: Baseline (Day 1), Weeks 24 and 48
Change From Baseline in Vitamin D, Vitamin D2 and Vitamin D3 at Week 24 and Week 48
Time frame: Baseline (Day 1), Weeks 24 and 48
Bone Specific Alkaline Phosphatase, Osteocalcin, Procollagen 1 N-terminal Propeptide, Type 1 Collagen C-Telopeptide, Vitamin D Ratio of Week 48 Results Over Baseline
Time frame: Baseline (Day 1) and Week 48
Change From Baseline at Week 48 in SF-12 Total Score, MCS and PCS
Time frame: Baseline (Day 1) and Week 48
HIVTSQs Total Score at Indicated Timepoints
Time frame: Weeks 4, 12, 24 and 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Feb 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 28729158Orrell 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.
- Individual participant dataSharing planned: 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/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
ViiV Healthcare
90 sites in 13 countries: see every site and its status.
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.