Trial Outcomes & Findings for Safety and Efficacy of Fixed Dose Combination Dolutegravir/Abacavir/Lamivudine FDC Initiated During Acute HIV Infection (NCT NCT02384395)

NCT ID: NCT02384395

Last Updated: 2021-11-22

Results Overview

Total number of participants on study at Week 24 with an HIV-1 RNA level less than 200 copies/mL

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

Week 24

Results posted on

2021-11-22

Participant Flow

Participant milestones

Participant milestones
Measure
DTG/3TC/ABC FDC
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Overall Study
STARTED
40
Overall Study
Enrolled
40
Overall Study
Initiated Treatment
37
Overall Study
Completed Week 24
34
Overall Study
Completed Week 48
33
Overall Study
Completed Week 96
30
Overall Study
COMPLETED
30
Overall Study
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
DTG/3TC/ABC FDC
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Overall Study
Physician Decision
4
Overall Study
Withdrawal by Subject
3
Overall Study
Lost to Follow-up
3

Baseline Characteristics

Safety and Efficacy of Fixed Dose Combination Dolutegravir/Abacavir/Lamivudine FDC Initiated During Acute HIV Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DTG/3TC/ABC FDC
n=37 Participants
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Age, Continuous
26 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
36 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
31 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
24 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
37 Participants
n=5 Participants
Baseline CD4 Count
478 cells/mm^3
n=5 Participants
Baseline HIV-1 RNA PCR Level
382000 copies/mL
n=5 Participants

PRIMARY outcome

Timeframe: Week 24

Population: Excludes 3 participants who terminated prior to Week 24

Total number of participants on study at Week 24 with an HIV-1 RNA level less than 200 copies/mL

Outcome measures

Outcome measures
Measure
DTG/3TC/ABC FDC
n=34 Participants
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Number of Participants With Viral Load Measurement <200 Copies/mL at Week 24
34 Participants

SECONDARY outcome

Timeframe: Baseline through Week 96

Population: Two participants had data collected outside of Week 96 window

Sign/symptom, lab toxicity, or clinical events, or Grade 3 or higher AE that is definitely, probably, or possibly related to study treatment

Outcome measures

Outcome measures
Measure
DTG/3TC/ABC FDC
n=37 Participants
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Number of Participants With Grade 3 or Higher Adverse Event (AE)
1 Participants

SECONDARY outcome

Timeframe: Week 48

Proportion of participants completing Week 48 with an HIV-1 RNA level less than 50 copies/mL

Outcome measures

Outcome measures
Measure
DTG/3TC/ABC FDC
n=33 Participants
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Proportion of Treated Participants With HIV-1 RNA to <50 Copies/mL at Week 48
0.88 proportion of participants
Interval 0.72 to 0.97

SECONDARY outcome

Timeframe: Baseline, Week 24

Population: Excludes 3 participants who terminated prior to Week 24

Outcome measures

Outcome measures
Measure
DTG/3TC/ABC FDC
n=34 Participants
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Median Change HIV-1 RNA Level Among Participants Completing Week 24 Visit
-590211 copies/mL
Interval -9999980.0 to -1830.0

Adverse Events

DTG/3TC/ABC FDC

Serious events: 5 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
DTG/3TC/ABC FDC
n=37 participants at risk
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Respiratory, thoracic and mediastinal disorders
Exacerbation of Asthma
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Infections and infestations
Acute Bronchitis
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Gastrointestinal disorders
Abdominal Pain
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Gastrointestinal disorders
Diarrhea
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Psychiatric disorders
Acute Stress Reaction
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
General disorders
Chest Pain associated with Back Pain
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Musculoskeletal and connective tissue disorders
Back Pain
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Psychiatric disorders
Depression
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Eye disorders
Anterior Uveitis
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Infections and infestations
Left Scrotal Cellulitis
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Infections and infestations
Left Scrotal Abscess
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Metabolism and nutrition disorders
Diabetic Ketoacidosis without coma associated with T1DM
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Investigations
Elevated Alanine Aminotransferase (ALT)
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Investigations
Elevated Aspartate Aminotransferase (AST)
2.7%
1/37 • Number of events 1 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.

Other adverse events

Other adverse events
Measure
DTG/3TC/ABC FDC
n=37 participants at risk
Dolutegravir (DTG 50 mg), abacavir sulfate (ABC 600 mg) and lamivudine (3TC 300 mg) formulated in a single tablet fixed dose combination (FDC) (DTG/ABC/3TC, GSK2619619), administered orally, once daily initiated during acute HIV infection.
Investigations
ALT Increased
8.1%
3/37 • Number of events 3 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Injury, poisoning and procedural complications
Citrate Sensitivity
5.4%
2/37 • Number of events 4 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Investigations
Creatinine Clearance Decreased
18.9%
7/37 • Number of events 8 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Nervous system disorders
Headache
8.1%
3/37 • Number of events 3 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Gastrointestinal disorders
Nausea
18.9%
7/37 • Number of events 8 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Injury, poisoning and procedural complications
Elevated BP During Leukapheresis
35.1%
13/37 • Number of events 16 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
General disorders
IV Infiltration During Leukapheresis
10.8%
4/37 • Number of events 5 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.
Gastrointestinal disorders
Vomiting
5.4%
2/37 • Number of events 3 • From the time of signing informed consent throughout treatment, a total of approximately 96 weeks.

Additional Information

Cynthia Gay, MD, MPH

University of North Carolina at Chapel Hill

Phone: 919-966-6712

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place