Effect of Dolutegravir Intensification on HIV-1 Reservoirs

NCT ID: NCT05351684

Last Updated: 2022-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2022-12-13

Brief Summary

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Persistent HIV viremia occurs in most ART-treated patients and could arise from reactivation of viral expression from latently-infected cells that constitute the viral latent reservoir (LR) and/or residual ongoing viral replication during cART, for instance in anatomical compartment where drug penetration is sub-optimal.

The question of the sources of persistent viremia is of the utmost importance. If ongoing viral replication occurs, it could induce deleterious consequences on reservoirs size and immune activation.We propose to better characterize the role ongoing viral replication to HIV persistence under ART by undertaking a treatment intensification trial with high-dose dolutegravir. Tissue/blood samples and replication-competent reservoir measurements will be included as outcomes as well as immune activation markers.

Detailed Description

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Conditions

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HIV-1-infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intensified

Group of patients whose treatment will be intensified with an additional 50mg of dolutegravir on top of regular treatment (Triumeq: ABC/3TC/DTG).

Group Type EXPERIMENTAL

Dolutegravir 50 MG

Intervention Type DRUG

already included in arm/group descriptions.

Control

Group of patients without modification of baseline treatment (Triumeq: ABC/3TC/DTG).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Dolutegravir 50 MG

already included in arm/group descriptions.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* HIV-infected adults receiving cART for at least 3 years
* Undetectable viral for at least 3 years
* DTG/3TC/ABC as cART regimen in the previous 6 months.
* CD4 counts higher than 200 cells per μL

Exclusion Criteria

* active hepatitis C or B
* unstable liver disease
* renal impairment (estimated glomerular filtration rate \<50 mL per min),
* gastrointestinal disorders that would affect the absorption of study treatment
* current use of drugs with significant interactions with dolutegravir
* current use of drugs with an impact on inflammation such as steroids.
* hospitalization for acute illness within the previous 8 weeks
* Pregnancy or breastfeeding.
* Anal or rectal lesions impeding rectal biopsies
* Decreased platelets count or coagulation disorder.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Liege

OTHER

Sponsor Role lead

Responsible Party

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Gilles Darcis

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Liège university hospital

Liège, , Belgium

Site Status

Countries

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Belgium

Other Identifiers

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2018-228

Identifier Type: -

Identifier Source: org_study_id