A Study to Evaluate the Effectiveness of Long-acting (LA) Cabotegravir (CAB) + Rilpivirine (RPV) LA When Given to Participants With Detectable HIV-1
NCT ID: NCT06694805
Last Updated: 2025-12-17
Study Results
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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RECRUITING
PHASE3
332 participants
INTERVENTIONAL
2024-12-02
2028-06-19
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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CAB LA + RPV LA Group
Participants receive initial injections at Day 1 and Month 1, followed by maintenance injections every 2 months for up to 24 months.
CAB LA + RPV LA
Intramuscular injection administered monthly for first 2 initiation doses then every 2 months.
Oral ART Control Group
Participants continue to take their current oral ART for 6 months, including a final dose at their first injection visit.
Oral ART
Oral medication provided to participants by the site/their regular healthcare professional (HCP) as part of their standard of care (SOC) treatment.
Interventions
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CAB LA + RPV LA
Intramuscular injection administered monthly for first 2 initiation doses then every 2 months.
Oral ART
Oral medication provided to participants by the site/their regular healthcare professional (HCP) as part of their standard of care (SOC) treatment.
Eligibility Criteria
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Inclusion Criteria
1\. Aged \>=12 years and \>=35 kg (at the time of obtaining informed consent).
* Type of Participant and Disease Characteristics 2.HIV-1 infection, documented by any licensed rapid HIV test or HIV enzyme or chemiluminescence immunoassay (E/CIA) test kit at any time prior to study entry and confirmed by a licensed Western blot or a second antibody test by a method other than the initial rapid HIV and/or E/CIA, or by HIV-1 antigen, plasma HIV-1 RNA VL.
3.Plasma HIV-1 RNA \>1 000 c/mL and greater than (\<) 100 000 c/mL at Screening. 4.Evidence of insufficient virologic response to participant's current oral ART regimen within 18 months prior to study entry according to at least 1 of the following criteria: i.\<1 log10 decrease in HIV-1 RNA or HIV-1 RNA \>200 c/mL at 2 time points at least 4 weeks apart in individuals who have been prescribed oral ART for at least 3 consecutive months.
ii. Documented lapse in current oral ART regimen usage expected to result in HIV-1 viremia (defined as at least a 30-day consecutive period of non-use of oral ART) iii. Documented need for change from oral ART regimen that investigator attributes as primary reason for insufficient virologic response (e.g., safety findings and/or limited tolerability, clinically relevant DDIs).
Currently being treated with an oral ART regimen specific regimen to be recorded at Screening, and willing to continue taking that regimen until approximately 1 week after the Month 6 visit.
* Pregnancy, Sex and Contraceptive/Barrier Requirements 5. Person of childbearing potential (POCBP) must have a negative serum or urine pregnancy test at screening and on Day 1.
* Informed Consent/Assent 6.Informed consent/Assent must be provided as follows:
1. Adult participants (\>=18 years old) must be capable of giving signed informed consent as described in the full study protocol, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and stated in the full study protocol.
2. For adolescent participants (12 to \<18 years of age at screening), the parent(s) or legal guardian must be capable of giving signed informed consent.
Exclusion Criteria
1. HIV-1 Subtype A6, if known from historical result.
2. Participants who are pregnant, breast/chest feeding or plan to become pregnant or breast/chest feed during the study.
3. Unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice), cirrhosis, known biliary abnormalities (with the exception of hyperbilirubinemia or jaundice due to Gilbert's syndrome or asymptomatic gallstones).
4. Individuals with both HIV and Hepatitis B virus (HBV) will be excluded from participating in studies where they would not be able to receive appropriate therapy for their HBV co-infection and therefore may be at risk of hepatitis B flare. Exclusion will be determined by evidence of HBV infection based on the results of testing at Screening for HBsAg, HBcAb, HBsAb and HBV.
5. History of liver cirrhosis with or without hepatitis viral co-infection.
6. Participants with severe hepatic impairment (Class C) as determined by Child-Pugh classification.
7. Participants with HCV co-infection will be excluded entry into this study if they are currently receiving anti-HCV therapy at baseline (Day 1).
8. Participants determined by the investigator to have a high risk of seizures, including participants with an unstable or poorly controlled seizure disorder.
9. History of sensitivity to any of the study medications or their components or drugs of their class, or a history of drug or other allergy that, in the opinion of the investigator or Medical Monitor, contraindicates their participation.
10. Participants who in the investigator's judgment, pose a significant suicidality risk. Participant's history of suicidal behaviour and/or suicidal ideation should be considered when evaluating for suicide risk.
11. Any pre-existing physical or mental condition which, in the opinion of the Investigator, may interfere with the participant's ability to comply with the dosing schedule and/or protocol evaluations or which may compromise the safety of the participant.
• Prior/Concomitant Therapy
12. Any previous use of CAB.
13. Current or anticipated need for chronic anti-coagulants.
14. Use of concomitant medications which are associated with Torsades de Pointes (TdP).
15. Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening.
16. Treatment with any of the following agents within 28 days of Screening:
1. radiation therapy;
2. cytotoxic chemotherapeutic agents;
3. tuberculosis therapy with the exception of isoniazid;
4. anti-coagulation agents, with the exception of the use of low dose acetylsalicylic acid (\<=325mg);
5. immunomodulators that alter immune responses such as chronic systemic corticosteroids, interleukins, or interferons.
17. 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 investigational medicinal product (IP).
18. Participants receiving any protocol-prohibited medication and who are unwilling or unable to switch to an alternate medication.
• Prior/Concurrent Clinical Study Experience
19. Participant is currently participating in, or anticipates being selected for, any other interventional study.
• Diagnostic assessments
20. Any evidence of viral drug resistance based on the presence of any major RAM to INSTIs or NNRTIs in the Screening result; or, if known, in any historical resistance test result.
21. Any acute laboratory abnormality at Screening, which, in the opinion of the investigator, would preclude the participant's participation in the study of an investigational compound.
22. Any verified Grade 4 laboratory abnormality, with the exception of Grade 4 lipid abnormalities. A single repeat test is allowed during the Screening period to verify a result.
23. ALT \>=5 times ULN or ALT \>=3×ULN and bilirubin \>=1.5×ULN (with \>35% direct bilirubin).
24. eGFR of \<30 mL/min/1.73 m2 via refitted, race-neutral CKD-EPIcr\_R method (adult participants) or \<50 mL/min/1.73 m2 using the Bedside Schwartz equation (adolescent participants).
25. Hemoglobin \<9.0 g/dL.
26. Corrected QT interval (QTc \>450 msec or QTc \>480 msec for participants with bundle branch block, calculated using ECGs performed in triplicate).
• Other exclusions
27. Unwilling to receive injections, or unable to receive gluteal injections.
28. The participant has gluteal implants or prosthesis; or a tattoo or other dermatological condition overlying the gluteus region which may interfere with interpretation of injection site reaction (ISRs).
29. Evidence of alcohol or substance use disorder within the previous 12 months, using standard methods for their site, that would interfere with the participant's safety.
30. Adolescents who are wards of the state or government. To assess any potential impact on participant eligibility with regard to safety, the investigator must refer to the Investigator's brochure (IB) and supplements, approved product labels, and/or local prescribing information for detailed information regarding warnings, precautions, contraindications, AEs, drug interactions, and other significant data pertaining to the study drugs.
12 Years
ALL
No
Sponsors
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ViiV Healthcare
INDUSTRY
Responsible Party
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Locations
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GSK Investigational Site
Birmingham, Alabama, United States
GSK Investigational Site
Beverly Hills, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Los Angeles, California, United States
GSK Investigational Site
Aurora, Colorado, United States
GSK Investigational Site
Denver, Colorado, United States
GSK Investigational Site
New Haven, Connecticut, United States
GSK Investigational Site
Newark, Delaware, United States
GSK Investigational Site
Washington D.C., District of Columbia, United States
GSK Investigational Site
Jacksonville, Florida, United States
GSK Investigational Site
Miami, Florida, United States
GSK Investigational Site
Sarasota, Florida, United States
GSK Investigational Site
West Palm Beach, Florida, United States
GSK Investigational Site
Atlanta, Georgia, United States
GSK Investigational Site
Decatur, Georgia, United States
GSK Investigational Site
Macon, Georgia, United States
GSK Investigational Site
Chicago, Illinois, United States
GSK Investigational Site
Chicago, Illinois, United States
GSK Investigational Site
Chicago, Illinois, United States
GSK Investigational Site
Baltimore, Maryland, United States
GSK Investigational Site
Baltimore, Maryland, United States
GSK Investigational Site
Boston, Massachusetts, United States
GSK Investigational Site
Berkley, Michigan, United States
GSK Investigational Site
Kansas City, Missouri, United States
GSK Investigational Site
St Louis, Missouri, United States
GSK Investigational Site
Newark, New Jersey, United States
GSK Investigational Site
Hawthorne, New York, United States
GSK Investigational Site
New York, New York, United States
GSK Investigational Site
New York, New York, United States
GSK Investigational Site
The Bronx, New York, United States
GSK Investigational Site
The Bronx, New York, United States
GSK Investigational Site
Greensboro, North Carolina, United States
GSK Investigational Site
Cincinnati, Ohio, United States
GSK Investigational Site
Columbus, Ohio, United States
GSK Investigational Site
Philadelphia, Pennsylvania, United States
GSK Investigational Site
Dallas, Texas, United States
GSK Investigational Site
Houston, Texas, United States
GSK Investigational Site
Houston, Texas, United States
GSK Investigational Site
Seattle, Washington, United States
GSK Investigational Site
Milwaukee, Wisconsin, United States
GSK Investigational Site
Buenos Aires, , Argentina
GSK Investigational Site
Buenos Aires, , Argentina
GSK Investigational Site
Capital Federal, , Argentina
GSK Investigational Site
Ciudad Autonoma de Bueno, , Argentina
GSK Investigational Site
Córdoba, , Argentina
GSK Investigational Site
Rosario, , Argentina
GSK Investigational Site
Antwerp, , Belgium
GSK Investigational Site
Montreal, Quebec, Canada
GSK Investigational Site
Montreal, Quebec, Canada
GSK Investigational Site
Cologne, North Rhine-Westphalia, Germany
GSK Investigational Site
Berlin, , Germany
GSK Investigational Site
Cologne, , Germany
GSK Investigational Site
Düsseldorf, , Germany
GSK Investigational Site
Frankfurt, , Germany
GSK Investigational Site
Bergamo, , Italy
GSK Investigational Site
Milan, , Italy
GSK Investigational Site
Milan, , Italy
GSK Investigational Site
Roma, , Italy
GSK Investigational Site
Porto, , Portugal
GSK Investigational Site
San Juan, , Puerto Rico
GSK Investigational Site
Barcelona, , Spain
GSK Investigational Site
Barcelona, , Spain
GSK Investigational Site
Barcelona, , Spain
GSK Investigational Site
Barcelona, , Spain
GSK Investigational Site
Barcelona, , Spain
GSK Investigational Site
Bilbao, , Spain
GSK Investigational Site
Cadiz, , Spain
GSK Investigational Site
Córdoba, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Madrid, , Spain
GSK Investigational Site
Málaga, , Spain
GSK Investigational Site
Málaga, , Spain
GSK Investigational Site
Murcia, , Spain
GSK Investigational Site
Palma de Mallorca, , Spain
GSK Investigational Site
Sabadell Barcelona, , Spain
GSK Investigational Site
Seville, , Spain
GSK Investigational Site
Vigo Pontevedra, , Spain
GSK Investigational Site
Zaragoza, , Spain
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2024-515070-28-00
Identifier Type: OTHER
Identifier Source: secondary_id
221611
Identifier Type: -
Identifier Source: org_study_id