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    Summary
    EudraCT Number:2017-002946-62
    Sponsor's Protocol Code Number:207966
    National Competent Authority:Italy - Italian Medicines Agency
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2021-06-17
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedItaly - Italian Medicines Agency
    A.2EudraCT number2017-002946-62
    A.3Full title of the trial
    A Phase IIIb, Randomized, Multicenter, Parallel-group, Non-inferiority, Open-label Study Evaluating the Efficacy, Safety, and Tolerability of Long-acting Cabotegravir Plus Long-acting Rilpivirine Administered Every 8 Weeks or Every 4 Weeks in HIV-1-infected Adults who are Virologically Suppressed
    Studio di non-inferiorità di fase IIIb, randomizzato, multicentrico, a gruppi paralleli, in aperto, per valutare efficacia, sicurezza e tollerabilità dell’associazione di cabotegravir a lunga durata d’azione più Rilpivirina a lunga durata d’azione, somministrata ogni 8 settimane o ogni 4 settimane in adulti con infezione da HIV-1 in soppressione virologica.
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    207966 or "ATLAS-2M" is a study to compare two drugs called Cabotegravir and Rilpivirine when given as long acting injections either every 8 weeks or every 4 weeks in adults with HIV.
    207966 o "ATLAS-2M" è uno studio di confronto tra due farmaci Cabotegravir e Rilpivirina a lunga durata d'azione somministrati ogni 8 o 4 settimane in adulti con infezione da HIV.
    A.3.2Name or abbreviated title of the trial where available
    Phase 3b study of Cabotegravir LA + Rilpivirine LA administered every 8 weeks or every 4 weeks, HIV
    Studio di fase 3b con Capotegravir LA e Rilpivirina LA somministrata ogni 8 settimane o ogni 4 setti
    A.4.1Sponsor's protocol code number207966
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorVIIV HEALTHCARE UK LIMITED
    B.1.3.4CountryUnited Kingdom
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportViiV Healthcare UK (No.4) Limited
    B.4.2CountryUnited Kingdom
    B.4.1Name of organisation providing supportJanssen Sciences Ireland UC
    B.4.2CountryIreland
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationGlaxoSmithKline Research & Development Ltd
    B.5.2Functional name of contact pointCinical Trials HelpDesk
    B.5.3 Address:
    B.5.3.1Street AddressIron Bridge Road
    B.5.3.2Town/ cityUxbridge
    B.5.3.3Post codeUB11 1BU
    B.5.3.4CountryUnited Kingdom
    B.5.4Telephone number00442089904466
    B.5.5Fax number0000000
    B.5.6E-mailGSKClinicalSupportHD@gsk.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCabotegravir
    D.3.2Product code [GSK1265744]
    D.3.4Pharmaceutical form Suspension for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCabotegravir (acido libero)
    D.3.9.1CAS number 1051375-10-0
    D.3.9.2Current sponsor codeGSK1265744
    D.3.9.3Other descriptive nameGSK1265744A (free acid)
    D.3.9.4EV Substance CodeSUB127217
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number200
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameCabotegravir compresse (CAB)
    D.3.2Product code [GSK1265744]
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNCabotegravir Sodium (sale sodico)
    D.3.9.1CAS number 1051375-13-3
    D.3.9.2Current sponsor codeGSK1265744
    D.3.9.3Other descriptive nameGSK1265744B (Sodium Salt)
    D.3.9.4EV Substance CodeSUB127217
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number30
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name EDURANT
    D.2.1.1.2Name of the Marketing Authorisation holderJanssen-Cilag International N.V.
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameEDURANT
    D.3.2Product code [TMC278]
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRilpivirina idrocloride
    D.3.9.1CAS number 700361-47-3
    D.3.9.2Current sponsor codeR314585
    D.3.9.3Other descriptive nameRilpivirine
    D.3.9.4EV Substance CodeSUB31456
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number25
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 4
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameRilpivirina LA
    D.3.2Product code [TMC278LA]
    D.3.4Pharmaceutical form Suspension for injection
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPIntramuscular use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNRilpivirina (base libera)
    D.3.9.1CAS number 500287-72-9
    D.3.9.2Current sponsor codeR278474
    D.3.9.3Other descriptive nameRilpivirine LA
    D.3.9.4EV Substance CodeSUB127218
    D.3.10 Strength
    D.3.10.1Concentration unit mg/ml milligram(s)/millilitre
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number300
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product Information not present in EudraCT
    D.3.11.3.2Gene therapy medical product Information not present in EudraCT
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Human Immunodeficiency Virus type 1 (HIV-1)
    Virus dell'Immunodeficienza Umana di tipo 1 (HIV-1)
    E.1.1.1Medical condition in easily understood language
    Human Immunodeficiency Virus type 1 (HIV-1)
    Virus dell'Immunodeficienza Umana di tipo 1 (HIV-1)
    E.1.1.2Therapeutic area Diseases [C] - Virus Diseases [C02]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.1
    E.1.2Level LLT
    E.1.2Classification code 10003582
    E.1.2Term Asymptomatic human immunodeficiency virus type I infection
    E.1.2System Organ Class 100000004862
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To demonstrate the non-inferior antiviral activity of CAB LA + RPV LA every 8 weeks (every two months) compared to CAB LA + RPV LA every 4 weeks (monthly) over 48 weeks in suppressed HIV-1 infected antiretroviral therapy (ART)-experienced participants.
    Dimostrare la non-inferiorità dell’attività antivirale di CAB LA + RPV LA ogni 8 settimane (ogni due mesi) rispetto a CAB LA + RPV LA ogni 4 settimane (ogni mese) per 48 settimane nei soggetti con infezione da HIV-1 in soppressione virologica già trattati con antiretrovirali (ART).
    E.2.2Secondary objectives of the trial
    -To demonstrate the antiviral and immunologic activity of CAB LA + RPV LA every 8 weeks compared to CAB LA + RPV LA every 4 weeks
    -To evaluate the safety and tolerability of CAB LA + RPV LA every 8 weeks compared to CAB LA + RPV LA every 4 weeks
    -To assess viral resistance in participants experiencing protocol-defined confirmed virologic failure
    -To characterize CAB and RPV concentrations and population pharmacokinetics and identify important determinants of variability
    -To assess patient reported health-related quality of life, treatment satisfaction, injection tolerability, and treatment acceptance.
    - Dimostrare l’attività antivirale e immunologica di CAB LA + RPV LA ogni 8 settimane rispetto a CAB LA + RPV LA ogni 4 settimane.
    - Valutare la sicurezza e la tollerabilità di CAB LA + RPV LA ogni 8 settimane rispetto a CAB LA + RPV LA ogni 4 settimane.
    - Valutare la resistenza virale nei soggetti che manifestano un fallimento virologico confermato secondo la definizione del protocollo.
    - Caratterizzare le concentrazioni e la farmacocinetica di popolazione di CAB e RPV e identificare importanti determinanti di variabilità.
    - Valutare la qualità di vita correlata alla salute riferita dal paziente, la soddisfazione relativa al trattamento, la tollerabilità alle iniezioni e l’accettazione del trattamento.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Aged 18 years or older (or =19 where required by local regulatory agencies), at the time of signing the informed consent.
    2. A female participant is eligible to participate if she is not pregnant (as confirmed by a negative serum human chorionic gonadotropin (hCG) test at screen and a negative urine hCG test at Randomization), not lactating, and at least one of the following conditions applies:
    a. Non-reproductive potential defined as:
    - Pre-menopausal females with one of the following:
    Documented tubal ligation Documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion
    -Hysterectomy
    -Documented Bilateral Oophorectomy
    -Postmenopausal defined as 12 months of spontaneous amenorrhea [in
    questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) and estradiol levels consistent with menopause (refer to laboratory reference ranges for confirmatory levels)]. Females on hormone replacement therapy (HRT) and whose menopausal status is in
    doubt will be required to use one of the highly effective contraception methods if they wish to continue their HRT during the study. Otherwise,
    they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment.
    b. Reproductive potential and agrees to follow one of the options listed in the Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP) from 30 days prior to the first dose of study medication, throughout the study, for at least 30 days after discontinuation of all oral study medications, and for at least 52 weeks after discontinuation of CAB LA and RPV LA.
    The investigator is responsible for ensuring that participants understand how to properly use these methods of contraception.
    3. Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the consent form and in this protocol.
    Eligible participants or their legal guardians (and next of kin when locally required), must sign a written Informed Consent Form before any protocol specified assessments are conducted. Enrolment of participants who are unable to provide direct informed consent is optional and will be based on local legal/regulatory requirements and site feasibility to conduct protocol procedures.
    4. Participants enrolled in France must be affiliated to, or a beneficiary of, a social security category.
    5. Must be on uninterrupted current regimen (either the initial or second ARV regimen) for at least 6 months prior to Screening. Any prior switch, defined as a change of a single drug or multiple drugs simultaneously, must have occurred due to tolerability/safety, access to medications, or convenience/simplification, and must NOT have been done for treatment failure (HIV-1 RNA =400 c/mL).
    Acceptable stable (initial or second) ARV regimens prior to Screening include 2 NRTIs plus:
    INI (either the initial or second cART regimen)
    NNRTI (either the initial or second cART regimen)
    Boosted PI (or atazanavir [ATV] unboosted) (must be either the initial cART regimen or one historical within class switch is permitted due to safety/tolerability)
    The addition, removal, or switch of a drug(s) that has been used to treat HIV based on antiretroviral properties of the drug constitutes a change in ART with the following limited exceptions:
    Historical changes in formulations of ART drugs or booster drugs will not
    constitute a change in ART regimen if the data support similar exposures
    and efficacy, and the change must have been at least 3 months prior to
    Screening.
    Historical perinatal use of an NRTI when given in addition to an ongoing
    HAART will not be considered a change in ART regimen.
    A change in dosing scheme of the same drug from twice daily to once daily will not be considered a change in ART regimen if data support similar exposures and efficacy.
    Refer to section 5.2 of protocol for complete list.
    1. Età = o > a 18 anni, al momento della firma del consenso informato.
    2. I sogg di sesso femm sono idonee a partecip allo studio se non sono in gravidanza (come conferm da un risult neg al test della gonadotropina corionica umana [hCG] su siero in fase di screening e da un risult neg al test della hCG sulle urine alla randomizz), non sono in fase di allattamento e soddisfano almeno una delle condizioni seguenti:
    a. Donne non potenzialmente fertili definite come: Donne in premenopausa con una delle seguenti situaz: Legatura delle tube documentata;Occlus tubarica per via isteroscopica documentata con FU di conferma di occlus tubarica bilaterale; Isterectomia;Ovariectomia bilaterale documentata; Postmenopausa definita come 12 mesi di amenorrea spontanea [nei casi dubbi è poss ottenere la conferma mediante la documentazione su campione ematico di un livello di ormone follicolo-stimolante (FSH) e di estradiolo in linea con i parametri di riferim per la menopausa (si vedano gli intervalli di riferimento del lab per i livelli di conferma)]. Le donne in terapia ormonale sostitutiva (HRT) per le quali non è stata accertata la menopausa e che desiderano proseguire la terapia durante lo studio, dovranno utilizz uno dei metodi di contraccez considerati altamente efficaci. In alternativa, prima dell’arruolam nello studio, dovranno interrompere l’HRT per consentire la determ dell’eventuale stato di postmenopausa.
    b. Donne potenzialm fertili che accettano di seguire una delle opzioni previste nell’elenco modificato dei metodi altamente efficaci per evitare la gravidanza nelle donne potenzialmente fertili (FRP) a partire da 30 gg preced la I dose di farmaco speriment, per l’intera durata dello studio e fino ad almeno 30 gg dopo l’interruzione di tutti i farmaci orali in studio e almeno 52 sett dopo l’interruzione di CAB LA e RPV LA. Lo sperim ha la responsabilità di assicurare che le sogg comprendano come utilizzare adeguatamente questi metodi contracc.
    3. Sogg in grado di fornire e firmare il consenso informato, che comprende la conformità con i requisiti e le limitazioni elencate nel modulo di consenso e nel presente prot. I sogg eleggibili o i loro tutori legali (e il parente più stretto dove richiesto localm) devono firmare un Modulo di Consenso Informato scritto prima che venga eseguita qualsiasi valutaz prevista dal prot. L’arruolam di sogg che non sono in grado di fornire un consenso informato in modo diretto è facoltativo e si dovrà basare sui requisiti legali/regolatori locali e sulla possibilità di condurre le procedure previste dal prot presso il centro.
    4. Devono essere in attuale regime di trattam (I o II regime ARV) che prosegue ininterrotto da almeno 6 mesi prima dello Screening. Eventuali preced variaz della terapia, definite come modifica di un singolo farmaco o di più farmaci simultaneamente, devono essersi verificate per motivi di tollerabilità/sicurezza, accesso ai farmaci o comodità/semplificaz, e NON devono essere dovute a fallim terapeut(HIV-1 RNA =400 c/ml). I regimi ARV (I o II) che siano stabili accett prima dello screening comprend 2 NRTI più: INI (nel I o nel II regime cART); NNRTI (nel I o nel II regime cART); PI potenziato (o atazanavir [ATV] non potenziato) (deve obbligatoriamente essere la prima cART; è consentito uno switch storico a un farmaco appartenente alla stessa classe per ragioni di tollerab). L’aggiunta, la rimozione, o lo switch di uno o più farmaci usati per trattare l’HIV in base alle loro proprietà antiretrov rappresenta una modifica della ART, con le seguenti eccezioni limitate: Le variazioni storiche delle formulaz di farmaci ART o di farmaci booster non costituiranno una modifica del regime ART se i dati indicano esposizioni ed efficacia analoghe e la variaz è avven almeno 3 mesi prima dello Screening. L’utilizzo storico perinatale di un NRTI sommin in aggiunta a un HAART attuale non sarà ritenuto una modifica del regime ART.
    Fare riferimento alla sez 5.2 del prot per la lista completa.
    E.4Principal exclusion criteria
    1. Within 6 months prior to Screening, any plasma HIV-1 RNA measur=50 c/mL
    2. Within the 6 to 12-month window prior to Screening, any plasma HIV-1 RNA measur >200 c/mL, or 2 or more plasma HIV-1 RNA measur=50 c/mL
    3. Any drug holiday during the window between initi first HIV ART and 6 months prior to Screening, except for brief periods (less than 1 month) where all ART was stopped due to tolerability and/or safety concerns
    4. Any switch to a second line regimen, defined as change of a single drug or multiple drugs simultaneously, due to virologic failure to therapy (defined as a confirmed plasma HIV-1 RNA measurement =200 c/mL after initial suppression
    to <50 c/mL while on first line HIV therapy regimen)
    5. A history of use of any regimen consisting of only mono or dual HIV-1 therapy (even if only for peri-partum treatment).
    6.Participants who are currently participating in or anticipate to be selected for any other interventional study with the exception of the 201585 (ATLAS) study.
    7. During participation in ATLAS, consecutive (2 or more sequential) plasma HIV-1 RNA measurements = 50 c/mL
    8. During participation in ATLAS, any HIV-1 RNA measurement = 200 c/mL
    9. More than two total measurements of plasma HIV-1 RNA = 50 c/mL during participation in the ATLAS trial will require direct approval by the ATLAS-2M Medical Monitor and Study virologist for study participation.
    10. Women who are pregnant, breastfeeding or plan to become pregnant or breastfeed during the study
    11. Any evidence of a current Center for Disease Control and Prevention (CDC) Stage 3 disease [CDC, 2014], except cutaneous Kaposi’s sarcoma not requiring systemic therapy.
    12. Participants with moderate to severe hepatic impairment
    13. Any pre-existing physical or mental condition (including substance use disorder) 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
    14. Participants determined by the Investigator to have a high risk of seizures, including participants with an unstable or poorly controlled seizure disorder. A participant with a prior history of seizure may be considered for enrolment if the
    Investigator believes the risk of seizure recurrence is low. All cases of prior seizure history should be discussed with the Medical Monitor prior to enrolment
    15. All participants will be screened for syphilis (rapid plasma reagin [RPR]).
    Participants with untreated secondary (late latent) or tertiary syphilis infection, defined as a positive RPR and a positive treponemal test without clear
    documentation of treatment, are excluded. Participants with a false positive RPR
    (with negative treponemal test) or serofast RPR result (persistence of a reactive
    nontreponemal syphilis test despite history of adequate therapy and no evidence of re-exposure) may enroll after consultation with the Medical Monitor.
    Participants with primary syphilis or early latent secondary syphilis (acquired within the preceding year) who have a positive RPR test and have not been treated may be treated during the screening period and if completion of antibiotic treatment occurs during the screening period, may be allowed entry after consultation with the Medical Monitor. If antibiotic treatment cannot be completed before the screening window ends, subjects may be rescreened once following completion of antibiotic therapy for primary or early latent secondary
    syphilis.
    For a full list of exclusion criteria refer to Section 5.2 of the protocol
    1.Nei 6 mesi preced lo Screening, qualsiasi misuraz dei livelli plasm di HIV-1 RNA >= 50 c/ml
    2.Nella finestra temporale dai 6 ai 12 mesi preced lo Screening qualsiasi misuraz dei livelli plasmat di HIV-1 RNA > 200 c/ml, o 2 o + misurazioni dei livelli plasmat di HIV-1 RNA >= 50 c/ml
    3.Una qualsiasi interruz del trattam nella finestra temporale compresa tra l’inizio della prima terapia ART anti-HIV e i 6 mesi precedenti lo Screening, esclusi i brevi periodi (inferiori a un mese) in cui ART è stata interrotta a causa di problemi di tollerabilità e/o sicurezza.
    4.Qualsiasi passaggio a un regime di II linea, definito come il cambiamento di uno o più farmaci contemporaneamente, dovuto a fallim virologico della terapia (definito come una misuraz di conferma dei livelli plasmat di HIV-1 RNA >= 200 c/ml dopo l’iniziale soppress a < 50 c/ml con il regime terap anti-HIV di prima linea).
    5.Preced utilizzo di un qualsiasi regime per l’HIV consistente solo in 1 o 2 farmaci (anche se solo per il trattam nel periparto).
    6.Sogg che stanno partecip o prevedono di essere selez per un altro studio interventistico, a eccez dello studio 201585 (ATLAS).
    7.Durante la partecip allo studio ATLAS, misuraz consecut (2 o più sequenziali) di livelli plasmat di HIV-1 RNA >= 50 c/ml,
    8.Durante la partecipaz allo studio ATLAS, qualsiasi misuraz di HIV-1 RNA >= 200 c/ml
    9.Più di 2 misuraz toti di livelli plasmat di HIV-1 RNA >=50 c/ml durante la partecipaz allo studio ATLAS richiederanno l’approvaz diretta del Medical Monitor dello studio ATLAS-2M e del virologo dello studio per la partecipaz allo studio.
    10.Donne in gravidanza, in allattamento o che pianificano di iniziare una gravidanza o di allattare al seno nel corso dello studio
    11.Evidenze di attuale patologia attiva allo stadio 3 secondo i criteri dei Center for Disease Control and Prevention (CDC), a eccezione del sarcoma cutaneo di Kaposi che non necessita di una terapia sistemica.
    12.Sogg con insuffic epatica moderata o grave.
    13.Condiz fisiche o mentali preesistenti (compreso il disturbo da uso di sostanze) che, secondo il giudizio dello speriment, possono interferire con la capacità del partecip di rispettare il calendario di somministrazione e/o le valutaz previste dal prot o che possano mettere a rischio la sicurez del partecip
    14.Sogg che, a giudizio dello speriment, presentano un elevato rischio di convulsioni, inclusi i sogg con crisi epilettiche scarsam controll. Eventuali sogg con preced in anamnesi di convulsioni possono essere presi in consideraz per l’arruolam se lo sperim ritiene che il rischio di recidiva sia basso. Tutti i casi di convuls pregresse devono essere discussi con il Medical Monitor prima dell’arruolam.
    15.Tutti i sogg saranno sottop a screening per la sifilide (rapid plasma reagin [RPR]). I sogg con infezione secondaria (tardiva latente) o terziaria da sifilide non trattata, definita come un risultato pos alla RPR e al test del Treponema, senza una chiara documentaz di trattam, sono esclusi. I sogg con un test per la RPR falso pos (test del Treponema neg) o con un risultato di “serofast” RPR (persistenza di un test per la sifilide non troponemico reattivo malgrado una preced terapia adeguata e nessuna evidenza di una nuova esposiz) possono essere arruolati previa consultaz con il Medical Monitor. I sogg con una sifilide primaria o una sifilide secondaria precoce latente (contratta nell’anno precedente) che presentano un test RPR pos e non sono stati trattati possono essere trattati durante il periodo di screening e, se il trattam antibiotico viene completato durante il periodo di screening, potranno entrare nello studio previa consultazione con il Medical Monitor. Se il trattam antibiotico non potrà essere completato prima della fine della finestra di screening, i sogg potranno essere sottop a nuovo screening dopo il completam della terapia antibiotica per la sifilide prim o second precoce lat.
    Fare rif alla sez 5.2 del prot per la lista completa dei criteri di esclus.
    E.5 End points
    E.5.1Primary end point(s)
    Proportion of participants with plasma HIV-RNA greater than or equal to 50 copies/mL (Virologic Failure ) as per Food and Drug Administration (FDA) Snapshot algorithm at Week 48 (Intent-to- Treat Exposed [ITT-E] population)
    Percentuale di soggetti con livelli plasmatici di HIV-RNA superiori o uguali a 50 copie/ml (fallimento virologico) secondo l’algoritmo Snapshot della FDA (Food and Drug Administration) alla Settimana 48 nella popolazione ITT-E (Intent-To-Treat Exposed).
    E.5.1.1Timepoint(s) of evaluation of this end point
    48 weeks
    48 settimane
    E.5.2Secondary end point(s)
    -Proportion of participants with plasma HIV-1 RNA <50 c/mL (c/mL) at Week 48 and Week 96 using the FDA Snapshot algorithm (Missing, Switch or Discontinuation = Failure, Intent-to-Treat Exposed [ITT-E] population)
    -Proportion of participants with protocol defined confirmed virologic failure (CVF) through Week 48 and Week 96
    -Proportion of participants with HIV-RNA greater than or equal to 50 c/mL as per FDA Snapshot algorithm at Week 96
    -Absolute values and changes from Baseline in viral load and CD4+ cell counts over time including Week 48 and Week 96
    -Incidence and severity of AEs and laboratory abnormalities over time including Week 48 and Week 96
    -Proportion of participants who discontinue treatment due to AEs over time including Week 48 and Week 96
    -Change from Baseline in laboratory parameters over time including
    Week 48
    and Week 96
    -Incidence of treatment emergent genotypic and phenotypic resistance
    to CAB, RPV through Week 48 and Week 96
    -Plasma PK parameters for CAB LA and RPV LA (when evaluable, Ctrough, concentrations post dose [~Cmax], and area under the curve [AUC])
    -Demographic parameters including, but not limited to, age, sex, race, body weight, body mass index, and relevant laboratory parameters will be evaluated as potential predictors of inter- and intra-participant variability for pharmacokinetic parameters
    -Change from Baseline (Day 1) in HRQoL at Week 24, and Week 48 (or Withdrawal)
    -Change from baseline (Day 1) in total "treatment satisfaction" score,
    and
    individual item scores of the HIV Treatment Satisfaction Status Questionnaire (HIVTSQs) at Week 24, and 48, (or Withdrawal)
    -Change in treatment satisfaction over time using the HIV Treatment Satisfaction
    -Change Questionnaire HIVTSQc at Week 48 (or Withdrawal).
    -Change from Week 8 in Dimension scores ("Bother of ISRs", "Leg movement", "Sleep", and "Injection Acceptance") and individual item scores assessing pain during injection, anxiety before and after injection, willingness to be injected in the future and overall satisfaction with mode of administration over time will be assessed using the Perception of iNjection questionnaire (PIN) at Weeks 8, 24, and 48 (or Withdrawal)
    -Change from Baseline (Day 1) in treatment acceptance at Week 24 and Week 48 (or Withdrawal) will be assessed using the "General acceptance" dimension of the Chronic Treatment Acceptance (ACCEPT) questionnaire
    Percentuale di soggetti con livelli plasmatici di HIV-1 RNA < 50 copie/ml (c/ml) alla Sett 24, sett 48 e alla Sett 96, secondo l’algoritmo Snapshot della FDA (dati mancanti, passaggio o interruzione = fallimento, popolazione ITT-E.
    Percentuale di soggetti con fallimento virologico confermato (CVF), secondo la definizione del protocollo, alla Sett24, sett 48 e alla Settimana 96.
    Percentuale di soggetti con un HIV-RNA superiore o uguale a 50 c/ml secondo l’algoritmo Snapshot della FDA alla Sett24 e sett 96.
    Valori assoluti e variazioni rispetto al basale di carica virale e conta di cellule CD4+ nel tempo, incluse la Settimana 48 e la Settimana 96.
    Incidenza e gravità degli eventi avversi (AE-Adverse Events) e delle anomalie di laboratorio nel tempo, incluse la Sett24, sett 48 e la Sett 96.
    Percentuale di soggetti che interrompono il trattamento a causa di AE nel tempo, incluse la Sett24, sett 48 e la Sett 96.
    Variazioni dal basale dei parametri di laboratorio nel corso del tempo, incluse la Settimana 48 e la Settimana 96.
    Incidenza delle resistenze genotipiche e fenotipiche a CAB e RPV che emergono durante il trattamento fino alla Sett24, sett 48 e alla Settimana 96.
    Parametri PK plasmatici per CAB LA e RPV LA (se valutabili, Ctrough, concentrazioni post-dose [~Cmax] e area sotto la curva [AUC]).
    Parametri demografici, inclusi, ma non solo, età, sesso, razza, peso corporeo, indice di massa corporea e parametri di laboratorio pertinenti, che saranno valutati come potenziali fattori predittivi della variabilità dei parametri farmacocinetici inter- e intra-partecipante.
    Preferenza per CAB LA + RPV LA ogni 8 sett o CAB LA + RPV LA ogni 4 sett rispetto all'ARV orale e preferenza per CAB LA + RPV LA ogni 8 sett rispetto a CAB LA + RPV LA ogni 4 settimane sarà valutato utilizzando un questionario di preferenza alla sett 48 (o ritiro).
    Variazione dal basale (giorno 1) della HRQoL alla Settimana 24 e alla Settimana 48 (o al ritiro dallo studio).
    Variazione dal basale (Giorno 1) del punteggio totale relativo alla soddisfazione e dei punteggi dei singoli item del questionario HIVTSQs (HIV Treatment Satisfaction Status Questionnaire) alla Settimana 24 e alla Settimana 48 (o al ritiro dallo studio).
    Variazione della soddisfazione relativa al trattamento per l’HIV nel corso del tempo in base al questionario HIVTSQc (HIV Treatment Satisfaction Change Questionnaire) fino alla Settimana 48 (o al ritiro dallo studio).
    La variazione dalla Settimana 8 dei punteggi dimensionali (“fastidio delle ISR”, “movimento delle gambe”, “sonno” e “accettazione dell’iniezione”) e dei punteggi dei singoli item relativi a dolore durante l’iniezione, ansia prima e dopo l’iniezione, propensione a sottoporsi a un’iniezione in futuro e grado di soddisfazione generale relativo alla modalità di somministrazione nel corso del tempo sarà valutata tramite il questionario sulla percezione dell’iniezione (PIN- Perception of iNjection) alle Settimane 8, 24 e 48 (o al ritiro dallo studio).
    La variazione dal basale (Giorno 1) del grado di accettazione del trattamento alla Settimana 24 e alla Settimana 48 (o al ritiro dallo studio) sarà valutata utilizzando la dimensione “accettazione generale” del questionario ACCEPT (Chronic Treatment Acceptance).
    E.5.2.1Timepoint(s) of evaluation of this end point
    Time points of evaluation are included within endpoint above.
    I tempi di rilevazione di questi end point sono inclusi negli endpoint sopra elencati
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic Yes
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic Yes
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo No
    E.8.2.3Other Yes
    E.8.2.3.1Comparator description
    CAB LA + RPV LA Q4W and CAB LA + RPV LA Q8W
    CAB LA + RPV LA Q4W and CAB LA + RPV LA Q8W
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA37
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Australia
    Canada
    Korea, Democratic People's Republic of
    Mexico
    Russian Federation
    South Africa
    United States
    France
    Germany
    Italy
    Spain
    Sweden
    Argentina
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    ULTIMA VISITA ULTIMO PAZIENTE
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years5
    E.8.9.1In the Member State concerned months0
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years5
    E.8.9.2In all countries concerned by the trial months0
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 980
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 40
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    ICF document allows for thumbprint for illiterate individuals
    Il consenso informato permette la sottoscrizione mediante impronta digitale per soggetti.
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state49
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 369
    F.4.2.2In the whole clinical trial 1049
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Refer to Protocol (section 6.12) for full text.

    The investigator is responsible for ensuring that consideration has been given to the post study care of the participant’s medical condition, whether or not GSK is providing specific post-study treatment. Participants who have successfully completed 100 weeks of treatment will continue to have access to both CAB LA and RPV LA in the Extension
    Phase until study treatment is either locally approved and commercially available,......is terminated.
    Si rif al prot (sez 6.12) per il testo completo.
    Lo sperim ha la respons di assicur che sia stata prest la dov attenz alla gest della condiz clin del sogg dopo la conclus dello studio,sia che GSK provv al trattam poststudio sia in caso non provv. Ai sogg che hanno complet con succes le 100 sett di trattam sarà offerta la possib di proseg nella fase di estens fino a quando: a) il trattam in studio random sarà approv localm e dispon in commercio nel sett locale; b) il sogg non starà.....[....].
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2018-01-29
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2017-11-08
    P. End of Trial
    P.End of Trial StatusCompleted
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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