Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43881   clinical trials with a EudraCT protocol, of which   7295   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A Phase IIIb, Randomized, Multicenter, Active-controlled, Parallel-group, Non-inferiority, Open-label Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Long-acting Cabotegravir Plus Long-acting Rilpivirine administered every two months from a Bictegravir/emtricitabine/tenofovir alafenamide Single Tablet Regimen in HIV-1 Infected Adults who are Virologically Suppressed

    Summary
    EudraCT number
    2020-002623-11
    Trial protocol
    FR   NL   GB   IE   DE   AT   IT   BE  
    Global end of trial date
    17 Apr 2023

    Results information
    Results version number
    v1
    This version publication date
    28 Jul 2023
    First version publication date
    28 Jul 2023
    Other versions
    v2 , v3

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    213500
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04542070
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    ViiV Healthcare
    Sponsor organisation address
    980 GreatWest Road, Brentford,Middlesex, United Kingdom, TW8 9GS
    Public contact
    GSK Response Center, ViiV Healthcare, 1 8664357343, GSKClinicalSupportHD@gsk.com
    Scientific contact
    GSK Response Center, ViiV Healthcare, 1 8664357343, GSKClinicalSupportHD@gsk.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Interim
    Date of interim/final analysis
    17 Aug 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    13 Jul 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    17 Apr 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To demonstrate the non-inferior antiviral activity of CAB LA + RPV LA every two months compared to a BIK single tablet regimen administered once daily over 12 months in suppressed HIV-1 infected antiretroviral therapy (ART)-experienced participants.
    Protection of trial subjects
    Not applicable
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    09 Nov 2020
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    12 Months
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 22
    Country: Number of subjects enrolled
    Belgium: 15
    Country: Number of subjects enrolled
    Canada: 52
    Country: Number of subjects enrolled
    France: 33
    Country: Number of subjects enrolled
    Germany: 39
    Country: Number of subjects enrolled
    Ireland: 5
    Country: Number of subjects enrolled
    Japan: 20
    Country: Number of subjects enrolled
    Netherlands: 9
    Country: Number of subjects enrolled
    Spain: 78
    Country: Number of subjects enrolled
    Switzerland: 16
    Country: Number of subjects enrolled
    United Kingdom: 17
    Country: Number of subjects enrolled
    United States: 286
    Country: Number of subjects enrolled
    Austria: 9
    Country: Number of subjects enrolled
    Italy: 86
    Worldwide total number of subjects
    687
    EEA total number of subjects
    274
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    676
    From 65 to 84 years
    11
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Results presented are based on primary analysis (includes data up to Month12 [Maintenance Phase]). Data collection is ongoing and additional results will be provided after study completion. Any participants who successfully completed 12months of CAB+RPV treatment in Maintenance Phase could enter Extension Phase & continue to have access to CAB+RPV.

    Pre-assignment
    Screening details
    Total 687 were enrolled out of which 681 were included in intent-to-treat exposed population (ITT-E) that is all enrolled participants who received at least one dose of investigational product (IP) during the Maintenance Phase of the study (on or after Day 1). 6 participants did not receive any dose of IP.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Oral lead-in phase (OLI)
    Arm description
    Participants with human immunodeficiency viruses (HIV)-1 who chose oral lead in (OLI) received oral 30 milligram (mg) Cabotegravir (CAB) tablet + 25 mg Rilpivirine (RPV) tablet once daily (QD) for one month. At the month 1 visit, the last dose of oral CAB + RPV was given, followed by the first 600 mg CAB long-acting (LA) + 900 mg RPV LA intramuscular injection (IM), and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections once every 2 months (Q2M) until Month 12.
    Arm type
    Experimental

    Investigational medicinal product name
    Cabotegravir (CAB) + Rilpivirine (RPV)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet, Injection
    Routes of administration
    Oral use, Intramuscular use
    Dosage and administration details
    Participants with human immunodeficiency viruses (HIV)-1 who chose oral lead in (OLI) received oral 30 milligram (mg) Cabotegravir (CAB) tablet + 25 mg Rilpivirine (RPV) tablet once daily (QD) for one month. At the month 1 visit, the last dose of oral CAB + RPV was given, followed by the first 600 mg CAB long-acting (LA) + 900 mg RPV LA intramuscular injection (IM) and then once every 2 months (Q2M) until Month 12.

    Arm title
    Direct to injections (D2I)
    Arm description
    Participants with HIV-1 who chose direct to injections (D2I) received the first injections of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading doses at Day 1 one month, followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and month 3 followed by Q2M until Month 11.
    Arm type
    Experimental

    Investigational medicinal product name
    CAB LA + RPV LA
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Intramuscular use
    Dosage and administration details
    Participants with HIV-1 who chose direct to injections (D2I) received the first injections of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading doses at Day 1 one month, followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and month 3 followed by Q2M until Month 11.

    Arm title
    Biktarvy (BIK)
    Arm description
    Participants with HIV-1 received BIK tablet orally until month 12. BIK was a fixed dose combination of 50 mg Bictegravir (BIC) + 200 mg Emtricitabine (FTC) + 25 mg Tenofovir alafenamide (TAF).
    Arm type
    Active comparator

    Investigational medicinal product name
    Bictegravir (BIC) + Emtricitabine (FTC) + Tenofovir alafenamide (TAF)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Participants with HIV-1 received BIK tablet orally until month 12. BIK was a fixed dose combination of 50 mg Bictegravir (BIC) + 200 mg Emtricitabine (FTC) + 25 mg Tenofovir alafenamide (TAF).

    Number of subjects in period 1 [1]
    Oral lead-in phase (OLI) Direct to injections (D2I) Biktarvy (BIK)
    Started
    175
    279
    227
    Completed
    152
    255
    213
    Not completed
    23
    24
    14
         Physician decision
    1
    -
    1
         Consent withdrawn by subject
    5
    8
    9
         Protocol Deviation
    2
    6
    1
         Adverse event, non-fatal
    10
    3
    1
         Protocol-Specified Withdrawal Criterion Met
    1
    1
    -
         Lost to follow-up
    3
    4
    2
         Lack of efficacy
    1
    2
    -
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: Worldwide 687 participants were enrolled, whereas 681 participants were actually included in the study.

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Oral lead-in phase (OLI)
    Reporting group description
    Participants with human immunodeficiency viruses (HIV)-1 who chose oral lead in (OLI) received oral 30 milligram (mg) Cabotegravir (CAB) tablet + 25 mg Rilpivirine (RPV) tablet once daily (QD) for one month. At the month 1 visit, the last dose of oral CAB + RPV was given, followed by the first 600 mg CAB long-acting (LA) + 900 mg RPV LA intramuscular injection (IM), and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections once every 2 months (Q2M) until Month 12.

    Reporting group title
    Direct to injections (D2I)
    Reporting group description
    Participants with HIV-1 who chose direct to injections (D2I) received the first injections of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading doses at Day 1 one month, followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and month 3 followed by Q2M until Month 11.

    Reporting group title
    Biktarvy (BIK)
    Reporting group description
    Participants with HIV-1 received BIK tablet orally until month 12. BIK was a fixed dose combination of 50 mg Bictegravir (BIC) + 200 mg Emtricitabine (FTC) + 25 mg Tenofovir alafenamide (TAF).

    Reporting group values
    Oral lead-in phase (OLI) Direct to injections (D2I) Biktarvy (BIK) Total
    Number of subjects
    175 279 227 681
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    38.5 ± 11.38 39.0 ± 11.09 38.6 ± 11.41 -
    Sex: Female, Male
    Units: Participants
        FEMALE
    27 52 41 120
        MALE
    148 227 186 561
    Race/Ethnicity, Customized
    Units: Subjects
        American Indian or Alaska Native
    10 4 2 16
        Asian - Central/South Asian Heritage
    0 3 0 3
        Asian - East Asian Heritage
    1 0 2 3
        Asian - Japanese Heritage
    4 10 6 20
        Asian - South East Asian Heritage
    2 3 3 8
        Black or African American
    40 56 49 145
        Native Hawaiian or Other Pacific Islander
    0 0 1 1
        White - Arabic/North African Heritage
    10 5 10 25
        White - White/Caucasian/European Heritage
    104 194 149 447
        Mixed White Race
    0 0 1 1
        Multiple
    4 4 4 12

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Oral lead-in phase (OLI)
    Reporting group description
    Participants with human immunodeficiency viruses (HIV)-1 who chose oral lead in (OLI) received oral 30 milligram (mg) Cabotegravir (CAB) tablet + 25 mg Rilpivirine (RPV) tablet once daily (QD) for one month. At the month 1 visit, the last dose of oral CAB + RPV was given, followed by the first 600 mg CAB long-acting (LA) + 900 mg RPV LA intramuscular injection (IM), and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections once every 2 months (Q2M) until Month 12.

    Reporting group title
    Direct to injections (D2I)
    Reporting group description
    Participants with HIV-1 who chose direct to injections (D2I) received the first injections of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading doses at Day 1 one month, followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and month 3 followed by Q2M until Month 11.

    Reporting group title
    Biktarvy (BIK)
    Reporting group description
    Participants with HIV-1 received BIK tablet orally until month 12. BIK was a fixed dose combination of 50 mg Bictegravir (BIC) + 200 mg Emtricitabine (FTC) + 25 mg Tenofovir alafenamide (TAF).

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Subject analysis set title
    Q2M (OLI + D2I)
    Subject analysis set type
    Sub-group analysis
    Subject analysis set description
    Participants with HIV-1 who started OLI were administered with Cabotegravir and Rilpivirine (CAB + RPV) tablets orally for one month. At the month 1 visit, the last dose of oral 30 mg CAB + 25 mg RPV tablets were given, followed by the first 600 mg CAB LA + 900 mg RPV LA intramuscular injection, and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections every 2 months (Q2M) until Month 12. Participants with HIV-1 who started with D2I, received the first injection of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading dose at Day 1 followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and 3 followed by Q2M until Month 11.

    Primary: Percentage of participants with plasma human immunodeficiency viruses (HIV)-1 ribonucleic acid (RNA) greater than or equal to (>=) 50 copies per milliliter (c/mL) at Month 12/11 - ITT-E Population

    Close Top of page
    End point title
    Percentage of participants with plasma human immunodeficiency viruses (HIV)-1 ribonucleic acid (RNA) greater than or equal to (>=) 50 copies per milliliter (c/mL) at Month 12/11 - ITT-E Population [1]
    End point description
    Percentage of participants with plasma HIV 1 RNA >= 50 c/mL at month 12 was assessed using the food and drug administration (FDA) snapshot algorithm. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. The FDA snapshot algorithm defines a participant's virologic response status using only the viral load at the predefined time point within a window of time (HIV-RNA equal to or above 50 copies/mL and HIV-RNA below 50 copies/mL), along with study drug discontinuation status. The third category of the FDA snapshot ("No virologic data") is not pre-defined as an endpoint and therefore not reported separately.
    End point type
    Primary
    End point timeframe
    At month 12/11
    Notes
    [1] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    227
    454
    Units: Percentage of participants
        number (confidence interval 95%)
    0.4 (0.0 to 2.4)
    1.3 (0.5 to 2.9)
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    Biktarvy (BIK) v Q2M (OLI + D2I)
    Number of subjects included in analysis
    681
    Analysis specification
    Pre-specified
    Analysis type
    [2]
    Method
    Parameter type
    Difference in percentage
    Point estimate
    0.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.5
         upper limit
    2.2
    Notes
    [2] - Non-inferiority concluded if the upper limit of a two-sided 95% confidence interval for the difference in percentage of participants with HIV-1 RNA ≥ 50 c/mL at Month 12 (OLI and BIK)/Month 11 (D2I) between the two treatment arms (Q2M - BIK) is less than 4%.
    Statistical analysis title
    Statistical Analysis 2
    Comparison groups
    Biktarvy (BIK) v Q2M (OLI + D2I)
    Number of subjects included in analysis
    681
    Analysis specification
    Pre-specified
    Analysis type
    [3]
    Method
    Parameter type
    Adjusted difference in percentage
    Point estimate
    0.9
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.5
         upper limit
    2.2
    Notes
    [3] - Non-inferiority concluded if the upper limit of a two-sided 95% confidence interval for the difference in percentage of participants with HIV-1 RNA ≥ 50 c/mL at Month 12 (OLI and BIK)/Month 11 (D2I) between the two treatment arms (Q2M - BIK) is less than 4%.

    Primary: Percentage of participants with plasma HIV-1 RNA greater >=50 copies per milliliter (c/mL) at Month 12/11 - mITT-E Population

    Close Top of page
    End point title
    Percentage of participants with plasma HIV-1 RNA greater >=50 copies per milliliter (c/mL) at Month 12/11 - mITT-E Population [4]
    End point description
    Percentage of participants with plasma HIV 1 RNA >= 50 c/mL at month12 was assessed using the food and drug administration (FDA) snapshot algorithm. For Q2M arm, data from Q2MOLI at Month12 visit and Q2M D2I at Month 11 visit were combined as study objective was to demonstrate the non-inferior antiviral activity of (Q2M)(OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month12 visit. The FDA snapshot algorithm defines participant's virologic response status using only viral load at predefined time point within a window of time (HIV-RNA equal to or above 50 copies/mL and HIV-RNA below 50 copies/mL), along with study drug discontinuation status. Third category of the FDA snapshot ("No virologic data") is not pre-defined as an endpoint and therefore not reported separately. Modified intent-to-treat exposed (mITT-E) population included all ITT-E participants excluding those from GSK Investigational site where Good Clinical Practice noncompliance was observed
    End point type
    Primary
    End point timeframe
    At month 12/11
    Notes
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: Percentage of participants
        number (confidence interval 95%)
    0.4 (0.0 to 2.5)
    1.1 (0.4 to 2.6)
    Statistical analysis title
    Statistical Analysis 1
    Comparison groups
    Biktarvy (BIK) v Q2M (OLI + D2I)
    Number of subjects included in analysis
    670
    Analysis specification
    Pre-specified
    Analysis type
    [5]
    Method
    Parameter type
    Difference in percentage
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.6
         upper limit
    2
    Notes
    [5] - Non-inferiority concluded if the upper limit of a two-sided 95% confidence interval for the difference in percentage of participants with HIV-1 RNA ≥ 50 c/mL at Month 12 (OLI and BIK)/Month 11 (D2I) between the two treatment arms (Q2M - BIK) is less than 4%.
    Statistical analysis title
    Statistical Analysis 2
    Comparison groups
    Biktarvy (BIK) v Q2M (OLI + D2I)
    Number of subjects included in analysis
    670
    Analysis specification
    Pre-specified
    Analysis type
    [6]
    Method
    Parameter type
    Adjusted difference in percentage
    Point estimate
    0.7
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -0.7
         upper limit
    2
    Notes
    [6] - Non-inferiority concluded if the upper limit of a two-sided 95% confidence interval for the difference in percentage of participants with HIV-1 RNA ≥ 50 c/mL at Month 12 (OLI and BIK)/Month 11 (D2I) between the two treatment arms (Q2M - BIK) is less than 4%.

    Secondary: Percentage of participants with plasma HIV-1 RNA <50 c/mL at Month 12/11 -mITT-E Population

    Close Top of page
    End point title
    Percentage of participants with plasma HIV-1 RNA <50 c/mL at Month 12/11 -mITT-E Population [7]
    End point description
    Percentage of participants with plasma HIV 1 RNA < 50 c/mL was assessed using the FDA snapshot algorithm. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. The FDA snapshot algorithm defines a participant's virologic response status using only the viral load at the predefined time point within a window of time (HIV-RNA equal to or above 50 copies/mL and HIV-RNA below 50 copies/mL), along with study drug discontinuation status. The third category of the FDA snapshot ("No virologic data") is not pre-defined as an endpoint and therefore not reported separately.
    End point type
    Secondary
    End point timeframe
    At month 12/11
    Notes
    [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: Percentage of participants
        number (confidence interval 95%)
    92.8 (89.4 to 96.2)
    90.2 (87.4 to 92.9)
    No statistical analyses for this end point

    Secondary: Percentage of participants with plasma HIV-1 RNA less than (<)50 c/mL at Month 12/11 - ITT-E Population

    Close Top of page
    End point title
    Percentage of participants with plasma HIV-1 RNA less than (<)50 c/mL at Month 12/11 - ITT-E Population [8]
    End point description
    Percentage of participants with plasma HIV 1 RNA < 50 c/mL was assessed using the FDA snapshot algorithm. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. The FDA snapshot algorithm defines a participant's virologic response status using only the viral load at the predefined time point within a window of time (HIV-RNA equal to or above 50 copies/mL and HIV-RNA below 50 copies/mL), along with study drug discontinuation status. The third category of the FDA snapshot ("No virologic data") is not pre-defined as an endpoint and therefore not reported separately.
    End point type
    Secondary
    End point timeframe
    At month 12/11
    Notes
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    227
    454
    Units: Percentage of participants
        number (confidence interval 95%)
    93.0 (89.6 to 96.3)
    89.4 (86.6 to 92.3)
    No statistical analyses for this end point

    Secondary: Percentage of participants with plasma HIV-1 RNA <50 c/mL at Month 6/5 - ITT-E Population

    Close Top of page
    End point title
    Percentage of participants with plasma HIV-1 RNA <50 c/mL at Month 6/5 - ITT-E Population [9]
    End point description
    Percentage of participants with plasma HIV 1 RNA < 50 c/mL was assessed using the FDA snapshot algorithm. For the Q2M arm, data from the Q2M OLI participants at Month 6 visit and Q2M D2I participants at Month 5 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. The FDA snapshot algorithm defines a participant's virologic response status using only the viral load at the predefined time point within a window of time (HIV-RNA equal to or above 50 copies/mL and HIV-RNA below 50 copies/mL), along with study drug discontinuation status. The third category of the FDA snapshot ("No virologic data") is not pre-defined as an endpoint and therefore not reported separately.
    End point type
    Secondary
    End point timeframe
    At month 6/5
    Notes
    [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    227
    454
    Units: Percentage of participants
        number (confidence interval 95%)
    97.8 (95.9 to 99.7)
    92.7 (90.3 to 95.1)
    No statistical analyses for this end point

    Secondary: Percentage of participants with plasma HIV-1 RNA <50 c/mL at Month 6/5 - mITT-E Population

    Close Top of page
    End point title
    Percentage of participants with plasma HIV-1 RNA <50 c/mL at Month 6/5 - mITT-E Population [10]
    End point description
    Percentage of participants with plasma HIV 1 RNA < 50 c/mL was assessed using the FDA snapshot algorithm. For the Q2M arm, data from the Q2M OLI participants at Month 6 visit and Q2M D2I participants at Month 5 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. The FDA snapshot algorithm defines a participant's virologic response status using only the viral load at the predefined time point within a window of time (HIV-RNA equal to or above 50 copies/mL and HIV-RNA below 50 copies/mL), along with study drug discontinuation status. The third category of the FDA snapshot ("No virologic data") is not pre-defined as an endpoint and therefore not reported separately.
    End point type
    Secondary
    End point timeframe
    At month 6/5
    Notes
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: Percentage of participants
        number (confidence interval 95%)
    97.8 (95.8 to 99.7)
    93.5 (91.2 to 95.8)
    No statistical analyses for this end point

    Secondary: Absolute values of HIV viral load - mITT-E population

    Close Top of page
    End point title
    Absolute values of HIV viral load - mITT-E population [11]
    End point description
    Plasma samples were collected for quantitative analysis of HIV-1 RNA. Logarithm to base 10 (log10) values for plasma HIV-1 RNA has been presented. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [11] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: log10 concentration per milliliter(c/mL)
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    1.5947 ± 0.06640
    1.5993 ± 0.10559
        Month 6/5
    1.5910 ± 0.01182
    1.6002 ± 0.09268
        Month 12/11
    1.5911 ± 0.01552
    1.6019 ± 0.13064
    No statistical analyses for this end point

    Secondary: Number of participants with protocol-defined confirmed virologic failure (CVF) through Month 6/5 and 12/11 - mITT-E population

    Close Top of page
    End point title
    Number of participants with protocol-defined confirmed virologic failure (CVF) through Month 6/5 and 12/11 - mITT-E population [12]
    End point description
    Protocol-defined confirmed virologic failure was defined as rebound as indicated by two consecutive plasma HIV-1 RNA levels >= 200 c/mL (Day 1 values are not applicable) after prior suppression to <200 c/mL. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at Month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. Cumulative number of participants with protocol defined CVF through Month 6/5 and 12/11 has been presented.
    End point type
    Secondary
    End point timeframe
    Up to month 12
    Notes
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: Participants
        Month 6/5
    0
    1
        Month 12/11
    0
    2
    No statistical analyses for this end point

    Secondary: Percentage of participants with plasma HIV-1 RNA greater than or equal to (>=) 50 c/mL at Month 6/5 - mITT-E population

    Close Top of page
    End point title
    Percentage of participants with plasma HIV-1 RNA greater than or equal to (>=) 50 c/mL at Month 6/5 - mITT-E population [13]
    End point description
    Percentage of participants with plasma HIV 1 RNA >= 50 c/mL at month 6 was assessed using the food and drug administration (FDA) snapshot algorithm. For the Q2M arm, data from the Q2M OLI participants at Month 6 visit and Q2M D2I participants at Month 5 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. The FDA snapshot algorithm defines a participant's virologic response status using only the viral load at the predefined time point within a window of time (HIV-RNA equal to or above 50 copies/mL and HIV-RNA below 50 copies/mL), along with study drug discontinuation status. The third category of the FDA snapshot ("No virologic data") is not pre-defined as an endpoint and therefore not reported separately.
    End point type
    Secondary
    End point timeframe
    At month 6/5
    Notes
    [13] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: Percentage of participants
        number (confidence interval 95%)
    0 (0.0 to 1.6)
    0.4 (0.1 to 1.6)
    No statistical analyses for this end point

    Secondary: Change from baseline in HIV viral load - mITT-E population

    Close Top of page
    End point title
    Change from baseline in HIV viral load - mITT-E population [14]
    End point description
    Plasma samples were collected for quantitative analysis of HIV-1 RNA. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from Baseline is defined as post-dose visit value minus Baseline value. Logarithm to base 10 values for plasma HIV-1 RNA has been presented. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: log10 c/mL
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    1.5947 ± 0.06640
    1.5993 ± 0.10559
        Month 6/5
    -0.0039 ± 0.06826
    0.0015 ± 0.13997
        Month 12/11
    -0.0041 ± 0.07172
    0.0029 ± 0.17038
    No statistical analyses for this end point

    Secondary: Absolute values of cluster of differentiation 4 plus (CD4+) cell count - mITT-E population

    Close Top of page
    End point title
    Absolute values of cluster of differentiation 4 plus (CD4+) cell count - mITT-E population [15]
    End point description
    Blood samples were collected and CD4+ cell count was assessed using flow cytometry. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [15] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    222
    447
    Units: cells per cubic millimeter(cells/mm^3)
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    679.4 ± 306.89
    670.9 ± 282.11
        Month 6/5
    673.7 ± 290.46
    689.1 ± 284.89
        Month 12/11
    717.3 ± 317.82
    711.9 ± 297.13
    No statistical analyses for this end point

    Secondary: Change from Baseline in CD4+ cell count - mITT-E population

    Close Top of page
    End point title
    Change from Baseline in CD4+ cell count - mITT-E population [16]
    End point description
    Blood samples were collected and CD4+ cell count was assessed using flow cytometry. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    447
    Units: cells/mm^3
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    679.4 ± 306.89
    670.9 ± 282.11
        Month 6/5
    -3.1 ± 197.62
    20.4 ± 202.38
        Month 12/11
    32.2 ± 208.29
    35.2 ± 219.79
    No statistical analyses for this end point

    Secondary: Number of participants with treatment-emergent phenotypic resistance through Month 12/11 - Confirmed Virologic Failure (CVF) population

    Close Top of page
    End point title
    Number of participants with treatment-emergent phenotypic resistance through Month 12/11 - Confirmed Virologic Failure (CVF) population
    End point description
    Blood samples were collected to evaluate the phenotypic resistance to CAB, RPV, BIC, FTC, and TAF. For each participant, prevalence of phenotype, fold changes to CAB, RPV, and BIC, replication capacity of Integrase, protease, and reverse transcriptase enzymes at the time of CVF was assessed. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. Confirmed Virologic Failure (CVF) population included all participants in the ITT-E population who met Confirmed Virologic Failure (CVF). No participants in the BIK arm met CVF.
    End point type
    Secondary
    End point timeframe
    Up to Month 12/11
    End point values
    Q2M (OLI + D2I)
    Number of subjects analysed
    2
    Units: Participants
        NNRTI
    2
        IN
    2
    No statistical analyses for this end point

    Secondary: Number of participants with treatment-emergent genotypic resistance through Month 12/11 - CVF population

    Close Top of page
    End point title
    Number of participants with treatment-emergent genotypic resistance through Month 12/11 - CVF population
    End point description
    Blood samples were collected to evaluate the genotypic resistance to CAB, RPV, BIC, FTC, and TAF. For each participant, prevalence of resistance mutations and genotypic susceptibility at the time of CVF was assessed. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. No participants in the BIK arm met CVF.
    End point type
    Secondary
    End point timeframe
    Up to Month 12/11
    End point values
    Q2M (OLI + D2I)
    Number of subjects analysed
    2
    Units: Participants
        M230L
    1
        Q148R
    1
        K101E
    1
        G118R
    1
    No statistical analyses for this end point

    Secondary: Number of participants with treatment-emergent genotypic resistance through Month 6/5 - CVF population

    Close Top of page
    End point title
    Number of participants with treatment-emergent genotypic resistance through Month 6/5 - CVF population
    End point description
    Blood samples were collected to evaluate the genotypic resistance to CAB, RPV, BIC, FTC, and TAF. For each participant, prevalence of resistance mutations and genotypic susceptibility at the time of CVF was assessed. For the Q2M arm, data from the Q2M OLI participants at Month 6 visit and Q2M D2I participants at Month 5 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. No participants in the BIK arm met CVF.
    End point type
    Secondary
    End point timeframe
    Up to Month 6/5
    End point values
    Q2M (OLI + D2I)
    Number of subjects analysed
    1
    Units: Participants
        M230L
    1
        Q148R
    1
    No statistical analyses for this end point

    Secondary: Number of participants with treatment-emergent phenotypic resistance through Month 6/5 - CVF population

    Close Top of page
    End point title
    Number of participants with treatment-emergent phenotypic resistance through Month 6/5 - CVF population
    End point description
    Blood samples were collected to evaluate the phenotypic resistance to CAB, RPV, BIC, FTC, and TAF. For each participant, prevalence of phenotype, fold changes to CAB, RPV, and BIC, replication capacity of Integrase, protease, and reverse transcriptase enzymes at the time of CVF was assessed. For the Q2M arm, data from the Q2M OLI participants at Month 6 visit and Q2M D2I participants at Month 5 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. No participants in the BIK arm met CVF.
    End point type
    Secondary
    End point timeframe
    Up to Month 6/5
    End point values
    Q2M (OLI + D2I)
    Number of subjects analysed
    1
    Units: Participants
        NNRTI
    1
        IN
    1
    No statistical analyses for this end point

    Secondary: Change from baseline in bone biomarkers: specific alkaline phosphatase, procollagen type 1 N-Terminal propeptide, type 1 collagen cross-linked C-telopeptide, osteocalcin (micrograms per liter (ug/L)) - Safety population

    Close Top of page
    End point title
    Change from baseline in bone biomarkers: specific alkaline phosphatase, procollagen type 1 N-Terminal propeptide, type 1 collagen cross-linked C-telopeptide, osteocalcin (micrograms per liter (ug/L)) - Safety population [17]
    End point description
    Serum samples were collected to evaluate bone specific biomarkers: specific alkaline phosphatase, procollagen type 1 N-propeptide, type 1 collagen cross-linked C-telopeptide, osteocalcin. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For Q2M arm, data from Q2M OLI participants at Month6 and 12 visit and Q2MD2I participants at Month5 and 11 visit were combined as study objective was to demonstrate non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. Safety Population included all randomly assigned participants who received at least one dose of study drug.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [17] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    227
    449
    Units: micrograms per liter (ug/L)
    arithmetic mean (standard deviation)
        BoneSpecificAlkalinePhosphatase,Baseline(Day 1)
    12.9 ± 4.60
    12.7 ± 4.27
        BoneSpecificAlkalinePhosphatase,Month 6/5
    0.2 ± 2.60
    0.3 ± 9.89
        BoneSpecificAlkalinePhosphatase,Month12/11
    0.5 ± 3.55
    0.1 ± 5.03
        Osteocalcin,Baseline(Day 1)
    20.4 ± 7.48
    21.0 ± 7.35
        Osteocalcin,Month6/5
    -0.4 ± 5.11
    0.4 ± 5.53
        Osteocalcin,Month12/11
    -0.6 ± 5.51
    0.9 ± 6.11
        Procollagen1N-TerminalPropeptide,Baseline(Day 1)
    59.2 ± 23.88
    59.1 ± 23.06
        Procollagen1N-Terminal Propeptide,Month6/5
    0.1 ± 18.53
    -1.5 ± 15.70
        Procollagen1N-Terminal Propeptide,Month12/11
    0.6 ± 19.63
    -0.7 ± 19.73
        TypeICollagenC-Telopeptides,Baseline(Day 1)
    0.5 ± 0.25
    0.4 ± 0.25
        TypeICollagen C-Telopeptides,Month6/5
    -0.1 ± 0.21
    -0.1 ± 0.23
        TypeICollagen C-Telopeptides,Month12/11
    0.0 ± 0.22
    0.0 ± 0.25
    No statistical analyses for this end point

    Secondary: Change from baseline in renal biomarkers: specific serum beta-2 microglobulin, cystatin c, retinol binding protein, urine beta-2 microglobulin (milligrams per liter [mg/L]) - Safety population

    Close Top of page
    End point title
    Change from baseline in renal biomarkers: specific serum beta-2 microglobulin, cystatin c, retinol binding protein, urine beta-2 microglobulin (milligrams per liter [mg/L]) - Safety population [18]
    End point description
    Serum samples were collected to evaluate renal specific biomarkers: specific serum beta-2 microglobulin, cystatin c, retinol binding protein, urine beta-2 microglobulin. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    227
    448
    Units: milligrams per liter (mg/L)
    arithmetic mean (standard deviation)
        Serum beta-2 microglobulin, Baseline (Day 1)
    1.8 ± 0.38
    1.8 ± 0.40
        Serum beta-2 microglobulin, Month 6/5
    0.0 ± 0.28
    0.0 ± 0.28
        Serum beta-2 microglobulin, Month 12/11
    0.0 ± 0.32
    0.0 ± 0.33
        Serum cystatin C, Baseline (Day 1)
    0.9 ± 0.14
    0.9 ± 0.13
        Serum cystatin C, Month 6/5
    0.0 ± 0.08
    0.0 ± 0.08
        Serum cystatin C, Month 12/11
    0.0 ± 0.08
    0.0 ± 0.08
        Serum retinol binding protein, Baseline (Day 1)
    52.2 ± 12.61
    51.3 ± 13.01
        Serum retinol binding protein, Month 6/5
    -0.3 ± 8.75
    -1.0 ± 9.00
        Serum retinol binding protein, Month 12/11
    0.2 ± 9.06
    -1.2 ± 9.24
        Urine beta-2 microglobulin, Baseline (Day 1)
    0.2 ± 0.40
    0.2 ± 0.34
        Urine beta-2 microglobulin, Month 6/5
    0.1 ± 0.65
    0.0 ± 0.40
        Urine beta-2 microglobulin, Month 12/11
    0.1 ± 0.52
    0.0 ± 0.24
    No statistical analyses for this end point

    Secondary: Change from baseline in bone biomarkers: serum 25-hydroxyvitamin D (nanomoles per liter (nmol/L)) - Safety population

    Close Top of page
    End point title
    Change from baseline in bone biomarkers: serum 25-hydroxyvitamin D (nanomoles per liter (nmol/L)) - Safety population [19]
    End point description
    Serum samples were collected to evaluate bone specific biomarkers: serum 25-hydroxyvitamin D. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [19] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    219
    440
    Units: nanomoles per liter (nmol/L)
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    59.9 ± 33.30
    61.0 ± 34.69
        Month 6/5
    6.0 ± 34.16
    2.8 ± 29.24
        Month 12/11
    -3.1 ± 26.38
    -2.3 ± 29.00
    No statistical analyses for this end point

    Secondary: Change from baseline in renal biomarker: urine retinol binding protein 4 (microgram per liter (ug/L)) - Safety population

    Close Top of page
    End point title
    Change from baseline in renal biomarker: urine retinol binding protein 4 (microgram per liter (ug/L)) - Safety population [20]
    End point description
    Serum samples were collected to evaluate renal specific biomarkers: urine retinol binding protein 4. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [20] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    222
    447
    Units: microgram per liter (ug/L)
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    100.0 ± 82.00
    114.2 ± 111.45
        Month 6/5
    5.7 ± 105.08
    0.8 ± 139.88
        Month 12/11
    -1.2 ± 105.26
    -0.6 ± 123.52
    No statistical analyses for this end point

    Secondary: Change from baseline in renal biomarkers: urine phosphate (millimoles per liter (mmol/L)) - Safety population

    Close Top of page
    End point title
    Change from baseline in renal biomarkers: urine phosphate (millimoles per liter (mmol/L)) - Safety population [21]
    End point description
    Serum samples were collected to evaluate renal specific biomarkers: urine phosphate. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [21] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    223
    449
    Units: millimoles per liter (mmol/L)
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    18.4 ± 13.10
    20.0 ± 14.03
        Month 6/5
    0.4 ± 15.60
    -1.0 ± 16.29
        Month 12/11
    -0.6 ± 15.16
    0.1 ± 16.17
    No statistical analyses for this end point

    Secondary: Change from baseline in renal biomarker: urine retinol binding protein/creatinine (milligram per mole (mg/mol)) - Safety population

    Close Top of page
    End point title
    Change from baseline in renal biomarker: urine retinol binding protein/creatinine (milligram per mole (mg/mol)) - Safety population [22]
    End point description
    Serum samples were collected to evaluate renal specific biomarkers: urine retinol binding protein/creatinine. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [22] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    107
    216
    Units: milligram per mole (mg/mol)
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    8.0 ± 5.75
    8.6 ± 6.32
        Month 6/5
    -0.8 ± 7.23
    0.8 ± 6.00
        Month 12/11
    0.0 ± 4.15
    -0.5 ± 6.41
    No statistical analyses for this end point

    Secondary: Change from baseline in renal biomarker: urine beta-2 microglobulin/ creatinine (grams per mole (g/mol)) - Safety population

    Close Top of page
    End point title
    Change from baseline in renal biomarker: urine beta-2 microglobulin/ creatinine (grams per mole (g/mol)) - Safety population [23]
    End point description
    Serum samples were collected to evaluate renal specific biomarkers: urine beta-2 microglobulin/ creatinine. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [23] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    88
    182
    Units: grams per mole (g/mol)
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    0.0 ± 0.04
    0.0 ± 0.03
        Month 6/5
    0.0 ± 0.19
    0.0 ± 0.03
        Month 12/11
    0.0 ± 0.04
    0.0 ± 0.02
    No statistical analyses for this end point

    Secondary: Change From Baseline in percentage of participants with metabolic syndrome at month 12/11 - Safety population

    Close Top of page
    End point title
    Change From Baseline in percentage of participants with metabolic syndrome at month 12/11 - Safety population [24]
    End point description
    Metabolic syndrome defined as cluster of conditions that occurred together increasing one's risk of heart disease, stroke and type 2 diabetes mellitus (DM). These conditions included increased blood pressure (BP), elevated blood glucose levels, excess body fat around the waist and abnormal fasting cholesterol and triglyceride (TG) levels. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and at Month 12/11
    Notes
    [24] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    227
    454
    Units: Percentage of participants
        Yes (Baseline) to Yes (Month 12/11)
    9
    9
        Yes (Baseline) to No (Month 12/11)
    7
    5
        Yes (Baseline) to Missing (Month 12/11)
    1
    2
        No (Baseline) to Yes (Month 12/11)
    8
    6
        No (Baseline) to No (Month 12/11)
    70
    69
        No (Baseline) to Missing ((Month 12/11))
    6
    8
    No statistical analyses for this end point

    Secondary: Change from baseline in homeostasis model of assessment-insulin resistance (HOMA-IR) - Safety population

    Close Top of page
    End point title
    Change from baseline in homeostasis model of assessment-insulin resistance (HOMA-IR) - Safety population [25]
    End point description
    The homeostatic model assessment (HOMA) is a method used to quantify insulin resistance. HOMA-IR is calculated as fasting insulin microunits per liter (microU/L) multiplied by fasting glucose (nmol/L) divided by 22.5. Higher HOMA-IR values indicate increased insulin resistance; values <2 is generally regarded as normal. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    210
    409
    Units: HOMA-IR score
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    3.1 ± 5.06
    2.8 ± 4.05
        Month 6/5
    -0.1 ± 5.09
    0.3 ± 4.11
        Month 12/11
    -0.4 ± 3.76
    0.2 ± 3.99
    No statistical analyses for this end point

    Secondary: Change From Baseline in percentage of participants with metabolic syndrome at month 6/5 - Safety population

    Close Top of page
    End point title
    Change From Baseline in percentage of participants with metabolic syndrome at month 6/5 - Safety population [26]
    End point description
    Metabolic syndrome defined as cluster of conditions that occurred together increasing one's risk of heart disease, stroke and type 2 diabetes mellitus (DM). These conditions included increased blood pressure (BP), elevated blood glucose levels, excess body fat around the waist and abnormal fasting cholesterol and triglyceride (TG) levels. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 visit and Q2M D2I participants at Month 5 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and at month 6/5
    Notes
    [26] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    227
    454
    Units: Percentage of participants
        Yes (Baseline) to Yes (Month 6/5)
    11
    9
        Yes (Baseline) to No (Month 6/5)
    6
    7
        Yes (Baseline) to Missing (Month 6/5)
    0
    1
        No (Baseline) to Yes (Month 6/5)
    10
    5
        No (Baseline) to No (Month 6/5)
    71
    74
        No (Baseline) to Missing (Month 6/5)
    2
    5
    No statistical analyses for this end point

    Secondary: Percentage of participants with treatment preference as assessed using preference questionnaire at month 12/11 - Q2M - mITT-E population

    Close Top of page
    End point title
    Percentage of participants with treatment preference as assessed using preference questionnaire at month 12/11 - Q2M - mITT-E population [27]
    End point description
    Participants who had switched from the daily oral BIK regimen to CAB + RPV, were assessed as per the preference questionnaire every two months. There were 3 preference questions included to assess the preferred treatment 1) Long-acting injectable HIV medication, 2) Daily oral HIV medication, 3) No Preference. This endpoint was only planned to be analyzed for Q2M arm only. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit. Data represented included maintenance withdrawal or Month 12/11.
    End point type
    Secondary
    End point timeframe
    Up to month 12/11
    Notes
    [27] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Oral lead-in phase (OLI) Direct to injections (D2I)
    Number of subjects analysed
    163
    262
    Units: Percentage of participants
        Long-acting injectable HIV medication
    87
    92
        Daily oral HIV medication
    7
    4
        No Preference
    6
    5
    No statistical analyses for this end point

    Secondary: Change from baseline in individual item scores using HIVTSQs - mITT-E population

    Close Top of page
    End point title
    Change from baseline in individual item scores using HIVTSQs - mITT-E population [28]
    End point description
    The individual item scores on HIVTSQs scale were rated on a scale of 6 (very satisfied, convenient, flexible, etc.) to -6 (very dissatisfied, inconvenient, inflexible, etc.). Higher scores represent greater satisfaction with each aspect of treatment. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    222
    446
    Units: Scores on scale
    arithmetic mean (standard deviation)
        Item 1, Baseline (Day 1)
    5.6 ± 0.75
    5.5 ± 0.86
        Item 1, Month 6/5
    -0.2 ± 0.91
    0.1 ± 1.10
        Item 1, Month 12/11
    -0.3 ± 1.00
    0.2 ± 1.07
        Item 2, Baseline (Day 1)
    5.8 ± 0.45
    5.8 ± 0.54
        Item 2, Month 6/5
    -0.1 ± 0.55
    0.0 ± 0.80
        Item 2, Month 12/11
    -0.1 ± 0.69
    0.0 ± 0.70
        Item 3, Baseline (Day 1)
    5.5 ± 1.02
    5.5 ± 0.91
        Item 3, Month 6/5
    0.0 ± 1.21
    -0.3 ± 1.42
        Item 3, Month 12/11
    0.0 ± 1.16
    -0.1 ± 1.38
        Item 4, Baseline (Day 1)
    5.2 ± 1.21
    5.2 ± 1.16
        Item 4, Month 6/5
    -0.1 ± 1.28
    0.4 ± 1.32
        Item 4, Month 12/11
    -0.2 ± 1.35
    0.3 ± 1.33
        Item 5, Baseline (Day 1)
    5.2 ± 1.16
    5.0 ± 1.24
        Item 5, Month 6/5
    -0.1 ± 1.30
    0.6 ± 1.42
        Item 5, Month 12/11
    -0.2 ± 1.33
    0.7 ± 1.43
        Item 6, Baseline (Day 1)
    4.9 ± 1.55
    4.7 ± 1.70
        Item 6, Month 6/5
    0.0 ± 1.58
    0.9 ± 1.77
        Item 6, Month 12/11
    -0.1 ± 1.58
    0.9 ± 1.74
        Item 7, Baseline (Day 1)
    5.5 ± 0.92
    5.5 ± 0.80
        Item 7, Month 6/5
    0.1 ± 0.75
    0.2 ± 0.81
        Item 7, Month 12/11
    0.1 ± 0.78
    0.1 ± 0.86
        Item 8, Baseline (Day 1)
    5.1 ± 1.11
    5.0 ± 1.20
        Item 8, Month 6/5
    -0.1 ± 1.26
    0.7 ± 1.36
        Item 8, Month 12/11
    -0.2 ± 1.38
    0.7 ± 1.31
        Item 9, Baseline (Day 1)
    5.5 ± 1.02
    5.5 ± 0.86
        Item 9, Month 6/5
    0.0 ± 1.09
    0.2 ± 1.10
        Item 9, Month 12/11
    -0.1 ± 1.04
    0.2 ± 1.04
        Item 10, Baseline (Day 1)
    4.9 ± 1.28
    4.9 ± 1.23
        Item 10, Month 6/5
    0.0 ± 1.38
    0.8 ± 1.54
        Item 10, Month 12/11
    -0.2 ± 1.45
    0.9 ± 1.49
        Item 11, Baseline (Day 1)
    5.3 ± 1.06
    5.2 ± 1.10
        Item 11, Month 6/5
    -0.2 ± 1.20
    0.5 ± 1.34
        Item 11, Month 12/11
    -0.3 ± 1.13
    0.5 ± 1.34
        Item 12, Baseline (Day 1)
    5.6 ± 0.94
    5.5 ± 1.02
        Item 12, Month 6/5
    -0.1 ± 0.93
    -0.6 ± 1.64
        Item 12, Month 12/11
    -0.2 ± 1.09
    -0.5 ± 1.54
    No statistical analyses for this end point

    Secondary: Change from baseline in total treatment satisfaction score using HIV treatment satisfaction status questionnaire (HIVTSQs) - mITT-E population

    Close Top of page
    End point title
    Change from baseline in total treatment satisfaction score using HIV treatment satisfaction status questionnaire (HIVTSQs) - mITT-E population [29]
    End point description
    The HIVTSQs total treatment satisfaction score comprised of 11 items based on HIVTSQ questionnaire each graded on a scale of 0 (very dissatisfied) to 6 (very satisfied) which were summed to produce a total score range of 0-66. Higher scores represent greater treatment satisfaction. Baseline value is defined as latest pre-treatment assessment with a non-missing value, including those from unscheduled visits. Change from baseline is defined as post-dose visit value minus baseline value. For the Q2M arm, data from the Q2M OLI participants at Month 6 and 12 visit and Q2M D2I participants at Month 5 and 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 6 and 12 visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) and up to Month 12
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    222
    446
    Units: Scores on scale
    arithmetic mean (standard deviation)
        Baseline (Day 1)
    58.38 ± 8.229
    57.88 ± 7.906
        Month 6/5
    -0.66 ± 7.417
    3.99 ± 9.670
        Month 12/11
    -1.93 ± 8.045
    4.21 ± 9.273
    No statistical analyses for this end point

    Secondary: Individual item scores of HIVTSQc at Month 12/11 - mITT-E population

    Close Top of page
    End point title
    Individual item scores of HIVTSQc at Month 12/11 - mITT-E population [30]
    End point description
    Individual item scores were rated on a scale of +3 (much more satisfied’, ‘much more convenient’, ‘much more flexible’) to -3 (much less satisfied’, ‘much less convenient’, ‘much less flexible’). Higher score indicates greater improvement, and lower score indicates greater deterioration in satisfaction with each aspect of treatment. A score of 0 represents no change. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    At Month 12/11
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    214
    427
    Units: Scores on scale
    arithmetic mean (standard deviation)
        Item 1
    1.60 ± 1.417
    2.56 ± 1.043
        Item 2
    1.88 ± 1.375
    2.47 ± 1.086
        Item 3
    1.63 ± 1.463
    2.10 ± 1.388
        Item 4
    1.42 ± 1.560
    2.41 ± 1.109
        Item 5
    1.38 ± 1.520
    2.50 ± 1.070
        Item 6
    1.24 ± 1.591
    2.41 ± 1.138
        Item 7
    1.94 ± 1.297
    2.35 ± 1.065
        Item 8
    1.43 ± 1.489
    2.56 ± 0.994
        Item 9
    1.73 ± 1.467
    2.61 ± 1.065
        Item 10
    1.22 ± 1.602
    2.58 ± 1.093
        Item 11
    1.43 ± 1.542
    2.46 ± 1.107
        Item 12
    1.64 ± 1.465
    1.85 ± 1.530
    No statistical analyses for this end point

    Secondary: HIV treatment satisfaction change questionnaire (HIVTSQc) total score at Month 12/11 - mITT-E population

    Close Top of page
    End point title
    HIV treatment satisfaction change questionnaire (HIVTSQc) total score at Month 12/11 - mITT-E population [31]
    End point description
    HIV treatment satisfaction change questionnaire (HIVTSQc) total Score is computed with items 1-11 which were summed to produce a total score range of -33 to 33. Higher score indicated greater improvement in the satisfaction with the treatment and lower score indicated greater deterioration in treatment satisfaction. A score of 0 represents no change. For the Q2M arm, data from the Q2M OLI participants at Month 12 visit and Q2M D2I participants at Month 11 visit were combined as the study objective was to demonstrate the non-inferior antiviral activity of (Q2M) (OLI+ D2I combined) compared to BIK. For BIK arm, data was collected at month 12 visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    At Month 12/11
    Notes
    [31] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Biktarvy (BIK) Q2M (OLI + D2I)
    Number of subjects analysed
    214
    426
    Units: Scores on scale
        arithmetic mean (standard deviation)
    16.89 ± 14.299
    26.97 ± 10.135
    No statistical analyses for this end point

    Secondary: Change from month 2/1 in dimension scores using perception of injection (PIN) questionnaire - Q2M - mITT-E population

    Close Top of page
    End point title
    Change from month 2/1 in dimension scores using perception of injection (PIN) questionnaire - Q2M - mITT-E population [32]
    End point description
    The PIN questionnaire was used to explore the dimension scores based on 4 dimensions including acceptance of injection site reactions (ISRs), Bother from ISRs, Leg movement and Sleep categories. Domain scores were calculated as a mean of all items with the domain. The PIN response options range from 1 (totally acceptable) to 5 (not at all acceptable). This endpoint was only planned to be analyzed for Q2M arm. Month 2/1 refers to the Month 2 (OLI and BIK) visit/Month 1 (DTI) visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    From Month 2/1 up to Month 12
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Oral lead-in phase (OLI) Direct to injections (D2I)
    Number of subjects analysed
    163
    271
    Units: Scores on scale
    arithmetic mean (standard deviation)
        Bother of ISRs, Month 2/1
    1.58 ± 0.568
    1.60 ± 0.583
        Bother of ISRs, Month 6/5
    0.01 ± 0.528
    -0.03 ± 0.590
        Bother of ISRs, Month 12/11
    0.08 ± 0.594
    -0.04 ± 0.583
        Leg Movement, Month 2/1
    1.93 ± 1.013
    1.83 ± 0.913
        Leg Movement, Month 6/5
    -0.14 ± 0.779
    -0.22 ± 0.868
        Leg Movement, Month 12/11
    -0.18 ± 0.859
    -0.24 ± 0.817
        Sleep, Month 2/1
    1.83 ± 0.936
    1.87 ± 0.965
        Sleep, Month 6/5
    -0.01 ± 0.915
    -0.16 ± 0.869
        Sleep, Month 12/11
    -0.07 ± 0.948
    -0.17 ± 0.870
        Acceptance, Month 2/1
    2.02 ± 1.017
    2.05 ± 0.949
        Acceptance, Month 6/5
    -0.14 ± 0.906
    -0.13 ± 0.879
        Acceptance, Month 12/11
    -0.20 ± 0.873
    -0.26 ± 0.856
    No statistical analyses for this end point

    Secondary: Change from month 2/1 in individual item scores using PIN questionnaire- Q2M - mITT-E population

    Close Top of page
    End point title
    Change from month 2/1 in individual item scores using PIN questionnaire- Q2M - mITT-E population [33]
    End point description
    The PIN questionnaire was used to explore the individual item scores based on anxiety before, pain, satisfaction, anxiety after and willingness categories. The items in the scale are rated on a 5-point scale and questions are phrased in such a way as to ensure that 1 is very dissatisfied and 5 was very satisfied. This endpoint was only planned to be analyzed for Q2M arm. Month 2/1 refers to the Month 2 (OLI and BIK) visit/Month 1 (DTI) visit. Month 6/5 refers to the Month 6 (OLI and BIK) visit/Month 5 (DTI) visit. Month 12/11 refers to the Month 12 (OLI and BIK) visit/Month 11 (DTI) visit.
    End point type
    Secondary
    End point timeframe
    From Month 2/1 up to Month 12
    Notes
    [33] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: As per study design, the endpoints were presented for OLI + D2I arms combined as Q2M. Whereas, the baseline period was separated as OLI and D2I.
    End point values
    Oral lead-in phase (OLI) Direct to injections (D2I)
    Number of subjects analysed
    163
    271
    Units: Scores on scale
    arithmetic mean (standard deviation)
        Anxiety Before, Month 2/1
    1.9 ± 1.02
    1.9 ± 1.02
        Anxiety Before, Month 6/5
    -0.14 ± 1.021
    -0.22 ± 1.000
        Anxiety Before, Month 12/11
    -0.28 ± 0.973
    -0.22 ± 0.914
        Pain, Month 2/1
    1.8 ± 0.88
    2.0 ± 0.93
        Pain, Month 6/5
    0.09 ± 0.907
    -0.03 ± 0.935
        Pain, Month 12/11
    0.13 ± 0.995
    0.02 ± 0.943
        Satisfaction, Month 2/1
    1.7 ± 0.90
    1.6 ± 0.81
        Satisfaction, Month 6/5
    -0.06 ± 0.837
    0.00 ± 0.867
        Satisfaction, Month 12/11
    -0.12 ± 0.861
    -0.11 ± 0.830
        Anxiety After, Month 2/1
    1.8 ± 1.12
    1.7 ± 0.96
        Anxiety After, Month 6/5
    -0.14 ± 0.994
    -0.04 ± 0.916
        Anxiety After, Month 12/11
    -0.24 ± 0.947
    -0.16 ± 0.850
        Willingness, Month 2/1
    1.4 ± 0.76
    1.4 ± 0.78
        Willingness, Month 6/5
    0.01 ± 0.716
    -0.08 ± 0.794
        Willingness, Month 12/11
    -0.01 ± 0.744
    -0.10 ± 0.742
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    All cause mortality, non-serious adverse events (non-SAEs) and serious adverse events (SAEs) were collected maximum up to 12 months.
    Adverse event reporting additional description
    Safety population included all randomly assigned participants who received at least one dose of study drug.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    v24.1
    Reporting groups
    Reporting group title
    Oral lead-in phase (OLI)
    Reporting group description
    Participants with human immunodeficiency viruses (HIV)-1 who chose oral lead in (OLI) received oral 30 milligram (mg) Cabotegravir (CAB) tablet + 25 mg Rilpivirine (RPV) tablet once daily (QD) for one month. At the month 1 visit, the last dose of oral CAB + RPV was given, followed by the first 600 mg CAB long-acting (LA) + 900 mg RPV LA intramuscular injection (IM), and second injection of CAB LA 600 mg + RPV LA 900 mg at month 2, and then subsequent injections once every 2 months (Q2M) until Month 12.

    Reporting group title
    Biktarvy (BIK)
    Reporting group description
    Participants with HIV-1 received BIK tablet orally until month 12. BIK was a fixed dose combination of 50 mg Bictegravir (BIC) + 200 mg Emtricitabine (FTC) + 25 mg Tenofovir alafenamide (TAF).

    Reporting group title
    Direct to injections (D2I)
    Reporting group description
    Participants with HIV-1 who chose direct to injections (D2I) received the first injections of 600 mg CAB LA + 900 mg RPV LA, IM as initial loading doses at Day 1 one month, followed by second and third subsequent injections (CAB LA 600 mg + RPV LA 900 mg) at month 1 and month 3 followed by Q2M until Month 11.

    Serious adverse events
    Oral lead-in phase (OLI) Biktarvy (BIK) Direct to injections (D2I)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    11 / 175 (6.29%)
    15 / 227 (6.61%)
    10 / 279 (3.58%)
         number of deaths (all causes)
    0
    1
    0
         number of deaths resulting from adverse events
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Glioblastoma multiforme
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bladder transitional cell carcinoma
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Surgical and medical procedures
    Abortion induced
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injection site pain
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Psychiatric disorders
    Substance abuse
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Drug abuse
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Product issues
    Device breakage
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 175 (1.14%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    1 / 2
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood creatine phosphokinase increased
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Abdominal injury
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Ulna fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Skin laceration
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Skin abrasion
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Radius fracture
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Contusion
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Road traffic accident
         subjects affected / exposed
    0 / 175 (0.00%)
    2 / 227 (0.88%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Overdose
         subjects affected / exposed
    1 / 175 (0.57%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Joint dislocation
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Cardiac disorders
    Acute myocardial infarction
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Atrial fibrillation
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Haemorrhagic transformation stroke
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Encephalopathy
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Brain injury
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
    Syncope
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Anorectal disorder
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Angioedema
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Urinary retention
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Intervertebral disc protrusion
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Back pain
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Bursitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Cellulitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COVID-19
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tuberculosis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Tonsillitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Herpes simplex meningoencephalitis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Herpes simplex meningitis
         subjects affected / exposed
    1 / 175 (0.57%)
    0 / 227 (0.00%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    COVID-19 pneumonia
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Appendicitis
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Anal abscess
         subjects affected / exposed
    0 / 175 (0.00%)
    0 / 227 (0.00%)
    1 / 279 (0.36%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Respiratory tract infection
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Obesity
         subjects affected / exposed
    0 / 175 (0.00%)
    1 / 227 (0.44%)
    0 / 279 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Oral lead-in phase (OLI) Biktarvy (BIK) Direct to injections (D2I)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    130 / 175 (74.29%)
    77 / 227 (33.92%)
    217 / 279 (77.78%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    16 / 175 (9.14%)
    12 / 227 (5.29%)
    33 / 279 (11.83%)
         occurrences all number
    17
    12
    43
    General disorders and administration site conditions
    Injection site pain
         subjects affected / exposed
    104 / 175 (59.43%)
    1 / 227 (0.44%)
    178 / 279 (63.80%)
         occurrences all number
    506
    2
    887
    Injection site nodule
         subjects affected / exposed
    17 / 175 (9.71%)
    0 / 227 (0.00%)
    25 / 279 (8.96%)
         occurrences all number
    28
    0
    56
    Injection site swelling
         subjects affected / exposed
    14 / 175 (8.00%)
    0 / 227 (0.00%)
    26 / 279 (9.32%)
         occurrences all number
    40
    0
    43
    Pyrexia
         subjects affected / exposed
    10 / 175 (5.71%)
    8 / 227 (3.52%)
    22 / 279 (7.89%)
         occurrences all number
    14
    8
    32
    Injection site discomfort
         subjects affected / exposed
    15 / 175 (8.57%)
    0 / 227 (0.00%)
    24 / 279 (8.60%)
         occurrences all number
    56
    0
    65
    Injection site induration
         subjects affected / exposed
    17 / 175 (9.71%)
    0 / 227 (0.00%)
    16 / 279 (5.73%)
         occurrences all number
    42
    0
    33
    Fatigue
         subjects affected / exposed
    16 / 175 (9.14%)
    6 / 227 (2.64%)
    14 / 279 (5.02%)
         occurrences all number
    19
    7
    18
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    8 / 175 (4.57%)
    9 / 227 (3.96%)
    19 / 279 (6.81%)
         occurrences all number
    11
    9
    19
    Infections and infestations
    COVID-19
         subjects affected / exposed
    32 / 175 (18.29%)
    38 / 227 (16.74%)
    41 / 279 (14.70%)
         occurrences all number
    33
    38
    43
    Nasopharyngitis
         subjects affected / exposed
    8 / 175 (4.57%)
    10 / 227 (4.41%)
    18 / 279 (6.45%)
         occurrences all number
    11
    13
    22
    Syphilis
         subjects affected / exposed
    8 / 175 (4.57%)
    9 / 227 (3.96%)
    19 / 279 (6.81%)
         occurrences all number
    9
    10
    19

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    30 Jun 2020
    The primary reason for protocol amendment 01 is to add minor clarifications to address study completion, PK collection, and endpoint timings. Country-specific details were added to Appendix 10 to address UK MHRA requirements. The protocol short title was updated. Corrections to typographical errors in protocol text and title were made throughout.
    08 Sep 2021
    The primary reason for protocol amendment 02 is to address and clarify comments raised during the course of the study and to implement country specific changes following regulatory review.
    10 Feb 2022
    The primary reason for protocol amendment 03 is to address and clarify comments raised during the course of the study.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    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.

    European Medicines Agency © 1995-Sat May 18 20:02:10 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA