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| Name | Class |
|---|---|
| ViiV Healthcare | INDUSTRY |
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The CABOTEGRAVIR Long Acting + RILPIVIRENE Long Acting regimen was currently endorsed by guidelines worldwide as an option for the Treatment of HIV-1 Infection, however collecting real-world data closer to clinical practice use is still necessary. This study also registers some immunological, metabolic,anti-inflammatory parameters and fat distribution analysis to observe a hypothetical improvement on these parameters.
Psychosocial aspects are also very important in these patients as these patients may suffer social stigma, and therefore suffer certain psychological disorders. Patient experience data will be assessed through PROs and bespoke single-item questions to collect patient perception of treatment and register psychosocial aspects related to their health status.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group | Patients enrolled who switch to receive Cabotegravir long acting plus Rilpivirine long acting intramuscular injection every 2 months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cabotegravir Injectable Product | Drug | long-acting regimen dosed every 2-months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants switching treatment to CAB LA + RPV LA regimen dosed every 2-months with plasma HIV-1 RNA ≥50 at month 12 | Proportion of participants suppressed on stable oral ART that switched to CAB LA + RPV LA with plasma HIV-1 RNA ≥50 copies/mL at month 12 | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants switching treatment to CAB LA + RPV LA regimen dosed every 2-months with plasma HIV-1 RNA ≥50 at month 24 | Proportion of participants suppressed on stable oral ART that switch to CAB LA + RPV LA with plasma HIV-1 RNA ≥50 copies/mL at month 24 | 24 months |
| Number of participants switching treatment to CAB LA + RPV LA regimen dosed every 2-months with plasma HIV-1 RNA ≥50 at months 12 and 24 |
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Inclusion Criteria: participants are required to meet all the following inclusion criteria to be eligible for PWH.
Exclusion Criteria: participants will be excluded from the trial if there is evidence of any of the following criteria at screening or check-in, as appropriate.
Within 6 months prior to Screening, any plasma HIV-1 RNA measurement ≥50 copies/mL or within the 6 to 12-month window prior to Screening, any plasma HIV-1 RNA measurement >200 copies/mL, or 2 or more plasma HIV-1 RNA measurements ≥50 copies/mL.
Previous antiretroviral treatment interruption during the last 6 months or treatment interruptions for more than a month.
Present or past evidence of viral resistance to agents of the NNRTI or INI class or prior treatment failure with agents of NNRTI or INSTI class
Any contraindication for CAB LA, RPV LA, oral Cabotegravir or Rilpivirine (see EU SmPC).
Evidence of Hepatitis B virus (HBV) infection based on the results of testing at Screening for Hepatitis B surface antigen (HBsAg), Hepatitis B core antibody (anti-HBc), Hepatitis B surface antibody (anti-HBs) and HBV DNA as follows:
Any condition that does not recommend intramuscular injections in the gluteal muscle.
Pregnancy or breastfeeding women, or with the desire to become pregnant soon.
Current use of concomitant treatment with prohibited medication
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Virologically suppressed PWH, who switch to CAB LA + RPV LA Q2M (EU SmPC) from June 2023 to March 2024. Participants must meet all inclusion and no exclusion criteria. CAB LA + RPV LA injection may be preceded by an optional oral lead-in (OLI) according to the physician's judgement for 28 days
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| Name | Affiliation | Role |
|---|---|---|
| CARMEN HIDALGO, PhD | HU Virgen de las Nieves | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario Virgen de Las Nieves | Granada | Andalusia | 18008 | Spain | ||
| Hospital San Pedro |
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| Rilpivirine Injectable Product | Drug | long-acting regimen dosed every 2-months |
|
|
Proportion of participants suppressed on stable oral ART that switch to CAB LA + RPV LA with plasma HIV-1 RNA <50 copies/mL at months 12 and 24 |
| 12 and 24 months |
| Number of episodes of plasma HIV-1 RNA ≥50 copies/mL | Number of episodes of plasma HIV-1 RNA ≥50 copies/mL that do not meet the criteria for confirmed virological failure | 24 months |
| Number of participants experiencing confirmed virologic failure at months 12 and 24. | Proportion of participants experiencing confirmed virologic failure (CVF: two consecutive plasma HIV-1 RNA ≥200 copies/mL) at months 12 and 24. | 12 and 24 months |
| Change from baseline in the mean lymphocyte subpopulations | Changes from baseline in the mean values of CD4, CD8 and CD4/CD8 ratio of participants switching to CAB LA + RPV LA at months 12 and 24. | 12 and 24 months |
| Incidence and severity of adverse events | Proportion of emergence of adverse events, laboratory abnormalities and discontinuation rates due to adverse events. Includes severity evaluation of those | 24 months |
| Description of reasons for discontinuation from CAB LA + RPV LA over 24 months | Reasons recorded for discontinuation of the study intervention during the follow-up | 24 months |
| Number of reports fo adverse events over 24 months | Persistence over 24 months of adverse events, including injection site reactions (ISR), after switching to CAB LA + RPV LA | 24 months |
| Description of reasons for switching to CAB LA + RPV LA | Reasons recorded for switching to the study intervention | 24 months |
| Changes in absolute values from baseline over 24 months in metabolic control parameters: glucose | changes from baseline over 24 months and the proportion by patient subgroup with significant changes: in metabolic control parameters: glucose | 24 months |
| Changes in absolute values from baseline over 24 months in metabolic control parameters: lipids | changes from baseline over 24 months and the proportion by patient subgroup with significant changes: in metabolic control parameters: lipids. | 24 months |
| Changes in absolute values from baseline over 24 months in metabolic control parameters: weight | changes from baseline over 24 months and the proportion by patient subgroup with significant changes: in metabolic control parameters: weight. | 24 months |
| Changes in absolute values from baseline over 24 months in metabolic control parameters: waist circumference. | changes from baseline over 24 months and the proportion by patient subgroup with significant changes: in metabolic control parameters: waist circumference. | 24 months |
| Changes in absolute values from baseline over 24 months in metabolic control parameters: BMI | changes from baseline over 24 months and the proportion by patient subgroup with significant changes in metabolic control parameters: BMI (kg/m^2). | 24 months |
| Changes in pro-inflammatory biomarkers (D-Dimmer) from baseline over 24 months in a subgroup of participants | Assesment and description in a subgroup of study participants of the change of pro-inflammatory biomarkers (D-Dimmer) after switching to CAB LA+ RPV LA through the study. | 24 months |
| Changes in pro-inflammatory biomarkers (fibrinogen) from baseline over 24 months in a subgroup of participants | Assesment and description in a subgroup of study participants of the change of pro-inflammatory biomarkers (fibrinogen) after switching to CAB LA+ RPV LA through the study. | 24 months |
| Changes in pro-inflammatory biomarkers (CRP) from baseline over 24 months in a subgroup of participants | Assesment and description in a subgroup of study participants of the change of pro-inflammatory biomarkers (CRP) after switching to CAB LA+ RPV LA through the study. | 24 months |
| Changes in pro-inflammatory biomarkers (IL-6) from baseline over 24 months in a subgroup of participants | Assesment and description in a subgroup of study participants of the change of pro-inflammatory biomarkers (IL-6) after switching to CAB LA+ RPV LA through the study. | 24 months |
| Changes in creatinine values from baseline over 24 months | Changes from baseline over 24 months in creatinine (mg/dL) values after switching to CAB LA + RPV LA | 24 months |
| Changes in hepatic values (Albumine) from baseline over 24 months | Changes from baseline over 24 months in hepatic values (Albumine) in g/dL after switching to CAB LA + RPV LA | 24 months |
| Changes in hepatic values (Alanine transaminase (ALT), Aspartate transaminase (AST) and Alkaline phosphatase (ALP)) from baseline over 24 months | Changes from baseline over 24 months in hepatic values (Alanine transaminase (ALT), Aspartate transaminase (AST) and Alkaline phosphatase (ALP)) in U/L after switching to CAB LA + RPV LA | 24 months |
| Changes in preference values from baseline over 24 months about ART | Rate of ART preference of LA-injected vs. oral ART at months12 and 24 and description of reasons | 12 and 24 months |
| Changes in patient reported outcomes questionnaires from baseline over 24 months: WHOQOL-HIV-BREF | Changes from baseline in domains of PROs: World Health Organization Quality of Life, on Human Immunodeficiency Virus, brief version (WHOQOL-HIV-BREF) scale over 24 months and the proportion by patient subgroup with significant changes. MIN VALUE 26- MAX VALUE 130. Higher scores mean better quality of life. | 24 months |
| Changes in patient reported outcomes questionnaires from baseline over 24 months: HSSS | Changes from baseline in domains of PROs: adapted HIV Stigma Scale for use in Spain (HSSS) scale over 24 months and the proportion by patient subgroup with significant changes. Scores can range from 40 to 160 [1 x 40 items to 4 x 40 items]. Higher scores indicate greater feelings of stigma | 24 months |
| Changes in patient reported outcomes questionnaires from baseline over 24 months: PSQI | Changes from baseline in domains of PROs: Pittsburgh Sleep Quality Index (PSQI) scale over 24 months and the proportion by patient subgroup with significant changes. Score has a possible range of 0-21 points. Higher scores means better sleep quality | 24 months |
| Incidence of adherence to scheduled interventions over 24 months |
| 24 months |
| Logroño |
| La Rioja |
| 26006 |
| Spain |
| Hospital Reina Sofía | Murcia | Murcia | 30003 | Spain |
| Hospital Universitario Puerto Real, INIBICA, | Cadiz | Spain |
| Jerez de la Frontera University Hospital | Cadiz | Spain |
| Reina Sofía University Hospital | Córdoba | Spain |
| Hospital Campus de la Salud | Granada | 18014 | Spain |
| Hospital Comarcal Santa Ana de Motril | Granada | Spain |
| Complejo Hospitalario de Jaén, | Jaén | Spain |
| Hu La Princesa | Madrid | Spain |
| Ramon Y Cajal | Madrid | Spain |
| Hospital General Universitario Santa Lucía | Murcia | Spain |
| Hospital de Son Llàtzer | Palma de Mallorca | Spain |
| Hospital Universitario de Canarias | Santa Cruz de Tenerife | Spain |
| Hospital Clínico Universitario Lozano Blesa | Zaragoza | Spain |
| ID | Term |
|---|---|
| D000163 | Acquired Immunodeficiency Syndrome |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C584914 | cabotegravir |
| D000068696 | Rilpivirine |
| ID | Term |
|---|---|
| D009570 | Nitriles |
| D009930 | Organic Chemicals |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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