Actively Recruiting

Age: 18Years +
All Genders
ID03884673

Real World Study of Dolutegravir Plus Lamivudine Simplified Therapy in Treatment Experienced HIV-1 Patients

Led by Guangzhou 8th People's Hospital · Updated on 2022-09-14

300

Participants Needed

1

Research Sites

260 weeks

Total Duration

On this page

Sponsors

G

Guangzhou 8th People's Hospital

Lead Sponsor

S

Shenzhen Third People's Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating a simplified treatment for HIV using a combination of two anti-HIV medicines, dolutegravir (DTG) and lamivudine (3TC), taken once daily. This study aims to explore the safety and effectiveness of this two-drug regimen in HIV-infected patients in China, as previous studies have shown similar results compared to traditional three-drug treatments but lack data from the Chinese population. The goal is to guide clinical use and provide a solid basis for treatment guidelines. This open-label, phase IV clinical trial involves 300 HIV-infected patients who switch to a simplified regimen of 50 mg DTG plus 400 mg 3TC taken orally once daily. The study observes the treatment's effectiveness by measuring viral suppression rates and immune cell counts at weeks 24, 36, 48, and 96. Safety and medication adherence are also monitored throughout the trial. Participants will have their viral load and CD4/CD8 immune cell counts assessed regularly over 96 weeks, along with monitoring for any adverse events and treatment compliance. The study involves multiple follow-up visits to track immune function changes and viral control. This long-term observation provides valuable data on how well the simplified therapy works and how safe it is for patients living with HIV.

CONDITIONS

Brief Title

Dolutegravir Plus Lamivudine Simplified Therapy

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age over 18 years, male or female
  • Diagnosed with HIV-1 infection
  • Have used a standard three-drug HIV treatment regimen for at least 24 weeks
  • Able to monitor CD4 cell count at least three times in the first year and at least once every six months thereafter
  • Signed informed consent for free treatment
  • Good medication compliance and signed informed consent
Not Eligible

You will not qualify if you...

  • Participation in other HIV vaccine or drug trials in the past three months
  • Unable to complete scheduled follow-up due to factors like weakness or poor compliance
  • Known allergy to dolutegravir or lamivudine
  • Positive for hepatitis B surface antigen or HBV-DNA
  • Pregnant during the study period

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 96 weeks

Participants receive a simplified therapy regimen of dolutegravir combined with lamivudine for HIV-1 infection.

Visits at Week 24, 36, 48, and 96 to monitor viral suppression, CD4 and CD8 cell counts, safety, and drug compliance

Trial Site Locations

Total: 1 location

1

Guangzhou 8th People's Hospital

Guangzhou, Guangdong, China, 510060

Actively Recruiting

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Research Team

L

Linghua Li, PhD

W

Weiping Cai, Bachelor

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Dolutegravir plus lamivudine versus dolutegravir plus tenofovir disoproxil fumarate and emtricitabine in antiretroviral-naive adults with HIV-1 infection (GEMINI-1 and GEMINI-2): week 48 results from two multicentre, double-blind, randomised, non-inferiority, phase 3 trials.

Pedro Cahn, Juan Sierra Madero, José Ramón Arribas...

https://pubmed.ncbi.nlm.nih.gov/30420123

Dolutegravir-lamivudine as initial therapy in HIV-1 infected, ARV-naive patients, 48-week results of the PADDLE (Pilot Antiretroviral Design with Dolutegravir LamivudinE) study.

Pedro Cahn, María José Rolón, María Inés Figueroa...

https://pubmed.ncbi.nlm.nih.gov/28537061

ACTG A5353: A Pilot Study of Dolutegravir Plus Lamivudine for Initial Treatment of Human Immunodeficiency Virus-1 (HIV-1)-infected Participants With HIV-1 RNA <500000 Copies/mL.

Babafemi O Taiwo, Lu Zheng, Andrei Stefanescu...

https://pubmed.ncbi.nlm.nih.gov/29253097