Study of Dolutegravir and Lamivudine Combination Therapy for HIV-1 Patients
Evaluating Safety and Effectiveness in Real-World Treatment
Led by Guangzhou 8th People's Hospital · Updated on 2022-09-14
300
Participants Needed
1
Research Sites
260 weeks
Total Duration
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 treatments 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 CD4CD8 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
Research Team
L
Linghua Li, PhD
W
Weiping Cai, Bachelor
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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
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
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
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...
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...
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.