Dolutegravir Study in HIV-1 Participants Completing IMPAACT Studies P1093 and P2019

Last updated: January 13, 2025
Sponsor: ViiV Healthcare
Overall Status: Completed

Phase

3

Condition

Hiv Infections

Treatment

Dolutegravir film-coated dispersible tablets

Dolutegravir film-coated tablets

ABC/DTG/3TC immediate release tablets

Clinical Study ID

NCT03016533
205858
  • Ages < 25
  • All Genders

Study Summary

Dolutegravir is a potent integrase strand transfer inhibitor. Abacavir/dolutegravir/lamivudine (ABC/DTG/3TC) is a fixed dose combination regimen containing two nucleoside reverse transcriptase inhibitors and dolutegravir. This is a phase 3b, non-randomized, open-label, multi-center, two treatment rollover study. The primary objective of this pediatric interventional study is to provide continued access to age appropriate formulations of investigational product (dolutegravir), either as Tivicay or as part of fixed dose combination ABC/DTG/3TC, for eligible participants who previously participated in parent studies P1093 (NCT01302847) or P2019 (NCT03760458) and who cannot locally access age appropriate formulations of dolutegravir or ABC/DTG/3TC in the public sector. The P1093 study was designed to evaluate the pharmacokinetics (PK), safety, tolerability and antiviral activity of dolutegravir in combination with optimized background regimens in human immunodeficiency virus type 1 (HIV-1) experienced adolescents and children as well as treatment naïve infants and toddlers. The P2019 study was designed to evaluate PK, safety, tolerability and antiviral activity of ABC/DTG/3TC dispersible and immediate release tablets in HIV-1-infected children. Participants who have tolerated investigational product in the parent studies without any significant toxicity or signs of virologic failure leading to the permanent discontinuation of investigational product and withdrawal from the parent study will be considered for this open label continued access study. Participants will receive their age/weight appropriate dose of investigational product as defined in the parent study. The duration of participation in the study will extend until age appropriate formulations of Tivicay or ABC/DTG/3TC receive local (by country) regulatory approval and are available in those countries from another source (e.g. government programs, aid programs, assistance programs, etc.) or the participant is no longer deriving benefit from treatment or meets a protocol defined reason for discontinuation. Participants will be enrolled after all screening procedures have been completed. In most cases, the Screening visit will overlap with the participants penultimate visit on the parent study (at Week 180 of P1093, or Week 36 of the P2019 study). Participants who meet all entry criteria may enroll and will be seen in the clinic every 12 weeks for a safety evaluation and to receive investigational product. It is estimated that no more than 300 participants will be enrolled in this study. Tivicay is a registered trademark of ViiV Healthcare.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participant must have completed participation in one of the following parentstudies, for the duration noted, with continued benefit from investigationalproduct:
  1. P1093 parent study through at least Week 180;

  2. P2019 parent study through at least Week 48.

  • Participant with evidence of Virological Failure in either parent study must haveeligibility for this rollover study discussed and agreed with the ViiV HealthcareMedical Monitor.

  • Virological control:

  1. Participants in parent study P1093 must have virological control defined asHIV-1 ribonucleic acid (RNA) <400 copies per milliliter (c/mL) at theirpenultimate visit (on or after the Week 180 visit);

  2. Participants in parent study P2019 must have virological control defined asHIV-1 RNA <200 c/mL at their penultimate visit (on or after Week 36).

  • Evidence of continued benefit from IP during the subject's participation in theparent study (P1093 or P2019)
  1. At screening, Investigators will submit a clinical summary verifying evidenceof continued benefit from IP during the subject's participation in the parentstudy (P1093 or P2019).

  2. The summary will be submitted via the PPD ePIP system to the Study MedicalMonitor who will review and confirm if the inclusion criterion has been met.

  3. Confirmation from the Study Medical Monitor is required to meet thiseligibility criterion

  • Males and Females: All participants who are engaging in sexual activity should becounseled on safer sexual practices including the use and benefit/risk of effectivebarrier methods (example [e.g.] male condom) and on the risk of HIV transmission toan uninfected partner. Females: Female participants who are of child- bearingpotential and who are engaging in sexual activity that could lead to pregnancy, mustagree to use one of the acceptable birth control methods until the last dose ofstudy medication and completion of the follow-up visit (4 weeks after the lastdose). Condoms are recommended in addition, because their appropriate use is theonly contraception method effective for preventing HIV-1 transmission.

  • Parent or legal guardian or participant >=18 years of age is able and willing toprovide signed informed consent.

Exclusion

Exclusion Criteria:

  • Confirmed virologic failure with evidence of resistance to:
  1. DTG in the P1093 parent study, or

  2. ABC, DTG or 3TC (with the exception of M184V) in the P2019 parent study

  • Presence of any active AIDS defining opportunistic infection.

  • Known >=grade 3 laboratory toxicities prior to study entry (e.g. neutrophil count,hemoglobin, platelets, aspartate aminotransferase [AST], alanine aminotransferase [ALT], lipase, serum creatinine and total bilirubin) would be consideredexclusionary if identified at or after the penultimate parent study visit, prior toenrollment in the study... Repeat testing is allowed for eligibility determination.

  • Previous permanent discontinuation from investigational product in the parent studydue to toxicity, intolerance or pregnancy.

  • Known ALT >=5 times the upper limit of normal (ULN), or ALT >=3 times ULN andbilirubin >=1.5 times ULN (with >35 percent [%] direct bilirubin) would beconsidered exclusionary if identified at or after the penultimate parent studyvisit, prior to enrolment in the study.. Participants with moderate to severehepatic impairment (Class B or greater) as determined by Child-Pugh classificationshould be excluded.

  • Participants positive for hepatitis B virus at any time prior to entry (hepatitis Bvirus surface antigen positive).

  • Females who are pregnant or plan to become pregnant or breastfeed during the study.

  • Participant is currently participating in or has participated in a study with acompound or device that is not commercially available within 30 days of signinginformed consent, unless permission from the sponsor's medical monitor is granted.

  • Presence of any history of allergy/sensitivity to any of the study drugs.

  • Participants transitioning from the P2019 study (taking ABC/DTG/3TC) have evidenceof being Human Leukocyte Antigen-B*5701- positive based on documented testing at anytime prior to entry.

  • Use of any disallowed medications at time of Screening.

  • Anticipated need for Hepatitis C virus therapy with interferon or any drugs thathave potential for adverse drug: drug interactions with study treatment throughoutthe entire study period.

  • Participant is unlikely to adhere to the study procedures, keep appointments, or isplanning to relocate during the study.

  • Clinical or symptomatic evidence of pancreatitis, as determined by the clinician.

  • Any condition (including but not limited to alcohol and drug use) that would, in theopinion of the site investigator, place the participant at an unacceptable risk ofinjury or render the participant unable to meet the requirements of the protocol.

Study Design

Total Participants: 101
Treatment Group(s): 4
Primary Treatment: Dolutegravir film-coated dispersible tablets
Phase: 3
Study Start date:
June 07, 2017
Estimated Completion Date:
December 24, 2024

Connect with a study center

  • GSK Investigational Site

    Gaborone,
    Botswana

    Site Not Available

  • GSK Investigational Site

    Nova Iguacu, Rio De Janeiro 26030-380
    Brazil

    Site Not Available

  • GSK Investigational Site

    Ribeirao Preto, São Paulo 14048-900
    Brazil

    Site Not Available

  • GSK Investigational Site

    Belo Horizonte, 30130-100
    Brazil

    Site Not Available

  • GSK Investigational Site

    Nova IguaCu, 26030-380
    Brazil

    Site Not Available

  • GSK Investigational Site

    RibeirAo PretoSP, 14048-900
    Brazil

    Site Not Available

  • GSK Investigational Site

    Rio de Janeiro, 21941-612
    Brazil

    Site Not Available

  • GSK Investigational Site

    Hillbrow, Gauteng 2001
    South Africa

    Site Not Available

  • GSK Investigational Site

    Cape Town, 7505
    South Africa

    Site Not Available

  • GSK Investigational Site

    Johannesburg, 2001
    South Africa

    Site Not Available

  • GSK Investigational Site

    Soweto, 1862
    South Africa

    Site Not Available

  • GSK Investigational Site

    Umlazi, 4066
    South Africa

    Site Not Available

  • GSK Investigational Site

    Moshi, 3010
    Tanzania

    Site Not Available

  • GSK Investigational Site

    Bangkok, 10700
    Thailand

    Site Not Available

  • GSK Investigational Site

    Changklan, Muang, 50100
    Thailand

    Site Not Available

  • GSK Investigational Site

    Chiang Mai, 50200
    Thailand

    Site Not Available

  • GSK Investigational Site

    Chiang Rai, 57000
    Thailand

    Site Not Available

  • GSK Investigational Site

    ChiangMai, 50200
    Thailand

    Site Not Available

  • GSK Investigational Site

    Chiangrai, 57000
    Thailand

    Site Not Available

  • GSK Investigational Site

    Muang, 50200
    Thailand

    Site Not Available

  • GSK Investigational Site

    Los Angeles, California 90095
    United States

    Site Not Available

  • GSK Investigational Site

    Fort Lauderdale, Florida 33316
    United States

    Site Not Available

  • GSK Investigational Site

    Memphis, Tennessee 38105-3678
    United States

    Site Not Available

  • GSK Investigational Site

    Harare,
    Zimbabwe

    Site Not Available

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