Switch Study to Evaluate Dolutegravir Plus Lamivudine in Virologically Suppressed Human Immunodeficiency Virus Type 1 Positive Adults (TANGO)

Sponsor
ViiV Healthcare (Industry)
Overall Status
Completed
CT.gov ID
NCT03446573
Collaborator
GlaxoSmithKline (Industry)
743
133
2
51.4
5.6
0.1

Study Details

Study Description

Brief Summary

The aim of the study is to establish if human immunodeficiency virus type 1 (HIV-1) infected adult participants with current virologic suppression on a >=3-drug tenofovir alafenamide (TAF) based regimen (TBR) remain suppressed upon switching to a two-drug regimen of dolutegravir (DTG) 50 milligram (mg) + lamivudine (3TC) 300 mg. This study will also provide important information regarding the safety and participant satisfaction with this two-drug regimen. The primary objective of this trial is to demonstrate the non-inferior antiviral activity of switching to DTG + 3TC once daily compared to continuation of TBR over 48 weeks in HIV-1 infected, antiretroviral therapy (ART)-experienced, virologically suppressed participants. This study also will characterize the long-term antiviral activity, tolerability and safety of DTG + 3TC compared to TBR through Week 144 and characterize the long-term antiviral activity, tolerability and safety of DTG + 3TC through Week 200.

This will be a 200-week, Phase III, randomized, open-label, active-controlled, multicenter, parallel- group study. The study will include a screening phase (up to 28 days), a randomized early switch phase (Day 1 up to Week 148), a randomized late switch phase (Week 148 up to Week 200), and a continuation phase (post Week 200). HIV-1 infected adults on stable TBR will be randomized 1:1 to switch to DTG + 3TC once daily for up to 200 weeks, or to continue their TBR for 148 weeks, at which time and if HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL) at Week 144, these participants will switch to DTG + 3TC up to Week 200.

Condition or Disease Intervention/Treatment Phase
  • Drug: DTG + 3TC
  • Drug: TAF based regimen (TBR)
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
743 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
This is a randomized study with parallel group assignment where participants will be randomized into one of the two treatment groups. Participants randomized to DTG + 3TC will receive DTG + 3TC up to Week 200. Participants randomized to TBR will continue to take their current regimen up to Week 148, at which time and if HIV-1 RNA <50 c/mL at Week 144, these participants will switch to DTG + 3TC up to Week 200. Randomization will be stratified by Baseline third agent class (protease inhibitor [PI], integrase inhibitor [INI], or non-nucleoside reverse transcriptase inhibitor [NNRTI]).This is a randomized study with parallel group assignment where participants will be randomized into one of the two treatment groups. Participants randomized to DTG + 3TC will receive DTG + 3TC up to Week 200. Participants randomized to TBR will continue to take their current regimen up to Week 148, at which time and if HIV-1 RNA <50 c/mL at Week 144, these participants will switch to DTG + 3TC up to Week 200. Randomization will be stratified by Baseline third agent class (protease inhibitor [PI], integrase inhibitor [INI], or non-nucleoside reverse transcriptase inhibitor [NNRTI]).
Masking:
None (Open Label)
Masking Description:
This will be an open-label study and therefore no blinding is required. No summaries of the study data according to actual randomized treatment groups will be available to sponsor staff prior to the planned Week 24 preliminary analysis.
Primary Purpose:
Treatment
Official Title:
A Phase III, Randomized, Multicenter, Parallel-group, Non-inferiority Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Dolutegravir Plus Lamivudine in HIV-1 Infected Adults Who Are Virologically Suppressed
Actual Study Start Date :
Jan 18, 2018
Actual Primary Completion Date :
May 20, 2019
Actual Study Completion Date :
May 3, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: DTG + 3TC 50 mg/300 mg

Participants will receive a single tablet of a two-drug regimen of DTG 50 mg + 3TC 300 mg once daily from Day 1 through Week 200 (Early and Late Switch Phase).

Drug: DTG + 3TC
DTG+3TC is supplied as white, oval, film-coated, fixed dose combination tablet. The tablets will be available in packed high density polyethylene (HDPE) bottles with induction seals and child-resistant closures.

Active Comparator: TAF based regimen (TBR)

Participants will continue their TBR from Day 1 to Week 148 (Early Switch Phase), and eligible participants will switch to DTG + 3TC once daily from Week 148 to 200 (Late Switch Phase).

Drug: TAF based regimen (TBR)
Participants will continue to receive their TBR.

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants With Virologic Failure Endpoint as Per Food and Drug Administration (FDA) Snapshot Category at Week 48 [Week 48]

    Percentage of participants with virologic failure (plasma HIV-1 RNA >=50 c/mL) was evaluated using FDA snapshot algorithm at Week 48. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant antiretroviral therapy (ART) prior to the visit of interest. Intent-to-treat exposed (ITT-E) Population comprises of all randomized participants who receive at least one dose of study treatment either DTG + 3TC or TBR. Participants were assessed according to the treatment to which the participant was randomized. Any participant receiving a treatment randomization number was considered to be randomized.

Secondary Outcome Measures

  1. Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Week 48 [Week 48]

    Percentage of participants with plasma HIV-1 RNA <50 c/mL (virologic success) was evaluated using FDA snapshot algorithm at Week 48 to demonstrate the non-inferior antiviral activity of switching to DTG +3TC once daily compared to continuation of TBR over 48 weeks. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest.

  2. Percentage of Participants With Virologic Failure Endpoint as Per FDA Snapshot Category at Week 24 [Week 24]

    Percentage of participants with plasma HIV-1 RNA >=50 c/mL was evaluated using FDA snapshot algorithm at Week 24. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest.

  3. Percentage of Participants With Virologic Failure Endpoint as Per FDA Snapshot Category at Weeks 96, 144 [Weeks 96 and 144]

    Percentage of participants with plasma HIV-1 RNA >=50 c/mL are planned to be evaluated using FDA snapshot algorithm at Weeks 96 and 144. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  4. Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Week 24 [Week 24]

    Percentage of participants with plasma HIV-1 RNA <50 c/mL was evaluated using FDA snapshot algorithm at Week 24. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest.

  5. Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Weeks 96 and 144 [Weeks 96 and 144]

    Percentage of participants with plasma HIV-1 RNA <50 c/mL are planned to be evaluated using FDA snapshot algorithm at Weeks 96 and 144. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  6. Change From Baseline in CD4+ Cell Count at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples were collected at specified time points to assess CD4+. It was evaluated by flow cytometry. Baseline value is defined as the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.

  7. Change From Baseline in CD4+ Cell Count at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples are planned to be collected at specified time points to assess CD4+. It is planned to be evaluated by flow cytometry. Baseline value is defined as the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  8. Change From Baseline in CD4+/CD8+ Cell Count Ratio at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    Blood samples were collected at specified time points to assess CD4+/CD8+ cell count ratio. It was assessed by flow cyclometry to evaluate the immunologic activity of switching to DTG+3TC once daily compared to continuation of TBR over 48 Weeks. Baseline (Day 1) values were the actual CD4+ cell count ratio values at pre-dose Day 1. Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable .

  9. Change From Baseline in CD4+/CD8+ Cell Count Ratio at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Blood samples are planned to be collected at specified time points to assess CD4+/CD8+ cell count ratio. It is planned to be assessed by flow cyclometry to evaluate the immunologic activity of switching to DTG+3TC once daily compared to continuation of TBR over Weeks 96 and 144. Baseline (Day 1) values are the actual CD4+ cell count ratio values at pre-dose Day 1. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  10. Number of Participants With Disease Progression at Weeks 24 and 48 [At Weeks 24 and 48]

    HIV-associated conditions were recorded during the study and was assessed according to the 2014 CDC Classification System for HIV Infection in Adults. CDC classification for HIV were: Stage 1: No AIDS defining condition and CD4+ T-lymphocyte count: >=500 cells/mcL; Stage 2: No AIDS infection and CD4+ lymphocyte count: 200-499 cell/mcL and Stage 3: with HIV infection and CD4+ T-lymphocye count <200 cells/mcL. Disease progression summarize participants who had HIV infection stage 3 associated conditions or death. Indicators of clinical disease progression were defined as: CDC Category Stage 1 at enrollment to Stage 3 event; CDC Category Stage 2 at enrollment to Stage 3 event; CDC Category Stage 3 at enrollment to New Stage 3 Event; CDC Category Stage 1, 2 or 3 at enrollment to Death.

  11. Number of Participants With Disease Progression at Weeks 96 and 144 [At Weeks 96 and 144]

    HIV-associated conditions are planned to be recorded during the study and assessed according to the 2014 CDC Classification System for HIV Infection in Adults. CDC classification for HIV is: Stage 1: No AIDS defining condition and CD4+ T-lymphocyte count: >=500 cells/mcL; Stage 2: No AIDS infection and CD4+ lymphocyte count: 200-499 cell/mcL and Stage 3: with HIV infection and CD4+ T-lymphocye count <200 cells/mcL. Indicators of clinical disease progression is defined as: CDC Category Stage 1 at enrollment to Stage 3 event; CDC Category Stage 2 at enrollment to Stage 3 event; CDC Category Stage 3 at enrollment to New Stage 3 Event; CDC Category Stage 1, 2 or 3 at enrollment to Death. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  12. Number of Participants With Any Serious Adverse Events (SAEs) and Common (>=2%) Non-serious Adverse Events (Non-SAEs): Up to Week 48 [Up to Week 48]

    An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Safety Population included all participants who received at least one dose of study treatment either DTG + 3TC or TBR. This population was based on the treatment the participant actually received. Number of participants with any SAE and common (>=2%) non-SAEs are presented.

  13. Number of Participants With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 144 [Up to Week 144]

    An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  14. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 48 [Up to Week 48]

    An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Number of TDF-based regimen participants with any SAE and common (>=2%) non-SAEs are presented.

  15. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 144 [Up to Week 144]

    An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  16. Number of Participants With AEs by Their Severity Grades: Up to Week 48 [Up to Week 48]

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events were evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Number of participants with adverse events by maximum grade have been presented.

  17. Number of Participants With AEs by Their Severity Grades: Up to Week 144 [Up to Week 144]

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events are planned to be evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  18. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With AEs by Their Severity Grades: Up to Week 48 [Up to Week 48]

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events were evaluated by the investigator and graded according to the DAIDS toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Number of TDF-based regimen participants with adverse events by maximum grade have been presented.

  19. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With AEs by Their Severity Grades: Up to Week 144 [Up to Week 144]

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events are planned to be evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  20. Number of Participants Who Discontinued the Treatment Due to AEs: Up to Week 48 [Up to Week 48]

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Number of participants who discontinued the treatment due to adverse events have been presented.

  21. Number of Participants Who Discontinued the Treatment Due to AEs: Up to Week 144 [Up to Week 144]

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  22. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen Who Discontinued the Treatment Due to AEs: Up to Week 48 [Up to Week 48]

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Number of participants who discontinued the treatment due to adverse events have been presented.

  23. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen Who Discontinued the Treatment Due to AEs: Up to Week 144 [Up to Week 144]

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  24. Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 48 [Up to Week 48]

    Blood samples were collected up to Week 48 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters were evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Only those participants with maximum post-Baseline emergent hematology toxicities in any of the hematology parameters have been presented.

  25. Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 144 [Up to Week 144]

    Blood samples are planned to be collected up to Week 144 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters are planned to be evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  26. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 36 [Up to Week 36]

    Blood samples were collected up to the Week 36 visit for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters were evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Only those TDF-based regimen participants with maximum post-Baseline emergent hematology toxicities in any of the hematology parameters have been presented.

  27. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 144 [Up to Week 144]

    Blood samples are planned to be collected up to the Week 144 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters are planned to be evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  28. Number of Participants With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 48 [Up to Week 48]

    Blood samples were collected up to Week 48 for the analysis of clinical chemistry parameters: alanine aminotransferase (ALT), albumin, alkaline phosphate (ALP), aspartate aminotransferase (AST), bilirubin, carbon dioxide (CO2), cholesterol, creatinine kinase (CK), creatinine, direct bilirubin, glomerular filtration rate (GFR) from creatinine adjusted for body surface area (BSA), GFR from cystatin C adjusted using chronic kidney disease-epidemiology collaboration (CKD-EPI), hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters were evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms.

  29. Number of Participants With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 144 [Up to Week 144]

    Blood samples are planned to be collected up to Week 144 for the analysis of clinical chemistry parameters: ALT, albumin, ALP, AST, bilirubin, CO2, cholesterol, CK, creatinine, direct bilirubin, GFR from creatinine adjusted for BSA, GFR from cystatin C adjusted using CKD-EPI, hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, LDL cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters are planned to be evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  30. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 36 [Up to Week 36]

    samples were collected up to the Week 36 visit for the analysis of clinical chemistry parameters: alanine aminotransferase (ALT), albumin, alkaline phosphate (ALP), aspartate aminotransferase (AST), bilirubin, carbon dioxide (CO2), cholesterol, creatinine kinase (CK), creatinine, direct bilirubin, glomerular filtration rate (GFR) from creatinine adjusted for body surface area (BSA), GFR from cystatin C adjusted using chronic kidney disease-epidemiology collaboration (CKD-EPI), hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters were evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms.

  31. Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 144 [Up to Week 144]

    Blood samples are planned to be collected up to Week 144 for the analysis of clinical chemistry parameters: ALT, albumin, ALP, AST, bilirubin, CO2, cholesterol, CK, creatinine, direct bilirubin, GFR from creatinine adjusted for BSA, GFR from cystatin C adjusted using CKD-EPI, hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, LDL cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters are planned to be evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  32. Change From Baseline in Renal Biomarkers- Urine Albumin/Creatinine (UA/C) Ratio and Urine Protein/Creatinine (UP/C) Ratio at Weeks 24 and 48 [Baseline (Day 1) and at weeks 24 and 48]

    Urine samples were collected at Baseline, Week 24 and Week 48. Baseline is defined as Day 1. Change from Baseline in UA/C was calculated as UA/C ratio at post-Baseline visit minus UA/C ratio calculated at Baseline. Estimated geometric mean adjusted ratio (each visit over Baseline) and 95% CI have been presented. Change from Baseline in UP/C and UA/C was calculated as UP/C and UA/C ratio at post-Baseline visit minus UP/C and UA/C ratio calculated at Baseline, respectively. Estimated geometric mean adjusted ratio (each visit over Baseline) and 95% CI have been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  33. Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Urine samples are planned to be collected at Baseline, Weeks 96 and 144. Baseline is defined as Day 1. Change from Baseline in UA/C is defined as UA/C ratio at post-Baseline visit minus UA/C ratio at Baseline. Change from Baseline in UP/C and UA/C is defined as UP/C and UA/C ratio at post-Baseline visit minus UP/C and UA/C ratio at Baseline, respectively. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  34. Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 24 and 48 in Participants Randomized to TBR Receiving TDF-based Regimen [Baseline (Day 1) and at weeks 24 and 48]

    Urine samples were collected at Baseline, Week 24 and Week 48 to assess renal biomarkers - urine albumin/creatinine ratio and urine protein/creatinine ratio. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline in UA/C was calculated as UA/C ratio at post-Baseline visit minus UA/C ratio calculated at Baseline. Change from Baseline in UP/C was calculated as UP/C ratio at post-Baseline visit minus UP/C ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  35. Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 96 and 144 in Participants Randomized to TBR Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Urine samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal biomarkers - urine albumin/creatinine ratio and urine protein/creatinine ratio. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline in UA/C is defined as UA/C ratio at post-Baseline visit minus UA/C ratio at Baseline. Change from Baseline in UP/C is defined as UP/C ratio at post-Baseline visit minus UP/C ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  36. Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 24 and 48 [Baseline (Day 1) and at weeks 24 and 48]

    Urine biomarker samples were collected at Baseline, Weeks 24 and 48 to assess urine beta-2 microglobulin/urine creatinine. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine was calculated as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  37. Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine beta-2 microglobulin/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine is defined as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  38. Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at weeks 24 and 48]

    Urine biomarker samples were collected to assess urine beta-2 microglobulin/urine creatinine. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine was calculated as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  39. Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine beta-2 microglobulin/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine is defined as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  40. Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 24 and 48 [Baseline (Day 1) and at weeks 24 and 48]

    Urine biomarker samples were collected at Baseline and at Weeks 24 and 48 to assess urine phosphate. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate was calculated as urine phosphate at post-Baseline visit minus urine phosphate calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  41. Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine phosphate. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate is defined as urine phosphate at post-Baseline visit minus urine phosphate at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  42. Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at weeks 24 and 48]

    Urine biomarker samples were collected to assess urine phosphate. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate was calculated as urine phosphate at post-Baseline visit minus urine phosphate calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  43. Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Urine biomarker samples are planned to be collected to assess urine phosphate. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate is defined as urine phosphate at post-Baseline visit minus urine phosphate at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  44. Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 24 and 48 [Baseline (Day 1) and at weeks 24 and 48]

    Urine biomarker samples were collected at Baseline, Weeks 24 and 48 to assess urine retinol binding protein 4/urine creatinine. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in Urine retinol binding protein 4/urine creatinine ratio was calculated as Urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus Urine retinol binding protein 4/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  45. Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in Urine retinol binding protein 4/urine creatinine ratio is defined as Urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus Urine retinol binding protein 4/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  46. Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at weeks 24 and 48]

    Urine biomarker samples were collected to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine retinol binding protein 4/urine creatinine was calculated as urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus urine retinol binding protein 4/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  47. Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Urine biomarker samples are planned to be collected to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine retinol binding protein 4/urine creatinine is defined as urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus urine retinol binding protein 4/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  48. Change From Baseline in Fasting Lipids at Weeks 24 and 48 [Baseline (Day 1) and at weeks 24 and 48]

    Blood samples were collected at Baseline (Day 1), Week 24 and Week 48 to assess fasting lipids which included plasma cholesterol, plasma LDL cholesterol, plasma high density lipoprotein (HDL) cholesterol and plasma triglycerides. Baseline value was the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  49. Change From Baseline in Fasting Lipids at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Blood samples are planned to be collected at Baseline (Day 1), Weeks 96 and 144 to assess fasting lipids which includes plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value is the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  50. Change From Baseline in Fasting Lipids at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at weeks 24 and 48]

    Blood samples were collected at Baseline (Day 1), weeks 24 and 48 visit (participant withdrew from the study at Week 36) to assess fasting lipids which included plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value was the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for fasting lipids in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  51. Change From Baseline in Fasting Lipids at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Blood samples are planned to be collected to assess fasting lipids which includes plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value is the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  52. Number of Participants With Genotypic Resistance: Up to Week 48 [Up to Week 48]

    Plasma samples were collected for drug resistance testing. Number of participants, who met confirmed virologic withdrawal (CVW) criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent genotypic resistance to INSTI, nucleoside reverse transcriptase inhibitor (NRTI), NNRTI and PI was summarized.

  53. Number of Participants With Genotypic Resistance: Up to Week 144 [Up to Week 144]

    Plasma samples are planned to be collected for drug resistance testing. Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent genotypic resistance to INSTI, NRTI, NNRTI and PI are planned to be summarized. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  54. Number of Participants With Phenotypic Resistance: Up to Week 48 [Up to Week 48]

    Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent phenotypic resistance to INSTI and/or NRTI were summarized. Assessment of antiviral activity of anti-retroviral therapy (ART) using phenotypic test results was interpreted through a proprietary algorithm (from Monogram Biosciences), which provided the overall susceptibility of the drug. Partially sensitive and resistant calls were considered resistant in this analysis. The phenotypic resistance was calculated using binary scoring system, where 0 was considered as sensitive and 1 as resistance. Phenotypic Resistance data for the following INSTI, NNRTI, NRTI and PI drugs in participants Meeting CVW Criteria has been presented.

  55. Number of Participants With Phenotypic Resistance: Up to Week 144 [Up to Week 144]

    Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent phenotypic resistance to INSTI and/or NRTI are planned to be summarized. Assessment of antiviral activity of ART using phenotypic test results are planned to be interpreted through a proprietary algorithm (from Monogram Biosciences), which provides the overall susceptibility of the drug. Partially sensitive and resistant calls are considered resistant in this analysis. The phenotypic resistance is planned to be calculated using binary scoring system, where 0 is considered as sensitive and 1 as resistance. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  56. Change From Baseline in Bone Biomarkers-serum Bone-specific ALP (Bone-ALP), Osteocalcin, Serum Procollagen 1 N-Terminal Propeptide (P1NP) and Serum Type 1 Collagen C-telopeptides (CTX-1) at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected for analysis of bone biomarkers. Baseline was latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was the estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, body mass index (BMI) (continuous), smoking status, vitamin D use, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  57. Change From Baseline in Bone Biomarkers-serum Bone-ALP, Osteocalcin, Serum P1NP and Serum Type 1 CTX-1 at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected for analysis of bone biomarkers. Baseline is latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  58. Change From Baseline in Bone Biomarkers-serum Bone-specific ALP (Bone-ALP), Osteocalcin, Serum P1NP and Serum CTX-1 in Participants Randomized to TBR Arm Receiving TDF-based Regimen at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected for analysis of bone biomarkers. Baseline was latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Change from Baseline in bone biomarkers-serum bone-specific ALP (Bone-ALP), osteocalcin, serum P1NP and serum CTX-1 in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  59. Change From Baseline in Bone Biomarkers-serum Bone-ALP, Osteocalcin, Serum P1NP and Serum CTX-1 in Participants Randomized to TBR Arm Receiving TDF-based Regimen at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected for analysis of bone biomarkers. Baseline is latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  60. Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected for analysis of 25-hydroxyvitamin D. Baseline value was latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, BMI (continuous), smoking status, vitamin D use, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  61. Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected for analysis of 25-hydroxyvitamin D. Baseline value is latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  62. Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected for the analysis of 25-hydroxyvitamin D. Baseline value was the value from latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for serum 25-hydroxyvitamin D in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  63. Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected for the analysis of 25-hydroxyvitamin D. Baseline value is the value from latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  64. Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected to assess renal biomarker. Baseline was latest pre-dose assessment value (Day 1) with non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for following:treatment, visit, Baseline third agent class, CD4+ cell count(continuous), age(continuous), sex, race, BMI(continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker(continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  65. Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected to assess renal biomarker. Baseline is latest pre-dose assessment value (Day 1) with non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  66. Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarker - cystatin C. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for serum cystatin -C biomarker in TDF based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  67. Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal inflammation biomarker - cystatin C. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  68. Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected to assess serum GFR from cystatin C and from creatinine adjusted using CKD-EPI. Baseline was Day 1 with non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count(continuous), age(continuous), sex, race, BMI(continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  69. Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected to assess serum GFR from cystatin C and from creatinine adjusted using CKD-EPI. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  70. Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarkers - serum GFR from cystatin C adjusted using CKD-EPI and serum GFR from creatinine adjusted using CKD-EPI. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline in serum GFR from cystatin C adjusted using CKD-EPI and serum GFR from creatinine adjusted using CKD-EPI in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  71. Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal inflammation biomarkers - serum GFR from cystatin C and from creatinine adjusted using CKD-EPI. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  72. Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected to assess renal inflammation biomarker - serum creatinine. Baseline was Day 1 with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was the estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, BMI (continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  73. Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected to assess renal inflammation biomarker - serum creatinine. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  74. Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 24 and 48]

    Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarker - serum creatinine. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline in serum creatinine in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."

  75. Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen [Baseline (Day 1) and at Weeks 96 and 144]

    Serum samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal inflammation biomarker - serum creatinine. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus (-) Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

  76. Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Utility Score at Week 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. The health state is defined by combining the levels of answers from each of the 5 questions. Each health state is referred to in terms of a 5 digit code. Health state 5 digit code is translated into utility score, which is valued up to 1 (perfect health) with lower values meaning worse state. EQ-5D-5L utility score ranges from -0.281 to 1. Higher scores indicate better health.

  77. Change From Baseline in EQ-5D-5L Utility Score at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    EQ-5D-5L questionnaire provides profile of participant function and global health state rating. Five-item measure has 1question assessing each of 5dimensions:mobility,self-care,usual activities,pain/discomfort,anxiety/depression and 5 levels for each dimension including 1=no problems,2=slight problems,3=moderate problems,4=severe problems,5=extreme problems. Health state is defined by combining levels of answers from each of 5 questions. Each health state is referred to in terms of a 5 digit code.Health state 5 digit code is translated into utility score, which is valued up to 1 (perfect health) with lower values meaning worse state.EQ-5D-5L utility score ranges from -0.281 to 1. Higher scores indicate better health.Baseline is latest pre-dose assessment value (Day1) with a non-missing value.Change from Baseline is post-dose visit value - Baseline value.Data is not reported as data collection is still ongoing at time of primary analysis and it will be provided after study completion.

  78. Change From Baseline in EQ-5D-5L Thermometer Scores at Week 24 and 48 [Baseline (Day 1) and at Weeks 24 and 48]

    EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L included EQ visual Analogue scale (EQ VAS) 'Thermometer' which provided Self-rated current health status. Score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). MMRM was run on the LOCF dataset. Baseline was the latest pre-dose assessment value (Day 1) and change from Baseline=post-dose value minus Baseline value.

  79. Change From Baseline in EQ-5D-5L Thermometer Scores at Weeks 96 and 144 [Baseline (Day 1) and at Weeks 96 and 144]

    EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L included EQ visual Analogue scale (EQ VAS) 'Thermometer' which provided Self-rated current health status. Score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Participant must be able to understand and comply with protocol requirements, instructions, and restrictions;

  • Participant must be likely to complete the study as planned;

  • Participant must be considered an appropriate candidate for participation in an investigative clinical trial with medication (example no active substance abuse, acute major organ disease, or planned long-term work assignments out of the country).

  • Aged 18 years or older (or older where required by local regulatory agencies), at the time of signing the informed consent.

  • HIV-1 infected men or women.

  • Documented evidence of at least two plasma HIV-1 RNA measurements <50 c/mL in the 12 months prior to Screening: one within the 6 to 12 month window, and one within 6 months prior to Screening.

  • Plasma HIV-1 RNA <50 c/mL at Screening.

  • Must be on uninterrupted ART for at least 6 months prior to screening. Only the following regimens are allowed:

  • Participant on a TAF-based regimen for at least 6 months as the initial regimen, or

  • Participants who switched from a tenofovir disoproxil fumarate (TDF) first-regimen TAF, without any changes to the other drugs in their regimen, and have been on the TAF-based regimen for at least 3 months immediately prior to Screening i.e., the only switch made is from TDF to TAF. This switch must have occurred due to tolerability/safety, access to medications, or convenience/simplification, and must NOT have been done for suspected or established treatment failure. A switch from a PI boosted with ritonavir to the same PI boosted with cobicistat is allowed (and vice versa).

  • A female participant is eligible to participate if she is not pregnant (as confirmed by a negative serum human chorionic gonadotrophin [hCG] test at screen and a negative urine hCG test at randomization [a local serum hCG test at Randomization is allowed if it can be done, and results obtained, within 24 hours prior to randomization]), not lactating, and at least one of the following conditions applies:

  1. Non-reproductive potential defined as:
  • Pre-menopausal females with one of the following:

  • Documented tubal ligation

  • Documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion

  • Hysterectomy

  • Documented bilateral oophorectomy

  • Post-menopausal defined as 12 months of spontaneous amenorrhea (in questionable cases a blood sample with simultaneous follicle stimulating hormone [FSH] and estradiol levels consistent with menopause [refer to laboratory reference ranges for confirmatory levels]). Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the highly effective contraception methods if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment.

  1. Reproductive potential and agrees to follow one of the options listed in the Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP) from 30 days prior to the first dose of study medication and for at least 2 weeks after the last dose of study medication.
  • The investigator is responsible for ensuring that participants understand how to properly use these methods of contraception. All participants participating in the study should be counseled on safer sexual practices including the use and benefit/risk of effective barrier methods (e.g., male condom) and on the risk of HIV transmission to an uninfected partner.

  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the consent form and the protocol. Eligible participants or their legal guardians must sign a written informed consent form before any protocol-specified assessments are conducted.

Participants enrolled in France must be affiliated to, or a beneficiary of, a social security category.

Exclusion Criteria:
  • Women who are breastfeeding or plan to become pregnant or breastfeed during the study.

  • Any evidence of an active Centers for Disease Control and Prevention (CDC) Stage 3 disease, EXCEPT cutaneous Kaposi's sarcoma not requiring systemic therapy. Historical or current CD4 cell counts less than 200 cells/millimeter (mm)^3 are NOT exclusionary.

  • Participants with severe hepatic impairment (Class C) as determined by Child-Pugh classification.

  • Unstable liver disease (as defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminaemia, oesophageal or gastric varices, or persistent jaundice), cirrhosis, known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).

  • 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 antigen antibody (anti-HBs) and HBV deoxyribonucleic acid (DNA) as follows: participants positive for HBsAg are excluded; participants negative for anti-HBs but positive for anti-HBc (negative HBsAg status) and positive for HBV DNA are excluded.

  • Anticipated need for any hepatitis C virus (HCV) therapy during the first 48 weeks of the study, or anticipated need for HCV therapy based on interferon or for any drugs that have a potential for adverse drug-drug interactions with study treatment throughout the entire study period.

  • Untreated syphilis infection (positive rapid plasma reagin [RPR] at Screening without clear documentation of treatment). Participants who are at least 7 days post completed treatment are eligible.

  • History or presence of allergy or intolerance to the study drugs or their components or drugs of their class.

  • Ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, non-invasive cutaneous squamous cell carcinoma, or cervical, anal or penile intraepithelial neoplasia.

  • Participants who in the investigator's judgment, poses a significant suicidality risk.

  • Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening.

  • Treatment with any of the following agents within 28 days of Screening: radiation therapy; cytotoxic chemotherapeutic agents; any systemic immune suppressant.

  • Exposure to an experimental drug or experimental vaccine within either 28 days, 5 half-lives of the test agent, or twice the duration of the biological effect of the test agent, whichever is longer, prior to the first dose of investigational product (IP).

  • Use of any regimen consisting of single or dual ART.

  • Any evidence of major nucleoside reverse transcriptase inhibitor (NRTI) mutation or presence of any major INSTI resistance-associated mutation in any available prior resistance genotype assay test result, if known, must be provided to ViiV after screening and before randomization for review by ViiV Virology.

  • Any verified Grade 4 laboratory abnormality.

  • Alanine aminotransferase (ALT) >=5 times (*) the upper limit of normal (ULN) or ALT

=3 * ULN and bilirubin >=1.5 * ULN (with >35 percent [%] direct bilirubin).

  • Creatinine clearance of <50 milliliter (mL)/minute/1.73 meter^2 via Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) method.

  • Within the 6 to 12 month window prior to Screening and after confirmed suppression to <50 c/mL, any plasma HIV-1 RNA measurement >200 c/mL.

  • Within the 6 to 12 month window prior to Screening and after confirmed suppression to <50 c/mL, 2 or more plasma HIV-1 RNA measurements >=50 c/mL.

  • Within 6 months prior to Screening and after confirmed suppression to <50 c/mL on current ART regimen, any plasma HIV-1 RNA measurement >=50 c/mL.

  • Any drug holiday during the 6 months prior to Screening, except for brief periods (less than 1 month) where all ART was stopped due to tolerability and/or safety concerns.

  • Any history of switch to another regimen, defined as change of a single drug or multiple drugs simultaneously, due to virologic failure to therapy (defined as a confirmed plasma HIV-1 RNA ≥400 c/mL.

  • Participants enrolled in France (or in other countries as required by local regulations or Ethics Committee/Institutional Review Board [IRB]) who:

  • Participated in any study using an investigational drug or vaccine during the previous 60 days or 5 half-lives, or twice the duration of the biological effect of the experimental drug or vaccine, whichever is longer, prior to screening for the study, or

  • Participate simultaneously in another clinical study.

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Phoenix Arizona United States 85012
2 GSK Investigational Site Scottsdale Arizona United States 85260
3 GSK Investigational Site Bakersfield California United States 93301
4 GSK Investigational Site Beverly Hills California United States 90211
5 GSK Investigational Site Long Beach California United States 90806
6 GSK Investigational Site Long Beach California United States 90813
7 GSK Investigational Site Los Angeles California United States 90027
8 GSK Investigational Site Los Angeles California United States 90036
9 GSK Investigational Site Los Angeles California United States 90069
10 GSK Investigational Site Oakland California United States 94602
11 GSK Investigational Site Rialto California United States 92337
12 GSK Investigational Site Sacramento California United States 95825
13 GSK Investigational Site San Leandro California United States 94577
14 GSK Investigational Site Torrance California United States 90502
15 GSK Investigational Site Washington District of Columbia United States 20005
16 GSK Investigational Site Washington District of Columbia United States 20037
17 GSK Investigational Site Fort Lauderdale Florida United States 33308
18 GSK Investigational Site Fort Pierce Florida United States 34982
19 GSK Investigational Site Jacksonville Florida United States 32209
20 GSK Investigational Site Miami Beach Florida United States 33140
21 GSK Investigational Site Miami Florida United States 33133
22 GSK Investigational Site Miami Florida United States 33136
23 GSK Investigational Site Orlando Florida United States 32803
24 GSK Investigational Site Sarasota Florida United States 34237
25 GSK Investigational Site Tampa Florida United States 33614
26 GSK Investigational Site West Palm Beach Florida United States 33407
27 GSK Investigational Site Atlanta Georgia United States 30309
28 GSK Investigational Site Decatur Georgia United States 30033
29 GSK Investigational Site Macon Georgia United States 31201
30 GSK Investigational Site Savannah Georgia United States 31401
31 GSK Investigational Site Chicago Illinois United States 60613
32 GSK Investigational Site Indianapolis Indiana United States 46202
33 GSK Investigational Site Springfield Massachusetts United States 01105
34 GSK Investigational Site Berkley Michigan United States 48072
35 GSK Investigational Site Minneapolis Minnesota United States 55407
36 GSK Investigational Site Minneapolis Minnesota United States 55415
37 GSK Investigational Site Kansas City Missouri United States 64111
38 GSK Investigational Site Saint Louis Missouri United States 63139
39 GSK Investigational Site Las Vegas Nevada United States 89106
40 GSK Investigational Site Newark New Jersey United States 07102
41 GSK Investigational Site Bronx New York United States 10461
42 GSK Investigational Site Syracuse New York United States 13210
43 GSK Investigational Site Durham North Carolina United States 27710
44 GSK Investigational Site Huntersville North Carolina United States 28078
45 GSK Investigational Site Philadelphia Pennsylvania United States 19107
46 GSK Investigational Site Memphis Tennessee United States 38105-3678
47 GSK Investigational Site Austin Texas United States 78705
48 GSK Investigational Site Bellaire Texas United States 77401
49 GSK Investigational Site Dallas Texas United States 75208
50 GSK Investigational Site Dallas Texas United States 75246
51 GSK Investigational Site El Paso Texas United States 79935
52 GSK Investigational Site Fort Worth Texas United States 76104
53 GSK Investigational Site Houston Texas United States 77098
54 GSK Investigational Site Lynchburg Virginia United States 24501
55 GSK Investigational Site Darlinghurst, Sydney New South Wales Australia 2010
56 GSK Investigational Site Darlinghurst New South Wales Australia 2010
57 GSK Investigational Site Surry Hills New South Wales Australia 2010
58 GSK Investigational Site Sydney New South Wales Australia 2010
59 GSK Investigational Site Fortitude Valley Queensland Australia 4006
60 GSK Investigational Site Carlton Victoria Australia 3053
61 GSK Investigational Site Clayton Victoria Australia 3168
62 GSK Investigational Site North Fitzroy Victoria Australia 3078
63 GSK Investigational Site Prahran Victoria Australia 3181
64 GSK Investigational Site Antwerpen Belgium 2000
65 GSK Investigational Site Brussels Belgium 1000
66 GSK Investigational Site Brussels Belgium 1200
67 GSK Investigational Site Brussel Belgium 1090
68 GSK Investigational Site Gent Belgium 9000
69 GSK Investigational Site Winnipeg Manitoba Canada R3A 1R9
70 GSK Investigational Site Toronto Ontario Canada M5G 2N2
71 GSK Investigational Site Montreal Quebec Canada H2L 4E9
72 GSK Investigational Site Montreal Quebec Canada H3A 1T1
73 GSK Investigational Site Montreal Quebec Canada H4A 3J1
74 GSK Investigational Site Bordeaux France 33000
75 GSK Investigational Site Marseille France 13003
76 GSK Investigational Site Nice France 06202
77 GSK Investigational Site Paris Cedex 13 France 75651
78 GSK Investigational Site Paris France 75012
79 GSK Investigational Site Paris France 75018
80 GSK Investigational Site Tourcoing cedex France 59208
81 GSK Investigational Site Muenchen Bayern Germany 80335
82 GSK Investigational Site Muenchen Bayern Germany 80336
83 GSK Investigational Site Muenchen Bayern Germany 81675
84 GSK Investigational Site Frankfurt Hessen Germany 60596
85 GSK Investigational Site Hannover Niedersachsen Germany 30625
86 GSK Investigational Site Koeln Nordrhein-Westfalen Germany 50668
87 GSK Investigational Site Koeln Nordrhein-Westfalen Germany 50674
88 GSK Investigational Site Berlin Germany 10439
89 GSK Investigational Site Berlin Germany 12157
90 GSK Investigational Site Hamburg Germany 20146
91 GSK Investigational Site Hamburg Germany 20246
92 GSK Investigational Site München Germany 80336
93 GSK Investigational Site Aichi Japan 460-0001
94 GSK Investigational Site Chiba Japan 260-8677
95 GSK Investigational Site Tokyo Japan 108-8639
96 GSK Investigational Site Tokyo Japan 173-8606
97 GSK Investigational Site Rotterdam Netherlands 3015 CE
98 GSK Investigational Site Vigo Galicia Spain 36204
99 GSK Investigational Site Alcala de Henares Spain 28805
100 GSK Investigational Site Alicante Spain 03010
101 GSK Investigational Site Badalona Spain 08916
102 GSK Investigational Site Barcelona Spain 08025
103 GSK Investigational Site Barcelona Spain 08036
104 GSK Investigational Site Cartagena (Murcia) Spain 30202
105 GSK Investigational Site Elche Spain 03203
106 GSK Investigational Site Granada Spain 18014
107 GSK Investigational Site Granollers (Barcelona) Spain 08400
108 GSK Investigational Site Huelva Spain 21080
109 GSK Investigational Site L'Hospitalet de Llobregat Spain 08907
110 GSK Investigational Site Madrid Spain 28034
111 GSK Investigational Site Madrid Spain 28040
112 GSK Investigational Site Madrid Spain 28041
113 GSK Investigational Site Madrid Spain 28046
114 GSK Investigational Site Majadahonda (Madrid) Spain 28222
115 GSK Investigational Site Marbella Spain 29603
116 GSK Investigational Site Mataró Spain 08304
117 GSK Investigational Site Murcia Spain 30003
118 GSK Investigational Site Murcia Spain 30008
119 GSK Investigational Site Málaga Spain 29010
120 GSK Investigational Site Santiago de Compostela Spain 15706
121 GSK Investigational Site Sevilla Spain 41013
122 GSK Investigational Site Sevilla Spain 41041
123 GSK Investigational Site Valencia Spain 46010
124 GSK Investigational Site Valencia Spain 46026
125 GSK Investigational Site Vilajoyosa Spain 3570
126 GSK Investigational Site Zaragoza Spain 50009
127 GSK Investigational Site Birmingham West Midlands United Kingdom B4 6TH
128 GSK Investigational Site Birmingham United Kingdom WS2 9PS
129 GSK Investigational Site Brighton United Kingdom BN2 1ES
130 GSK Investigational Site Bristol United Kingdom BS10 5NB
131 GSK Investigational Site Crumpsall, Manchester United Kingdom M8 5RB
132 GSK Investigational Site Liverpool United Kingdom L7 8XP
133 GSK Investigational Site London United Kingdom WC1E 6LB

Sponsors and Collaborators

  • ViiV Healthcare
  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, ViiV Healthcare

Study Documents (Full-Text)

More Information

Publications

Responsible Party:
ViiV Healthcare
ClinicalTrials.gov Identifier:
NCT03446573
Other Study ID Numbers:
  • 204862
  • 2015-004401-17
First Posted:
Feb 27, 2018
Last Update Posted:
Jul 14, 2022
Last Verified:
Jun 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by ViiV Healthcare
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details This non-inferiority study evaluated antiviral activity of switching to dolutegravir (DTG) + lamivudine (3TC) fixed dose combination (FDC) once daily compared to continuation of a Tenofovir alafenamide (TAF)-based regimen (TBR) over 48 weeks in virologically suppressed participants with human immunodeficiency type 1 infection.
Pre-assignment Detail 743 participants were enrolled, of which two participants did not receive treatment and hence 741 participants received at least one treatment into the study. The results presented are based on Week 48 primary analysis. Data collection is still on-going and additional results for Weeks 96 and 144 will be provided after study completion.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Period Title: Overall Study
STARTED 369 372
COMPLETED 0 0
NOT COMPLETED 369 372

Baseline Characteristics

Arm/Group Title DTG+3TC FDC TAF-based Regimen Total
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ. Total of all reporting groups
Overall Participants 369 372 741
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
40.6
(10.76)
40.9
(11.54)
40.8
(11.15)
Sex: Female, Male (Count of Participants)
Female
25
6.8%
33
8.9%
58
7.8%
Male
344
93.2%
339
91.1%
683
92.2%
Race/Ethnicity, Customized (Count of Participants)
American Indian or Alaska Native
7
1.9%
8
2.2%
15
2%
Asian-Central/South Asian Heritage (H)
3
0.8%
4
1.1%
7
0.9%
Asian-Japanese H/East Asian H/South East Asian H
10
2.7%
9
2.4%
19
2.6%
Black or African American
50
13.6%
58
15.6%
108
14.6%
Native Hawaiian or other Pacific Islander
1
0.3%
3
0.8%
4
0.5%
White-Arabic/North African (NA) H
5
1.4%
2
0.5%
7
0.9%
White-Arabic/NA H and white/caucasia/European H
0
0%
1
0.3%
1
0.1%
White-White/caucasian/European H
292
79.1%
286
76.9%
578
78%
Asian and White
0
0%
1
0.3%
1
0.1%
Black or African American and White
1
0.3%
0
0%
1
0.1%
Cluster of differentiation 4 plus (CD4+) cell count (Cells per cubic millimeter (cells/mm^3)) [Median (Inter-Quartile Range) ]
Median (Inter-Quartile Range) [Cells per cubic millimeter (cells/mm^3)]
682.0
720.0
688.0
Baseline third agents (Count of Participants)
NNRTI
51
13.8%
48
12.9%
99
13.4%
INSTI
289
78.3%
296
79.6%
585
78.9%
PI
29
7.9%
28
7.5%
57
7.7%
HIV infection by Centers for Disease Control and Prevention (CDC) classification (Count of Participants)
HIV infection Stage 1
255
69.1%
259
69.6%
514
69.4%
HIV infection Stage 2
94
25.5%
94
25.3%
188
25.4%
HIV infection Stage 3
20
5.4%
19
5.1%
39
5.3%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Virologic Failure Endpoint as Per Food and Drug Administration (FDA) Snapshot Category at Week 48
Description Percentage of participants with virologic failure (plasma HIV-1 RNA >=50 c/mL) was evaluated using FDA snapshot algorithm at Week 48. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant antiretroviral therapy (ART) prior to the visit of interest. Intent-to-treat exposed (ITT-E) Population comprises of all randomized participants who receive at least one dose of study treatment either DTG + 3TC or TBR. Participants were assessed according to the treatment to which the participant was randomized. Any participant receiving a treatment randomization number was considered to be randomized.
Time Frame Week 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 372
Number [Percentage of participants]
0.3
0.1%
0.5
0.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Non-Inferiority
Comments Non-inferiority of switching to DTG + 3TC compared to continuation of TBR (as per FDA snapshot algorithm) was to be concluded if the upper bound of a two-sided 95% confidence interval (CI) for the difference in virologic failure rates between the two treatment arms was smaller than 4%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Adjusted difference in proportion (ADP)
Estimated Value -0.3
Confidence Interval (2-Sided) 95%
-1.2 to 0.7
Parameter Dispersion Type:
Value:
Estimation Comments ADP was based on Cochran-Mantel Haenszel stratified analysis adjusting for Baseline stratification factor:Baseline third agent (protease inhibitor [PI], non-nucleoside reverse transcriptase inhibitor [NNRTI], and integrase inhibitor [INI]).
2. Secondary Outcome
Title Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Week 48
Description Percentage of participants with plasma HIV-1 RNA <50 c/mL (virologic success) was evaluated using FDA snapshot algorithm at Week 48 to demonstrate the non-inferior antiviral activity of switching to DTG +3TC once daily compared to continuation of TBR over 48 weeks. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest.
Time Frame Week 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at specified time points has been analyzed. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 344 346
Number [Percentage of participants]
93.2
25.3%
93.0
25%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Non-Inferiority
Comments Non-inferiority of switching to DTG + 3TC compared to continuation of TBR (as per FDA snapshot algorithm) was to be concluded when the lower bound of a 2-sided 95% confidence interval for the difference in success rates between the two treatment arms was greater than -8%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Adjusted difference in proportion
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-3.4 to 3.9
Parameter Dispersion Type:
Value:
Estimation Comments ADP was based on Cochran-Mantel Haenszel stratified analysis adjusting for Baseline stratification factor: Baseline third agent (PI, NNRTI, and INSTI).
3. Secondary Outcome
Title Percentage of Participants With Virologic Failure Endpoint as Per FDA Snapshot Category at Week 24
Description Percentage of participants with plasma HIV-1 RNA >=50 c/mL was evaluated using FDA snapshot algorithm at Week 24. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest.
Time Frame Week 24

Outcome Measure Data

Analysis Population Description
ITT-E Population. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 372
Number [Percentage of participants]
0.3
0.1%
0.8
0.2%
4. Secondary Outcome
Title Percentage of Participants With Virologic Failure Endpoint as Per FDA Snapshot Category at Weeks 96, 144
Description Percentage of participants with plasma HIV-1 RNA >=50 c/mL are planned to be evaluated using FDA snapshot algorithm at Weeks 96 and 144. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
5. Secondary Outcome
Title Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Week 24
Description Percentage of participants with plasma HIV-1 RNA <50 c/mL was evaluated using FDA snapshot algorithm at Week 24. The Snapshot algorithm treated all participants without HIV-1 RNA data at the visit of interest (due to missing data or discontinuation of investigational product prior to the visit window) as non-responders, as well as participants who switch their concomitant ART prior to the visit of interest.
Time Frame Week 24

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at specified time points has been presented. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 350 358
Number [Percentage of participants]
95
25.7%
96
25.8%
6. Secondary Outcome
Title Percentage of Participants With Plasma HIV-1 RNA <50 c/mL as Per Snapshot Algorithm at Weeks 96 and 144
Description Percentage of participants with plasma HIV-1 RNA <50 c/mL are planned to be evaluated using FDA snapshot algorithm at Weeks 96 and 144. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
7. Secondary Outcome
Title Change From Baseline in CD4+ Cell Count at Weeks 24 and 48
Description CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples were collected at specified time points to assess CD4+. It was evaluated by flow cytometry. Baseline value is defined as the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. All 741 (369+372) participants were analyzed, however only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 372
Week 24, n=351, 359
21.0
6.0
Week 48, n=344, 345
22.5
11.0
8. Secondary Outcome
Title Change From Baseline in CD4+ Cell Count at Weeks 96 and 144
Description CD4+ cells are type of white blood cells that fight infection and as HIV infection progresses, the number of these cells declines. Blood samples are planned to be collected at specified time points to assess CD4+. It is planned to be evaluated by flow cytometry. Baseline value is defined as the latest pre-dose assessment with a non-missing value (Day 1). Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
9. Secondary Outcome
Title Change From Baseline in CD4+/CD8+ Cell Count Ratio at Weeks 24 and 48
Description Blood samples were collected at specified time points to assess CD4+/CD8+ cell count ratio. It was assessed by flow cyclometry to evaluate the immunologic activity of switching to DTG+3TC once daily compared to continuation of TBR over 48 Weeks. Baseline (Day 1) values were the actual CD4+ cell count ratio values at pre-dose Day 1. Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable .
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. All 741 (369+372) participants were analyzed, however only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 372
Baseline (Day 1), n=366, 371
0.950
0.960
Week 24, n=346, 358
0.010
0.040
Week 48, n=342, 343
0.030
0.050
10. Secondary Outcome
Title Change From Baseline in CD4+/CD8+ Cell Count Ratio at Weeks 96 and 144
Description Blood samples are planned to be collected at specified time points to assess CD4+/CD8+ cell count ratio. It is planned to be assessed by flow cyclometry to evaluate the immunologic activity of switching to DTG+3TC once daily compared to continuation of TBR over Weeks 96 and 144. Baseline (Day 1) values are the actual CD4+ cell count ratio values at pre-dose Day 1. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
11. Secondary Outcome
Title Number of Participants With Disease Progression at Weeks 24 and 48
Description HIV-associated conditions were recorded during the study and was assessed according to the 2014 CDC Classification System for HIV Infection in Adults. CDC classification for HIV were: Stage 1: No AIDS defining condition and CD4+ T-lymphocyte count: >=500 cells/mcL; Stage 2: No AIDS infection and CD4+ lymphocyte count: 200-499 cell/mcL and Stage 3: with HIV infection and CD4+ T-lymphocye count <200 cells/mcL. Disease progression summarize participants who had HIV infection stage 3 associated conditions or death. Indicators of clinical disease progression were defined as: CDC Category Stage 1 at enrollment to Stage 3 event; CDC Category Stage 2 at enrollment to Stage 3 event; CDC Category Stage 3 at enrollment to New Stage 3 Event; CDC Category Stage 1, 2 or 3 at enrollment to Death.
Time Frame At Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 372
From CDC Stage 1 to CDC Stage 3 Event
1
0.3%
0
0%
From CDC Stage 2 to CDC Stage 3 Event
0
0%
0
0%
From CDC Stage 3 to new CDC Stage 3 Event
0
0%
0
0%
From CDC Stage 1, 2 or 3 to Death
1
0.3%
0
0%
No HIV-1 disease progression
367
99.5%
372
100%
12. Secondary Outcome
Title Number of Participants With Disease Progression at Weeks 96 and 144
Description HIV-associated conditions are planned to be recorded during the study and assessed according to the 2014 CDC Classification System for HIV Infection in Adults. CDC classification for HIV is: Stage 1: No AIDS defining condition and CD4+ T-lymphocyte count: >=500 cells/mcL; Stage 2: No AIDS infection and CD4+ lymphocyte count: 200-499 cell/mcL and Stage 3: with HIV infection and CD4+ T-lymphocye count <200 cells/mcL. Indicators of clinical disease progression is defined as: CDC Category Stage 1 at enrollment to Stage 3 event; CDC Category Stage 2 at enrollment to Stage 3 event; CDC Category Stage 3 at enrollment to New Stage 3 Event; CDC Category Stage 1, 2 or 3 at enrollment to Death. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame At Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
13. Secondary Outcome
Title Number of Participants With Any Serious Adverse Events (SAEs) and Common (>=2%) Non-serious Adverse Events (Non-SAEs): Up to Week 48
Description An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Safety Population included all participants who received at least one dose of study treatment either DTG + 3TC or TBR. This population was based on the treatment the participant actually received. Number of participants with any SAE and common (>=2%) non-SAEs are presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Any non-SAE (>=2%)
222
60.2%
204
54.8%
Any SAE
21
5.7%
16
4.3%
14. Secondary Outcome
Title Number of Participants With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 144
Description An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
15. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 48
Description An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Number of TDF-based regimen participants with any SAE and common (>=2%) non-SAEs are presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36)
Measure Participants 1
Any non-SAE (>=2%)
1
0.3%
Any SAE
0
0%
16. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Any SAEs and Common (>=2%) Non-SAEs: Up to Week 144
Description An AE is any untoward medical occurrence temporally associated with the use of a study treatment, whether or not considered related to study treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect, associated with liver injury and impaired liver function or any other situations as per medical or scientific judgment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
17. Secondary Outcome
Title Number of Participants With AEs by Their Severity Grades: Up to Week 48
Description An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events were evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Number of participants with adverse events by maximum grade have been presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Grade 1
102
27.6%
94
25.3%
Grade 2
170
46.1%
177
47.6%
Grade 3
19
5.1%
15
4%
Grade 4
3
0.8%
6
1.6%
Grade 5
1
0.3%
0
0%
18. Secondary Outcome
Title Number of Participants With AEs by Their Severity Grades: Up to Week 144
Description An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events are planned to be evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
19. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With AEs by Their Severity Grades: Up to Week 48
Description An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events were evaluated by the investigator and graded according to the DAIDS toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Number of TDF-based regimen participants with adverse events by maximum grade have been presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36)
Measure Participants 1
Grade 1
0
0%
Grade 2
1
0.3%
Grade 3
0
0%
Grade 4
0
0%
Grade 5
0
0%
20. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With AEs by Their Severity Grades: Up to Week 144
Description An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Adverse events are planned to be evaluated by the investigator and graded according to the Division of Acquired Immunodeficiency Syndrome (DAIDS) toxicity scales from Grade 1 to 5 (1=Mild, 2=Moderate, 3=Severe, 4=Potentially life threatening, 5=Death). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
21. Secondary Outcome
Title Number of Participants Who Discontinued the Treatment Due to AEs: Up to Week 48
Description An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Number of participants who discontinued the treatment due to adverse events have been presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Count of Participants [Participants]
13
3.5%
2
0.5%
22. Secondary Outcome
Title Number of Participants Who Discontinued the Treatment Due to AEs: Up to Week 144
Description An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
23. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen Who Discontinued the Treatment Due to AEs: Up to Week 48
Description An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Number of participants who discontinued the treatment due to adverse events have been presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Count of Participants [Participants]
0
0%
24. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen Who Discontinued the Treatment Due to AEs: Up to Week 144
Description An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
25. Secondary Outcome
Title Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 48
Description Blood samples were collected up to Week 48 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters were evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Only those participants with maximum post-Baseline emergent hematology toxicities in any of the hematology parameters have been presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Hemoglobin, Grade 1
3
0.8%
0
0%
Hemoglobin, Grade 2
0
0%
0
0%
Hemoglobin, Grade 3
0
0%
0
0%
Hemoglobin, Grade 4
0
0%
0
0%
Leukocytes, Grade 1
1
0.3%
1
0.3%
Leukocytes, Grade 2
1
0.3%
0
0%
Leukocytes, Grade 3
0
0%
0
0%
Leukocytes, Grade 4
0
0%
0
0%
Neutrophils, Grade 1
3
0.8%
4
1.1%
Neutrophils, Grade 2
2
0.5%
4
1.1%
Neutrophils, Grade 3
0
0%
0
0%
Neutrophils, Grade 4
1
0.3%
0
0%
Platelets, Grade 1
6
1.6%
5
1.3%
Platelets, Grade 2
1
0.3%
1
0.3%
Platelets, Grade 3
0
0%
0
0%
Platelets, Grade 4
0
0%
0
0%
26. Secondary Outcome
Title Number of Participants With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 144
Description Blood samples are planned to be collected up to Week 144 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters are planned to be evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
27. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 36
Description Blood samples were collected up to the Week 36 visit for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters were evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Only those TDF-based regimen participants with maximum post-Baseline emergent hematology toxicities in any of the hematology parameters have been presented.
Time Frame Up to Week 36

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Hemoglobin, Grade 1
0
0%
Hemoglobin, Grade 2
0
0%
Hemoglobin, Grade 3
0
0%
Hemoglobin, Grade 4
0
0%
Leukocytes, Grade 1
0
0%
Leukocytes, Grade 2
0
0%
Leukocytes, Grade 3
0
0%
Leukocytes, Grade 4
0
0%
Neutrophils, Grade 1
0
0%
Neutrophils, Grade 2
0
0%
Neutrophils, Grade 3
0
0%
Neutrophils, Grade 4
0
0%
Platelets, Grade 1
0
0%
Platelets, Grade 2
0
0%
Platelets, Grade 3
0
0%
Platelets, Grade 4
0
0%
28. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Hematology Toxicities: Up to Week 144
Description Blood samples are planned to be collected up to the Week 144 for the analysis of hematology parameters-platelet count, neutrophils, hemoglobin and leukocytes. Any abnormality in hematology parameters are planned to be evaluated according to the DAIDS toxicity scale from Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
29. Secondary Outcome
Title Number of Participants With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 48
Description Blood samples were collected up to Week 48 for the analysis of clinical chemistry parameters: alanine aminotransferase (ALT), albumin, alkaline phosphate (ALP), aspartate aminotransferase (AST), bilirubin, carbon dioxide (CO2), cholesterol, creatinine kinase (CK), creatinine, direct bilirubin, glomerular filtration rate (GFR) from creatinine adjusted for body surface area (BSA), GFR from cystatin C adjusted using chronic kidney disease-epidemiology collaboration (CKD-EPI), hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters were evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
ALT, Grade 1
24
6.5%
18
4.8%
ALT, Grade 2
6
1.6%
4
1.1%
ALT, Grade 3
1
0.3%
1
0.3%
ALT, Grade 4
0
0%
0
0%
Albumin, Grade 1
1
0.3%
0
0%
Albumin, Grade 2
0
0%
0
0%
Albumin, Grade 3
0
0%
0
0%
Albumin, Grade 4
0
0%
0
0%
ALP, Grade 1
2
0.5%
0
0%
ALP, Grade 2
0
0%
0
0%
ALP, Grade 3
0
0%
0
0%
ALP, Grade 4
0
0%
0
0%
AST, Grade 1
21
5.7%
29
7.8%
AST, Grade 2
7
1.9%
4
1.1%
AST, Grade 3
1
0.3%
0
0%
AST, Grade 4
1
0.3%
0
0%
Bilirubin, Grade 1
17
4.6%
7
1.9%
Bilirubin, Grade 2
5
1.4%
2
0.5%
Bilirubin, Grade 3
1
0.3%
1
0.3%
Bilirubin, Grade 4
0
0%
0
0%
CO2, Grade 1
73
19.8%
70
18.8%
CO2, Grade 2
1
0.3%
1
0.3%
CO2, Grade 3
0
0%
0
0%
CO2, Grade 4
0
0%
0
0%
Cholesterol, Grade 1
27
7.3%
52
14%
Cholesterol, Grade 2
12
3.3%
19
5.1%
Cholesterol, Grade 3
1
0.3%
0
0%
Cholesterol, Grade 4
0
0%
0
0%
CK, Grade 1
28
7.6%
19
5.1%
CK, Grade 2
4
1.1%
9
2.4%
CK, Grade 3
9
2.4%
8
2.2%
CK, Grade 4
6
1.6%
5
1.3%
Creatinine, Grade 1
16
4.3%
7
1.9%
Creatinine, Grade 2
3
0.8%
1
0.3%
Creatinine, Grade 3
0
0%
0
0%
Creatinine, Grade 4
0
0%
0
0%
Direct bilirubin, Grade 1
0
0%
0
0%
Direct bilirubin, Grade 2
0
0%
0
0%
Direct bilirubin, Grade 3
8
2.2%
1
0.3%
Direct bilirubin, Grade 4
0
0%
0
0%
GFR from creatinine adjusted using CKD EPI,Grade 1
0
0%
0
0%
GFR from creatinine adjusted using CKD EPI,Grade 2
135
36.6%
83
22.3%
GFR from creatinine adjusted using CKD EPI,Grade 3
26
7%
13
3.5%
GFR from creatinine adjusted using CKD EPI,Grade 4
0
0%
0
0%
GFR from cystatin C adjusted using CKD-EPI,Grade 1
0
0%
0
0%
GFR from cystatin C adjusted using CKD-EPI,Grade 2
52
14.1%
66
17.7%
GFR from cystatin C adjusted using CKD-EPI,Grade 3
5
1.4%
4
1.1%
GFR from cystatin C adjusted using CKD-EPI,Grade 4
1
0.3%
0
0%
Hypercalcemia, Grade 1
7
1.9%
3
0.8%
Hypercalcemia, Grade 2
0
0%
0
0%
Hypercalcemia, Grade 3
0
0%
0
0%
Hypercalcemia, Grade 4
0
0%
0
0%
Hyperglycemia, Grade 1
56
15.2%
64
17.2%
Hyperglycemia, Grade 2
21
5.7%
19
5.1%
Hyperglycemia, Grade 3
2
0.5%
2
0.5%
Hyperglycemia, Grade 4
0
0%
0
0%
Hyperkalemia, Grade 1
0
0%
2
0.5%
Hyperkalemia, Grade 2
2
0.5%
0
0%
Hyperkalemia, Grade 3
0
0%
0
0%
Hyperkalemia, Grade 4
0
0%
0
0%
Hypernatremia, Grade 1
1
0.3%
1
0.3%
Hypernatremia, Grade 2
0
0%
0
0%
Hypernatremia, Grade 3
0
0%
0
0%
Hypernatremia, Grade 4
0
0%
0
0%
Hypocalcemia, Grade 1
8
2.2%
1
0.3%
Hypocalcemia, Grade 2
0
0%
1
0.3%
Hypocalcemia, Grade 3
0
0%
0
0%
Hypocalcemia, Grade 4
0
0%
0
0%
Hypoglycemia, Grade 1
5
1.4%
6
1.6%
Hypoglycemia, Grade 2
3
0.8%
2
0.5%
Hypoglycemia, Grade 3
0
0%
0
0%
Hypoglycemia, Grade 4
0
0%
0
0%
Hypokalemia, Grade 1
7
1.9%
1
0.3%
Hypokalemia, Grade 2
1
0.3%
0
0%
Hypokalemia, Grade 3
0
0%
0
0%
Hypokalemia, Grade 4
0
0%
0
0%
Hyponatremia, Grade 1
8
2.2%
13
3.5%
Hyponatremia, Grade 2
0
0%
2
0.5%
Hyponatremia, Grade 3
0
0%
0
0%
Hyponatremia, Grade 4
0
0%
0
0%
LDL cholesterol, Grade 1
28
7.6%
35
9.4%
LDL cholesterol, Grade 2
13
3.5%
15
4%
LDL cholesterol, Grade 3
6
1.6%
3
0.8%
LDL cholesterol, Grade 4
0
0%
0
0%
Phosphate, Grade 1
38
10.3%
47
12.6%
Phosphate, Grade 2
2
0.5%
7
1.9%
Phosphate, Grade 3
0
0%
0
0%
Phosphate, Grade 4
0
0%
0
0%
Triglycerides, Grade 1
34
9.2%
48
12.9%
Triglycerides, Grade 2
4
1.1%
11
3%
Triglycerides, Grade 3
4
1.1%
4
1.1%
Triglycerides, Grade 4
4
1.1%
0
0%
30. Secondary Outcome
Title Number of Participants With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 144
Description Blood samples are planned to be collected up to Week 144 for the analysis of clinical chemistry parameters: ALT, albumin, ALP, AST, bilirubin, CO2, cholesterol, CK, creatinine, direct bilirubin, GFR from creatinine adjusted for BSA, GFR from cystatin C adjusted using CKD-EPI, hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, LDL cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters are planned to be evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
31. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 36
Description samples were collected up to the Week 36 visit for the analysis of clinical chemistry parameters: alanine aminotransferase (ALT), albumin, alkaline phosphate (ALP), aspartate aminotransferase (AST), bilirubin, carbon dioxide (CO2), cholesterol, creatinine kinase (CK), creatinine, direct bilirubin, glomerular filtration rate (GFR) from creatinine adjusted for body surface area (BSA), GFR from cystatin C adjusted using chronic kidney disease-epidemiology collaboration (CKD-EPI), hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, low density lipoprotein (LDL) cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters were evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms.
Time Frame Up to Week 36

Outcome Measure Data

Analysis Population Description
Safety Population. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
ALT, Grade 1
0
0%
ALT, Grade 2
0
0%
ALT, Grade 3
0
0%
ALT, Grade 4
0
0%
Albumin, Grade 1
0
0%
Albumin, Grade 2
0
0%
Albumin, Grade 3
0
0%
Albumin, Grade 4
0
0%
ALP, Grade 1
0
0%
ALP, Grade 2
0
0%
ALP, Grade 3
0
0%
ALP, Grade 4
0
0%
AST, Grade 1
0
0%
AST, Grade 2
0
0%
AST, Grade 3
0
0%
AST, Grade 4
0
0%
Bilirubin, Grade 1
0
0%
Bilirubin, Grade 2
0
0%
Bilirubin, Grade 3
0
0%
Bilirubin, Grade 4
0
0%
CO2, Grade 1
0
0%
CO2, Grade 2
0
0%
CO2, Grade 3
0
0%
CO2, Grade 4
0
0%
Cholesterol, Grade 1
0
0%
Cholesterol, Grade 2
0
0%
Cholesterol, Grade 3
0
0%
Cholesterol, Grade 4
0
0%
CK, Grade 1
0
0%
CK, Grade 2
0
0%
CK, Grade 3
0
0%
CK, Grade 4
0
0%
Creatinine, Grade 1
0
0%
Creatinine, Grade 2
0
0%
Creatinine, Grade 3
0
0%
Creatinine, Grade 4
0
0%
Direct bilirubin, Grade 1
0
0%
Direct bilirubin, Grade 2
0
0%
Direct bilirubin, Grade 3
0
0%
Direct bilirubin, Grade 4
0
0%
GFR from creatinine adjusted using CKD EPI,Grade 1
0
0%
GFR from creatinine adjusted using CKD EPI,Grade 2
0
0%
GFR from creatinine adjusted using CKD EPI,Grade 3
0
0%
GFR from creatinine adjusted using CKD EPI,Grade 4
0
0%
GFR from cystatin C adjusted using CKD-EPI,Grade 1
0
0%
GFR from cystatin C adjusted using CKD-EPI,Grade 2
0
0%
GFR from cystatin C adjusted using CKD-EPI,Grade 3
0
0%
GFR from cystatin C adjusted using CKD-EPI,Grade 4
0
0%
Hypercalcemia, Grade 1
0
0%
Hypercalcemia, Grade 2
0
0%
Hypercalcemia, Grade 3
0
0%
Hypercalcemia, Grade 4
0
0%
Hyperglycemia, Grade 1
0
0%
Hyperglycemia, Grade 2
0
0%
Hyperglycemia, Grade 3
0
0%
Hyperglycemia, Grade 4
0
0%
Hyperkalemia, Grade 1
0
0%
Hyperkalemia, Grade 2
0
0%
Hyperkalemia, Grade 3
0
0%
Hyperkalemia, Grade 4
0
0%
Hypernatremia, Grade 1
0
0%
Hypernatremia, Grade 2
0
0%
Hypernatremia, Grade 3
0
0%
Hypernatremia, Grade 4
0
0%
Hypocalcemia, Grade 1
0
0%
Hypocalcemia, Grade 2
0
0%
Hypocalcemia, Grade 3
0
0%
Hypocalcemia, Grade 4
0
0%
Hypoglycemia, Grade 1
0
0%
Hypoglycemia, Grade 2
0
0%
Hypoglycemia, Grade 3
0
0%
Hypoglycemia, Grade 4
0
0%
Hypokalemia, Grade 1
0
0%
Hypokalemia, Grade 2
0
0%
Hypokalemia, Grade 3
0
0%
Hypokalemia, Grade 4
0
0%
Hyponatremia, Grade 1
0
0%
Hyponatremia, Grade 2
0
0%
Hyponatremia, Grade 3
0
0%
Hyponatremia, Grade 4
0
0%
LDL cholesterol, Grade 1
0
0%
LDL cholesterol, Grade 2
0
0%
LDL cholesterol, Grade 3
0
0%
LDL cholesterol, Grade 4
0
0%
Phosphate, Grade 1
0
0%
Phosphate, Grade 2
0
0%
Phosphate, Grade 3
0
0%
Phosphate, Grade 4
0
0%
Triglycerides, Grade 1
1
0.3%
Triglycerides, Grade 2
0
0%
Triglycerides, Grade 3
0
0%
Triglycerides, Grade 4
0
0%
32. Secondary Outcome
Title Number of Participants Randomized to TBR Arm Receiving TDF-based Regimen With Maximum Post-Baseline Emergent Clinical Chemistry Toxicities: Up to Week 144
Description Blood samples are planned to be collected up to Week 144 for the analysis of clinical chemistry parameters: ALT, albumin, ALP, AST, bilirubin, CO2, cholesterol, CK, creatinine, direct bilirubin, GFR from creatinine adjusted for BSA, GFR from cystatin C adjusted using CKD-EPI, hypercalcemia, hyperglycemia, hyperkalemia, hypernatremia, hypocalcemia, hypoglycemia, hypokalemia, hyponatremia, LDL cholesterol, phosphate and triglycerides. Any abnormality in clinical chemistry parameters are planned to be evaluated according to the DAIDS toxicity scale From Grade 1 to 4: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe) and Grade 4 (Potentially life-threatening). The higher the grade, the more severe the symptoms. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
33. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Albumin/Creatinine (UA/C) Ratio and Urine Protein/Creatinine (UP/C) Ratio at Weeks 24 and 48
Description Urine samples were collected at Baseline, Week 24 and Week 48. Baseline is defined as Day 1. Change from Baseline in UA/C was calculated as UA/C ratio at post-Baseline visit minus UA/C ratio calculated at Baseline. Estimated geometric mean adjusted ratio (each visit over Baseline) and 95% CI have been presented. Change from Baseline in UP/C and UA/C was calculated as UP/C and UA/C ratio at post-Baseline visit minus UP/C and UA/C ratio calculated at Baseline, respectively. Estimated geometric mean adjusted ratio (each visit over Baseline) and 95% CI have been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
UA/C, Week 24, n=235, 230
1.080
1.022
UA/C, Week 48, n=230, 224
1.125
1.059
UP/C, Week 24, n=267, 261
0.955
0.976
UP/C, Week 48, n=261, 257
0.971
1.016
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.257
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 1.057
Confidence Interval (2-Sided) 95%
0.960 to 1.164
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for UA/C at Week 24 has been presented.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.350
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 1.062
Confidence Interval (2-Sided) 95%
0.936 to 1.205
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for UA/C at Week 48 has been presented.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.473
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 0.979
Confidence Interval (2-Sided) 95%
0.924 to 1.037
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for UP/C at Week 24 has been presented.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.212
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 0.956
Confidence Interval (2-Sided) 95%
0.891 to 1.026
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for UP/C at Week 48 has been presented.
34. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 96 and 144
Description Urine samples are planned to be collected at Baseline, Weeks 96 and 144. Baseline is defined as Day 1. Change from Baseline in UA/C is defined as UA/C ratio at post-Baseline visit minus UA/C ratio at Baseline. Change from Baseline in UP/C and UA/C is defined as UP/C and UA/C ratio at post-Baseline visit minus UP/C and UA/C ratio at Baseline, respectively. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
35. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 24 and 48 in Participants Randomized to TBR Receiving TDF-based Regimen
Description Urine samples were collected at Baseline, Week 24 and Week 48 to assess renal biomarkers - urine albumin/creatinine ratio and urine protein/creatinine ratio. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline in UA/C was calculated as UA/C ratio at post-Baseline visit minus UA/C ratio calculated at Baseline. Change from Baseline in UP/C was calculated as UP/C ratio at post-Baseline visit minus UP/C ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
UA/C, Week 24, n=1
0
UP/C, Week 24, n=1
0.3
36. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- UA/C Ratio and UP/C Ratio at Weeks 96 and 144 in Participants Randomized to TBR Receiving TDF-based Regimen
Description Urine samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal biomarkers - urine albumin/creatinine ratio and urine protein/creatinine ratio. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline in UA/C is defined as UA/C ratio at post-Baseline visit minus UA/C ratio at Baseline. Change from Baseline in UP/C is defined as UP/C ratio at post-Baseline visit minus UP/C ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
37. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 24 and 48
Description Urine biomarker samples were collected at Baseline, Weeks 24 and 48 to assess urine beta-2 microglobulin/urine creatinine. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine was calculated as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Week 24, n=136, 141
0.991
1.034
Week 48, n=126, 141
0.973
0.922
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.560
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 0.958
Confidence Interval (2-Sided) 95%
0.830 to 1.106
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for Urine beta-2 microglobulin/urine creatinine at Week 24 has been presented.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.489
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 1.055
Confidence Interval (2-Sided) 95%
0.906 to 1.229
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for Urine beta-2 microglobulin/urine creatinine at Week 48 has been presented.
38. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 96 and 144
Description Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine beta-2 microglobulin/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine is defined as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
39. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Urine biomarker samples were collected to assess urine beta-2 microglobulin/urine creatinine. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine was calculated as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Data was not collected for this arm.
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 0
40. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Beta-2 Microglobulin/Urine Creatinine Ratio at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine beta-2 microglobulin/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine beta-2-microglobulin/urine creatinine is defined as urine beta-2-microglobulin/urine creatinine ratio at post-Baseline visit minus urine beta-2-microglobulin/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
41. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 24 and 48
Description Urine biomarker samples were collected at Baseline and at Weeks 24 and 48 to assess urine phosphate. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate was calculated as urine phosphate at post-Baseline visit minus urine phosphate calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Week 24, n=348, 352
0.955
0.940
Week 48, n=342, 340
0.969
0.970
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.758
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 1.017
Confidence Interval (2-Sided) 95%
0.915 to 1.130
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for Urine phosphate at Week 24 has been presented.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.985
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 0.999
Confidence Interval (2-Sided) 95%
0.894 to 1.116
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for Urine phosphate at Week 48 has been presented.
42. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 96 and 144
Description Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine phosphate. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate is defined as urine phosphate at post-Baseline visit minus urine phosphate at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
43. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Urine biomarker samples were collected to assess urine phosphate. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate was calculated as urine phosphate at post-Baseline visit minus urine phosphate calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Week 24, n=1
2.9
44. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Phosphate at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Urine biomarker samples are planned to be collected to assess urine phosphate. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine phosphate is defined as urine phosphate at post-Baseline visit minus urine phosphate at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
45. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 24 and 48
Description Urine biomarker samples were collected at Baseline, Weeks 24 and 48 to assess urine retinol binding protein 4/urine creatinine. Geometric mean ratio (visit divided by Baseline) and 95% CI of geometric mean ratio has been presented. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in Urine retinol binding protein 4/urine creatinine ratio was calculated as Urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus Urine retinol binding protein 4/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Week 24, n=344, 343
0.860
0.920
Week 48, n=340, 335
1.063
1.068
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.264
Comments
Method Mixed Model Reported Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 0.935
Confidence Interval (2-Sided) 95%
0.830 to 1.052
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for Urine retinol binding protein 4/urine creatinine at Week 24 has been presented.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.932
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Treatment ratio
Estimated Value 0.996
Confidence Interval (2-Sided) 95%
0.903 to 1.098
Parameter Dispersion Type:
Value:
Estimation Comments Treatment ratio (DTG+3TC/ TAF based regimen) and 95% CI for Urine retinol binding protein 4/urine creatinine at Week 48 has been presented.
46. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 96 and 144
Description Urine biomarker samples are planned to be collected at Baseline, Weeks 96 and 144 to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in Urine retinol binding protein 4/urine creatinine ratio is defined as Urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus Urine retinol binding protein 4/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
47. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Urine biomarker samples were collected to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value was the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine retinol binding protein 4/urine creatinine was calculated as urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus urine retinol binding protein 4/urine creatinine ratio calculated at Baseline. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Week 24, n=1
1.04
48. Secondary Outcome
Title Change From Baseline in Renal Biomarkers- Urine Retinol Binding Protein 4/Urine Creatinine at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Urine biomarker samples are planned to be collected to assess urine retinol binding protein 4/urine creatinine. Baseline (Day 1) value is the value from the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline in urine retinol binding protein 4/urine creatinine is defined as urine retinol binding protein 4/urine creatinine ratio at post-Baseline visit minus urine retinol binding protein 4/urine creatinine ratio at Baseline. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
49. Secondary Outcome
Title Change From Baseline in Fasting Lipids at Weeks 24 and 48
Description Blood samples were collected at Baseline (Day 1), Week 24 and Week 48 to assess fasting lipids which included plasma cholesterol, plasma LDL cholesterol, plasma high density lipoprotein (HDL) cholesterol and plasma triglycerides. Baseline value was the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Plasma cholesterol, Week 24, n=282, 264
-0.325
0.000
Plasma cholesterol, Week 48, n=275, 263
-0.200
0.100
Plasma LDL Cholesterol, Week 24, n=282, 264
-0.210
-0.060
Plasma LDL Cholesterol, Week 48, n=275, 263
-0.170
0.070
Plasma Triglycerides, Week 24, n=282, 264
-0.100
0.060
Plasma Triglycerides, Week 48, n=275, 263
-0.100
0.100
Plasma HDL Cholesterol, Week 24, n=282, 264
-0.050
0.050
Plasma HDL Cholesterol, Week 48, n=275, 263
0.000
0.050
50. Secondary Outcome
Title Change From Baseline in Fasting Lipids at Weeks 96 and 144
Description Blood samples are planned to be collected at Baseline (Day 1), Weeks 96 and 144 to assess fasting lipids which includes plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value is the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
51. Secondary Outcome
Title Change From Baseline in Fasting Lipids at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Blood samples were collected at Baseline (Day 1), weeks 24 and 48 visit (participant withdrew from the study at Week 36) to assess fasting lipids which included plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value was the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for fasting lipids in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Plasma cholesterol, Week 24, n=1
0
Plasma LDL Cholesterol, Week 24, n=1
-0.67
Plasma Triglycerides, Week 24, n=1
1.36
Plasma HDL Cholesterol, Week 24, n=1
0.05
52. Secondary Outcome
Title Change From Baseline in Fasting Lipids at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Blood samples are planned to be collected to assess fasting lipids which includes plasma cholesterol, plasma LDL cholesterol, plasma HDL cholesterol and plasma triglycerides. Baseline value is the value from the latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
53. Secondary Outcome
Title Number of Participants With Genotypic Resistance: Up to Week 48
Description Plasma samples were collected for drug resistance testing. Number of participants, who met confirmed virologic withdrawal (CVW) criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent genotypic resistance to INSTI, nucleoside reverse transcriptase inhibitor (NRTI), NNRTI and PI was summarized.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
CVW Population comprises all participants in the ITT-E Population who had met the derived CVW criteria. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 0 1
INSTI
0
0%
NRTI
0
0%
NNRTI
0
0%
PI
0
0%
54. Secondary Outcome
Title Number of Participants With Genotypic Resistance: Up to Week 144
Description Plasma samples are planned to be collected for drug resistance testing. Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent genotypic resistance to INSTI, NRTI, NNRTI and PI are planned to be summarized. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
55. Secondary Outcome
Title Number of Participants With Phenotypic Resistance: Up to Week 48
Description Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent phenotypic resistance to INSTI and/or NRTI were summarized. Assessment of antiviral activity of anti-retroviral therapy (ART) using phenotypic test results was interpreted through a proprietary algorithm (from Monogram Biosciences), which provided the overall susceptibility of the drug. Partially sensitive and resistant calls were considered resistant in this analysis. The phenotypic resistance was calculated using binary scoring system, where 0 was considered as sensitive and 1 as resistance. Phenotypic Resistance data for the following INSTI, NNRTI, NRTI and PI drugs in participants Meeting CVW Criteria has been presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
CVW Population. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 0 1
INSTI, DTG, Sensitive
1
0.3%
INSTI, DTG, Resistant
0
0%
INSTI, Bictegravir (BIC), Sensitive
1
0.3%
INSTI, BIC, Resistant
0
0%
INSTI, Elvitegravir (EVG), Sensitive
1
0.3%
INSTI, EVG, Resistant
0
0%
INSTI, Raltegravir (RAL), Sensitive
1
0.3%
INSTI, RAL, Resistant
0
0%
NNRTI, Delavirdine (DLV), Sensitive
1
0.3%
NNRTI, DLV, Resistant
0
0%
NNRTI, Efavirenz (EFV), Sensitive
1
0.3%
NNRTI, EFV, Resistant
0
0%
NNRTI, Etravirine (ETR), Sensitive
1
0.3%
NNRTI, ETR, Resistant
0
0%
NNRTI, Nevirapine (NVP), Sensitive
1
0.3%
NNRTI, NVP, Resistant
0
0%
NNRTI, Rilpivirine (RPV), Sensitive
1
0.3%
NNRTI, RPV, Resistant
0
0%
NRTI, 3TC, Sensitive
1
0.3%
NRTI, 3TC, Resistant
0
0%
NRTI, Abacavir (ABC), Sensitive
1
0.3%
NRTI, ABC, Resistant
0
0%
NRTI, Zidovudine (AZT), Sensitive
1
0.3%
NRTI, AZT, Resistant
0
0%
NRTI, Stavudine (D4T), Sensitive
1
0.3%
NRTI, D4T, Resistant
0
0%
NRTI, Didanosine (DDI), Sensitive
1
0.3%
NRTI, DDI, Resistant
0
0%
NRTI, Emtricitabine (FTC), Sensitive
1
0.3%
NRTI, FTC, Resistant
0
0%
NRTI, Tenofovir (TDF), Sensitive
1
0.3%
NRTI, TDF, Resistant
0
0%
PI, Atazanavir (ATV), Sensitive
1
0.3%
PI, ATV, Resistant
0
0%
PI, Darunavir (DRV), Sensitive
1
0.3%
PI, DRV, Resistant
0
0%
PI, Fosamprenavir (FPV), Sensitive
1
0.3%
PI, FPV, Resistant
0
0%
PI, Indinavir (IDV), Sensitive
1
0.3%
PI, IDV, Resistant
0
0%
PI, Lopinavir (LPV), Sensitive
1
0.3%
PI, LPV, Resistant
0
0%
PI, Nelfinavir (NFV), Sensitive
1
0.3%
PI, NFV, Resistant
0
0%
PI, Ritonavir (RTV), Sensitive
1
0.3%
PI, RTV, Resistant
0
0%
PI, Saquinavir (SQV), Sensitive
1
0.3%
PI, SQV, Resistant
0
0%
PI, Tipranavir (TPV), Sensitive
1
0.3%
PI, TPV, Resistant
0
0%
56. Secondary Outcome
Title Number of Participants With Phenotypic Resistance: Up to Week 144
Description Number of participants, who meet CVW criteria (one plasma HIV-1 RNA >=200 c/mL after Day 1 with immediate prior HIV RNA >=50 c/mL), with emergent phenotypic resistance to INSTI and/or NRTI are planned to be summarized. Assessment of antiviral activity of ART using phenotypic test results are planned to be interpreted through a proprietary algorithm (from Monogram Biosciences), which provides the overall susceptibility of the drug. Partially sensitive and resistant calls are considered resistant in this analysis. The phenotypic resistance is planned to be calculated using binary scoring system, where 0 is considered as sensitive and 1 as resistance. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Up to Week 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
57. Secondary Outcome
Title Change From Baseline in Bone Biomarkers-serum Bone-specific ALP (Bone-ALP), Osteocalcin, Serum Procollagen 1 N-Terminal Propeptide (P1NP) and Serum Type 1 Collagen C-telopeptides (CTX-1) at Weeks 24 and 48
Description Serum samples were collected for analysis of bone biomarkers. Baseline was latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was the estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, body mass index (BMI) (continuous), smoking status, vitamin D use, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Bone-ALP, Week 24, n=350, 354
-0.77
(0.112)
-1.05
(0.089)
Bone-ALP, Week 48, n=343, 342
-0.03
(0.145)
-0.34
(0.117)
Osteocalcin, Week 24, n=350 ,353
-1.08
(0.248)
0.26
(0.229)
Osteocalcin, Week 48, n=343, 342
-1.15
(0.260)
0.69
(0.279)
P1NP, Week24, n=349 ,356
7.0
(0.87)
5.0
(0.72)
P1NP, Week48, n=342, 343
9.3
(1.06)
6.4
(1.00)
CTX-1, Week 24,n=350,356
0.0350
(0.01057)
-0.0031
(0.00833)
CTX-1, Week 48, n=343, 343
0.0602
(0.01024)
0.0310
(0.00889)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.047
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 0.29
Confidence Interval (2-Sided) 95%
0.00 to 0.57
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for Bone-ALP at Week 24 has been presented
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.094
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 0.31
Confidence Interval (2-Sided) 95%
-0.05 to 0.68
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for Bone-ALP at Week 48 has been presented
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -1.34
Confidence Interval (2-Sided) 95%
-2.01 to -0.68
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for Osteocalcin at Week 24 has been presented
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -1.84
Confidence Interval (2-Sided) 95%
-2.59 to -1.09
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for Osteocalcin at Week 48 has been presented
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.066
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 2.1
Confidence Interval (2-Sided) 95%
-0.1 to 4.3
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for P1NP at Week 24 has been presented
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.046
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 2.9
Confidence Interval (2-Sided) 95%
0.0 to 5.8
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for P1NP at Week 48 has been presented
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.005
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 0.0381
Confidence Interval (2-Sided) 95%
0.0117 to 0.0646
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for CTX-1 at Week 24 has been presented
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.032
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 0.0292
Confidence Interval (2-Sided) 95%
0.0025 to 0.0559
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for CTX-1 at Week 48 has been presented
58. Secondary Outcome
Title Change From Baseline in Bone Biomarkers-serum Bone-ALP, Osteocalcin, Serum P1NP and Serum Type 1 CTX-1 at Weeks 96 and 144
Description Serum samples are planned to be collected for analysis of bone biomarkers. Baseline is latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
59. Secondary Outcome
Title Change From Baseline in Bone Biomarkers-serum Bone-specific ALP (Bone-ALP), Osteocalcin, Serum P1NP and Serum CTX-1 in Participants Randomized to TBR Arm Receiving TDF-based Regimen at Weeks 24 and 48
Description Serum samples were collected for analysis of bone biomarkers. Baseline was latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Change from Baseline in bone biomarkers-serum bone-specific ALP (Bone-ALP), osteocalcin, serum P1NP and serum CTX-1 in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Bone-ALP, Week 24, n=1
0.3
Osteocalcin, Week 24, n=1
13.4
P1NP, Week24, n=1
11
CTX-1, Week 24,n=1
0.045
60. Secondary Outcome
Title Change From Baseline in Bone Biomarkers-serum Bone-ALP, Osteocalcin, Serum P1NP and Serum CTX-1 in Participants Randomized to TBR Arm Receiving TDF-based Regimen at Weeks 96 and 144
Description Serum samples are planned to be collected for analysis of bone biomarkers. Baseline is latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
61. Secondary Outcome
Title Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 24 and 48
Description Serum samples were collected for analysis of 25-hydroxyvitamin D. Baseline value was latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, BMI (continuous), smoking status, vitamin D use, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Week 24, n=351, 355
0.0
(1.10)
2.1
(1.15)
Week 48, n=344, 343
-5.8
(1.21)
-3.5
(1.13)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.173
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -2.2
Confidence Interval (2-Sided) 95%
-5.3 to 1.0
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum 25 hydroxyvitamin D at Week 24 has been presented
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.168
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -2.3
Confidence Interval (2-Sided) 95%
-5.5 to 1.0
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum 25 hydroxyvitamin D at Week 48 has been presented
62. Secondary Outcome
Title Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 96 and 144
Description Serum samples are planned to be collected for analysis of 25-hydroxyvitamin D. Baseline value is latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
63. Secondary Outcome
Title Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples were collected for the analysis of 25-hydroxyvitamin D. Baseline value was the value from latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for serum 25-hydroxyvitamin D in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Week 24, n=1
2
64. Secondary Outcome
Title Change From Baseline in Bone Biomarker: Serum 25-hydroxyvitamin D at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples are planned to be collected for the analysis of 25-hydroxyvitamin D. Baseline value is the value from latest pre-dose assessment (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
65. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 24 and 48
Description Serum samples were collected to assess renal biomarker. Baseline was latest pre-dose assessment value (Day 1) with non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for following:treatment, visit, Baseline third agent class, CD4+ cell count(continuous), age(continuous), sex, race, BMI(continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker(continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor.One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Week 24, n=351, 357
-0.03
(0.005)
-0.02
(0.004)
Week 48, n=344, 343
0.00
(0.006)
0.01
(0.005)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.027
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -0.01
Confidence Interval (2-Sided) 95%
-0.03 to 0.00
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum cystatin C at Week 24 has been presented
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.061
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -0.01
Confidence Interval (2-Sided) 95%
-0.03 to 0.00
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum cystatin C at Week 48 has been presented
66. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 96 and 144
Description Serum samples are planned to be collected to assess renal biomarker. Baseline is latest pre-dose assessment value (Day 1) with non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
67. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarker - cystatin C. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline values for serum cystatin -C biomarker in TDF based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Week 24, n=1
0
68. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Cystatin C at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal inflammation biomarker - cystatin C. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
69. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 24 and 48
Description Serum samples were collected to assess serum GFR from cystatin C and from creatinine adjusted using CKD-EPI. Baseline was Day 1 with non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and standard error has been presented. Adjusted mean was estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count(continuous), age(continuous), sex, race, BMI(continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
GFR from cystatin C CKD-EPI, Week 24, n=351, 357
3.2
(0.52)
1.5
(0.46)
GFR from cystatin C CKD-EPI, Week 48, n=344, 343
0.1
(0.61)
-1.6
(0.59)
GFR from creatinine CKD-EPI, Week 24, n=351, 359
-8.8
(0.48)
-3.8
(0.47)
GFR from creatinine CKD-EPI, Week 48, n=344, 345
-7.7
(0.48)
-2.9
(0.48)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.012
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 1.8
Confidence Interval (2-Sided) 95%
0.4 to 3.1
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum GFR from cystatin C adjusted using CKD-EPI at Week 24 has been presented
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.059
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 1.6
Confidence Interval (2-Sided) 95%
-0.1 to 3.3
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum GFR from cystatin C adjusted using CKD-EPI at Week 48 has been presented
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -5.0
Confidence Interval (2-Sided) 95%
-6.3 to -3.7
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum GFR from creatinine adjusted using CKD-EPI at Week 24 has been presented
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -4.8
Confidence Interval (2-Sided) 95%
-6.1 to -3.4
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TAF based regimen) and its 95% CI for serum GFR from creatinine adjusted using CKD-EPI at Week 48 has been presented
70. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 96 and 144
Description Serum samples are planned to be collected to assess serum GFR from cystatin C and from creatinine adjusted using CKD-EPI. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
71. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarkers - serum GFR from cystatin C adjusted using CKD-EPI and serum GFR from creatinine adjusted using CKD-EPI. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline in serum GFR from cystatin C adjusted using CKD-EPI and serum GFR from creatinine adjusted using CKD-EPI in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
GFR from cystatin C CKD-EPI, Week 24, n=1
0
GFR from creatinine CKD-EPI, Week 24, n=1
4
72. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum GFR From Cystatin C Adjusted Using CKD-EPI and Serum GFR From Creatinine Adjusted Using CKD-EPI at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal inflammation biomarkers - serum GFR from cystatin C and from creatinine adjusted using CKD-EPI. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
73. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 24 and 48
Description Serum samples were collected to assess renal inflammation biomarker - serum creatinine. Baseline was Day 1 with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Adjusted mean and its corresponding standard error has been presented. Adjusted mean was the estimated mean change from Baseline at each visit in each arm calculated from a repeated measures model adjusting for treatment, visit, Baseline third agent class, CD4+ cell count (continuous), age (continuous), sex, race, BMI (continuous), presence of diabetes mellitus, presence of hypertension, Baseline biomarker (continuous), treatment by visit interaction, and Baseline value by visit interaction, with visit as repeated factor. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Total of 741 participants were analyzed but 740 participants are presented in this Outcome Measure and 1 participant is presented separately in next Outcome Measure. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 369 371
Week 24, n=351, 359
7.47
(0.466)
3.11
(0.495)
Week 48, n=344, 345
6.67
(0.493)
2.18
(0.450)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 4.37
Confidence Interval (2-Sided) 95%
3.03 to 5.70
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TBR) and its 95% CI for serum creatinine at Week 24 has been presented.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value <0.001
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 4.49
Confidence Interval (2-Sided) 95%
3.18 to 5.81
Parameter Dispersion Type:
Value:
Estimation Comments Mean difference (DTG+3TC - TBR) and its 95% CI for serum creatinine at Week 48 has been presented.
74. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 96 and 144
Description Serum samples are planned to be collected to assess renal inflammation biomarker - serum creatinine. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
75. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 24 and 48 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples were collected at Baseline, Week 24 and Week 48 to assess renal inflammation biomarker - serum creatinine. Baseline was defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Change from Baseline in serum creatinine in TDF-based regimen participants has been presented. One participant randomized to TBR but received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen."
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
Arm/Group Title Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
Measure Participants 1
Week 24, n=1
-8
76. Secondary Outcome
Title Change From Baseline in Renal Biomarker- Serum Creatinine at Weeks 96 and 144 in Participants Randomized to TBR Arm Receiving TDF-based Regimen
Description Serum samples are planned to be collected at Baseline, Weeks 96 and 144 to assess renal inflammation biomarker - serum creatinine. Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus (-) Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
77. Secondary Outcome
Title Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Utility Score at Week 24 and 48
Description EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. The health state is defined by combining the levels of answers from each of the 5 questions. Each health state is referred to in terms of a 5 digit code. Health state 5 digit code is translated into utility score, which is valued up to 1 (perfect health) with lower values meaning worse state. EQ-5D-5L utility score ranges from -0.281 to 1. Higher scores indicate better health.
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable. Only those participants with data available at the specified data points were analyzed.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 364 370
Week 24
0.0029
(0.00383)
0.0046
(0.00352)
Week 48
0.0037
(0.00407)
0.0023
(0.00373)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.741
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -0.0017
Confidence Interval (2-Sided) 95%
-0.0119 to 0.0085
Parameter Dispersion Type:
Value:
Estimation Comments Week 24. MMRM adjusted for following: Treatment, Visit, Baseline Third Agent Class, Baseline EQ-5D Utility (continuous), Treatment by Visit interaction, and Baseline EQ-5D Utility by Visit interaction, with Visit as the repeated factor.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.792
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value 0.0015
Confidence Interval (2-Sided) 95%
-0.0094 to 0.0123
Parameter Dispersion Type:
Value:
Estimation Comments Week 48. MMRM adjusted for following: Treatment, Visit, Baseline Third Agent Class, Baseline EQ-5D Utility (continuous), Treatment by Visit interaction, and Baseline EQ-5D Utility by Visit interaction, with Visit as the repeated factor.
78. Secondary Outcome
Title Change From Baseline in EQ-5D-5L Utility Score at Weeks 96 and 144
Description EQ-5D-5L questionnaire provides profile of participant function and global health state rating. Five-item measure has 1question assessing each of 5dimensions:mobility,self-care,usual activities,pain/discomfort,anxiety/depression and 5 levels for each dimension including 1=no problems,2=slight problems,3=moderate problems,4=severe problems,5=extreme problems. Health state is defined by combining levels of answers from each of 5 questions. Each health state is referred to in terms of a 5 digit code.Health state 5 digit code is translated into utility score, which is valued up to 1 (perfect health) with lower values meaning worse state.EQ-5D-5L utility score ranges from -0.281 to 1. Higher scores indicate better health.Baseline is latest pre-dose assessment value (Day1) with a non-missing value.Change from Baseline is post-dose visit value - Baseline value.Data is not reported as data collection is still ongoing at time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description
79. Secondary Outcome
Title Change From Baseline in EQ-5D-5L Thermometer Scores at Week 24 and 48
Description EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L included EQ visual Analogue scale (EQ VAS) 'Thermometer' which provided Self-rated current health status. Score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). MMRM was run on the LOCF dataset. Baseline was the latest pre-dose assessment value (Day 1) and change from Baseline=post-dose value minus Baseline value.
Time Frame Baseline (Day 1) and at Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. One participant randomized to TBR but received TDF-based regimen and was presented within the "TBR (TAF-based regimen) arm" as efficacy of TAF and TDF are comparable. Only those participants with data available at the specified data points were analyzed.
Arm/Group Title DTG+3TC FDC TAF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. One participant randomized to the this arm received TDF rather than TAF-and was presented within the "TAF-based regimen" arm for efficacy because the efficacy of TAF and TDF are comparable. However the participant was presented separately under "TDF-based regimen" for Safety because the safety profiles of TDF and TAF differ.
Measure Participants 364 369
Week 24
1.2
(0.49)
1.3
(0.44)
Week 48
1.1
(0.52)
1.7
(0.43)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.879
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -0.1
Confidence Interval (2-Sided) 95%
-1.4 to 1.2
Parameter Dispersion Type:
Value:
Estimation Comments Week 24. MMRM adjusted for following: Treatment, Visit, Baseline Third Agent Class, Baseline EQ-5D Thermometer (continuous), Treatment by Visit interaction, and Baseline EQ-5D Thermometer by Visit interaction, with Visit as the repeated factor.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG+3TC FDC, TAF-based Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.414
Comments
Method Mixed Model Repeated Measures
Comments
Method of Estimation Estimation Parameter Mean Difference (Net)
Estimated Value -0.5
Confidence Interval (2-Sided) 95%
-1.9 to 0.8
Parameter Dispersion Type:
Value:
Estimation Comments Week 48. MMRM adjusted for following: Treatment, Visit, Baseline Third Agent Class, Baseline EQ-5D Thermometer (continuous), Treatment by Visit interaction, and Baseline EQ-5D Thermometer by Visit interaction, with Visit as the repeated factor.
80. Secondary Outcome
Title Change From Baseline in EQ-5D-5L Thermometer Scores at Weeks 96 and 144
Description EQ-5D-5L questionnaire provides a profile of participant function and a global health state rating. The five-item measure has one question assessing each of five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression and 5 levels for each dimension including 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L included EQ visual Analogue scale (EQ VAS) 'Thermometer' which provided Self-rated current health status. Score ranges from 0 (worst imaginable health state) to 100 (best imaginable health state). Baseline is defined as the latest pre-dose assessment value (Day 1) with a non-missing value. Change from Baseline is defined as post-dose visit value minus Baseline value. Data is not reported as data collection is still ongoing at the time of primary analysis and it will be provided after study completion.
Time Frame Baseline (Day 1) and at Weeks 96 and 144

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title
Arm/Group Description

Adverse Events

Time Frame All-cause mortality, Non-SAEs and SAEs were collected from start of the study treatment (Day 1) up to Week 48
Adverse Event Reporting Description Safety Population. One participant randomized to TBR received TDF-based regimen and because the safety profiles of TDF and TAF differ, this participant was removed from the overall safety population and is presented in separate arm "Randomized to TBR but received TDF-based regimen." The results presented are based on Week 48 primary analysis. Data collection is still on-going and additional results for Weeks 96 and 144 will be provided after study completion.
Arm/Group Title DTG + 3TC TAF Based Regimen Randomized to TBR But Received TDF-based Regimen
Arm/Group Description Participants who were on a stable TBR and who had an HIV-1 ribonucleic acid (RNA) <50 copies per millilter (c/mL) at the time of screening, received fixed dose combination of DTG 50 milligrams (mg) + 3TC 300 mg once daily up to 48 weeks. Participants who were on a stable TBR and who had an HIV-1 RNA<50 c/mL at the time of screening, were continued to receive TBR up to 48 weeks. Participant randomized to TBR arm who had HIV-1 RNA <50 c/mL at the time of screening, received TDF-based regimen instead of TAF-based regimen in error. Participant continued to receive TDF-regimen up to the Week 48 visit (participant withdrew from the study at Week 36).
All Cause Mortality
DTG + 3TC TAF Based Regimen Randomized to TBR But Received TDF-based Regimen
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/369 (0.3%) 0/371 (0%) 0/1 (0%)
Serious Adverse Events
DTG + 3TC TAF Based Regimen Randomized to TBR But Received TDF-based Regimen
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 21/369 (5.7%) 16/371 (4.3%) 0/1 (0%)
Cardiac disorders
Acute myocardial infarction 0/369 (0%) 0 1/371 (0.3%) 2 0/1 (0%) 0
Atrial fibrillation 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Atrial flutter 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Ventricular tachycardia 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Gastrointestinal disorders
Inguinal hernia 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Pancreatitis 0/369 (0%) 0 1/371 (0.3%) 3 0/1 (0%) 0
Hepatobiliary disorders
Cholecystitis 1/369 (0.3%) 1 1/371 (0.3%) 1 0/1 (0%) 0
Biliary dyskinesia 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Cholelithiasis 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Infections and infestations
Pneumonia 2/369 (0.5%) 2 1/371 (0.3%) 1 0/1 (0%) 0
Amniotic cavity infection 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Anal abscess 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Escherichia sepsis 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Labyrinthitis 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Meningitis pneumococcal 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Pertussis 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Pyelonephritis 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Shigella infection 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Injury, poisoning and procedural complications
Femoral neck fracture 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Gun shot wound 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Overdose 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Metabolism and nutrition disorders
Hypokalaemia 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Musculoskeletal and connective tissue disorders
Osteitis 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma pancreas 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Diffuse large B-cell lymphoma 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Lung adenocarcinoma 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Metastases to liver 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Penile squamous cell carcinoma 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Nervous system disorders
Cerebral haematoma 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Encephalopathy 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Facial paresis 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Pregnancy, puerperium and perinatal conditions
Amniorrhoea 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Psychiatric disorders
Suicidal ideation 2/369 (0.5%) 2 0/371 (0%) 0 0/1 (0%) 0
Anxiety 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Depression 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Suicide attempt 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Reproductive system and breast disorders
Ovarian cyst 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Ovarian haematoma 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Prostatitis 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Pulmonary embolism 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Vascular disorders
Deep vein thrombosis 1/369 (0.3%) 1 0/371 (0%) 0 0/1 (0%) 0
Vasculitis 0/369 (0%) 0 1/371 (0.3%) 1 0/1 (0%) 0
Other (Not Including Serious) Adverse Events
DTG + 3TC TAF Based Regimen Randomized to TBR But Received TDF-based Regimen
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 222/369 (60.2%) 204/371 (55%) 1/1 (100%)
Gastrointestinal disorders
Diarrhoea 30/369 (8.1%) 34 26/371 (7%) 28 1/1 (100%) 1
Nausea 15/369 (4.1%) 16 7/371 (1.9%) 7 0/1 (0%) 0
Abdominal pain 9/369 (2.4%) 12 7/371 (1.9%) 7 0/1 (0%) 0
Toothache 5/369 (1.4%) 5 8/371 (2.2%) 9 0/1 (0%) 0
Vomiting 8/369 (2.2%) 8 4/371 (1.1%) 4 0/1 (0%) 0
Constipation 8/369 (2.2%) 9 2/371 (0.5%) 2 0/1 (0%) 0
General disorders
Fatigue 20/369 (5.4%) 20 3/371 (0.8%) 3 0/1 (0%) 0
Immune system disorders
Seasonal allergy 12/369 (3.3%) 13 3/371 (0.8%) 4 0/1 (0%) 0
Infections and infestations
Nasopharyngitis 43/369 (11.7%) 53 41/371 (11.1%) 51 0/1 (0%) 0
Upper respiratory tract infection 31/369 (8.4%) 42 32/371 (8.6%) 38 1/1 (100%) 1
Syphilis 24/369 (6.5%) 25 13/371 (3.5%) 13 0/1 (0%) 0
Gastroenteritis 13/369 (3.5%) 16 16/371 (4.3%) 16 0/1 (0%) 0
Bronchitis 8/369 (2.2%) 8 20/371 (5.4%) 21 0/1 (0%) 0
Pharyngitis 14/369 (3.8%) 15 11/371 (3%) 12 0/1 (0%) 0
Anal chlamydia infection 8/369 (2.2%) 9 12/371 (3.2%) 16 0/1 (0%) 0
Influenza 9/369 (2.4%) 9 8/371 (2.2%) 8 0/1 (0%) 0
Urinary tract infection 6/369 (1.6%) 8 8/371 (2.2%) 10 0/1 (0%) 0
Urethritis 9/369 (2.4%) 9 4/371 (1.1%) 4 0/1 (0%) 0
Oral herpes 3/369 (0.8%) 3 8/371 (2.2%) 8 0/1 (0%) 0
Proctitis gonococcal 8/369 (2.2%) 9 3/371 (0.8%) 5 0/1 (0%) 0
Metabolism and nutrition disorders
Vitamin D deficiency 12/369 (3.3%) 12 11/371 (3%) 11 0/1 (0%) 0
Musculoskeletal and connective tissue disorders
Back pain 21/369 (5.7%) 22 28/371 (7.5%) 31 0/1 (0%) 0
Arthralgia 12/369 (3.3%) 12 13/371 (3.5%) 13 0/1 (0%) 0
Pain in extremity 8/369 (2.2%) 8 4/371 (1.1%) 4 0/1 (0%) 0
Nervous system disorders
Headache 24/369 (6.5%) 37 17/371 (4.6%) 19 0/1 (0%) 0
Dizziness 8/369 (2.2%) 8 8/371 (2.2%) 8 0/1 (0%) 0
Psychiatric disorders
Anxiety 16/369 (4.3%) 16 9/371 (2.4%) 10 0/1 (0%) 0
Depression 9/369 (2.4%) 9 8/371 (2.2%) 8 0/1 (0%) 0
Insomnia 10/369 (2.7%) 10 7/371 (1.9%) 7 0/1 (0%) 0
Reproductive system and breast disorders
Erectile dysfunction 4/369 (1.1%) 4 8/371 (2.2%) 8 0/1 (0%) 0
Respiratory, thoracic and mediastinal disorders
Cough 6/369 (1.6%) 6 9/371 (2.4%) 9 0/1 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.

Results Point of Contact

Name/Title GSK Response Center
Organization ViiV Healthcare
Phone 866-435-7343
Email GSKClinicalSupportHD@gsk.com
Responsible Party:
ViiV Healthcare
ClinicalTrials.gov Identifier:
NCT03446573
Other Study ID Numbers:
  • 204862
  • 2015-004401-17
First Posted:
Feb 27, 2018
Last Update Posted:
Jul 14, 2022
Last Verified:
Jun 1, 2022