Regimen Switch to Dolutegravir + Rilpivirine From Current Antiretroviral Regimen in Human Immunodeficiency Virus Type 1 Infected and Virologically Suppressed Adults (SWORD-2)

Sponsor
ViiV Healthcare (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT02422797
Collaborator
Janssen Pharmaceuticals (Industry), GlaxoSmithKline (Industry)
518
62
2
86.3
8.4
0.1

Study Details

Study Description

Brief Summary

The aim of this study is to determine if virologically suppressed, human immunodeficiency virus type 1 (HIV-1) infected adults on an antiretroviral regimen (including 2 nucleoside reverse transcriptase inhibitors [NRTIs] plus a third agent) remain suppressed upon switching to a two-drug regimen with dolutegravir (DTG) + rilpivirine (RPV). The study will primarily assess the non-inferiority antiviral activity of switching to DTG + RPV once daily compared to continuation of current antiretroviral regimen (CAR) up to Week 48 with a switch visit for eligible subjects in the CAR group to initiate DTG + RPV therapy at Week 52. CAR will include 2 NRTIs plus 1 HIV-1 integrase inhibitor (INI), or 1 non-nucleoside reverse transcriptase inhibitor (NNRTI), or 1 protease inhibitor (PI). The study will include a 148-week open-label treatment phase, comprising of an Early Switch Phase (Day 1 to Week 52) and a Late Switch Phase (Week 52 to Week 148). The participants fulfilling the study eligibility criteria will participate in the Early Switch Phase where they will either switch from their CAR to DTG + RPV, or continue taking their CAR, until Week 52. At the end of Early Switch Phase, eligible participants will proceed to the Late Switch Phase where all participants in both DTG + RPV and CAR treatment groups will receive DTG + RPV therapy until Week 148. After Week 148, subjects may be eligible to continue to receive DTG +RPV in the Continuation Phase. The study is planned to be conducted in approximately 476 participants.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
518 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
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 Rilpivirine From Current INI-, NNRTI-, or PI-based Antiretroviral Regimen in HIV-1-infected Adults Who Are Virologically Suppressed
Actual Study Start Date :
Apr 21, 2015
Actual Primary Completion Date :
Sep 16, 2016
Anticipated Study Completion Date :
Jun 30, 2022

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Participants receiving CAR

Participants will receive CAR from Day 1 to Week 52 (Early Switch Phase), and eligible participants will switch to DTG 50 milligrams (mg) + RPV 25 mg once daily from Week 52 to 148 (Late Switch Phase).

Drug: CAR
CAR will include following combinations: 2 NRTIs + 1 INI, 2 NRTIs + 1 NNRTI, or 2 NRTIs + 1 PI.

Experimental: Participants receiving DTG 50 mg + RPV 25 mg

Participants will receive DTG 50 mg + RPV 25 mg once daily from Day 1 through Week 148 (Early and Late Switch Phase).

Drug: DTG 50 mg
Participants will take one oral tablet of 50 mg DTG daily administered concomitantly with RPV. Each DTG tablet will contain 52.62 mg dolutegravir sodium salt, which is equivalent to 50 mg dolutegravir free acid.

Drug: RPV 25 mg
Participants will take one oral tablet of 25 mg RPV daily administered concomitantly with DTG along with a meal. Each RPV tablet will contain 27.5 mg of rilpivirine hydrochloride, which is equivalent to 25 mg of RPV.

Outcome Measures

Primary Outcome Measures

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

    Percentage of participants with plasma HIV 1 RNA < 50 c/mL at Week 48 using the Food and Drug Administration (FDA) snapshot algorithm was assessed to demonstrate the non-inferior antiviral activity of switching to DTG+RPV once daily compared to continuation of CAR over 48 weeks in HIV-1 infected antiretroviral therapy (ART)-experienced participants. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest. Plasma samples were collected for quantitative analysis of HIV-1 RNA. The Intent-to-Treat Exposed (ITT-E) population consisted of all randomly assigned participants who received at least one dose of study drug.

Secondary Outcome Measures

  1. Changes From Baseline in Cluster Designation (CD)4+ Lymphocyte Count at Weeks 24 and 48 [Baseline (Day 1), Weeks 24 and 48]

    Blood samples were collected and CD4+ cell count assessment by flow cytometry was carried out to evaluate the immunological activity of DTG + RPV once daily compared to continuation of CAR. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  2. Percentage of Participants With Plasma HIV 1 RNA <50 c/mL at Week 24 Using Snapshot Algorithm [Week 24]

    Percentage of participants with plasma HIV 1 RNA <50 c/mL at Week 24 using the FDA snapshot algorithm was assessed to evaluate the antiviral activity of DTG +RPV once daily compared to continuation of CAR. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest. Plasma samples were collected for quantitative analysis of HIV-1 RNA.

  3. Number of Participants With Common Non-serious Adverse Event (AE), Any Serious AE (SAE), AE of Maximum Toxicity Grade 1, 2, 3 or 4 and AE Leading to Discontinuation (AELD) [Up to Week 52]

    An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with use of a medicinal product, whether or not considered related to medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention were categorized as SAE. AEs were graded using the Division of Acquired Immunodeficiency Syndrome (DAIDS) grading. Grade 1=mild; Grade 2=moderate, Grade 3=severe and Grade 4=potentially life-threatening. Common AEs were those with >5% incidence for either treatment. This summary presents results as reported after all participants completed the Early Switch Phase.

  4. Number of Participants With Maximum Post-baseline Emergent Chemistry Toxicities Over 48 Weeks [Up to 48 weeks]

    Blood samples were collected to evaluate alanine aminotransferase (ALT), albumin, alkaline phosphatase (ALP), aspartate aminotransferase (AST), total bilirubin, chloride, creatinine, glucose, potassium, phosphate, sodium, blood urea nitrogen (BUN), total carbon dioxide, lipase, creatine phosphokinase and creatinine clearance. Value obtained at Day 1 was considered as Baseline value. Number of participants who experienced maximum grade toxicity post-baseline in clinical chemistry over 48 weeks was summarized. Clinical chemistry toxicities were graded using the Division of AIDS Table for Grading Severity of Adult and Pediatric Adverse Events. Grade 1=mild; Grade 2=moderate, Grade 3=severe and Grade 4=potentially life-threatening. For all laboratory parameters, one assessment out of range was sufficient to be considered a chemistry toxicity.

  5. Number of Participants With Maximum Post-baseline Emergent Hematology Toxicities Over 48 Weeks [Up to 48 weeks]

    Blood samples were collected to evaluate hemoglobin, hematocrit, basophils, eosinophils, lymphocytes, monocytes, neutrophils, mean corpuscular volume (MCV), red blood cell (RBC) count, white blood cell (WBC) count and platelet count. Value obtained at Day 1 was considered as Baseline value. Number of participants who experienced maximum grade toxicity post-baseline in hematology over 48 weeks was summarized. Hematology toxicities were graded using the Division of AIDS Table for Grading Severity of Adult and Pediatric Adverse Events. Grade 1=mild; Grade 2=moderate, Grade 3=severe and Grade 4=potentially life-threatening. For all laboratory parameters, one assessment out of range was sufficient to be considered a hematology toxicity.

  6. Mean Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess hs-CRP. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  7. Mean Change From Baseline in Cystatin C at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess cystatin C. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  8. Mean Change From Baseline in D-Dimer at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess D-Dimer. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  9. Mean Change From Baseline in Fatty Acid Binding Protein 2 (FABP) and Soluble CD14 at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess FABP and soluble CD14. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  10. Mean Change From Baseline in Soluble CD163 and Oxidized Low Density Lipoprotein (LDL) at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess soluble CD163 and oxidized LDL. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  11. Mean Change From Baseline in Retinol Binding Protein (RBP), Serum Creatinine and Glucose at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess RBP, serum creatinine and glucose. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  12. Mean Change From Baseline in Urine Phosphate at Week 48 [Baseline (Day 1) and Week 48]

    Urine biomarker samples were collected to at Baseline (Day 1) and Week 48 to assess urine phosphate. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  13. Mean Change From Baseline in Beta-2-microglobulin (B2M) (Blood and Urine), Urine RBP and 25 Hydroxy-vitamin D (Blood) at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess B2M and 25 hydroxy-vitamin D. Urine biomarker samples were collected to assess B2M and RBP. Change from Baseline was calculated as value at indicated time point minus Baseline value. For 25 hydroxy-vitamin D, analysis of changes from Baseline was performed on log-transformed data. Results were transformed back via exponential transformation such that treatment comparisons are assessed via odds ratios.

  14. Mean Change From Baseline in Urine Albumin/Creatinine Ratio and Urine Protein/Creatinine Ratio at Week 48 [Baseline (Day 1) and Week 48]

    Urine biomarker samples were collected at Baseline (Day 1) and Week 48 to assess urine albumin/creatinine ratio and urine protein/creatinine ratio. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  15. Mean Change From Baseline in Bone-specific Alkaline Phosphatase, Procollagen 1 N-terminal Propeptide, Osteocalcin, Type 1 Collagen C-telopeptides and Soluble Vascular Cell Adhesion Molecule (sVCAM) at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess bone-specific alkaline phosphatase, procollagen 1 N-terminal propeptide, osteocalcin, Type 1 Collagen C-telopeptides and sVCAM. Change from Baseline was calculated as value at indicated time point minus Baseline value. For bone-specific alkaline phosphatase, procollagen 1-N-propeptide, osteocalcin and type 1 collagen C-telopeptide, analyses of changes from Baseline were performed on log-transformed data. Results were transformed back via exponential transformation such that treatment comparisons are assessed via odds ratios.

  16. Mean Change From Baseline in Interleukin 6 (IL-6) at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess IL-6. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  17. Mean Change From Baseline in Insulin Resistance Based on Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) at Week 48 [Baseline (Day 1) and Week 48]

    Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess insulin resistance. Change from Baseline was calculated as value at indicated time point minus Baseline value. The homeostatic model assessment (HOMA) of insulin resistance (HOMA-IR ) index , the product of basal glucose and insulin levels divided by 22.5, is regarded as a simple, inexpensive, and reliable surrogate measure of insulin resistance.

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

    Blood samples were collected at Baseline (Day 1), Week 24 and Week 48 to assess fasting lipids which included total cholesterol, low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol and triglycerides. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  19. Number of Participants With Genotypic Resistance-Early Switch Phase [Up to Week 48]

    Plasma samples were collected for drug resistance testing. Genotypic Resistance data for the following drugs (Rilpivirine [RPV], Dolutegravir [DTG]) in participants Meeting Confirmed Virologic Withdrawal (CVW) criteria has been presented. CVW resistance Population comprised of all participants in the ITT-E Population who met CVW through the end of visit window (Week 48, Week 100 or Week 148) and have available on-treatment genotypic resistance data at the time CVW criterion is met.

  20. Number of Participants With Genotypic Resistance-DTG+RPV Early Switch Arm Through Early and Late Switch Phase [Up to Week 148]

    Plasma samples were collected for drug resistance testing. Genotypic Resistance data for the following drugs (DTG, Elvitegravir [EVG], Raltegravir [RAL], Delavirdine [DLV], Efavirenz [EFV], Etravirine [ETR], Nevirapine [NVP], RPV, Lamivudine [3TC], Abacavir [ABC], FTC, TDF, Zidovudine [ZDV], Stavudine [d4T], Didanosine [ddI], Atazanavir/r [ATV/r], DRV/r, Fosamprenavir/r [FPV/r], Indinavir/r [IDV/r], Lopinavir/r [LPV/r], Nelfinavir [NFV], Ritonavir [RTV], Saquinavir/r [SQV/r], Tipranavir/r [TPV/r]) in participants Meeting Confirmed Virologic Withdrawal Criteria has been presented.

  21. Number of Participants With Genotypic Resistance-CAR Late Switch Arm Through Late Switch Phase [Post-LS Baseline (Week 52) up to Week 148]

    Plasma samples were collected for drug resistance testing. Genotypic Resistance data for the following drugs (DTG, EVG, RAL, DLV, EFV, ETR, NVP, RPV, 3TC, ABC, FTC, TDF, ZDV, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, NFV, RTV, SQV/r, TPV/r) in participants Meeting CVW Criteria has been presented. Late Switch (LS) CVW resistance Population comprised of all participants in the LS ITT-E Population who met CVW through the end of visit window (Week 48, Week 100 or Week 148) and had available on-treatment genotypic resistance data at the time CVW criterion is met.

  22. Number of Participants With Phenotypic Resistance-Early Switch Phase [Up to Week 48]

    Plasma samples were collected for drug resistance testing. Phenotypic Resistance data for the following drugs (DTG, RAL, EVG, RPV, ETR, 3TC, ABC, FTC, TDF, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, SQV/r, TPV/r) in participants Meeting CVW criteria has been presented.

  23. Number of Participants With Phenotypic Resistance-DTG+RPV Early Switch Group Through Early and Late Switch Phase [Up to Week 148]

    Plasma samples were collected for drug resistance testing. Phenotypic Resistance data for the following drugs (DTG, EVG, RAL, DLV, EFV, ETR, NVP, RPV, 3TC, ABC, FTC, TDF, ZDV, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, NFV, RTV, SQV/r, TPV/r) in participants Meeting CVW criteria has been presented.

  24. Number of Participants With Phenotypic Resistance-CAR Late Switch Group Through Late Switch Phase [Post-LS Baseline (Week 52) up to Week 148]

    Plasma samples were collected for drug resistance testing. Phenotypic Resistance data for the following drugs (DTG, EVG, RAL, DLV, EFV, ETR, NVP, RPV, 3TC, ABC, FTC, TDF, ZDV, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, NFV, RTV, SQV/r, TPV/r) in participants Meeting CVW criteria has been presented.

  25. Pre-dose Concentrations of DTG and RPV at Weeks 4, 24, 48, 56, 76 and 100 in Participants Switching to DTG + RPV - DTG+RPV Early Switch Group Through Early and Late Switch Phase [Pre-dose at Week 4, 24, 48, 56, 76 and 100]

    Two separate blood samples for DTG and RPV were collected pre-dose at Weeks 4, 24, 48, 56, 76 and 100. Pre-dose concentrations of DTG and RPV at Weeks 4, 24, 48, 56, 76 and 100 is summarized for the participants switching to DTG + RPV in the early+late switch phase. Pharmacokinetic (PK) Parameter Population consisted of all participants who received DTG +RPV and provided at least one evaluable estimate of predose concentration (C0).

  26. Pre-dose Concentrations of DTG and RPV at Weeks 56, 76 and 100 in Participants Switching to DTG + RPV - CAR Late Switch Group Through Late Switch Phase [Pre-dose at Weeks 56, 76 and 100]

    Two separate blood samples for DTG and RPV were collected pre-dose at Weeks 56, 76 and 100. Pre-dose concentrations of DTG and RPV at Weeks 56, 76 and 100 is summarized for the participants switching to DTG + RPV in the late switch phase. LS PK Parameter Population comprised of all participants who were randomized to CAR and received DTG + RPV in the Late Switch Phase and provided at least one evaluable estimate of C0.

  27. Pre-dose Concentrations of DTG and RPV at Weeks 2, 4 and 8 in the First 20 Participants Who Switch From Efavirenz (EFV) or Nevirapine (NVP) to DTG + RPV [Pre-dose at Weeks 2, 4 and 8]

    Two blood samples were collected pre-dose for DTG and RPV at Weeks 2 and 8 only for the first 20 participants who switch from EFV or NVP to DTG+RPV, in addition to the pre-dose blood sample collected at Week 4 for all participants. One blood sample was collected pre-dose for EFV or NVP at Week 2 for the first 20 participants who switch from EFV or NVP to DTG + RPV. PK Parameter NNRTI Subset Extra Sampling Population consisted of the first approximately 20 participants in the PK Parameter NNRTI Subset population who have extra PK samples at weeks 2 and 8.

  28. Percentage of Participants With Plasma HIV 1 RNA <50 c/mL at Week 48 Using Snapshot Algorithm by Baseline Third Agent Treatment Class [Up to Week 48]

    Percentage of participants with plasma HIV 1 RNA < 50 c/mL at Week 48 using the FDA snapshot algorithm was assessed by Baseline third agent class to assess the impact of Baseline third agent class (INSTI, NNRTI, or PI) on efficacy, safety and tolerability of DTG +RPV compared to continuation of CAR. Plasma samples were collected for HIV-1 RNA at Baseline (Day 1), Week 4, 8, 12, 24, 36 and 48. The analysis was done using Cochran-Mantel Haenszel test stratified by current antiretroviral third-agent class.

  29. Changes From Baseline in CD4+ Lymphocyte Count at Week 48 by Baseline Third Agent Treatment Class [Baseline (Day 1) and Week 48]

    Blood samples were collected and CD4+ cell count assessment by flow cytometry was carried out at Baseline (Day 1) and Week 48 to assess the impact of Baseline third agent class (INSTI, NNRTI, or PI) on efficacy, safety and tolerability of DTG +RPV compared to continuation of CAR. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  30. Number of Participants With Any AE, AELD or AE With Grade 1, 2, 3 or 4 Toxicity Over 48 Weeks by Baseline Third Agent Treatment Class [Up to 48 weeks]

    An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Number of participants with any AE, AELD or AE with maximum grade toxicity experienced by any one participant over 48 weeks by Baseline third agent class (INSTI, NNRTI, or PI) is summarized. AEs were graded using the Division of AIDS grading. Grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=potentially life-threatening.

  31. Number of Participants With Maximum Post-baseline Emergent Chemistry Toxicities Over 48 Weeks by Baseline Third Agent Treatment Class [Up to 48 weeks]

    Blood samples were collected at Baseline (Day 1) and at Weeks 4, 8, 12, 24, 36 and 48 to evaluate ALT, albumin, ALP, AST, total bilirubin, chloride, creatinine, glucose, potassium, phosphate, sodium, BUN, total carbon dioxide, lipase, creatine phosphokinase and creatinine clearance. Number of participants who experienced maximum toxicity grade post-baseline in chemistry parameters over 48 weeks by Baseline third agent treatment class (INSTI, NNRTI, PI) is summarized. Clinical chemistry toxicities were graded using the DAIDS grading. Grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=potentially life-threatening.

  32. Number of Participants With Maximum Post-baseline Emergent Hematology Toxicities Over 48 Weeks by Baseline Third Agent Treatment Class [Up to 48 weeks]

    Blood samples were collected at Baseline (Day 1) and at Weeks 4, 8, 12, 24, 36 and 48 to evaluate hemoglobin, hematocrit, basophils, eosinophils, lymphocytes, monocytes, neutrophils, MCV, RBC count, WBC count and platelet count. Number of participants who experienced maximum toxicity grade post-baseline in hematology parameters over 48 weeks by Baseline third agent treatment class (INSTI, NNRTI, PI) was summarized. Hematology toxicities were graded using the DAIDS grading. Grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=potentially life-threatening.

  33. Number of Participants With Observed Genotypic Resistance for Participants Meeting Virologic Withdrawal Criteria by Baseline Third Agent Treatment Class [Week 48]

    For all participants who meet virologic withdrawal criteria, plasma samples with HIV-1 RNA level >=200 c/mL were to be analyzed in an attempt to obtain genotype data on as many samples as possible. Samples for drug resistance testing (genotypic) were to be collected at Day 1. Number of participants with genotypic resistance to CAR and to DTG or RPV for those meeting virologic withdrawal criteria in subgroups stratified based on Baseline third agent treatment class (INSTI, NNRTI, PI) were to be summarized. This outcome has not been analyzed as the number of participants was low (1 CVW per arm) and summaries by Baseline third agent were not provided. Therefore, data are not available for this outcome measure due to the insufficient number of participants with events.

  34. Number of Participants With Observed Phenotypic Resistance for Participants Meeting Virologic Withdrawal Criteria by Baseline Third Agent Treatment Class [Week 48]

    For all participants who meet virologic withdrawal criteria, plasma samples with HIV-1 RNA level >=200 c/mL were to be analyzed in an attempt to obtain phenotype data on as many samples as possible. Samples for drug resistance testing (phenotypic) were to be collected at Day 1. Number of participants with phenotypic resistance to CAR and to DTG or RPV for those meeting virologic withdrawal criteria in subgroups stratified based on Baseline third agent treatment class (INSTI, NNRTI, PI) were to be summarized. This outcome was not analyzed as the number of participants was low (1 CVW per arm) and summaries by Baseline third agent were not provided. Therefore, data are not available for this outcome measure due to the insufficient number of participants with events.

  35. Change From Baseline in Fasting Lipids at Weeks 24 and 48 by Baseline Third Agent Treatment Class [Baseline (Day 1), Weeks 24 and 48]

    Blood samples were collected at Baseline (Day 1), Weeks 24 and 48 to assess fasting lipids which included total cholesterol (CHO), LDL cholesterol, HDL cholesterol and triglycerides. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  36. Change From Baseline in Pre-specified Treatment Symptoms Using the Symptom Distress Module at Weeks 4, 24 and 48-Early Switch Phase [Baseline (Day 1), Weeks 4, 24 and 48]

    The Symptom Distress Module, also called the HIV Symptom Index or Symptoms Impact Questionnaire, is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. Symptom count is based on which of the 20 symptoms were present in the participant. Symptom count is the sum of the number of symptoms present and ranges from 0 (none) to 20 (all). Symptom bother score is based on the score for each symptom present ranging from 1 (it doesn't bother me) to 4 (it bothers me a lot). Symptom bother score is the unweighted sum of the bother item scores for each symptom. The symptom bother score ranges from 0 (minimum bother score) to 80 (maximum bother score). Last observation carried forward (LOCF) was used as primary method of analysis. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  37. Change From Baseline in Pre-specified Treatment Symptoms Using the Symptom Distress Module at Weeks 56, 76, 100 and 148-DTG+RPV Early Switch Group Through Early and Late Switch Phase [Baseline (Day 1), Weeks 56, 76, 100 and 148]

    The Symptom Distress Module, also called the HIV Symptom Index or Symptoms Impact Questionnaire, is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. Symptom count is based on which of the 20 symptoms were present in the participant. Symptom count is the sum of the number of symptoms present and ranges from 0 (none) to 20 (all). Symptom bother score is based on the score for each symptom present ranging from 1 (it doesn't bother me) to 4 (it bothers me a lot). Symptom bother score is the unweighted sum of the bother item scores for each symptom. The symptom bother score ranges from 0 (minimum bother score) to 80 (maximum bother score). LOCF was used as primary method of analysis. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  38. Change From LS Baseline in Pre-specified Treatment Symptoms Using the Symptom Distress Module at Weeks 56, 76, 100 and 148-CAR Late Switch Group Through Late Switch Phase [LS Baseline (Week 48), Weeks 56, 76, 100 and 148]

    The Symptom Distress Module, also called the HIV Symptom Index or Symptoms Impact Questionnaire, is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. Symptom count is based on which of the 20 symptoms were present in the participant. Symptom count is the sum of the number of symptoms present and ranges from 0 (none) to 20 (all). Symptom bother score is based on the score for each symptom present ranging from 1 (it doesn't bother me) to 4 (it bothers me a lot). Symptom bother score is the unweighted sum of the bother item scores for each symptom. The symptom bother score ranges from 0 (minimum bother score) to 80 (maximum bother score). LOCF was used as primary method of analysis. Change from LS Baseline was calculated as value at indicated time point minus LS Baseline value.

  39. Change From Baseline Treatment Satisfaction Using the HIV Treatment Satisfaction Questionnaire (HIV TSQ) at Weeks 4, 24 and 48-Early Switch Phase [Baseline (Day 1), Weeks 4, 24 and 48]

    The HIV TSQ is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility. Each item is scored 0 to 6 where a higher score indicates the greater improvement in the past few weeks. These items are summed up to produce a treatment satisfaction total score (0 to 60) and 2 subscales: general satisfaction/clinical and lifestyle/ease subscales (0 to 30). The HIV TSQ was administered as a paper questionnaire. Total score, lifestyle/ease score and General satisfaction/clinical sub-score (CS) have been summarized. LOCF was used as primary method of analysis. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  40. Change From Baseline Treatment Satisfaction Using the HIV TSQ at Weeks 56, 76, 100 and 148-DTG+RPV Early Switch Group Through Early and Late Switch Phase [Baseline (Day 1), Weeks 56, 76, 100 and 148]

    The HIV TSQ is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility. Each item is scored 0 (very dissatisfied, inconvenient) to 6 (very satisfied, convenient). The items are summed up to produce a treatment satisfaction total score (0 to 60) and 2 subscale scores: general satisfaction/clinical and lifestyle/ease subscales (0 to 30). Higher scores indicated greater treatment satisfaction as compared to the past few weeks. The HIV TSQ was administered as a paper questionnaire. Change from Baseline is calculated as the value at specified time point minus Baseline value. Total score, lifestyle/ease score and General satisfaction/clinical sub-score (CS) have been summarized. LOCF was used as primary method of analysis.

  41. Change From LS Baseline Treatment Satisfaction Using the HIV TSQ at Weeks 56, 76, 100 and 148-CAR Late Switch Group Through Late Switch Phase [LS Baseline (Week 48), Weeks 56, 76, 100 and 148]

    The HIV TSQ is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility. Each item is scored 0 (very dissatisfied, inconvenient) to 6 (very satisfied, convenient). The items are summed up to produce a treatment satisfaction total score (0 to 60) and 2 subscale scores: general satisfaction/clinical and lifestyle/ease subscales (0 to 30). Higher scores indicated greater treatment satisfaction as compared to the past few weeks. The HIV TSQ was administered as a paper questionnaire. Change from LS Baseline is calculated as the value at specified time point minus LS Baseline value. Total score, lifestyle/ease score and General satisfaction/CS have been summarized. LOCF was used as primary method of analysis.

Other Outcome Measures

  1. Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Weeks 100 and 148 Using the Snapshot Algorithm-DTG+RPV Early Switch Group Through Early and Late Switch Phase [Weeks 100 and 148]

    Plasma samples were collected for quantitative analysis of HIV-1 RNA. Percentage of participants with plasma HIV 1 RNA < 50 c/mL using the FDA snapshot algorithm was assessed. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest.

  2. Change From Baseline in CD4+ Lymphocyte Count at Weeks 100 and 148-DTG+RPV Early Switch Group Through Early and Late Switch Phase [Baseline (Day 1), Weeks 100 and 148]

    Blood samples were collected for CD4+ cell count assessment by flow cytometry. Change from Baseline was calculated as value at indicated time point minus Baseline value.

  3. Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Weeks 100 and 148 Using the Snapshot Algorithm-CAR Late Switch Group Through Late Switch Phase [Weeks 100 and 148]

    Plasma samples were collected for quantitative analysis of HIV-1 RNA. Percentage of participants with plasma HIV 1 RNA < 50 c/mL using the FDA snapshot algorithm was assessed. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest.

  4. Change From LS Baseline in CD4+ Lymphocyte Count at Weeks 100 and 148-CAR Late Switch Group Through Late Switch Phase [LS Baseline (Week 48), Weeks 100 and 148]

    Blood samples were collected for CD4+ cell count assessment by flow cytometry. Change from LS Baseline was calculated as value at indicated time point minus LS Baseline value.

Eligibility Criteria

Criteria

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

  • Participants must be likely to complete the study as planned.

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

  • HIV-1 infected men or women of >=18 years of age.

  • Must be on uninterrupted current regimen (either the initial or second combination antiretroviral therapy [cART] regimen) for at least 6 months prior to screening; Any prior switch, defined as a change of a single drug or multiple drugs simultaneously, must have occurred due to tolerability and/or safety concerns or access to medications, or convenience/simplification. Acceptable stable cART regimens prior to screening include 2 NRTIs plus; INI (either the initial or second cART regimen), or an NNRTI (either the initial or second cART regimen), or a Boosted PI (or atazanavir unboosted) ( either the initial or second PI-based cART regimen).

  • 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;

  • A female may be eligible to enter and participate in the study if she is of : Non-child-bearing potential either defined as post-menopausal (12 months of spontaneous amenorrhea and >=45 years of age) or physically incapable of becoming pregnant with documented tubal ligation, hysterectomy or bilateral oophorectomy or child-bearing potential with a negative pregnancy test at both Screening and Day 1 and agrees to use one of the following methods of contraception to avoid pregnancy: Complete abstinence from intercourse from 2 weeks prior to administration of study drug, throughout the study, and for at least 2 weeks after discontinuation of all study medications and completion of the Follow-up visit; Any intrauterine device (IUD) with published data showing that the expected failure rate is <1% per year (not all IUDs meet this criterion); Male partner sterilization with documentation of azoospermia prior to the female participant's entry into the study and this male is the sole partner for that participant. The documentation on male sterility can come from the site personnel's review of participant's medical records, medical examination, and/or semen analysis, or medical history interview provided by her or her partner; Approved hormonal contraception for participants randomly assigned to DTG

  • RPV arm (and for participants randomly assigned to CAR following switch to DTG + RPV at Week 52) or approved hormonal contraception plus a barrier method for participants assigned to CAR through Week 52. Approved hormonal contraception includes: Combined estrogen and progestogen oral contraceptive, Contraceptive subdermal implant, Injectable progestogen, Contraceptive vaginal ring, Percutaneous contraceptive patches; Any other method with published data showing that the expected failure rate is <1% per year. Any contraception method must be used consistently, in accordance with the approved product label during treatment with study drug and for at least 2 weeks after discontinuation of study drug and completion of the Follow-Up Visit. The investigator is responsible for ensuring that participants understand how to properly use these methods of contraception. Periodic abstinence (e.g. calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception. Note: these contraceptive requirements do not apply to females of reproductive potential with same sex partners only, when this is their preferred and usual lifestyle. 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.
  • Participants who are willing and able to understand requirements of study participation and provide signed and dated written informed consent prior to screening.

  • For participants enrolled in France: participants will be eligible for inclusion in this study only if either affiliated to or a beneficiary of a social security category.

Exclusion Criteria:
Exclusionary Criteria prior to screening or Day 1:
  • Within 6 months prior to Screening and after confirmed suppression to <50 c/mL on current Antiretroviral therapy (ART regimen), any plasma HIV-1 RNA measurement >=50 c/mL.

  • 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.

  • Any drug holiday during the window between initiating first HIV ART and 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 switch to a second line 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 measurement >=400 c/mL after initial suppression to <50 c/mL while on first line HIV therapy regimen).

Exclusionary medical conditions:
  • Women who are pregnant, breastfeeding or plan to become pregnant or breastfeed during the study.

  • Any evidence of an active Centers for Disease Control and Prevention Category C disease. Exceptions include cutaneous Kaposi's sarcoma not requiring systemic therapy and historic CD4+ lymphocyte counts of <200 cells per cubic millimeter (cells/mm^3).

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

  • Unstable liver disease (as defined by the presence of any of the following: ascites, encephalopathy, coagulopathy, hypoalbuminemia, 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), and Hepatitis B surface antibody (HBsAb) as follows: participants positive for HBsAg are excluded; participants positive for anti-HBc (negative HBsAg status) and negative for HBsAb are excluded. Note: Participants positive for anti-HBc (negative HBsAg status) and positive for HBsAb are immune to HBV and are not excluded.

  • Participants with an anticipated need for any Hepatitis C virus (HCV) therapy during the Early Switch Phase and for interferon-based therapy for HCV throughout the entire study period.

  • History or presence of allergy 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 intraepithelial neoplasia; other localized malignancies require agreement between the investigator and the Study medical monitor for inclusion of the participant prior to randomization;

  • Participants who in the investigator's judgment pose a significant suicidality risk. Participant's history of suicidal behavior and/or suicidal ideation should be considered when evaluating for suicide risk;

  • Any pre-existing physical or mental condition which, in the opinion of the Investigator, may interfere with the participant's ability to comply with the dosing schedule and/or protocol evaluations or which may compromise the safety of the participant;

  • Any condition which, in the opinion of the Investigator, may interfere with the absorption, distribution, metabolism or excretion of the study drugs or render the participant unable to take oral medication;

Exclusionary Treatments prior to Screening or Day 1:
  • Use of medications which are associated with Torsades de Pointes.

  • 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 immunomodulators that alter immune responses.

  • 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 Day 1 of this study.

  • Participants who are currently participating, or are anticipated to be selected to participate in any other interventional study, with the exception of the DEXA sub-study 202094, after randomization (NOTE: Participants who are already enrolled into another interventional study at time of screening may be eligible after consultation with the GlaxoSmithKline study team prior to randomization. Considerations include participant's ability to attend all visits on schedule, and possible drug and study procedure compatibility).

  • A history of use of any regimen consisting of only single NNRTI therapy (even if only for peri-partum treatment), or only single or dual NRTI therapy prior to starting cART.

  • Current or prior history of etravirine (ETR) use.

  • Current use of tipranavir/ritonavir or fosamprenavir/ritonavir.

  • Participants receiving any prohibited medication and who are unwilling or unable to switch to an alternate medication. Note: Any prohibited medications that decrease DTG or RPV concentrations should be discontinued for a minimum of four weeks or a minimum of three half-lives (whichever is longer) prior to the first dose and any other prohibited medications should be discontinued for a minimum of two weeks or a minimum of three half-lives (whichever is longer) prior to the first dose.

Exclusionary Laboratory Values or Clinical Assessments at Screening:
  • Evidence of viral resistance based on the presence of any resistance associated major PI, INI, NRTI, or NNRTI mutation and integrase (IN) resistance associated substitution R263K in any available prior resistance genotype assay results. Note: Any prior genotypic resistance testing is not required but if available it must be provided to GlaxoSmithKline, after screening and before randomization, to provide direct evidence of no pre-existing exclusionary resistance mutations. You must wait for the study virologists to confirm the lack of exclusionary resistance mutations, which will be provided before the screening window closes.

  • Any verified Grade 4 laboratory abnormality, with the exception of Grade 4 lipid abnormalities. A single repeat test is allowed during the Screening period to verify a result.

  • Any acute laboratory abnormality at Screening, which, in the opinion of the investigator, would preclude the participant's participation in the study of an investigational compound.

  • Alanine aminotransferase (ALT) >=5 × upper limit of normal (ULN), or ALT >=3 × ULN and bilirubin >=1.5 × ULN (with >35% direct bilirubin).

  • Corrected QT interval (QTc [Bazett]) >450 milliseconds or QTc (Bazett) >480 milliseconds for participants with bundle branch block. The QTc is the QT interval corrected for heart rate according to Bazett's formula (QTcB).

Contacts and Locations

Locations

Site City State Country Postal Code
1 GSK Investigational Site Bakersfield California United States 93301
2 GSK Investigational Site Washington District of Columbia United States 20007
3 GSK Investigational Site Washington District of Columbia United States 20037
4 GSK Investigational Site Fort Lauderdale Florida United States 33316
5 GSK Investigational Site Vero Beach Florida United States 32690
6 GSK Investigational Site West Palm Beach Florida United States 33407
7 GSK Investigational Site Macon Georgia United States 31201
8 GSK Investigational Site Southfield Michigan United States 48075
9 GSK Investigational Site Omaha Nebraska United States 68198
10 GSK Investigational Site Buffalo New York United States 14201
11 GSK Investigational Site Chapel Hill North Carolina United States 27599-7064
12 GSK Investigational Site Austin Texas United States 78705
13 GSK Investigational Site Seattle Washington United States 98104
14 GSK Investigational Site Ciudad de Buenos Aires Buenos Aires Argentina C1202ABB
15 GSK Investigational Site Rosario Santa Fe Argentina 2000
16 GSK Investigational Site Buenos Aires Argentina 1141
17 GSK Investigational Site Darlinghurst, Sydney New South Wales Australia 2010
18 GSK Investigational Site Surry Hills New South Wales Australia 2010
19 GSK Investigational Site Sydney New South Wales Australia 2010
20 GSK Investigational Site Vancouver British Columbia Canada V6Z 2T1
21 GSK Investigational Site Toronto Ontario Canada M4N 3M5
22 GSK Investigational Site Montreal Quebec Canada H2L 4E9
23 GSK Investigational Site Montreal Quebec Canada H2L 4P9
24 GSK Investigational Site Montreal Quebec Canada H3A 1T1
25 GSK Investigational Site Montreal Quebec Canada H4A 3J1
26 GSK Investigational Site Regina Saskatchewan Canada S4P 0W5
27 GSK Investigational Site Bordeaux France 33000
28 GSK Investigational Site Lyon cedex 04 France 69317
29 GSK Investigational Site Marseille France 13003
30 GSK Investigational Site Paris Cedex 20 France 75970
31 GSK Investigational Site Saint Denis Cedex 01 France 93205
32 GSK Investigational Site Tourcoing cedex France 59208
33 GSK Investigational Site Hannover Niedersachsen Germany 30625
34 GSK Investigational Site Bonn Nordrhein-Westfalen Germany 53127
35 GSK Investigational Site Koeln Nordrhein-Westfalen Germany 50937
36 GSK Investigational Site Berlin Germany 10243
37 GSK Investigational Site Berlin Germany 12157
38 GSK Investigational Site Bergamo Lombardia Italy 24127
39 GSK Investigational Site Milano Lombardia Italy 20157
40 GSK Investigational Site Barnaul Russian Federation 656010
41 GSK Investigational Site Krasnodar Russian Federation 350015
42 GSK Investigational Site Saratov Russian Federation 410009
43 GSK Investigational Site St. Petersburg Russian Federation 190103
44 GSK Investigational Site Oviedo Asturias Spain 33011
45 GSK Investigational Site Alicante Spain 03010
46 GSK Investigational Site Badalona Spain 08916
47 GSK Investigational Site Barcelona Spain 08035
48 GSK Investigational Site Barcelona Spain 08097
49 GSK Investigational Site Cartagena (Murcia) Spain 30202
50 GSK Investigational Site La Coruña Spain 15006
51 GSK Investigational Site La Laguna (Santa Cruz De Tenerife) Spain 38320
52 GSK Investigational Site Madrid Spain 28041
53 GSK Investigational Site Madrid Spain 28046
54 GSK Investigational Site Murcia Spain 30003
55 GSK Investigational Site Móstoles, Madrid Spain 28935
56 GSK Investigational Site Santiago de Compostela Spain 15706
57 GSK Investigational Site Valencia Spain 46014
58 GSK Investigational Site Kaohsiung Taiwan 807
59 GSK Investigational Site Kaohsiung Taiwan 824
60 GSK Investigational Site New Taipei Taiwan 220
61 GSK Investigational Site Taichung Taiwan 40705
62 GSK Investigational Site London United Kingdom NW3 2QG

Sponsors and Collaborators

  • ViiV Healthcare
  • Janssen Pharmaceuticals
  • GlaxoSmithKline

Investigators

  • Study Director: GSK Clinical Trials, ViiV Healthcare

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:
ViiV Healthcare
ClinicalTrials.gov Identifier:
NCT02422797
Other Study ID Numbers:
  • 201637
  • 2014-005148-16
First Posted:
Apr 21, 2015
Last Update Posted:
Dec 14, 2021
Last Verified:
Dec 1, 2021
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 study was a 148-week, Phase III, randomized, open-label, active-controlled, multicenter, parallel-group, non-inferiority study to assess the antiviral activity and safety of a two-drug regimen of dolutegravir (DTG) + rilpivirine (RPV) compared with current antiretroviral regimen (CAR). The study was conducted at 60 centers in 11 countries.
Pre-assignment Detail Total 639 participants were screened (121 failed), 518 participants were randomized and 2 participants withdrew before being exposed to study drug. The study included a Screening phase, an early switch phase, a late switch phase, and a continuation phase. The results presented are based on the interim analysis of the Late Switch Phase (Week 148).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Period Title: Early Switch Phase (Up to Week 52)
STARTED 261 255
COMPLETED 245 239
NOT COMPLETED 16 16
Period Title: Early Switch Phase (Up to Week 52)
STARTED 245 239
COMPLETED 222 221
NOT COMPLETED 23 18

Baseline Characteristics

Arm/Group Title DTG + RPV Current Antiretroviral Regimen Total
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148. Total of all reporting groups
Overall Participants 261 255 516
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
43.3
(11.34)
43.2
(9.64)
43.3
(10.52)
Sex: Female, Male (Count of Participants)
Female
62
23.8%
57
22.4%
119
23.1%
Male
199
76.2%
198
77.6%
397
76.9%
Race/Ethnicity, Customized (Count of Participants)
American Indian or Alaska Native
11
4.2%
7
2.7%
18
3.5%
Central/South Asian Heritage
0
0%
1
0.4%
1
0.2%
Japanese/East Asian (EA) Heritage (H.)/South EA H.
13
5%
15
5.9%
28
5.4%
Black/African American
13
5%
19
7.5%
32
6.2%
Native Hawaiian or other Pacific Islander
1
0.4%
0
0%
1
0.2%
White
223
85.4%
212
83.1%
435
84.3%
African American/ African H. and White
0
0%
1
0.4%
1
0.2%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Week 48 Using Snapshot Algorithm
Description Percentage of participants with plasma HIV 1 RNA < 50 c/mL at Week 48 using the Food and Drug Administration (FDA) snapshot algorithm was assessed to demonstrate the non-inferior antiviral activity of switching to DTG+RPV once daily compared to continuation of CAR over 48 weeks in HIV-1 infected antiretroviral therapy (ART)-experienced participants. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest. Plasma samples were collected for quantitative analysis of HIV-1 RNA. The Intent-to-Treat Exposed (ITT-E) population consisted of all randomly assigned participants who received at least one dose of study drug.
Time Frame Week 48

Outcome Measure Data

Analysis Population Description
ITT-E Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Number [Percentage of participants]
94
36%
94
36.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Non-Inferiority
Comments Non-inferiority can be concluded if the lower bound of a two-sided 95% confidence interval for the difference in response rates between the two treatment arms is greater than -10%.
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value 0.2
Confidence Interval (2-Sided) 95%
-3.9 to 4.2
Parameter Dispersion Type:
Value:
Estimation Comments Estimates based on Cochran-Mantel Haenszel stratified analysis adjusting for Baseline stratification factors: Age group (< or >=50 years old) and Baseline third agent (PI, NNRTI, INSTI).
2. Secondary Outcome
Title Changes From Baseline in Cluster Designation (CD)4+ Lymphocyte Count at Weeks 24 and 48
Description Blood samples were collected and CD4+ cell count assessment by flow cytometry was carried out to evaluate the immunological activity of DTG + RPV once daily compared to continuation of CAR. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1), Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Week 24, n=251, 250
42.0
(172.29)
42.4
(164.85)
Week 48, n=245, 241
28.0
(169.35)
18.4
(159.34)
3. Secondary Outcome
Title Percentage of Participants With Plasma HIV 1 RNA <50 c/mL at Week 24 Using Snapshot Algorithm
Description Percentage of participants with plasma HIV 1 RNA <50 c/mL at Week 24 using the FDA snapshot algorithm was assessed to evaluate the antiviral activity of DTG +RPV once daily compared to continuation of CAR. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest. Plasma samples were collected for quantitative analysis of HIV-1 RNA.
Time Frame Week 24

Outcome Measure Data

Analysis Population Description
ITT-E Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Number [Percentage of participants]
97
37.2%
98
38.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value -1.1
Confidence Interval (2-Sided) 95%
-4.0 to 1.8
Parameter Dispersion Type:
Value:
Estimation Comments Cochran-Mantel Haenszel stratified analysis adjusting for Baseline stratification factors: Age group (< or >=50 years old) and Baseline third agent (PI, NNRTI, INSTI). No formal non-inferiority margin has been pre-specified for secondary endpoints.
4. Secondary Outcome
Title Number of Participants With Common Non-serious Adverse Event (AE), Any Serious AE (SAE), AE of Maximum Toxicity Grade 1, 2, 3 or 4 and AE Leading to Discontinuation (AELD)
Description An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with use of a medicinal product, whether or not considered related to medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention were categorized as SAE. AEs were graded using the Division of Acquired Immunodeficiency Syndrome (DAIDS) grading. Grade 1=mild; Grade 2=moderate, Grade 3=severe and Grade 4=potentially life-threatening. Common AEs were those with >5% incidence for either treatment. This summary presents results as reported after all participants completed the Early Switch Phase.
Time Frame Up to Week 52

Outcome Measure Data

Analysis Population Description
Safety Population included all randomized participants who received at least one dose of study drug.
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Common non-serious AE
61
23.4%
59
23.1%
Any SAE
18
6.9%
9
3.5%
Maximum toxicity Grade 1 AE
119
45.6%
122
47.8%
Maximum toxicity Grade 2 AE
59
22.6%
47
18.4%
Maximum toxicity Grade 3 AE
16
6.1%
4
1.6%
Maximum toxicity Grade 4 AE
1
0.4%
1
0.4%
AELD
12
4.6%
1
0.4%
5. Secondary Outcome
Title Number of Participants With Maximum Post-baseline Emergent Chemistry Toxicities Over 48 Weeks
Description Blood samples were collected to evaluate alanine aminotransferase (ALT), albumin, alkaline phosphatase (ALP), aspartate aminotransferase (AST), total bilirubin, chloride, creatinine, glucose, potassium, phosphate, sodium, blood urea nitrogen (BUN), total carbon dioxide, lipase, creatine phosphokinase and creatinine clearance. Value obtained at Day 1 was considered as Baseline value. Number of participants who experienced maximum grade toxicity post-baseline in clinical chemistry over 48 weeks was summarized. Clinical chemistry toxicities were graded using the Division of AIDS Table for Grading Severity of Adult and Pediatric Adverse Events. Grade 1=mild; Grade 2=moderate, Grade 3=severe and Grade 4=potentially life-threatening. For all laboratory parameters, one assessment out of range was sufficient to be considered a chemistry toxicity.
Time Frame Up to 48 weeks

Outcome Measure Data

Analysis Population Description
Safety Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Grade 1
92
35.2%
80
31.4%
Grade 2
72
27.6%
79
31%
Grade 3
11
4.2%
16
6.3%
Grade 4
1
0.4%
10
3.9%
6. Secondary Outcome
Title Number of Participants With Maximum Post-baseline Emergent Hematology Toxicities Over 48 Weeks
Description Blood samples were collected to evaluate hemoglobin, hematocrit, basophils, eosinophils, lymphocytes, monocytes, neutrophils, mean corpuscular volume (MCV), red blood cell (RBC) count, white blood cell (WBC) count and platelet count. Value obtained at Day 1 was considered as Baseline value. Number of participants who experienced maximum grade toxicity post-baseline in hematology over 48 weeks was summarized. Hematology toxicities were graded using the Division of AIDS Table for Grading Severity of Adult and Pediatric Adverse Events. Grade 1=mild; Grade 2=moderate, Grade 3=severe and Grade 4=potentially life-threatening. For all laboratory parameters, one assessment out of range was sufficient to be considered a hematology toxicity.
Time Frame Up to 48 weeks

Outcome Measure Data

Analysis Population Description
Safety Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Grade 1
11
4.2%
11
4.3%
Grade 2
2
0.8%
2
0.8%
Grade 3
3
1.1%
0
0%
Grade 4
1
0.4%
0
0%
7. Secondary Outcome
Title Mean Change From Baseline in High-sensitivity C-reactive Protein (Hs-CRP) at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess hs-CRP. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed.
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 246 239
Mean (Standard Deviation) [mg/Liter (L)]
0.10
(5.383)
0.80
(8.527)
8. Secondary Outcome
Title Mean Change From Baseline in Cystatin C at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess cystatin C. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed.
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 246 237
Mean (Standard Deviation) [mg/L]
-0.02
(0.110)
-0.01
(0.108)
9. Secondary Outcome
Title Mean Change From Baseline in D-Dimer at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess D-Dimer. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed.
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 239 228
Mean (Standard Deviation) [Nanomole/L fibrinogen equivalent units]
0.01
(1.629)
-0.13
(2.932)
10. Secondary Outcome
Title Mean Change From Baseline in Fatty Acid Binding Protein 2 (FABP) and Soluble CD14 at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess FABP and soluble CD14. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
FABP, n=245, 236
-1.50
(1.278)
-0.99
(1.441)
Soluble CD14, n=245, 237
456.69
(731.833)
802.26
(878.304)
11. Secondary Outcome
Title Mean Change From Baseline in Soluble CD163 and Oxidized Low Density Lipoprotein (LDL) at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess soluble CD163 and oxidized LDL. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Soluble CD163, n=245, 236
65.38
(180.869)
53.94
(215.621)
Oxidized LDL, n=245, 237
60.87
(504.345)
13.92
(575.305)
12. Secondary Outcome
Title Mean Change From Baseline in Retinol Binding Protein (RBP), Serum Creatinine and Glucose at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess RBP, serum creatinine and glucose. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
RBP, n=245, 237
-0.13
(0.825)
0.00
(0.872)
Serum creatinine, n=245, 241
0.100
(0.1053)
-0.003
(0.0847)
Glucose, n=242, 235
0.187
(19.5808)
3.220
(10.0987)
13. Secondary Outcome
Title Mean Change From Baseline in Urine Phosphate at Week 48
Description Urine biomarker samples were collected to at Baseline (Day 1) and Week 48 to assess urine phosphate. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed.
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 235 229
Mean (Standard Deviation) [Millimoles (mmol)/L]
1.335
(16.7211)
-0.798
(15.3771)
14. Secondary Outcome
Title Mean Change From Baseline in Beta-2-microglobulin (B2M) (Blood and Urine), Urine RBP and 25 Hydroxy-vitamin D (Blood) at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess B2M and 25 hydroxy-vitamin D. Urine biomarker samples were collected to assess B2M and RBP. Change from Baseline was calculated as value at indicated time point minus Baseline value. For 25 hydroxy-vitamin D, analysis of changes from Baseline was performed on log-transformed data. Results were transformed back via exponential transformation such that treatment comparisons are assessed via odds ratios.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
B2M, blood, n=245, 238
-16.8800
(34.89330)
-4.7501
(43.04355)
25 hydroxy-vitamin D, blood, n=243, 239
-13.9
(25.30)
-9.2
(19.55)
Urine B2M, n=72, 78
-173.2820
(1311.24142)
62.3209
(391.32049)
Urine RBP, n=232, 224
-6.8123
(24.09650)
-0.0631
(11.99886)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.007
Comments P-value for interaction between treatment group and Baseline third agent (25 hydroxy-vitamin D)
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.011
Comments P value to assess difference between treatment groups (25 hydroxy-vitamin D - INSTI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.861
Confidence Interval (2-Sided) 95%
0.767 to 0.967
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.745
Comments P value to assess difference between treatment groups (25 hydroxy-vitamin D - NNRTI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.012
Confidence Interval (2-Sided) 95%
0.943 to 1.085
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.018
Comments P value to assess difference between treatment groups (25 hydroxy-vitamin D - PI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.877
Confidence Interval (2-Sided) 95%
0.787 to 0.977
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
15. Secondary Outcome
Title Mean Change From Baseline in Urine Albumin/Creatinine Ratio and Urine Protein/Creatinine Ratio at Week 48
Description Urine biomarker samples were collected at Baseline (Day 1) and Week 48 to assess urine albumin/creatinine ratio and urine protein/creatinine ratio. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Urine albumin/creatinine ratio, n=178, 181
-0.78
(5.116)
-0.64
(9.538)
Urine protein/creatinine ratio, n=192, 193
-2.73
(12.683)
1.23
(5.088)
16. Secondary Outcome
Title Mean Change From Baseline in Bone-specific Alkaline Phosphatase, Procollagen 1 N-terminal Propeptide, Osteocalcin, Type 1 Collagen C-telopeptides and Soluble Vascular Cell Adhesion Molecule (sVCAM) at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess bone-specific alkaline phosphatase, procollagen 1 N-terminal propeptide, osteocalcin, Type 1 Collagen C-telopeptides and sVCAM. Change from Baseline was calculated as value at indicated time point minus Baseline value. For bone-specific alkaline phosphatase, procollagen 1-N-propeptide, osteocalcin and type 1 collagen C-telopeptide, analyses of changes from Baseline were performed on log-transformed data. Results were transformed back via exponential transformation such that treatment comparisons are assessed via odds ratios.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Bone-specific alkaline phosphatase, n=246, 236
-3.18
(5.678)
0.92
(4.634)
Procollagen type 1 N-propeptide, n=245, 237
-5.8
(20.00)
0.3
(19.28)
Osteocalcin, n=245, 235
-5.11
(7.334)
-1.14
(6.017)
Type I Collagen C-Telopeptides, n=243, 238
-0.15
(0.313)
-0.09
(0.344)
sVCAM, n=245, 237
-2.63
(571.182)
37.42
(617.486)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.001
Comments P-value for interaction between treatment group and Baseline third agent (bone-specific alkaline phosphatase)
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments P value to assess difference between treatment groups (bone-specific alkaline phosphatase - NNRTI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.728
Confidence Interval (2-Sided) 95%
0.686 to 0.773
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.004
Comments P value to assess difference between treatment groups (bone-specific alkaline phosphatase - INSTI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.865
Confidence Interval (2-Sided) 95%
0.785 to 0.954
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments P value to assess difference between treatment groups (bone-specific alkaline phosphatase - PI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.788
Confidence Interval (2-Sided) 95%
0.719 to 0.864
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.677
Comments P-value for interaction between treatment group and Baseline third agent (procollagen type 1-N-propeptide)
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments P value to assess difference between treatment groups (procollagen type 1-N-propeptide)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.867
Confidence Interval (2-Sided) 95%
0.823 to 0.914
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value <.001
Comments P-value for interaction between treatment group and Baseline third agent (osteocalcin)
Method ANCOVA
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments P value to assess difference between treatment groups (osteocalcin - NNRTI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.853
Confidence Interval (2-Sided) 95%
0.799 to 0.910
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.028
Comments P value to assess difference between treatment groups (osteocalcin - INSTI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.886
Confidence Interval (2-Sided) 95%
0.796 to 0.987
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 10
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments P value to assess difference between treatment groups (osteocalcin - PI)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.743
Confidence Interval (2-Sided) 95%
0.672 to 0.822
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
Statistical Analysis 11
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.782
Comments P-value for interaction between treatment group and Baseline third agent (type 1 collagen cross-linked C-telopeptide)
Method ANCOVA
Comments
Statistical Analysis 12
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value <.001
Comments P value to assess difference between treatment groups (type 1 collagen cross-linked C-telopeptide)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.818
Confidence Interval (2-Sided) 95%
0.751 to 0.891
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for Baseline third agent class, age, sex, BMI category, smoking status and Baseline biomarker level.
17. Secondary Outcome
Title Mean Change From Baseline in Interleukin 6 (IL-6) at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess IL-6. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed.
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 245 237
Mean (Standard Deviation) [Nanograms (ng)/L]
-0.08
(2.373)
-0.07
(2.761)
18. Secondary Outcome
Title Mean Change From Baseline in Insulin Resistance Based on Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) at Week 48
Description Blood biomarker samples were collected at Baseline (Day 1) and Week 48 to assess insulin resistance. Change from Baseline was calculated as value at indicated time point minus Baseline value. The homeostatic model assessment (HOMA) of insulin resistance (HOMA-IR ) index , the product of basal glucose and insulin levels divided by 22.5, is regarded as a simple, inexpensive, and reliable surrogate measure of insulin resistance.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed.
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 237 224
Mean (Standard Deviation) [HOMA-IR Score]
0.50
(4.780)
0.80
(3.938)
19. Secondary Outcome
Title Mean 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 total cholesterol, low density lipoprotein (LDL) cholesterol, high density lipoprotein (HDL) cholesterol and triglycerides. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1), Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Total cholesterol, Week 24, n=237, 229
-0.015
(0.7539)
0.020
(0.5777)
Total cholesterol, Week 48, n=237, 230
-0.079
(0.7926)
-0.038
(0.6148)
LDL cholesterol calculation, Week 24, n=231, 221
0.085
(0.5940)
0.055
(0.5232)
LDL cholesterol calculation, Week 48, n=229, 220
-0.049
(0.6276)
-0.076
(0.5280)
HDL cholesterol direct, Week 24, n=237, 229
-0.024
(0.2365)
-0.051
(0.2258)
HDL cholesterol direct, Week 48, n=237, 230
0.051
(0.2386)
0.049
(0.2489)
Triglycerides, Week 24, n=237, 229
-0.184
(1.0102)
0.040
(0.9164)
Triglycerides, Week 48, n=237, 230
-0.169
(1.0062)
-0.021
(1.0156)
20. Secondary Outcome
Title Number of Participants With Genotypic Resistance-Early Switch Phase
Description Plasma samples were collected for drug resistance testing. Genotypic Resistance data for the following drugs (Rilpivirine [RPV], Dolutegravir [DTG]) in participants Meeting Confirmed Virologic Withdrawal (CVW) criteria has been presented. CVW resistance Population comprised of all participants in the ITT-E Population who met CVW through the end of visit window (Week 48, Week 100 or Week 148) and have available on-treatment genotypic resistance data at the time CVW criterion is met.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
CVW resistance Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 1 0
INSTI, DTG, Susceptible
1
0.4%
INSTI, DTG, Potential low-level resistance
0
0%
INSTI, DTG, Low-level resistance
0
0%
INSTI, DTG, Intermediate resistance
0
0%
INSTI, DTG, High-level resistance
0
0%
NNRTI, RPV, Susceptible
0
0%
NNRTI, RPV, Potential low-level resistance
0
0%
NNRTI, RPV, Low-level resistance
0
0%
NNRTI, RPV, Intermediate resistance
1
0.4%
NNRTI, RPV, High-level resistance
0
0%
21. Secondary Outcome
Title Number of Participants With Genotypic Resistance-DTG+RPV Early Switch Arm Through Early and Late Switch Phase
Description Plasma samples were collected for drug resistance testing. Genotypic Resistance data for the following drugs (DTG, Elvitegravir [EVG], Raltegravir [RAL], Delavirdine [DLV], Efavirenz [EFV], Etravirine [ETR], Nevirapine [NVP], RPV, Lamivudine [3TC], Abacavir [ABC], FTC, TDF, Zidovudine [ZDV], Stavudine [d4T], Didanosine [ddI], Atazanavir/r [ATV/r], DRV/r, Fosamprenavir/r [FPV/r], Indinavir/r [IDV/r], Lopinavir/r [LPV/r], Nelfinavir [NFV], Ritonavir [RTV], Saquinavir/r [SQV/r], Tipranavir/r [TPV/r]) in participants Meeting Confirmed Virologic Withdrawal Criteria has been presented.
Time Frame Up to Week 148

Outcome Measure Data

Analysis Population Description
CVW resistance Population
Arm/Group Title DTG + RPV
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase.
Measure Participants 2
INI, DTG, Susceptible
2
0.8%
INI, DTG, Potential low-level resistance
0
0%
INI, DTG, Low-level resistance
0
0%
INI, DTG, Intermediate resistance
0
0%
INI, DTG, High-level resistance
0
0%
INI, EVG, Susceptible
2
0.8%
INI, EVG, Potential low-level resistance
0
0%
INI, EVG, Low-level resistance
0
0%
INI, EVG, Intermediate resistance
0
0%
INI, EVG, High-level resistance
0
0%
INI, RAL, Susceptible
2
0.8%
INI, RAL, Potential low-level resistance
0
0%
INI, RAL, Low-level resistance
0
0%
INI, RAL, Intermediate resistance
0
0%
INI, RAL, High-level resistance
0
0%
NNRTI, DLV, Susceptible
2
0.8%
NNRTI, DLV, Potential low-level resistance
0
0%
NNRTI, DLV, Low-level resistance
0
0%
NNRTI, DLV, Intermediate resistance
0
0%
NNRTI, DLV, High-level resistance
0
0%
NNRTI, EFV, Susceptible
0
0%
NNRTI, EFV, Potential low-level resistance
0
0%
NNRTI, EFV, Low-level resistance
1
0.4%
NNRTI, EFV, Intermediate resistance
0
0%
NNRTI, EFV, High-level resistance
1
0.4%
NNRTI, ETR, Susceptible
0
0%
NNRTI, ETR, Potential low-level resistance
0
0%
NNRTI, ETR, Low-level resistance
1
0.4%
NNRTI, ETR, Intermediate resistance
0
0%
NNRTI, ETR, High-level resistance
1
0.4%
NNRTI, NVP, Susceptible
0
0%
NNRTI, NVP, Potential low-level resistance
0
0%
NNRTI, NVP, Low-level resistance
0
0%
NNRTI, NVP, Intermediate resistance
1
0.4%
NNRTI, NVP, High-level resistance
1
0.4%
NNRTI, RPV, Susceptible
0
0%
NNRTI, RPV, Potential low-level resistance
0
0%
NNRTI, RPV, Low-level resistance
0
0%
NNRTI, RPV, Intermediate resistance
1
0.4%
NNRTI, RPV, High-level resistance
1
0.4%
NRTI, 3TC, Susceptible
2
0.8%
NRTI, 3TC, Potential low-level resistance
0
0%
NRTI, 3TC, Low-level resistance
0
0%
NRTI, 3TC, Intermediate resistance
0
0%
NRTI, 3TC, High-level resistance
0
0%
NRTI, ABC, Susceptible
2
0.8%
NRTI, ABC, Potential low-level resistance
0
0%
NRTI, ABC, Low-level resistance
0
0%
NRTI, ABC, Intermediate resistance
0
0%
NRTI, ABC, High-level resistance
0
0%
NRTI, FTC, Susceptible
2
0.8%
NRTI, FTC, Potential low-level resistance
0
0%
NRTI, FTC, Low-level resistance
0
0%
NRTI, FTC, Intermediate resistance
0
0%
NRTI, FTC, High-level resistance
0
0%
NRTI, TDF, Susceptible
2
0.8%
NRTI, TDF, Potential low-level resistance
0
0%
NRTI, TDF, Low-level resistance
0
0%
NRTI, TDF, Intermediate resistance
0
0%
NRTI, TDF, High-level resistance
0
0%
NRTI, ZDV, Susceptible
2
0.8%
NRTI, ZDV, Potential low-level resistance
0
0%
NRTI, ZDV, Low-level resistance
0
0%
NRTI, ZDV, Intermediate resistance
0
0%
NRTI, ZDV, High-level resistance
0
0%
NRTI, d4T, Susceptible
2
0.8%
NRTI, d4T, Potential low-level resistance
0
0%
NRTI, d4T, Low-level resistance
0
0%
NRTI, d4T, Intermediate resistance
0
0%
NRTI, d4T, High-level resistance
0
0%
NRTI, ddI, Susceptible
2
0.8%
NRTI, ddI, Potential low-level resistance
0
0%
NRTI, ddI, Low-level resistance
0
0%
NRTI, ddI, Intermediate resistance
0
0%
NRTI, ddI, High-level resistance
0
0%
PI, ATV/r, Susceptible
2
0.8%
PI, ATV/r, Potential low-level resistance
0
0%
PI, ATV/r, Low-level resistance
0
0%
PI, ATV/r, Intermediate resistance
0
0%
PI, ATV/r, High-level resistance
0
0%
PI, DRV/r, Susceptible
2
0.8%
PI, DRV/r, Potential low-level resistance
0
0%
PI, DRV/r, Low-level resistance
0
0%
PI, DRV/r, Intermediate resistance
0
0%
PI, DRV/r, High-level resistance
0
0%
PI, FPV/r, Susceptible
2
0.8%
PI, FPV/r, Potential low-level resistance
0
0%
PI, FPV/r, Low-level resistance
0
0%
PI, FPV/r, Intermediate resistance
0
0%
PI, FPV/r, High-level resistance
0
0%
PI, IDV/r, Susceptible
2
0.8%
PI, IDV/r, Potential low-level resistance
0
0%
PI, IDV/r, Low-level resistance
0
0%
PI, IDV/r, Intermediate resistance
0
0%
PI, IDV/r, High-level resistance
0
0%
PI, LPV/r, Susceptible
2
0.8%
PI, LPV/r, Potential low-level resistance
0
0%
PI, LPV/r, Low-level resistance
0
0%
PI, LPV/r, Intermediate resistance
0
0%
PI, LPV/r, High-level resistance
0
0%
PI, NFV, Susceptible
2
0.8%
PI, NFV, Potential low-level resistance
0
0%
PI, NFV, Low-level resistance
0
0%
PI, NFV, Intermediate resistance
0
0%
PI, NFV, High-level resistance
0
0%
PI, RTV, Susceptible
2
0.8%
PI, RTV, Potential low-level resistance
0
0%
PI, RTV, Low-level resistance
0
0%
PI, RTV, Intermediate resistance
0
0%
PI, RTV, High-level resistance
0
0%
PI, SQV/r, Susceptible
2
0.8%
PI, SQV/r, Potential low-level resistance
0
0%
PI, SQV/r, Low-level resistance
0
0%
PI, SQV/r, Intermediate resistance
0
0%
PI, SQV/r, High-level resistance
0
0%
PI, TPV/r, Susceptible
2
0.8%
PI, TPV/r, Potential low-level resistance
0
0%
PI, TPV/r, Low-level resistance
0
0%
PI, TPV/r, Intermediate resistance
0
0%
PI, TPV/r, High-level resistance
0
0%
22. Secondary Outcome
Title Number of Participants With Genotypic Resistance-CAR Late Switch Arm Through Late Switch Phase
Description Plasma samples were collected for drug resistance testing. Genotypic Resistance data for the following drugs (DTG, EVG, RAL, DLV, EFV, ETR, NVP, RPV, 3TC, ABC, FTC, TDF, ZDV, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, NFV, RTV, SQV/r, TPV/r) in participants Meeting CVW Criteria has been presented. Late Switch (LS) CVW resistance Population comprised of all participants in the LS ITT-E Population who met CVW through the end of visit window (Week 48, Week 100 or Week 148) and had available on-treatment genotypic resistance data at the time CVW criterion is met.
Time Frame Post-LS Baseline (Week 52) up to Week 148

Outcome Measure Data

Analysis Population Description
LS CVW resistance Population
Arm/Group Title Current Antiretroviral Regimen
Arm/Group Description Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 1
INI, DTG, Susceptible
1
0.4%
INI, DTG, Potential low-level resistance
0
0%
INI, DTG, Low-level resistance
0
0%
INI, DTG, Intermediate resistance
0
0%
INI, DTG, High-level resistance
0
0%
INI, EVG, Susceptible
1
0.4%
INI, EVG, Potential low-level resistance
0
0%
INI, EVG, Low-level resistance
0
0%
INI, EVG, Intermediate resistance
0
0%
INI, EVG, High-level resistance
0
0%
INI, RAL, Susceptible
1
0.4%
INI, RAL, Potential low-level resistance
0
0%
INI, RAL, Low-level resistance
0
0%
INI, RAL, Intermediate resistance
0
0%
INI, RAL, High-level resistance
0
0%
NNRTI, DLV, Susceptible
1
0.4%
NNRTI, DLV, Potential low-level resistance
0
0%
NNRTI, DLV, Low-level resistance
0
0%
NNRTI, DLV, Intermediate resistance
0
0%
NNRTI, DLV, High-level resistance
0
0%
NNRTI, EFV, Susceptible
0
0%
NNRTI, EFV, Potential low-level resistance
0
0%
NNRTI, EFV, Low-level resistance
0
0%
NNRTI, EFV, Intermediate resistance
0
0%
NNRTI, EFV, High-level resistance
1
0.4%
NNRTI, ETR, Susceptible
0
0%
NNRTI, ETR, Potential low-level resistance
0
0%
NNRTI, ETR, Low-level resistance
0
0%
NNRTI, ETR, Intermediate resistance
1
0.4%
NNRTI, ETR, High-level resistance
0
0%
NNRTI, NVP, Susceptible
0
0%
NNRTI, NVP, Potential low-level resistance
0
0%
NNRTI, NVP, Low-level resistance
0
0%
NNRTI, NVP, Intermediate resistance
0
0%
NNRTI, NVP, High-level resistance
1
0.4%
NNRTI, RPV, Susceptible
0
0%
NNRTI, RPV, Potential low-level resistance
0
0%
NNRTI, RPV, Low-level resistance
0
0%
NNRTI, RPV, Intermediate resistance
0
0%
NNRTI, RPV, High-level resistance
1
0.4%
NRTI, 3TC, Susceptible
1
0.4%
NRTI, 3TC, Potential low-level resistance
0
0%
NRTI, 3TC, Low-level resistance
0
0%
NRTI, 3TC, Intermediate resistance
0
0%
NRTI, 3TC, High-level resistance
0
0%
NRTI, ABC, Susceptible
1
0.4%
NRTI, ABC, Potential low-level resistance
0
0%
NRTI, ABC, Low-level resistance
0
0%
NRTI, ABC, Intermediate resistance
0
0%
NRTI, ABC, High-level resistance
0
0%
NRTI, FTC, Susceptible
1
0.4%
NRTI, FTC, Potential low-level resistance
0
0%
NRTI, FTC, Low-level resistance
0
0%
NRTI, FTC, Intermediate resistance
0
0%
NRTI, FTC, High-level resistance
0
0%
NRTI, TDF, Susceptible
1
0.4%
NRTI, TDF, Potential low-level resistance
0
0%
NRTI, TDF, Low-level resistance
0
0%
NRTI, TDF, Intermediate resistance
0
0%
NRTI, TDF, High-level resistance
0
0%
NRTI, ZDV, Susceptible
1
0.4%
NRTI, ZDV, Potential low-level resistance
0
0%
NRTI, ZDV, Low-level resistance
0
0%
NRTI, ZDV, Intermediate resistance
0
0%
NRTI, ZDV, High-level resistance
0
0%
NRTI, d4T, Susceptible
1
0.4%
NRTI, d4T, Potential low-level resistance
0
0%
NRTI, d4T, Low-level resistance
0
0%
NRTI, d4T, Intermediate resistance
0
0%
NRTI, d4T, High-level resistance
0
0%
NRTI, ddI, Susceptible
1
0.4%
NRTI, ddI, Potential low-level resistance
0
0%
NRTI, ddI, Low-level resistance
0
0%
NRTI, ddI, Intermediate resistance
0
0%
NRTI, ddI, High-level resistance
0
0%
PI, ATV/r, Susceptible
1
0.4%
PI, ATV/r, Potential low-level resistance
0
0%
PI, ATV/r, Low-level resistance
0
0%
PI, ATV/r, Intermediate resistance
0
0%
PI, ATV/r, High-level resistance
0
0%
PI, DRV/r, Susceptible
1
0.4%
PI, DRV/r, Potential low-level resistance
0
0%
PI, DRV/r, Low-level resistance
0
0%
PI, DRV/r, Intermediate resistance
0
0%
PI, DRV/r, High-level resistance
0
0%
PI, FPV/r, Susceptible
1
0.4%
PI, FPV/r, Potential low-level resistance
0
0%
PI, FPV/r, Low-level resistance
0
0%
PI, FPV/r, Intermediate resistance
0
0%
PI, FPV/r, High-level resistance
0
0%
PI, IDV/r, Susceptible
1
0.4%
PI, IDV/r, Potential low-level resistance
0
0%
PI, IDV/r, Low-level resistance
0
0%
PI, IDV/r, Intermediate resistance
0
0%
PI, IDV/r, High-level resistance
0
0%
PI, LPV/r, Susceptible
1
0.4%
PI, LPV/r, Potential low-level resistance
0
0%
PI, LPV/r, Low-level resistance
0
0%
PI, LPV/r, Intermediate resistance
0
0%
PI, LPV/r, High-level resistance
0
0%
PI, NFV, Susceptible
1
0.4%
PI, NFV, Potential low-level resistance
0
0%
PI, NFV, Low-level resistance
0
0%
PI, NFV, Intermediate resistance
0
0%
PI, NFV, High-level resistance
0
0%
PI, RTV, Susceptible
1
0.4%
PI, RTV, Potential low-level resistance
0
0%
PI, RTV, Low-level resistance
0
0%
PI, RTV, Intermediate resistance
0
0%
PI, RTV, High-level resistance
0
0%
PI, SQV/r, Susceptible
1
0.4%
PI, SQV/r, Potential low-level resistance
0
0%
PI, SQV/r, Low-level resistance
0
0%
PI, SQV/r, Intermediate resistance
0
0%
PI, SQV/r, High-level resistance
0
0%
PI, TPV/r, Susceptible
1
0.4%
PI, TPV/r, Potential low-level resistance
0
0%
PI, TPV/r, Low-level resistance
0
0%
PI, TPV/r, Intermediate resistance
0
0%
PI, TPV/r, High-level resistance
0
0%
23. Secondary Outcome
Title Number of Participants With Phenotypic Resistance-Early Switch Phase
Description Plasma samples were collected for drug resistance testing. Phenotypic Resistance data for the following drugs (DTG, RAL, EVG, RPV, ETR, 3TC, ABC, FTC, TDF, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, SQV/r, TPV/r) in participants Meeting CVW criteria has been presented.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
CVW resistance Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 1 0
NNRTI, RPV, Resistant
0
0%
NNRTI, RPV, Sensitive
1
0.4%
NNRTI, ETR, Resistant
0
0%
NNRTI, ETR, Partially Sensitive
0
0%
NNRTI, ETR, Sensitive
1
0.4%
NNRTI, DLV, Resistant
0
0%
NNRTI, DLV, Sensitive
1
0.4%
NNRTI, EFV, Resistant
0
0%
NNRTI, EFV, Sensitive
1
0.4%
NNRTI, NVP, Resistant
0
0%
NNRTI, NVP, Sensitive
1
0.4%
NRTI, 3TC, Resistant
0
0%
NRTI, 3TC, Sensitive
1
0.4%
NRTI, ABC, Resistant
0
0%
NRTI, ABC, Partially Sensitive
0
0%
NRTI, ABC, Sensitive
1
0.4%
NRTI, TDF, Resistant
0
0%
NRTI, TDF, Partially Sensitive
0
0%
NRTI, TDF, Sensitive
1
0.4%
NRTI, d4T, Resistant
0
0%
NRTI, d4T, Sensitive
1
0.4%
NRTI, ddI, Resistant
0
0%
NRTI, ddI, Partially Sensitive
0
0%
NRTI, ddI, Sensitive
1
0.4%
NRTI, FTC, Resistant
0
0%
NRTI, FTC, Sensitive
1
0.4%
NRTI, ZDV, Resistant
0
0%
NRTI, ZDV, Sensitive
1
0.4%
PI, ATV/r, Resistant
0
0%
PI, ATV/r, Sensitive
1
0.4%
PI, DRV/r, Resistant
0
0%
PI, DRV/r, Partially Sensitive
0
0%
PI, DRV/r, Sensitive
1
0.4%
PI, FPV/r, Resistant
0
0%
PI, FPV/r, Partially Sensitive
0
0%
PI, FPV/r, Sensitive
1
0.4%
PI, IDV/r, Resistant
0
0%
PI, IDV/r, Sensitive
1
0.4%
PI, LPV/r, Resistant
0
0%
PI, LPV/r, Partially Sensitive
0
0%
PI, LPV/r, Sensitive
1
0.4%
PI, SQV/r, Resistant
0
0%
PI, SQV/r, Partially Sensitive
0
0%
PI, SQV/r, Sensitive
1
0.4%
PI, TPV/r, Resistant
0
0%
PI, TPV/r, Partially Sensitive
0
0%
PI, TPV/r, Sensitive
1
0.4%
PI, NFV, Resistant
0
0%
PI, NFV, Sensitive
1
0.4%
PI, RTV, Resistant
0
0%
PI, RTV, Sensitive
1
0.4%
24. Secondary Outcome
Title Number of Participants With Phenotypic Resistance-DTG+RPV Early Switch Group Through Early and Late Switch Phase
Description Plasma samples were collected for drug resistance testing. Phenotypic Resistance data for the following drugs (DTG, EVG, RAL, DLV, EFV, ETR, NVP, RPV, 3TC, ABC, FTC, TDF, ZDV, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, NFV, RTV, SQV/r, TPV/r) in participants Meeting CVW criteria has been presented.
Time Frame Up to Week 148

Outcome Measure Data

Analysis Population Description
CVW resistance Population. Only those participants with data available at the specified time points were analyzed (indicated by n=X in category titles).
Arm/Group Title DTG + RPV
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase.
Measure Participants 2
INI, DTG, Resistant, n=1
0
0%
INI, DTG, Partially Sensitive, n=1
0
0%
INI, DTG, Sensitive, n=1
1
0.4%
INI, EVG, Resistant, n=1
0
0%
INI, EVG, Partially sensitive, n=1
0
0%
INI, EVG, Sensitive, n=1
1
0.4%
INI, RAL, Resistant, n=1
1
0.4%
INI, RAL, Partially sensitive, n=1
0
0%
INI, RAL, Sensitive, n=1
0
0%
NNRTI, DLV, Resistant, n=2
1
0.4%
NNRTI, DLV, Partially Sensitive, n=2
0
0%
NNRTI, DLV, Sensitive, n=2
1
0.4%
NNRTI, EFV, Resistant, n=2
1
0.4%
NNRTI, EFV, Partially sensitive, n=2
0
0%
NNRTI, EFV, Sensitive, n=2
1
0.4%
NNRTI, ETR, Resistant, n=2
1
0.4%
NNRTI, ETR, Partially sensitive, n=2
0
0%
NNRTI, ETR, Sensitive, n=2
1
0.4%
NNRTI, NVP, Resistant, n=2
1
0.4%
NNRTI, NVP, Partially sensitive, n=2
0
0%
NNRTI, NVP, Sensitive, n=2
1
0.4%
NNRTI, RPV, Resistant, n=2
1
0.4%
NNRTI, RPV, Partially sensitive, n=2
0
0%
NNRTI, RPV, Sensitive, n=2
1
0.4%
NRTI, 3TC, Resistant, n=2
0
0%
NRTI, 3TC, Partially sensitive, n=2
0
0%
NRTI, 3TC, Sensitive, n=2
2
0.8%
NRTI, ABC, Resistant, n=2
0
0%
NRTI, ABC, Partially sensitive, n=2
0
0%
NRTI, ABC, Sensitive, n=2
2
0.8%
NRTI, FTC, Resistant, n=2
0
0%
NRTI, FTC, Partially sensitive, n=2
0
0%
NRTI, FTC, Sensitive, n=2
2
0.8%
NRTI, TDF, Resistant, n=2
0
0%
NRTI, TDF, Partially sensitive, n=2
0
0%
NRTI, TDF, Sensitive, n=2
2
0.8%
NRTI, ZDV, Resistant, n=2
0
0%
NRTI, ZDV, Partially sensitive, n=2
0
0%
NRTI, ZDV, Sensitive, n=2
2
0.8%
NRTI, d4T, Resistant, n=2
0
0%
NRTI, d4T, Partially sensitive, n=2
0
0%
NRTI, d4T, Sensitive, n=2
2
0.8%
NRTI, ddI, Resistant, n=2
0
0%
NRTI, ddI, Partially sensitive, n=2
0
0%
NRTI, ddI, Sensitive, n=2
2
0.8%
PI, ATV/r, Resistant, n=2
0
0%
PI, ATV/r, Partially sensitive, n=2
0
0%
PI, ATV/r, Sensitive, n=2
2
0.8%
PI, DRV/r, Resistant, n=2
0
0%
PI, DRV/r, Partially sensitive, n=2
0
0%
PI, DRV/r, Sensitive, n=2
2
0.8%
PI, FPV/r, Resistant, n=2
0
0%
PI, FPV/r, Partially sensitive, n=2
0
0%
PI, FPV/r, Sensitive, n=2
2
0.8%
PI, IDV/r, Resistant, n=2
0
0%
PI, IDV/r, Partially sensitive, n=2
0
0%
PI, IDV/r, Sensitive, n=2
2
0.8%
PI, LPV/r, Resistant, n=2
0
0%
PI, LPV/r, Partially sensitive, n=2
0
0%
PI, LPV/r, Sensitive, n=2
2
0.8%
PI, NFV, Resistant, n=2
0
0%
PI, NFV, Partially sensitive, n=2
0
0%
PI, NFV, Sensitive, n=2
2
0.8%
PI, RTV, Resistant, n=2
0
0%
PI, RTV, Partially sensitive, n=2
0
0%
PI, RTV, Sensitive, n=2
2
0.8%
PI, SQV/r, Resistant, n=2
0
0%
PI, SQV/r, Partially sensitive, n=2
0
0%
PI, SQV/r, Sensitive, n=2
2
0.8%
PI, TPV/r, Resistant, n=2
0
0%
PI, TPV/r, Partially sensitive, n=2
0
0%
PI, TPV/r, Sensitive, n=2
2
0.8%
25. Secondary Outcome
Title Number of Participants With Phenotypic Resistance-CAR Late Switch Group Through Late Switch Phase
Description Plasma samples were collected for drug resistance testing. Phenotypic Resistance data for the following drugs (DTG, EVG, RAL, DLV, EFV, ETR, NVP, RPV, 3TC, ABC, FTC, TDF, ZDV, d4T, ddI, ATV/r, DRV/r, FPV/r, IDV/r, LPV/r, NFV, RTV, SQV/r, TPV/r) in participants Meeting CVW criteria has been presented.
Time Frame Post-LS Baseline (Week 52) up to Week 148

Outcome Measure Data

Analysis Population Description
LS CVW resistance Population
Arm/Group Title Current Antiretroviral Regimen
Arm/Group Description Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 1
NNRTI, DLV, Resistant
1
0.4%
NNRTI, DLV, Partially Sensitive
0
0%
NNRTI, DLV, Sensitive
0
0%
NNRTI, EFV, Resistant
1
0.4%
NNRTI, EFV, Partially sensitive
0
0%
NNRTI, EFV, Sensitive
0
0%
NNRTI, ETR, Resistant
0
0%
NNRTI, ETR, Partially sensitive
1
0.4%
NNRTI, ETR, Sensitive
0
0%
NNRTI, NVP, Resistant
1
0.4%
NNRTI, NVP, Partially sensitive
0
0%
NNRTI, NVP, Sensitive
0
0%
NNRTI, RPV, Resistant
1
0.4%
NNRTI, RPV, Partially sensitive
0
0%
NNRTI, RPV, Sensitive
0
0%
NRTI, 3TC, Resistant
0
0%
NRTI, 3TC, Partially sensitive
0
0%
NRTI, 3TC, Sensitive
1
0.4%
NRTI, ABC, Resistant
0
0%
NRTI, ABC, Partially sensitive
0
0%
NRTI, ABC, Sensitive
1
0.4%
NRTI, FTC, Resistant
0
0%
NRTI, FTC, Partially sensitive
0
0%
NRTI, FTC, Sensitive
1
0.4%
NRTI, TDF, Resistant
0
0%
NRTI, TDF, Partially sensitive
0
0%
NRTI, TDF, Sensitive
1
0.4%
NRTI, ZDV, Resistant
0
0%
NRTI, ZDV, Partially sensitive
0
0%
NRTI, ZDV, Sensitive
1
0.4%
NRTI, d4T, Resistant
0
0%
NRTI, d4T, Partially sensitive
0
0%
NRTI, d4T, Sensitive
1
0.4%
NRTI, ddI, Resistant
0
0%
NRTI, ddI, Partially sensitive
0
0%
NRTI, ddI, Sensitive
1
0.4%
PI, ATV/r, Resistant
0
0%
PI, ATV/r, Partially sensitive
0
0%
PI, ATV/r, Sensitive
1
0.4%
PI, DRV/r, Resistant
0
0%
PI, DRV/r, Partially sensitive
0
0%
PI, DRV/r, Sensitive
1
0.4%
PI, FPV/r, Resistant
0
0%
PI, FPV/r, Partially sensitive
0
0%
PI, FPV/r, Sensitive
1
0.4%
PI, IDV/r, Resistant
0
0%
PI, IDV/r, Partially sensitive
0
0%
PI, IDV/r, Sensitive
1
0.4%
PI, LPV/r, Resistant
0
0%
PI, LPV/r, Partially sensitive
0
0%
PI, LPV/r, Sensitive
1
0.4%
PI, NFV, Resistant
0
0%
PI, NFV, Partially sensitive
0
0%
PI, NFV, Sensitive
1
0.4%
PI, RTV, Resistant
0
0%
PI, RTV, Partially sensitive
0
0%
PI, RTV, Sensitive
1
0.4%
PI, SQV/r, Resistant
0
0%
PI, SQV/r, Partially sensitive
0
0%
PI, SQV/r, Sensitive
1
0.4%
PI, TPV/r, Resistant
0
0%
PI, TPV/r, Partially sensitive
0
0%
PI, TPV/r, Sensitive
1
0.4%
26. Secondary Outcome
Title Pre-dose Concentrations of DTG and RPV at Weeks 4, 24, 48, 56, 76 and 100 in Participants Switching to DTG + RPV - DTG+RPV Early Switch Group Through Early and Late Switch Phase
Description Two separate blood samples for DTG and RPV were collected pre-dose at Weeks 4, 24, 48, 56, 76 and 100. Pre-dose concentrations of DTG and RPV at Weeks 4, 24, 48, 56, 76 and 100 is summarized for the participants switching to DTG + RPV in the early+late switch phase. Pharmacokinetic (PK) Parameter Population consisted of all participants who received DTG +RPV and provided at least one evaluable estimate of predose concentration (C0).
Time Frame Pre-dose at Week 4, 24, 48, 56, 76 and 100

Outcome Measure Data

Analysis Population Description
PK Parameter Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG 50 mg RPV 25 mg
Arm/Group Description Participants received DTG 50 mg + RPV 25 mg together once daily, with a meal, in an open-label fashion up to Week 148 during early switch and late switch phase. Participants received DTG 50 mg +RPV 25 mg together once daily, with a meal, in an open-label fashion up to Week 148 during early switch and late switch phase.
Measure Participants 254 254
Week 4, n=176, 175
1578.88
(1170.967)
79.50
(38.230)
Week 24, n=207, 207
1447.23
(917.677)
90.21
(46.302)
Week 48, n=215, 215
1384.36
(889.829)
91.41
(47.073)
Week 56, n=214, 213
1637.74
(1063.391)
90.55
(45.686)
Week 76, n=219, 219
1507.81
(913.263)
92.51
(46.223)
Week 100, n=220, 221
1532.10
(916.975)
91.98
(44.683)
27. Secondary Outcome
Title Pre-dose Concentrations of DTG and RPV at Weeks 56, 76 and 100 in Participants Switching to DTG + RPV - CAR Late Switch Group Through Late Switch Phase
Description Two separate blood samples for DTG and RPV were collected pre-dose at Weeks 56, 76 and 100. Pre-dose concentrations of DTG and RPV at Weeks 56, 76 and 100 is summarized for the participants switching to DTG + RPV in the late switch phase. LS PK Parameter Population comprised of all participants who were randomized to CAR and received DTG + RPV in the Late Switch Phase and provided at least one evaluable estimate of C0.
Time Frame Pre-dose at Weeks 56, 76 and 100

Outcome Measure Data

Analysis Population Description
LS PK Parameter Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title CAR-DTG 50 mg CAR-RPV 25 mg
Arm/Group Description Participants from CAR arm received DTG 50 mg + RPV 25 mg together once daily, with a meal, in an open-label fashion from Week 52 to Week 148 during late switch phase. Participants from CAR arm received DTG 50 mg +RPV 25 mg together once daily, with a meal, in an open-label fashion from Week 52 to Week 148 during late switch phase.
Measure Participants 226 226
Week 56, n=203, 203
1544.75
(1049.595)
77.27
(38.931)
Week 76, n=210, 210
1806.77
(1019.300)
91.46
(48.568)
Week 100, n=215, 215
1881.97
(1160.587)
90.89
(47.762)
28. Secondary Outcome
Title Pre-dose Concentrations of DTG and RPV at Weeks 2, 4 and 8 in the First 20 Participants Who Switch From Efavirenz (EFV) or Nevirapine (NVP) to DTG + RPV
Description Two blood samples were collected pre-dose for DTG and RPV at Weeks 2 and 8 only for the first 20 participants who switch from EFV or NVP to DTG+RPV, in addition to the pre-dose blood sample collected at Week 4 for all participants. One blood sample was collected pre-dose for EFV or NVP at Week 2 for the first 20 participants who switch from EFV or NVP to DTG + RPV. PK Parameter NNRTI Subset Extra Sampling Population consisted of the first approximately 20 participants in the PK Parameter NNRTI Subset population who have extra PK samples at weeks 2 and 8.
Time Frame Pre-dose at Weeks 2, 4 and 8

Outcome Measure Data

Analysis Population Description
PK Parameter NNRTI Subset extra sampling Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG 50 mg RPV 25 mg
Arm/Group Description Participants received DTG 50 mg + RPV 25 mg together once daily, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants received DTG 50 mg +RPV 25 mg together once daily, with a meal, in an open-label fashion up to Week 52 during early switch phase.
Measure Participants 28 28
Week 2, n=19, 19
834.58
(639.622)
57.342
(29.5436)
Week 4, n=22, 21
1218.23
(842.703)
78.338
(31.4825)
Week 8, n=26, 26
1472.50
(818.774)
79.652
(40.7546)
29. Secondary Outcome
Title Percentage of Participants With Plasma HIV 1 RNA <50 c/mL at Week 48 Using Snapshot Algorithm by Baseline Third Agent Treatment Class
Description Percentage of participants with plasma HIV 1 RNA < 50 c/mL at Week 48 using the FDA snapshot algorithm was assessed by Baseline third agent class to assess the impact of Baseline third agent class (INSTI, NNRTI, or PI) on efficacy, safety and tolerability of DTG +RPV compared to continuation of CAR. Plasma samples were collected for HIV-1 RNA at Baseline (Day 1), Week 4, 8, 12, 24, 36 and 48. The analysis was done using Cochran-Mantel Haenszel test stratified by current antiretroviral third-agent class.
Time Frame Up to Week 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
NNRTI, n=144, 144
97
37.2%
93
36.5%
INSTI, n=59, 49
92
35.2%
94
36.9%
PI, n=58, 62
91
34.9%
97
38%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.179
Comments One-sided p-value from weighted least squares chi-squared statistic. A p-value <=0.10 was used to indicate statistically significant evidence of heterogeneity in the difference in proportions across levels of each analysis strata.
Method Chi-squared, Corrected
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value 3.5
Confidence Interval (2-Sided) 95%
-1.6 to 8.6
Parameter Dispersion Type:
Value:
Estimation Comments NNRTI: No formal non-inferiority margin has been pre-specified for secondary endpoints.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value -2.4
Confidence Interval (2-Sided) 95%
-12.1 to 7.4
Parameter Dispersion Type:
Value:
Estimation Comments INSTI: No formal non-inferiority margin has been pre-specified for secondary endpoints.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Risk Difference (RD)
Estimated Value -5.4
Confidence Interval (2-Sided) 95%
-13.9 to 3.1
Parameter Dispersion Type:
Value:
Estimation Comments PI: No formal non-inferiority margin has been pre-specified for secondary endpoints.
30. Secondary Outcome
Title Changes From Baseline in CD4+ Lymphocyte Count at Week 48 by Baseline Third Agent Treatment Class
Description Blood samples were collected and CD4+ cell count assessment by flow cytometry was carried out at Baseline (Day 1) and Week 48 to assess the impact of Baseline third agent class (INSTI, NNRTI, or PI) on efficacy, safety and tolerability of DTG +RPV compared to continuation of CAR. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1) and Week 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
NNRTI, n=139, 133
49.7
(166.40)
24.3
(160.32)
INSTI, n=53, 46
-11.2
(176.56)
10.3
(155.53)
PI, n=53, 61
10.5
(163.67)
12.2
(163.32)
31. Secondary Outcome
Title Number of Participants With Any AE, AELD or AE With Grade 1, 2, 3 or 4 Toxicity Over 48 Weeks by Baseline Third Agent Treatment Class
Description An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Number of participants with any AE, AELD or AE with maximum grade toxicity experienced by any one participant over 48 weeks by Baseline third agent class (INSTI, NNRTI, or PI) is summarized. AEs were graded using the Division of AIDS grading. Grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=potentially life-threatening.
Time Frame Up to 48 weeks

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Any AE, NNRTI, n=144, 144
106
40.6%
96
37.6%
Any AE, INSTI, n=59, 49
47
18%
36
14.1%
Any AE, PI, n=58, 62
42
16.1%
42
16.5%
NNRTI, Maximum toxicity Grade 1 AE, n=144, 144
68
26.1%
76
29.8%
NNRTI, Maximum toxicity Grade 2 AE, n=144, 144
30
11.5%
19
7.5%
NNRTI, Maximum toxicity Grade 3 AE, n=144, 144
8
3.1%
0
0%
NNRTI, Maximum toxicity Grade 4 AE, n=144, 144
0
0%
1
0.4%
INSTI, Maximum toxicity Grade 1 AE, n=59, 49
27
10.3%
20
7.8%
INSTI, Maximum toxicity Grade 2 AE, n=59, 49
15
5.7%
15
5.9%
INSTI, Maximum toxicity Grade 3 AE, n=59, 49
5
1.9%
1
0.4%
INSTI, Maximum toxicity Grade 4 AE, n=59, 49
0
0%
0
0%
PI, Maximum toxicity Grade 1 AE, n=58, 62
24
9.2%
26
10.2%
PI, Maximum toxicity Grade 2 AE, n=58, 62
14
5.4%
13
5.1%
PI, Maximum toxicity Grade 3 AE, n=58, 62
3
1.1%
3
1.2%
PI, Maximum toxicity Grade 4 AE, n=58, 62
1
0.4%
0
0%
AELD, NNRTI, n=144, 144
5
1.9%
1
0.4%
AELD, INSTI, n=59, 49
4
1.5%
0
0%
AELD, PI, n=58, 62
3
1.1%
0
0%
32. Secondary Outcome
Title Number of Participants With Maximum Post-baseline Emergent Chemistry Toxicities Over 48 Weeks by Baseline Third Agent Treatment Class
Description Blood samples were collected at Baseline (Day 1) and at Weeks 4, 8, 12, 24, 36 and 48 to evaluate ALT, albumin, ALP, AST, total bilirubin, chloride, creatinine, glucose, potassium, phosphate, sodium, BUN, total carbon dioxide, lipase, creatine phosphokinase and creatinine clearance. Number of participants who experienced maximum toxicity grade post-baseline in chemistry parameters over 48 weeks by Baseline third agent treatment class (INSTI, NNRTI, PI) is summarized. Clinical chemistry toxicities were graded using the DAIDS grading. Grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=potentially life-threatening.
Time Frame Up to 48 weeks

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
NNRTI, Grade 1, n=144, 144
51
19.5%
52
20.4%
NNRTI, Grade 2, n=144, 144
31
11.9%
40
15.7%
NNRTI, Grade 3, n=144, 144
7
2.7%
4
1.6%
NNRTI, Grade 4, n=144, 144
1
0.4%
5
2%
INSTI, Grade 1, n= 59, 49
19
7.3%
11
4.3%
INSTI, Grade 2, n=59, 49
23
8.8%
18
7.1%
INSTI, Grade 3, n= 59, 49
3
1.1%
3
1.2%
INSTI, Grade 4, n= 59, 49
0
0%
2
0.8%
PI, Grade 1, n= 58, 62
22
8.4%
17
6.7%
PI, Grade 2, n= 58, 62
18
6.9%
21
8.2%
PI, Grade 3, n= 58, 62
1
0.4%
9
3.5%
PI, Grade 4, n= 58, 62
0
0%
3
1.2%
33. Secondary Outcome
Title Number of Participants With Maximum Post-baseline Emergent Hematology Toxicities Over 48 Weeks by Baseline Third Agent Treatment Class
Description Blood samples were collected at Baseline (Day 1) and at Weeks 4, 8, 12, 24, 36 and 48 to evaluate hemoglobin, hematocrit, basophils, eosinophils, lymphocytes, monocytes, neutrophils, MCV, RBC count, WBC count and platelet count. Number of participants who experienced maximum toxicity grade post-baseline in hematology parameters over 48 weeks by Baseline third agent treatment class (INSTI, NNRTI, PI) was summarized. Hematology toxicities were graded using the DAIDS grading. Grade 1=mild; grade 2=moderate; grade 3=severe; grade 4=potentially life-threatening.
Time Frame Up to 48 weeks

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
NNRTI; Grade 1; n= 144, 144
7
2.7%
6
2.4%
NNRTI; Grade 2; n= 144, 144
1
0.4%
2
0.8%
NNRTI; Grade 3; n= 144, 144
1
0.4%
0
0%
NNRTI; Grade 4; n= 144, 144
1
0.4%
0
0%
INI; Grade 1; n-= 59, 49
1
0.4%
1
0.4%
INI; Grade 2; n-= 59, 49
0
0%
0
0%
INI; Grade 3; n-= 59, 49
0
0%
0
0%
INI; Grade 4; n-= 59, 49
0
0%
0
0%
PI; Grade 1; n= 58, 62
3
1.1%
4
1.6%
PI; Grade 2; n= 58, 62
1
0.4%
0
0%
PI; Grade 3; n= 58, 62
2
0.8%
0
0%
PI; Grade 4; n= 58, 62
0
0%
0
0%
34. Secondary Outcome
Title Number of Participants With Observed Genotypic Resistance for Participants Meeting Virologic Withdrawal Criteria by Baseline Third Agent Treatment Class
Description For all participants who meet virologic withdrawal criteria, plasma samples with HIV-1 RNA level >=200 c/mL were to be analyzed in an attempt to obtain genotype data on as many samples as possible. Samples for drug resistance testing (genotypic) were to be collected at Day 1. Number of participants with genotypic resistance to CAR and to DTG or RPV for those meeting virologic withdrawal criteria in subgroups stratified based on Baseline third agent treatment class (INSTI, NNRTI, PI) were to be summarized. This outcome has not been analyzed as the number of participants was low (1 CVW per arm) and summaries by Baseline third agent were not provided. Therefore, data are not available for this outcome measure due to the insufficient number of participants with events.
Time Frame Week 48

Outcome Measure Data

Analysis Population Description
CVW resistance Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 0 0
35. Secondary Outcome
Title Number of Participants With Observed Phenotypic Resistance for Participants Meeting Virologic Withdrawal Criteria by Baseline Third Agent Treatment Class
Description For all participants who meet virologic withdrawal criteria, plasma samples with HIV-1 RNA level >=200 c/mL were to be analyzed in an attempt to obtain phenotype data on as many samples as possible. Samples for drug resistance testing (phenotypic) were to be collected at Day 1. Number of participants with phenotypic resistance to CAR and to DTG or RPV for those meeting virologic withdrawal criteria in subgroups stratified based on Baseline third agent treatment class (INSTI, NNRTI, PI) were to be summarized. This outcome was not analyzed as the number of participants was low (1 CVW per arm) and summaries by Baseline third agent were not provided. Therefore, data are not available for this outcome measure due to the insufficient number of participants with events.
Time Frame Week 48

Outcome Measure Data

Analysis Population Description
CVW resistance Population
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 0 0
36. Secondary Outcome
Title Change From Baseline in Fasting Lipids at Weeks 24 and 48 by Baseline Third Agent Treatment Class
Description Blood samples were collected at Baseline (Day 1), Weeks 24 and 48 to assess fasting lipids which included total cholesterol (CHO), LDL cholesterol, HDL cholesterol and triglycerides. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1), Weeks 24 and 48

Outcome Measure Data

Analysis Population Description
Safety Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
CHO, Week 24, overall, n=237, 229
1.015
(15.7472)
1.300
(12.2269)
CHO, Week 48, overall, n=237, 230
-0.165
(15.9301)
0.194
(13.1071)
CHO, Week 24, NNRTI, n=0, 132
1.238
(12.4889)
CHO, Week 48, NNRTI, n=0, 128
0.281
(12.2469)
CHO, Week 24, INSTI, n=0, 42
1.973
(12.1365)
CHO, Week 48, INSTI, n=0, 44
2.798
(16.1468)
CHO, Week 24, PI, n=0, 55
0.936
(11.8530)
CHO, Week 48, PI, n=0, 58
-1.971
(12.2195)
HDL CHO direct, Overall, Week 24, n=237, 229
0.557
(19.4929)
-2.533
(16.3641)
HDL CHO direct, Overall, Week 48, n=237,230
6.384
(20.9244)
4.723
(18.3253)
HDL CHO direct, NNRTI, Week 24, n=0, 132
-2.562
(15.3521)
HDL CHO direct, NNRTI, Week 48, n=0, 128
4.307
(17.8013)
HDL CHO direct, INSTI, Week 24, n=0, 42
-3.097
(20.0002)
HDL CHO direct, INSTI, Week 48, n=0, 44
5.386
(20.6791)
HDL CHO direct, PI, Week 24, n=0, 55
-2.031
(15.9582)
HDL CHO direct, PI, Week 48, n=0, 58
5.140
(17.8779)
LDL CHO calculation, Overall, Week 24, n=231, 221
5.838
(22.9614)
4.395
(21.6685)
LDL CHO calculation, Overall, Week 48, n=229, 220
1.137
(23.3849)
-0.598
(20.6931)
LDL CHO calculation, NNRTI, Week 24, n=0, 129
5.959
(21.5692)
LDL CHO calculation, NNRTI, Week 48, n=0, 124
0.747
(19.2299)
LDL CHO calculation, INSTI, Week 24, n=0, 40
3.787
(17.6755)
LDL CHO calculation, INSTI, Week 48, n=0, 42
2.647
(24.0430)
LDL CHO calculation, PI, Week 24, n=0, 52
0.983
(24.5052)
LDL CHO calculation, PI, Week 48, n=0, 54
-6.212
(20.4774)
Triglycerides, Overall, Week 24, n=237, 229
-0.825
(42.5565)
9.379
(45.5529)
Triglycerides, Overall, Week 48, n=237, 230
1.169
(51.9844)
7.183
(44.7044)
Triglycerides, NNRTI, Week 24, n=0, 132
4.962
(40.6201)
Triglycerides, NNRTI, Week 48, n=0, 128
5.248
(41.7728)
Triglycerides, INSTI, Week 24, n=0, 42
18.204
(47.2348)
Triglycerides, INSTI, Week 48, n=0, 44
14.627
(56.2824)
Triglycerides, PI, Week 24, n=0,55
13.241
(54.2327)
Triglycerides, PI, Week 48, n=0, 58
5.806
(41.2106)
37. Secondary Outcome
Title Change From Baseline in Pre-specified Treatment Symptoms Using the Symptom Distress Module at Weeks 4, 24 and 48-Early Switch Phase
Description The Symptom Distress Module, also called the HIV Symptom Index or Symptoms Impact Questionnaire, is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. Symptom count is based on which of the 20 symptoms were present in the participant. Symptom count is the sum of the number of symptoms present and ranges from 0 (none) to 20 (all). Symptom bother score is based on the score for each symptom present ranging from 1 (it doesn't bother me) to 4 (it bothers me a lot). Symptom bother score is the unweighted sum of the bother item scores for each symptom. The symptom bother score ranges from 0 (minimum bother score) to 80 (maximum bother score). Last observation carried forward (LOCF) was used as primary method of analysis. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1), Weeks 4, 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Symptom count, Week 4, n=224, 229
-1.1
(4.11)
-0.8
(4.02)
Symptom count, Week 24, n=228, 232
-0.7
(4.31)
-0.8
(4.64)
Symptom count, Week 48, n=228, 231
-0.5
(4.33)
-0.4
(4.82)
Symptom Bother Score, Week 4, n=224, 229
-2.8
(7.44)
-1.8
(7.24)
Symptom Bother Score, Week 24, n=228, 232
-1.8
(8.40)
-1.7
(8.72)
Symptom Bother Score, Week 48, n=228, 231
-1.5
(7.97)
-0.7
(9.30)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.430
Comments P-value for interaction between treatment group and Baseline symptom bother score (Week 4)
Method ANCOVA
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.039
Comments P value to assess difference between treatment groups (Symptom Bother Score - Week 4)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.239
Confidence Interval (2-Sided) 95%
-2.414 to -0.064
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for age, Baseline third agent, gender, race and Baseline score.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.542
Comments P-value for interaction between treatment group and Baseline symptom bother score (Week 24)
Method ANCOVA
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.448
Comments P value to assess difference between treatment groups (Symptom Bother Score - Week 24)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.528
Confidence Interval (2-Sided) 95%
-1.896 to 0.840
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for age, Baseline third agent, gender, race and Baseline score.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Other
Comments
Statistical Test of Hypothesis p-Value 0.402
Comments P-value for interaction between treatment group and Baseline symptom bother score (Week 48)
Method ANCOVA
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.164
Comments P value to assess difference between treatment groups (Symptom Bother Score - Week 48)
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.037
Confidence Interval (2-Sided) 95%
-2.501 to 0.426
Parameter Dispersion Type:
Value:
Estimation Comments Estimates are calculated from an ANCOVA model adjusting for age, Baseline third agent, gender, race and Baseline score.
38. Secondary Outcome
Title Change From Baseline in Pre-specified Treatment Symptoms Using the Symptom Distress Module at Weeks 56, 76, 100 and 148-DTG+RPV Early Switch Group Through Early and Late Switch Phase
Description The Symptom Distress Module, also called the HIV Symptom Index or Symptoms Impact Questionnaire, is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. Symptom count is based on which of the 20 symptoms were present in the participant. Symptom count is the sum of the number of symptoms present and ranges from 0 (none) to 20 (all). Symptom bother score is based on the score for each symptom present ranging from 1 (it doesn't bother me) to 4 (it bothers me a lot). Symptom bother score is the unweighted sum of the bother item scores for each symptom. The symptom bother score ranges from 0 (minimum bother score) to 80 (maximum bother score). LOCF was used as primary method of analysis. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1), Weeks 56, 76, 100 and 148

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed.
Arm/Group Title DTG + RPV
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase.
Measure Participants 228
Symptom count, Week 56
-0.8
(4.80)
Symptom count, Week 76
-0.6
(4.66)
Symptom count, Week 100
-0.5
(5.03)
Symptom count, Week 148
-0.7
(4.87)
Symptom Bother Score, Week 56
-1.8
(9.23)
Symptom Bother Score, Week 76
-1.6
(8.70)
Symptom Bother Score, Week 100
-1.4
(9.40)
Symptom Bother Score, Week 148
-1.7
(9.54)
39. Secondary Outcome
Title Change From LS Baseline in Pre-specified Treatment Symptoms Using the Symptom Distress Module at Weeks 56, 76, 100 and 148-CAR Late Switch Group Through Late Switch Phase
Description The Symptom Distress Module, also called the HIV Symptom Index or Symptoms Impact Questionnaire, is a 20-item self-reported measure that addresses the presence and perceived distress linked to symptoms commonly associated with HIV or its treatment. Symptom count is based on which of the 20 symptoms were present in the participant. Symptom count is the sum of the number of symptoms present and ranges from 0 (none) to 20 (all). Symptom bother score is based on the score for each symptom present ranging from 1 (it doesn't bother me) to 4 (it bothers me a lot). Symptom bother score is the unweighted sum of the bother item scores for each symptom. The symptom bother score ranges from 0 (minimum bother score) to 80 (maximum bother score). LOCF was used as primary method of analysis. Change from LS Baseline was calculated as value at indicated time point minus LS Baseline value.
Time Frame LS Baseline (Week 48), Weeks 56, 76, 100 and 148

Outcome Measure Data

Analysis Population Description
LS ITT-E Population comprised of all participants randomized to CAR who received at least one dose of study treatment at or after the Week 52 Switch visit. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title Current Antiretroviral Regimen
Arm/Group Description Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 239
Symptom count, Week 56, n=216
-0.9
(4.74)
Symptom count, Week 76, n=220
-0.7
(4.29)
Symptom count, Week 100, n=220
-0.4
(5.04)
Symptom count, Week 148, n=220
-0.6
(4.81)
Symptom Bother Score, Week 56 n=216
-2.1
(7.56)
Symptom Bother Score, Week 76, n=220
-1.0
(7.61)
Symptom Bother Score, Week 100, n=220
-0.8
(8.43)
Symptom Bother Score, Week 148, n=220
-1.0
(8.54)
40. Secondary Outcome
Title Change From Baseline Treatment Satisfaction Using the HIV Treatment Satisfaction Questionnaire (HIV TSQ) at Weeks 4, 24 and 48-Early Switch Phase
Description The HIV TSQ is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility. Each item is scored 0 to 6 where a higher score indicates the greater improvement in the past few weeks. These items are summed up to produce a treatment satisfaction total score (0 to 60) and 2 subscales: general satisfaction/clinical and lifestyle/ease subscales (0 to 30). The HIV TSQ was administered as a paper questionnaire. Total score, lifestyle/ease score and General satisfaction/clinical sub-score (CS) have been summarized. LOCF was used as primary method of analysis. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1), Weeks 4, 24 and 48

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV Current Antiretroviral Regimen
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 261 255
Total score, Week 4, n=253, 250
0.0
0.0
Total score, Week 24, n=257, 252
0.0
0.0
Total score, Week 48, n=257, 251
0.0
0.0
lifestyle/ease Sub-score, Week 4, n=252, 249
0.0
0.0
lifestyle/ease Sub-score, Week 24, n=257, 251
0.0
0.0
lifestyle/ease Sub-score, Week 48, n=257, 250
0.0
0.0
General Satisfaction/CS, Week 4, n=253, 250
0.0
0.0
General Satisfaction/CS, Week 24, n=257, 252
0.0
0.0
General Satisfaction/CS, Week 48, n=257, 251
0.0
0.0
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.037
Comments P-value to assess HIVTSQs Total Score difference between treatment groups (Week 4)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.101
Comments P-value to assess HIVTSQs Total Score difference between treatment groups (Week 24)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.042
Comments P-value to assess HIVTSQs Total score difference between treatment groups (Week 48)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.132
Comments P-value to assess HIVTSQs lifestyle/ease sub- score difference between treatment groups (Week 4)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.022
Comments P-value to assess HIVTSQs lifestyle/ease sub- score difference between treatment groups (Week 24)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.004
Comments P-value to assess HIVTSQs lifestyle/ease sub- score difference between treatment groups (Week 48)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.076
Comments P-value to assess HIVTSQs General satisfaction/CS sub- score difference between treatment groups (Week 4)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.073
Comments P-value to assess HIVTSQs General satisfaction/CS sub- score difference between treatment groups (Week 24)
Method Wilcoxon rank sum test
Comments
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection DTG + RPV, Current Antiretroviral Regimen
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.547
Comments P-value to assess HIVTSQs General satisfaction/CS sub- score difference between treatment groups (Week 48)
Method Wilcoxon rank sum test
Comments
41. Secondary Outcome
Title Change From Baseline Treatment Satisfaction Using the HIV TSQ at Weeks 56, 76, 100 and 148-DTG+RPV Early Switch Group Through Early and Late Switch Phase
Description The HIV TSQ is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility. Each item is scored 0 (very dissatisfied, inconvenient) to 6 (very satisfied, convenient). The items are summed up to produce a treatment satisfaction total score (0 to 60) and 2 subscale scores: general satisfaction/clinical and lifestyle/ease subscales (0 to 30). Higher scores indicated greater treatment satisfaction as compared to the past few weeks. The HIV TSQ was administered as a paper questionnaire. Change from Baseline is calculated as the value at specified time point minus Baseline value. Total score, lifestyle/ease score and General satisfaction/clinical sub-score (CS) have been summarized. LOCF was used as primary method of analysis.
Time Frame Baseline (Day 1), Weeks 56, 76, 100 and 148

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title DTG + RPV
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase.
Measure Participants 257
Total score, Week 56
0.0
Total score, Week 76
1.0
Total score, Week 100
0.0
Total score, Week 148
1.0
lifestyle/ease Sub-score, Week 56
0.0
lifestyle/ease Sub-score, Week 76
0.0
lifestyle/ease Sub-score, Week 100
0.0
lifestyle/ease Sub-score, Week 148
0.0
General Satisfaction/CS, Week 56
0.0
General Satisfaction/CS, Week 76
0.0
General Satisfaction/CS, Week 100
0.0
General Satisfaction/CS, Week 148
0.0
42. Secondary Outcome
Title Change From LS Baseline Treatment Satisfaction Using the HIV TSQ at Weeks 56, 76, 100 and 148-CAR Late Switch Group Through Late Switch Phase
Description The HIV TSQ is a 10-item self-reported scale that measures overall satisfaction with treatment and by specific domains e.g., convenience, flexibility. Each item is scored 0 (very dissatisfied, inconvenient) to 6 (very satisfied, convenient). The items are summed up to produce a treatment satisfaction total score (0 to 60) and 2 subscale scores: general satisfaction/clinical and lifestyle/ease subscales (0 to 30). Higher scores indicated greater treatment satisfaction as compared to the past few weeks. The HIV TSQ was administered as a paper questionnaire. Change from LS Baseline is calculated as the value at specified time point minus LS Baseline value. Total score, lifestyle/ease score and General satisfaction/CS have been summarized. LOCF was used as primary method of analysis.
Time Frame LS Baseline (Week 48), Weeks 56, 76, 100 and 148

Outcome Measure Data

Analysis Population Description
LS ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in the category titles).
Arm/Group Title Current Antiretroviral Regimen
Arm/Group Description Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 239
Total score, Week 56, n=235
0.0
Total score, Week 76, n=239
0.0
Total score, Week 100, n=239
0.0
Total score, Week 148, n=239
0.0
lifestyle/ease Sub-score, Week 56, n=235
0.0
lifestyle/ease Sub-score, Week 76, n=239
0.0
lifestyle/ease Sub-score, Week 100, n=239
0.0
lifestyle/ease Sub-score, Week 148, n=239
0.0
General Satisfaction/CS, Week 56, n=235
0.0
General Satisfaction/CS, Week 76, n=239
0.0
General Satisfaction/CS, Week 100, n=239
0.0
General Satisfaction/CS, Week 148, n=239
0.0
43. Other Pre-specified Outcome
Title Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Weeks 100 and 148 Using the Snapshot Algorithm-DTG+RPV Early Switch Group Through Early and Late Switch Phase
Description Plasma samples were collected for quantitative analysis of HIV-1 RNA. Percentage of participants with plasma HIV 1 RNA < 50 c/mL using the FDA snapshot algorithm was assessed. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest.
Time Frame Weeks 100 and 148

Outcome Measure Data

Analysis Population Description
ITT-E Population
Arm/Group Title DTG + RPV
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase.
Measure Participants 261
Week 100
89
34.1%
Week 148
84
32.2%
44. Other Pre-specified Outcome
Title Change From Baseline in CD4+ Lymphocyte Count at Weeks 100 and 148-DTG+RPV Early Switch Group Through Early and Late Switch Phase
Description Blood samples were collected for CD4+ cell count assessment by flow cytometry. Change from Baseline was calculated as value at indicated time point minus Baseline value.
Time Frame Baseline (Day 1), Weeks 100 and 148

Outcome Measure Data

Analysis Population Description
ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in category titles).
Arm/Group Title DTG + RPV
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase.
Measure Participants 261
Week 100; n=235
55.9
(202.56)
Week 148; n=221
51.5
(205.98)
45. Other Pre-specified Outcome
Title Percentage of Participants With Plasma HIV-1 RNA <50 c/mL at Weeks 100 and 148 Using the Snapshot Algorithm-CAR Late Switch Group Through Late Switch Phase
Description Plasma samples were collected for quantitative analysis of HIV-1 RNA. Percentage of participants with plasma HIV 1 RNA < 50 c/mL using the FDA snapshot algorithm was assessed. Virologic success or failure was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the window of the visit of interest.
Time Frame Weeks 100 and 148

Outcome Measure Data

Analysis Population Description
LS ITT-E Population
Arm/Group Title Current Antiretroviral Regimen
Arm/Group Description Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 239
Week 100
97
37.2%
Week 148
93
35.6%
46. Other Pre-specified Outcome
Title Change From LS Baseline in CD4+ Lymphocyte Count at Weeks 100 and 148-CAR Late Switch Group Through Late Switch Phase
Description Blood samples were collected for CD4+ cell count assessment by flow cytometry. Change from LS Baseline was calculated as value at indicated time point minus LS Baseline value.
Time Frame LS Baseline (Week 48), Weeks 100 and 148

Outcome Measure Data

Analysis Population Description
LS ITT-E Population. Only those participants with data available at the specified time points were analyzed (represented by n=X in category titles).
Arm/Group Title Current Antiretroviral Regimen
Arm/Group Description Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with (human immunodeficiency virus-1) HIV-1 ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
Measure Participants 239
Week 100; n=231
20.9
(173.39)
Week 148; n=225
6.5
(167.44)

Adverse Events

Time Frame On-treatment SAEs and non-serious AEs were collected from the start of the study treatment up to 148 weeks. Data presented for DTG+RPV (Early Switch) and CAR (Early Switch) represent safety events during Early switch phase (Up to Week 52). The safety data presented for DTG+RPV (Early+Late Switch) arm represents safety events up to Week 148 and that for CAR (Late Switch) represents safety events from Week 52 to Week 148.
Adverse Event Reporting Description On treatment SAEs and non-serious AEs were reported for the Safety Population for DTG+RPV (Early Switch), CAR (Early Switch) and DTG+RPV (Early+Late Switch). LS Safety Population was used for CAR (Late Switch arm).
Arm/Group Title DTG + RPV (Early Switch) CAR (Early Switch) DTG + RPV (Early + Late Switch) CAR (Late Switch)
Arm/Group Description Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. Participants received DTG 50 mg + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. At Week 52, participants who received CAR during the early switch phase, with HIV-1 RNA <50 c/mL, switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148.
All Cause Mortality
DTG + RPV (Early Switch) CAR (Early Switch) DTG + RPV (Early + Late Switch) CAR (Late Switch)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/261 (0.4%) 0/255 (0%) 2/261 (0.8%) 0/239 (0%)
Serious Adverse Events
DTG + RPV (Early Switch) CAR (Early Switch) DTG + RPV (Early + Late Switch) CAR (Late Switch)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 19/261 (7.3%) 9/255 (3.5%) 38/261 (14.6%) 22/239 (9.2%)
Cardiac disorders
Acute myocardial infarction 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Cardiomyopathy 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Myocardial infarction 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Torsade de pointes 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Ear and labyrinth disorders
Tympanic membrane perforation 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Eye disorders
Keratitis 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Retinal detachment 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Gastrointestinal disorders
Gastrointestinal haemorrhage 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Gastrooesophageal reflux disease 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Abdominal adhesions 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Abdominal pain 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Inguinal hernia 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Vomiting 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 2 0/239 (0%) 0
General disorders
Chest pain 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 3/239 (1.3%) 3
Hepatobiliary disorders
Cholecystitis chronic 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Cholelithiasis 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Immune system disorders
Anaphylactic reaction 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Drug hypersensitivity 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Jarisch-Herxheimer reaction 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Infections and infestations
Pneumonia 2/261 (0.8%) 2 0/255 (0%) 0 2/261 (0.8%) 3 1/239 (0.4%) 1
Orchitis 1/261 (0.4%) 1 0/255 (0%) 0 2/261 (0.8%) 2 0/239 (0%) 0
Periorbital cellulitis 1/261 (0.4%) 1 0/255 (0%) 0 2/261 (0.8%) 2 0/239 (0%) 0
Abscess limb 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Acute hepatitis C 0/261 (0%) 0 0/255 (0%) 0 2/261 (0.8%) 2 0/239 (0%) 0
Lymphogranuloma venereum 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Pulmonary sepsis 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Rotavirus infection 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Abscess 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Carbuncle 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Gastroenteritis 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Groin abscess 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Hepatitis A 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Infectious colitis 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Pneumonia bacterial 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Proctitis infectious 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Respiratory tract infection 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Injury, poisoning and procedural complications
Alcohol poisoning 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 1/239 (0.4%) 1
Tibia fracture 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 1/239 (0.4%) 1
Facial bones fracture 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Meniscus injury 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 2/239 (0.8%) 2
Accidental overdose 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Concussion 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Femoral neck fracture 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 2 0/239 (0%) 0
Femur fracture 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Fibula fracture 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Foreign body in gastrointestinal tract 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Hand fracture 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Joint injury 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Ligament rupture 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Multiple injuries 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Procedural pain 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Toxicity to various agents 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Musculoskeletal and connective tissue disorders
Haemarthrosis 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Kaposi's sarcoma 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Papillary thyroid cancer 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 1/239 (0.4%) 1
Anal squamous cell carcinoma 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Basal cell carcinoma 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Breast cancer metastatic 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Hodgkin's disease 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Invasive ductal breast carcinoma 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Laryngeal cancer stage 0 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Metastases to lymph nodes 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Prostate cancer 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Thyroid cancer 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Nervous system disorders
Headache 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Cerebrovascular accident 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Polyneuropathy 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Psychiatric disorders
Suicide attempt 1/261 (0.4%) 1 1/255 (0.4%) 1 1/261 (0.4%) 1 1/239 (0.4%) 1
Suicidal ideation 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Completed suicide 0/261 (0%) 0 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Depression 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Renal and urinary disorders
Acute kidney injury 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Renal colic 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Urinary retention 0/261 (0%) 0 0/255 (0%) 0 0/261 (0%) 0 1/239 (0.4%) 1
Respiratory, thoracic and mediastinal disorders
Eosinophilic pneumonia acute 1/261 (0.4%) 1 0/255 (0%) 0 1/261 (0.4%) 1 0/239 (0%) 0
Pulmonary embolism 0/261 (0%) 0 1/255 (0.4%) 1 0/261 (0%) 0 0/239 (0%) 0
Other (Not Including Serious) Adverse Events
DTG + RPV (Early Switch) CAR (Early Switch) DTG + RPV (Early + Late Switch) CAR (Late Switch)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 121/261 (46.4%) 106/255 (41.6%) 170/261 (65.1%) 132/239 (55.2%)
Gastrointestinal disorders
Diarrhoea 10/261 (3.8%) 13 11/255 (4.3%) 11 17/261 (6.5%) 23 10/239 (4.2%) 12
Dyspepsia 9/261 (3.4%) 10 3/255 (1.2%) 4 18/261 (6.9%) 21 6/239 (2.5%) 7
General disorders
Asthenia 8/261 (3.1%) 8 10/255 (3.9%) 11 14/261 (5.4%) 14 10/239 (4.2%) 12
Infections and infestations
Nasopharyngitis 21/261 (8%) 26 23/255 (9%) 25 48/261 (18.4%) 86 37/239 (15.5%) 54
Upper respiratory tract infection 19/261 (7.3%) 21 27/255 (10.6%) 41 37/261 (14.2%) 53 30/239 (12.6%) 37
Bronchitis 17/261 (6.5%) 20 11/255 (4.3%) 13 28/261 (10.7%) 39 19/239 (7.9%) 25
Pharyngitis 6/261 (2.3%) 8 7/255 (2.7%) 7 15/261 (5.7%) 17 20/239 (8.4%) 24
Influenza 10/261 (3.8%) 10 4/255 (1.6%) 5 19/261 (7.3%) 19 8/239 (3.3%) 8
Gastroenteritis 9/261 (3.4%) 10 6/255 (2.4%) 6 16/261 (6.1%) 23 9/239 (3.8%) 9
Syphilis 4/261 (1.5%) 4 9/255 (3.5%) 9 13/261 (5%) 13 12/239 (5%) 13
Sinusitis 9/261 (3.4%) 10 3/255 (1.2%) 3 15/261 (5.7%) 17 8/239 (3.3%) 10
Respiratory tract infection 6/261 (2.3%) 8 3/255 (1.2%) 5 14/261 (5.4%) 16 4/239 (1.7%) 5
Musculoskeletal and connective tissue disorders
Arthralgia 17/261 (6.5%) 19 7/255 (2.7%) 7 25/261 (9.6%) 32 22/239 (9.2%) 26
Back pain 6/261 (2.3%) 6 14/255 (5.5%) 16 17/261 (6.5%) 23 22/239 (9.2%) 26
Nervous system disorders
Headache 17/261 (6.5%) 36 6/255 (2.4%) 6 27/261 (10.3%) 57 14/239 (5.9%) 16
Dizziness 10/261 (3.8%) 10 0/255 (0%) 0 14/261 (5.4%) 16 8/239 (3.3%) 8
Psychiatric disorders
Insomnia 7/261 (2.7%) 8 4/255 (1.6%) 4 14/261 (5.4%) 17 7/239 (2.9%) 7

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 GlaxoSmithKline
Phone 866-435-7343
Email GSKClinicalSupportHD@gsk.com
Responsible Party:
ViiV Healthcare
ClinicalTrials.gov Identifier:
NCT02422797
Other Study ID Numbers:
  • 201637
  • 2014-005148-16
First Posted:
Apr 21, 2015
Last Update Posted:
Dec 14, 2021
Last Verified:
Dec 1, 2021