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OpenTrials
Completed

NCT Number: NCT05911360

A Study to Evaluate Efficacy, Safety and Tolerability in Antiretroviral Therapy (ART)-Experienced Participants of at Least 50 Years of Age Living With Human Immunodeficiency Virus (HIV) With Virologic Suppression Who Switch to DTG/3TC FDC From BIC/FTC/TAF

The study aims at evaluating the maintenance of virologic suppression of dolutegravir/lamivudine (DTG/3TC) fixed dose combination (FDC) at Week 48 post-switch from bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) in participants living with Human Immunodeficiency Virus Type 1 (HIV-1) who are of at least 50 years of age and above.

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Key information

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

GSK Investigational Site, Innsbruck, Austria

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants living with HIV-1 and had documented plasma HIV-1 RNA <50 c/mL within 3 months prior to Screening.
  • Participants had been on uninterrupted ART for ≥1 year (except for brief periods [less than 30 days] where all ART had been stopped due to tolerability and/or safety concerns).
  • Participants had been on uninterrupted BIC/FTC/TAF for at least 6 months prior to Screening.
  • Participants had plasma HIV-1 RNA <50 c/mL at Screening.
  • Participants had no known prior regimen switches due to documented virologic failure (defined as a confirmed plasma HIV-1 RNA ≥200 c/mL).
  • Participants with unknown full treatment/clinical history beyond 5 years prior to Screening may have been eligible upon discussion and agreement with the medical monitor.

Exclusion criteria

  • Women participants were pregnant or breastfeeding or planned to become pregnant or breastfeed during the study.
  • Participants had any evidence of an active Centers for Disease Control and Prevention (CDC) Stage 3 disease, EXCEPT cutaneous Kaposi's sarcoma not requiring systemic therapy. Historical or current CD4 cell counts less than 200 cells/cubic millimetre (mm^3) were not exclusionary.
  • Participants had signs and symptoms which, in the opinion of the investigator, were suggestive of active severe acute respiratory syndrome-related coronavirus (SARS-CoV-2) infection within 14 days prior to enrolment.
  • Participants had severe hepatic impairment (Class C) as determined by Child-Pugh classification.
  • Evidence of hepatitis B virus (HBV) infection was based on the results of testing at Screening for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (anti-HBc), hepatitis B surface antibody (anti-HBs) and HBV deoxyribonucleic acid (DNA) as follows:
  • Participants positive for HBsAg were excluded;
  • Participants negative for anti-HBs but positive for anti-HBc (negative HBsAg status), whether negative or positive for HBV DNA, were excluded;
  • Participants positive for anti-HBc (negative HBsAg status) and positive for anti-HBs (past and/or current evidence) were immune to HBV and were not excluded.
  • Participants had unstable liver disease (as defined by any of the following: presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, or persistent jaundice or cirrhosis), known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease per investigator assessment).
  • Participants had a history of liver cirrhosis with or without hepatitis viral co-infection.
  • Participants had untreated syphilis infection (positive rapid plasma reagin [RPR] at Screening without clear documentation of treatment). Participants who were at least 7 days post completed treatment were eligible.
  • Participants had a history or presence of allergy or intolerance to the study treatment or their components or drugs of their class or a history of drug or other allergy that, in the opinion of the investigator or Medical Monitor, contraindicated their participation.
  • Participants had ongoing malignancy other than cutaneous Kaposi's sarcoma, basal cell carcinoma, or resected, non-invasive cutaneous squamous cell carcinoma, or cervical, anal or penile intraepithelial neoplasia.
  • Participants who, in the investigator's judgment, posed a significant suicidality risk. Participant's history of suicidal behavior and/or suicidal ideation was considered when evaluating for suicide risk.
  • Participants had any evidence of any major 3TC resistance associated mutations (M184V/I and/or K65R and/or MDR) or presence of any major Integrase strand transfer inhibitor (INSTI) resistance associated mutation in any available prior resistance genotype assay test result. All available historical resistance reports with HIV-1 reverse transcriptase or integrase genotypic data were provided to ViiV after screening and before enrollment for review by ViiV Virology.
  • Participants had any verified Grade 4 laboratory abnormality with the exception of Grade 4 lipid abnormalities.

Alanine aminotransferase (ALT) was ≥5 times the upper limit of normal (ULN) or ALT was ≥3×ULN and bilirubin was ≥1.5×ULN (>35% direct bilirubin).

  • Participants had estimated creatine clearance <30 mL/min per 1.73 square meter (m^2) using the refitted, race-neutral Chronic Kidney Disease Epidemiology Collaboration (CKD-EPIcr_R) method.

Treatment and study plan

DTG/3TC

Drug

DTG/3TC FDC was administered once daily.

Primary outcomes

  1. Number of Participants With Plasma HIV-1 Ribonucleic Acid (RNA) Greater Than or Equal to (>=)50 Copies/Millilitre (c/mL) at Week 48

    Time frame: At Week 48

    Participants with HIV-1 RNA >= 50 c/mL were evaluated. Virologic outcome was determined by the last available HIV-1 RNA assessment while the participant was on-treatment within the Week 48 Window. The analysis was done using the modified Snapshot algorithm.

Secondary outcomes

  1. Number of Participants With Plasma HIV-1 RNA >= 50 c/mL at Week 24

    Time frame: At Week 24

    The number of participants with plasma HIV-1 RNA >/=50 c/mL at Week 24 was analyzed using the Snapshot Algorithm.

  2. Number of Participants With Plasma HIV-1 RNA >= 50 c/mL at Week 96

    Time frame: At Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  3. Number of Participants With Plasma HIV-1 RNA Less Than (<) 50 c/mL at Week 24

    Time frame: At Week 24

    The number of participants with plasma HIV-1 RNA <50 c/mL at Week 24 was analyzed using the Snapshot Algorithm.

  4. Number of Participants With Plasma HIV-1 RNA < 50 c/mL at Week 48

    Time frame: At Week 48

    The number of participants with plasma HIV-1 RNA < 50 c/mL at Week 48 was analyzed using the modified Snapshot Algorithm.

  5. Number of Participants With Plasma HIV-1 RNA < 50 c/mL at Week 96

    Time frame: At Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  6. Absolute Values for Cluster of Differentiation 4 (CD4+) Cells Count at Week 24

    Time frame: At Week 24

  7. Absolute Values for CD4+ Cells Count at Week 48

    Time frame: At Week 48

  8. Absolute Values for CD4+ Cells Count at Week 96

    Time frame: At Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  9. Absolute Values for CD4: Cluster of Differentiation 8 (CD8) Ratio at Week 24

    Time frame: At Week 24

    The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.

  10. Absolute Values for CD4:CD8 Ratio at Week 48

    Time frame: At Week 48

    The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.

  11. Absolute Values for CD4:CD8 Ratio at Week 96

    Time frame: At Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  12. Change From Baseline in CD4+ Cells Count at Week 24

    Time frame: At Week 24 compared to Baseline

  13. Change From Baseline in CD4+ Cells Count at Week 48

    Time frame: At Week 48 compared to Baseline

  14. Change From Baseline in CD4+ Cells Count at Week 96

    Time frame: At Week 96 compared to baseline

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  15. Change From Baseline in CD4:CD8 Ratio at Week 24

    Time frame: At Week 24 compared to Baseline

    The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.

  16. Change From Baseline in CD4:CD8 Ratio at Week 48

    Time frame: At Week 48 compared to Baseline

    The CD4/CD8 ratio is defined as a numerical representation of the proportion of CD4+ T cells to CD8+ T cells in the blood.

  17. Change From Baseline in CD4:CD8 Ratio at Week 96

    Time frame: At Week 96 compared to baseline

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  18. Number of Participants With Disease Progression (HIV-associated Conditions, AIDS, and Death) Through Week 24

    Time frame: Up to Week 24

    Occurrence of disease progression was evaluated through HIV-associated conditions and incidence of disease progression to United States Centers for Disease Control and Prevention (CDC) stage 3 or death.

  19. Number of Participants With Disease Progression (HIV-associated Conditions, AIDS, and Death) Through Week 48

    Time frame: Up to Week 48

  20. Number of Participants With Disease Progression (HIV-associated Conditions, AIDS, and Death) Through Week 96

    Time frame: Week 96

  21. Number of Participants With Viral Resistance After Meeting Confirmed Virologic Withdrawal (CVW) Criterion

    Time frame: Up to Week 48

    Confirmed virologic withdrawal criteria is defined as two consecutive assessments with HIV-1 RNA greater than or equal to (>=)200 c/mL after Day 1 visit.

  22. Number of Participants With Viral Resistance After Meeting CVW Criterion

    Time frame: From Week 48 to Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  23. Number of Participants With Treatment Related Non-serious Adverse Events (AEs)

    Time frame: Up to Week 48

    A treatment related non-serious AE is defined as any untoward medical occurrence in a clinical study participant considered related to the study treatment. Any = occurrence of the event regardless of intensity grade

  24. Number of Participants With Treatment Related Non-serious AEs

    Time frame: From Week 48 to Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  25. Number of Participants With Any Serious Adverse Events (SAEs)

    Time frame: Up to Week 48

    An SAE is defined as any untoward medical occurrence that results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, results in abnormal pregnancy outcomes or any other situation based on appropriate medical or scientific judgement. Any = occurrence of the event regardless of intensity grade.

  26. Number of Participants With SAEs

    Time frame: From Week 48 to Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

  27. Number of Participants With AEs Leading to Treatment Discontinuation

    Time frame: Up to Week 48

  28. Number of Participants With AEs Leading to Treatment Discontinuation

    Time frame: From Week 48 to Week 96

    Data not available at the time of posting, will be updated at the final results disclosure stage.

Sponsors and collaborators

Lead sponsor

ViiV Healthcare

Industry

Registry information

Official study title

A Phase 3b, Multicenter, Single-arm, Open-label Study Evaluating the Efficacy, Safety, and Tolerability of Switching to DTG/3TC Single Tablet Regimen Administered Once Daily From a Bictegravir/Emtricitabine/Tenofovir Alafenamide Single Tablet Regimen in People Living With HIV of at Least 50 Years of Age Who Are Virologically Suppressed

Acronym: EYEWITNESS

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Jun 22, 2023
Registry last updated
Jul 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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