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NCT Number: NCT06646562

Long Acting Cabotegravir Plus Rilpivirine in People Living with HIV-1 Aged ≥ 60 Years for 24 Months.

People Living with HIV-1 (PLHIV) are an important group of patients attending their specialist's and continue growing thanks to efficacy antiretroviral treatment (ART), allowing them to stabilize the HIV-infection and to live a normal life despite the infection. The present study is encouraged to demonstrate that efficacy and security of CAB LA + RPV LA treatment's on this population remains the same compared to younger population of patients. This study also registers some metabolic and hepatic parameters to observe a hypothetical improvement on these parameters, as the population may suffer more comorbidities than younger population and therefore tolerability and convenience gains a huge importance on them. Psychosocial aspects are also very important in these patients as these patients may suffer social stigma, and therefore suffering certain psychological disorders.

Recruiting

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Key information

Age range

60 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 4

Primary location

Hospital General Universitario de Elche, Elche, Alicante, Spain

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Be able to understand and comply with protocol requirements, instructions, and restrictions.
  • Understand the long-term commitment to the study and be likely to complete the study as planned.
  • Be considered appropriate candidates for participation in an investigative clinical trial with oral and intramuscularly injectable medications (e.g., no active substance use disorder, acute major organ disease, or planned long-term work assignments out of the country, etc.).
  • Must be on a stable antiretroviral regimen without present or past evidence of viral resistance to, and no prior virological failure with agents of the NNRTI and INI class.
  • Plasma HIV-1 RNA <50 copies/mL at screening.
  • A female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum hCG test at screen and a negative urine hCG test at randomization) and not lactating

Exclusion criteria

  • Plasma HIV-1 RNA measurement ≥50 copies/mL within 6 months prior to screening. Blips are allowed (increased viral load ≥50 copies/mL but <200 copies/mL preceded and followed by a viral load less than 50 copies/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 NNRTI or INSTI (defined as a confirmed plasma HIV-1 RNA measurement ≥200 copies/mL after initial suppression to <50 copies/mL while on first line HIV therapy regimen)
  • Subjects who are currently participating in or anticipate being selected for any other interventional study. Observational studies and intervention studies that do not include treatments are allowed unless they interfere with scheduled visits.
  • Participants receiving any prohibited medication and who are unwilling or unable to switch to an alternative medication

Treatment and study plan

Cabotegravir LA + Rilpivirine LA

Drug

Cabotegravir (CAB) LA 600mg and Rilpivirine (RPV) LA 900mg will be administered intramuscularly every 2 months after an induction phase with a single administration in months 1 and 2.

Primary outcomes

  1. Numer of patients on stable oral ART that switch to CAB LA + RPV LA with plasma HIV-1 RNA ≥50 copies/mL

    Time frame: Up to 12 Months

    Proportion of participants ≥60 years on stable oral ART that switch to CAB LA + RPV LA with plasma HIV-1 RNA ≥50 copies/mL at month 12 in the intention-to-treat exposed (ITT-E) population, per the FDA Snapshot algorithm.

Secondary outcomes

  1. Levels of HIV-1 RNA Copies

    Time frame: 6, 12 and 24 Months

    To evaluate other estimations of virological control and number of episodes of plasma HIV-1 RNA ≥50 copies/mL that do not meet the criteria for confirmed virological failure

  2. Levels of HIV-1 RNA Copies (plasma HIV-1 RNA ≥200 copies/mL)

    Time frame: 12 and 24 Months

    To determine the proportion of participants experiencing confirmed virologic failure

  3. Number of Participants with experienced CVF (confirmed virologic failure)

    Time frame: 6, 12 and 24 Months

    To asses treatment emergent genotypic and phenotypic resistance in participants experiencing CVF. Levels of hiv-1 RNA copies

  4. To evaluate the immune effects of switching to CAB LA + RPV LA

    Time frame: 6, 12 and 24 Months

    Plasma levels of (CD4 and CD4/CD8),

  5. Number of SAES/SUSAR in patients treated with CAB LA + RPV LA

    Time frame: 6, 12 and 24 Months

    evaluation of parameters ensuring efficacy and security of patients, Number of SAES/SUSAR

Other outcomes

  1. CD4/CD8 ratio

    Time frame: 6, 12 and 24 Months

    To assess the change in CD4/CD8 ratio

  2. HIV Status

    Time frame: 6, 12 and 24 Months

    Questionnaire status version (HIVTSQs),

  3. HIV Treatment Satisfaction

    Time frame: 6, 12 and 24 Months

    Perception of injection questionnaire (PIN)

Study contacts

Contact information is provided by the study sponsor or research team.

Enrique Bernal Morell Jefe de Servicio de Medicina Interna. Hospital General Univer, MD

CONTACT

[email protected]

968 35 90 00

Sponsors and collaborators

Lead sponsor

Fundacion para la Formacion e Investigacion Sanitarias de la Region de Murcia

Other

Collaborators

  • ViiV Healthcare

Registry information

Acronym: LOVER60

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Oct 17, 2024
Registry last updated
Mar 11, 2025

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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