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Developed by
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Supported by
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ViiV Healthcare Originator
https://viivhealthcare.com/
United Kingdom ViiV Healthcare is a pharmaceutical company that specializes in the development of therapies for HIV infection. The company is headquartered in Brentford in the United Kingdom and was initially formed in November 2009 as a part of a joint venture between GlaxoSmithKline and Pfizer. |

Cabotegravir Chemical Structure
Sourced from DrugBank
Aqueous drug particle suspension
Oral, Intramuscular, Subcutaneous
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
No delivery device
Not provided
Not provided
Not provided
Not provided
NCT03639311
https://clinicaltrials.gov/study/NCT03639311
Phase II
Completed
ViiV Healthcare
Not provided
Assess the antiviral activity and safety of CAB LA plus RPV LA, administered Q2M, in approximately 100 adult HIV-1 infected, antiretroviral therapy (ART) experienced participants.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2018-09-24 00:00:00
Anticipated Date of Last Follow-up
2024-05-13 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2019-12-11 00:00:00
Actual Completion Date
2023-01-30 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Participants will rollover from the NCT01641809 (LATTE) study, who have completed minimum duration of Week 312 and with demonstrated HIV-1 ribonucleic acid (RNA) suppression (less than [<]50 copies (c) per milliliter [mL]), while receiving a two-drug regimen consisting of once-daily oral CAB at 30 milligram (mg) plus RPV at 25 mg. The participants will be offered the option to switch to the LA, intramuscular injections of CAB LA plus RPV LA, Q2M or the oral fixed dose combination (FDC) of dolutegravir (DTG) plus RPV, for the continued maintenance of HIV-1 RNA suppression, known as the Maintenance Phase (From Day 1 to Commercial Approval).
Interventional (clinical trial)
97
Non-randomized
Parallel Assignment
This is an Intervention Model, with parallel assignment, where the primary purpose of the study is, treatment, with 2 arms and no masking.
Open label
This is an open-label study, thus no masking.
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Long-acting cabotegravir and rilpivirine for HIV-1 suppression: switch to 2-monthly dosing after 5 years of daily oral therapy | https://doi.org/10.1097/qad.0000000000003085 |
NCT04001803
https://clinicaltrials.gov/study/NCT04001803
Phase III
Completed
ViiV Healthcare
Not provided
Identify and Evaluate Strategies for Successful Implementation of the Cabotegravir + Rilpivirine Long-acting Injectable Regimen in the US.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2019-07-08 00:00:00
Anticipated Date of Last Follow-up
2023-03-16 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2020-10-05 00:00:00
Actual Completion Date
2022-03-18 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Inclusion Criteria: - Aged 18 years or older at the time of signing the informed consent. - HIV-1 infected and must be on an active highly active antiretroviral therapy (HAART) (2 or 3 drug) regimen for at least 6 months prior to Screening. - 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.
Interventional (clinical trial)
115
Not provided
Single group assignment
Not provided
Open label
None (Open Label)
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Perspectives of people living with HIV-1 on implementation of long-acting cabotegravir plus rilpivirine in US healthcare settings | https://doi.org/10.1002/jia2.26006 | |
| Link | Perspectives of healthcare providers on implementation of long-acting cabotegravir plus rilpivirine in US healthcare settings from a Hybrid III Implementation-effectiveness study (CUSTOMIZE) | https://doi.org/10.1002/jia2.26003 |
NCT05112939
https://clinicaltrials.gov/study/NCT05112939
Phase I
Completed
Janssen Research & Development, LLC
Not provided
Characterize the single dose pharmacokinetics and evaluate the safety and tolerability of subcutaneous administration of RPV LA in combination with CAB LA in different conditions in healthy adults.
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2021-11-16 00:00:00
Anticipated Date of Last Follow-up
2025-02-27 00:00:00
Estimated Primary Completion Date
2024-05-23 00:00:00
Estimated Completion Date
2024-05-23 00:00:00
Actual Primary Completion Date
2024-05-23 00:00:00
Actual Completion Date
2024-05-23 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Participant must be healthy on the basis of physical examination, clinical laboratory tests, medical history, vital signs, and 12-lead electrocardiogram (ECG).
Not provided
Interventional (clinical trial)
126
Randomized
Parallel Assignment
Not provided
Single blind masking
Single (Participant)
Treatment
NCT03299049
https://clinicaltrials.gov/study/NCT03299049
Phase III
Active, not recruiting
ViiV Healthcare
Not provided
Evaluating the Efficacy, Safety, and Tolerability of Long-acting Cabotegravir Plus Long-acting Rilpivirine in HIV-1-infected Adults Who Are Virologically Suppressed.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2017-10-27 00:00:00
Anticipated Date of Last Follow-up
2024-12-10 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2025-12-31 00:00:00
Actual Primary Completion Date
2019-06-06 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Inclusion Criteria: - Subjects who will 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 as an appropriate candidate 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.). - Aged 18 years or older (or >=19 where required by local regulatory agencies), at the time of signing the informed consent.
Interventional (clinical trial)
1049
Randomized
Parallel Assignment
Two groups of subjects will be randomized to receive CAB LA + RPV LA Q4W, or CAB LA + RPV LA Q8W regimen.
Open label
This will be an open-label study and therefore no blinding is required.
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Indirect comparison of 48-week efficacy and safety of long-acting cabotegravir and rilpivirine maintenance every 8 weeks with daily oral standard of care antiretroviral therapy in participants | https://doi.org/10.1186/s12879-022-07243-3 | |
| Link | Long-acting cabotegravir and rilpivirine dosed every 2 months in adults with HIV-1 infection (ATLAS-2M), 96-week results: a randomised, multicentre, open-label, phase 3b, non-inferiority study | https://doi.org/10.1016/s2352-3018(21)00185-5 | |
| Link | Week 96 extension results of a Phase 3 study evaluating long-acting cabotegravir with rilpivirine for HIV-1 treatment | https://doi.org/10.1097/qad.0000000000003025 | |
| Link | Patient-Reported Outcomes Through 1 Year of an HIV-1 Clinical Trial Evaluating Long-Acting Cabotegravir and Rilpivirine Administered Every 4 or 8 Weeks (ATLAS-2M) | https://doi.org/10.1007/s40271-021-00524-0 | |
| Link | Long-acting cabotegravir and rilpivirine dosed every 2 months in adults with HIV-1 infection (ATLAS-2M), 48-week results: a randomised, multicentre, open-label, phase 3b, non-inferiority study | https://doi.org/10.1016/s0140-6736(20)32666-0 | |
| Publication | Oka S, Holohan V, Shirasaka T, et al. Asian participants' experience in phase 3/3b studies of long-acting cabotegravir and rilpivirine: Efficacy, safety, pharmacokinetic, and virological outcomes through week 96. HIV Med. 2024;25(3):381‐390. doi:10.1111/hiv.13588 | Objectives: Cabotegravir + rilpivirine (CAB + RPV) dosed monthly or every 2 months is the first complete long-acting (LA) regimen recommended by treatment guidelines for the maintenance of HIV-1 virological suppression. This post hoc analysis summarizes outcomes for Asian participants through week 96. Methods: Data from Asian participants naive to CAB + RPV randomized to receive dosing every 4 weeks (Q4W) or every 8 weeks (Q8W) in the FLAIR (NCT02938520) and ATLAS-2M (NCT03299049) phase 3/3b studies were pooled. The proportion of participants with plasma HIV-1 RNA ≥50 and <50 copies/mL (per FDA Snapshot algorithm), incidence of confirmed virological failure (CVF; two consecutive HIV-1 RNA ≥200 copies/mL), pharmacokinetics, safety, and tolerability through week 96 were assessed. Results: Overall, 41 Asian participants received CAB + RPV (Q8W, n = 17; Q4W, n = 24). At week 96, 83% (n = 34/41) of participants maintained HIV-1 RNA <50 copies/mL, none had HIV-1 RNA ≥50 copies/mL, and 17% (n = 7/41) had no virological data. No Asian participant met the CVF criterion. Drug-related adverse events occurred in 44% (n = 18/41) of participants; none were Grade ≥3. All injection site reactions were Grade 1 or 2; median duration was 2 days and most resolved within 7 days (90%, n = 390/435). CAB and RPV trough concentrations remained well above their respective proteinadjusted 90% inhibitory concentrations (CAB, 0.166 μg/mL; RPV, 12 ng/mL) through week 96. |
NCT04542070
https://clinicaltrials.gov/study/NCT04542070
Phase III
Completed
ViiV Healthcare
Not provided
Assess the antiviral activity and safety of a two-drug regimen of CAB LA + RPV LA compared with maintenance of BIK. BIKTARVY is a registered trademark of Gilead Sciences.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2020-11-09 00:00:00
Anticipated Date of Last Follow-up
2024-06-03 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2022-07-13 00:00:00
Actual Completion Date
2023-04-17 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Inclusion Criteria: - Participants aged 18 years or older (or >=19 where required by local regulatory agencies), at the time of signing the informed consent. - A female participant is eligible to participate if she is not pregnant (as confirmed by a negative serum human chorionic gonadotropin (hCG) test at screen and a negative urine hCG test at Randomization). - Must be on the uninterrupted current regimen of BIK for at least 6 months prior to Screening with an undetectable HIV-1 viral load for at least 6 months prior to Screening. BIK must be the participant's first or second regimen. - Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the consent form and in this protocol.
Interventional (clinical trial)
687
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Factors Associated with Health Care Providers' Preference for Forgoing an Oral Lead-In Phase When Initiating Long-Acting Injectable Cabotegravir and Rilpivirine in the SOLAR Clinical Trial | https://doi.org/10.1089/apc.2022.0168 |
NCT02951052
https://clinicaltrials.gov/study/NCT02951052
Phase III
Active, not recruiting
ViiV Healthcare
Not provided
Establish if HIV-1 infected adult subjects with current viral suppression on a regimen with 2 NRTIs plus a third agent, remain suppressed upon switching to a 2 drug intramuscular regime of CAB/RPV-LA.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2016-10-28 00:00:00
Anticipated Date of Last Follow-up
2025-01-09 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2025-12-31 00:00:00
Actual Primary Completion Date
2018-05-29 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Must be on uninterrupted current ARV regimen (either the initial or second ARV 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/safety, access to medications, or convenience/simplification, and must NOT have been done for treatment failure (HIV-1 RNA ≥400 c/mL).
Interventional (clinical trial)
618
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Long-Acting Injectable Cabotegravir + Rilpivirine for HIV Maintenance Therapy: Week 48 Pooled Analysis of Phase 3 ATLAS and FLAIR Trials | https://doi.org/10.1097/qai.0000000000002466 | |
| Link | Long-Acting Cabotegravir and Rilpivirine for Maintenance of HIV-1 Suppression | https://doi.org/10.1056/nejmoa1904398 |
NCT02938520
https://clinicaltrials.gov/study/NCT02938520
Phase III
Active, not recruiting
ViiV Healthcare
Not provided
Establish if HIV-1 infected adult participants whose virus is virologically suppressed on an INI STR will remain suppressed after switching to a two drug LA regimen of CAB and RPV.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2016-10-27 00:00:00
Anticipated Date of Last Follow-up
2025-03-04 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2025-12-31 00:00:00
Actual Primary Completion Date
2018-08-30 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Antiretroviral-naive (<=10 days of prior therapy with any antiretroviral agent following a diagnosis of HIV-1 infection). Any previous exposure to an HIV integrase inhibitor or non-nucleoside reverse transcriptase inhibitor will be exclusionary.
Interventional (clinical trial)
631
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Long-Acting Cabotegravir and Rilpivirine after Oral Induction for HIV-1 Infection | https://doi.org/10.1056/nejmoa1909512 | |
| Link | Impact of Integrase Sequences from HIV-1 Subtypes A6/A1 on the In Vitro Potency of Cabotegravir or Rilpivirine | https://doi.org/10.1128/aac.01702-21 | |
| Link | Initiation of long-acting cabotegravir plus rilpivirine as direct-to-injection or with an oral lead-in in adults with HIV-1 infection | https://doi.org/10.1016/s2352-3018(21)00184-3 | |
| Link | Long-acting cabotegravir plus rilpivirine for treatment in adults with HIV-1 infection: 96-week results of the randomised, open-label, phase 3 FLAIR study | https://doi.org/10.1016/s2352-3018(20)30340-4 |
NCT04399551
https://clinicaltrials.gov/study/NCT04399551
Phase III
Completed
ViiV Healthcare
Not provided
Evaluating Implementation Strategies for Cabotegravir (CAB)+ Rilpivirine (RPV) Long-acting (LA) Injectables for Human Immunodeficiency Virus (HIV)-1 Treatment in European Countries
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2020-09-28 00:00:00
Anticipated Date of Last Follow-up
2024-04-04 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2022-03-07 00:00:00
Actual Completion Date
2023-03-13 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
HIV-1 infected and must be suppressed on a guideline recommended active Highly active antiretroviral therapy (HAART) 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/safety, access to medications, or convenience/simplification, and must not have been done for virologic failure (on treatment HIV-1 RNA more than or equal to [>=]200 c/mL).
Interventional (clinical trial)
437
Non-randomized
Parallel Assignment
Not provided
Open label
This is an open-label study hence no blinding is required.
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Top Practices for Implementing Cabotegravir (CAB) and Rilpivirine (RPV) Long-Acting (LA) in European Clinics | https://www.bhiva.org/file/62a1ceca806ef/P008.pdf | |
| Link | Overcoming Barriers and Achieving Optimal Implementation of Cabotegravir and Rilpivirine Long-Acting (CAB + RPV LA): Staff Study Participant (SSP) Results From the CAB + RPV Implementation Study in Eu | https://hivglasgow.org/wp-content/uploads/2023/01/P116_Slama.pdf |
NCT05154747
https://clinicaltrials.gov/study/NCT05154747
Phase III
Active, not recruiting
University College, London
Not provided
Comparing the efficacy of long-acting injectable CAB+RPV administered every two months in comparison to daily oral HIV medications in young people.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-06-22 00:00:00
Anticipated Date of Last Follow-up
2024-04-26 00:00:00
Estimated Primary Completion Date
2025-03-01 00:00:00
Estimated Completion Date
2026-03-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Study participants are individuals with HIV-1 infection aged 12-19 years in Sub-Saharan Africa. Participants with known HIV-2 infection are excluded.
Interventional (clinical trial)
476
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
NCT05546242
https://clinicaltrials.gov/study/NCT05546242
Phase III
Active, not recruiting
MRC/UVRI and LSHTM Uganda Research Unit
Not provided
Evaluating the Effectiveness of Switching to Two-monthly Long-acting Injectable CAB and RPV From First-line Oral Antiretroviral Therapy in HIV-1 Positive Virologically Suppressed Adults in SSA.
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-12-08 00:00:00
Anticipated Date of Last Follow-up
2024-09-25 00:00:00
Estimated Primary Completion Date
2025-04-01 00:00:00
Estimated Completion Date
2026-03-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Participants must have a history of sub-optimal ART adherence or engagement in care based on one or more of the following criteria: 1. Documented detectable HIV-1 VL (>1000 c/mL) on all-oral ART (EFV/NVP or DTG-based) in the prior 2 years despite being ART-experienced for ≥3 months. 2. History of being lost to follow-up from care (>4 weeks elapsed since a missed scheduled clinic appointment or refill in the prior 2 years). 3. Failed to link to HIV care despite ≥3 months elapsed since HIV diagnosis.
Interventional (clinical trial)
540
Randomized
Parallel Assignment
Parallel open-label phase 3b study. Participants will be randomised to continuing current therapy or switching to injectable therapy.
Open label
None (Open Label)
Treatment
NCT03635788
https://clinicaltrials.gov/study/NCT03635788
Phase III
Active, not recruiting
National Institute of Allergy and Infectious Diseases (NIAID)
Not provided
Compare the efficacy, safety, and durability of two different strategies to treat participants with a history of sub-optimal adherence and control of their HIV infection.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2019-03-28 00:00:00
Anticipated Date of Last Follow-up
2025-04-22 00:00:00
Estimated Primary Completion Date
2024-09-30 00:00:00
Estimated Completion Date
2026-08-30 00:00:00
Actual Primary Completion Date
2024-02-12 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Evidence of non-adherence to ART according to at least one of the following criteria: 1. Poor virologic response within 18 months prior to study entry (defined as less than 1 log10 decrease in HIV-1 RNA or HIV-1 RNA greater than 200 copies/mL at two time points at least 4 weeks apart) in individuals who have been prescribed ART for at least 6 consecutive months. 2. Lost to clinical follow-up within 18 months prior to study entry with ART non-adherence for greater than or equal to 6 consecutive months.
Interventional (clinical trial)
456
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
NCT02120352
https://clinicaltrials.gov/study/NCT02120352
Phase II
Completed
ViiV Healthcare
Not provided
Evaluate the antiviral activity, tolerability, and safety of IM dosing regimens of GSK744 LA plus TMC278 LA, relative to GSK744 plus ABC/3TC given orally once daily, in ARV naïve HIV-1 patients.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2014-04-28 00:00:00
Anticipated Date of Last Follow-up
2024-06-11 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2015-08-13 00:00:00
Actual Completion Date
2023-04-20 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Participants must be ART-naïve defined as having no more than 10 days of prior therapy with any antiretroviral agent following a diagnosis of HIV-1 infection.
Interventional (clinical trial)
309
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Experiences with long acting injectable ART: A qualitative study among PLHIV participating in a Phase II study of cabotegravir + rilpivirine (LATTE-2) in the United States and Spain. | https://doi.org/10.1371/journal.pone.0190487 | |
| Link | Efficacy, Safety, and Durability of Long-Acting Cabotegravir and Rilpivirine in Adults With Human Immunodeficiency Virus Type 1 Infection: 5-Year Results From the LATTE-2 Study. | https://doi.org/10.1093/ofid/ofab439 | |
| Link | Pharmacokinetics and antiviral activity of cabotegravir and rilpivirine in cerebrospinal fluid following long-acting injectable administration in HIV-infected adults. | https://doi.org/10.1093/jac/dkz504 | |
| Link | Patient-reported tolerability and acceptability of cabotegravir + rilpivirine long-acting injections for the treatment of HIV-1 infection: 96-week results from the randomized LATTE-2 study. | https://doi.org/10.1080/25787489.2019.1661696 | |
| Link | Long-acting intramuscular cabotegravir and rilpivirine in adults with HIV-1 infection (LATTE-2): 96-week results of a randomised, open-label, phase 2b, non-inferiority trial. | https://doi.org/10.1016/s0140-6736(17)31917-7 |
NCT04371380
https://clinicaltrials.gov/study/NCT04371380
Phase I
Completed
ViiV Healthcare
Not provided
Evaluate pharmacokinetics, tolerability, and safety of Cabotegravir long acting plus Rilpivirine long acting administered concomitantly as two separate IM injections in the Vastus Lateralis muscles.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2020-09-16 00:00:00
Anticipated Date of Last Follow-up
2023-11-03 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2021-12-26 00:00:00
Actual Completion Date
2021-12-26 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Participants aged 18 to 50 who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
Interventional (clinical trial)
15
Not provided
Single group assignment
Eligible participants will receive orally, tablets of cabotegravir plus rilpivirine for 28 days. There will be 10 to 14 days wash out period followed by an IM injection of cabotegravir long-acting plus rilpivirine long-acting.
Open label
This is an open label study.
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Pharmacokinetics and Tolerability of Cabotegravir and Rilpivirine Long-Acting Intramuscular Injections to the Vastus Lateralis (Lateral Thigh) Muscles of Healthy Adult Participants. | https://medinfo.gsk.com/5f95dbd7-245e-4e65-9f36-1a99e28e5bba/75cb786a-98e0-4615-8258-3cae0bdcfb29/75cb786a-98e0-4615-8258-3cae0bdcfb29_viewable_rendition__v.pdf |
NCT01593046
https://clinicaltrials.gov/study/NCT01593046
Phase I
Completed
ViiV Healthcare
Not provided
Investigate the Safety, Tolerability and Pharmacokinetics of Repeat Dose Administration of Long-Acting GSK1265744 and Long-Acting TMC278 Intramuscular and Subcutaneous Injections.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2012-05-01 00:00:00
Anticipated Date of Last Follow-up
2014-02-06 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2013-11-01 00:00:00
Actual Completion Date
2013-11-01 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: - AST, ALT, alkaline phosphatase and bilirubin greater than or equal to 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%). - Healthy as determined by a responsible and experienced physician. - Male or female between 18 and 64 years of age inclusive, at the time of signing the informed consent. - Body weight greater than or equal to 50 kg for men and greater than or equal to 45 kg for women and body mass index (BMI) within the range 18.5-31.0 kg/m2 (inclusive). - All Study subjects should be counseled on the practice of safer sexual practices including the use of effective barrier methods (e.g. male condom/spermicide).
Interventional (clinical trial)
43
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Unspecified
NCT05601128
https://clinicaltrials.gov/study/NCT05601128
Phase III
Completed
Allegheny Singer Research Institute
Not provided
Evaluate the efficacy and safety of CABENUVA (Long-acting Cabotegravir Plus Long-acting Rilpivirine) in patients with HIV infection and severe renal impairment.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-01-01 00:00:00
Anticipated Date of Last Follow-up
2025-02-06 00:00:00
Estimated Primary Completion Date
2025-04-01 00:00:00
Estimated Completion Date
2025-12-31 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Participants are positive for HIV infection and severe renal impairment with or without hemodialysis.
Interventional (clinical trial)
12
Not provided
Single group assignment
Not provided
Open label
None (Open Label)
Treatment
NCT03497676
https://clinicaltrials.gov/study/NCT03497676
Phase I/II
Active, not recruiting
National Institute of Allergy and Infectious Diseases (NIAID)
Not provided
Evaluate the safety, acceptability, tolerability, and pharmacokinetics of oral and long-acting injectable CAB and RPV in virologically suppressed HIV-infected children and adolescents.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2019-04-03 00:00:00
Anticipated Date of Last Follow-up
2024-09-03 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2025-06-17 00:00:00
Actual Primary Completion Date
2023-02-18 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Not provided
Interventional (clinical trial)
168
Non-randomized
Sequential assignment
Not provided
Open label
None (Open Label)
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Safety and pharmacokinetics of oral and long-acting injectable cabotegravir or long-acting injectable rilpivirine in virologically suppressed adolescents with HIV (IMPAACT 2017/MOCHA) | https://doi.org/10.1016/s2352-3018(23)00300-4 | |
| Link | Acceptability and tolerability of long-acting injectable cabotegravir or rilpivirine in the first cohort of virologically suppressed adolescents living with HIV (IMPAACT 2017/MOCHA): | https://doi.org/10.1016/s2352-3018(23)00301-6 | |
| Link | US FDA supplemental approval | https://www.accessdata.fda.gov/drugsatfda_docs/appletter/2024/212888Orig1s015ltr.pdf |
NCT05917509
https://clinicaltrials.gov/study/NCT05917509
Phase III
Active, not recruiting
ViiV Healthcare
Not provided
Evaluate the efficacy, safety, implementation effectiveness, and patient-reported outcomes of once-daily oral DTG/3TC followed by an optional participant-determined switch to CAB/RPV-LA.
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-07-28 00:00:00
Anticipated Date of Last Follow-up
2025-05-13 00:00:00
Estimated Primary Completion Date
2025-09-03 00:00:00
Estimated Completion Date
2026-09-03 00:00:00
Actual Primary Completion Date
2026-01-30 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Antiretroviral-naïve participants (defined as no prior therapy with any antiretroviral agent following a diagnosis of HIV-1 infection) prior to enrolment with plasma HIV-1 RNA ≥1,000 c/mL at screening. Participants enrolled in France must be affiliated to, or a beneficiary of, a social security category.
Interventional (clinical trial)
171
Non-randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
NCT06468995
https://clinicaltrials.gov/study/NCT06468995
Phase III
Recruiting
IRCCS San Raffaele
This is a monocentric, prospective, double-arm, randomized, open-label, implementation-effectiveness hybrid type III study aimed at comparing hospital-based and home-based administration of CAB LA + RPV LA treatment for HIV-1-infected patients. Study participants receiving IM CAB + RPV will complete various questionnaires and scales, including FIM, AIM, IAM, EQ-5D-5L, HAT-QoL, and HIVTSQ, throughout the study. HCPs will also complete FIM, AIM, IAM, and a Likert scale.
Antiviral Long Acting Drugs Landing in People Living With HIV
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
2024-09-01 00:00:00
Actual Start Date
2024-12-02 00:00:00
Anticipated Date of Last Follow-up
2024-12-04 00:00:00
Estimated Primary Completion Date
2026-03-01 00:00:00
Estimated Completion Date
2026-11-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: - People living with HIV-1 infection that could, according to clinical practice, switch current ART to IM CAB + RPV; - Aged 18 years or older at the time of signing the informed consent. - People willing to switch to long-acting therapy - On a stable (≥6 months) antiretroviral regimen and virologically suppressed (HIV-1 RNA \<50 copies/ml): - Documented evidence of plasma HIV-1 RNA measurements \<50 c/mL in the 6 months prior to Screening. - Plasma HIV-1 RNA \<50 c/mL at Screening. - Ability to understand informed consent form and other relevant regulatory documents.
Interventional (clinical trial)
120
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
Treatment
NCT06694805
https://clinicaltrials.gov/study/NCT06694805
Phase III
Recruiting
ViiV Healthcare
This study will assess how effective, safe, and long-lasting a long-acting antiretroviral therapy (ART) using CAB LA + RPV LA is for people with HIV who still have detectable virus levels despite being on oral ART. The study will also consider feedback from patients on their experience with this treatment.
A Study to Evaluate the Effectiveness of Long-acting (LA) Cabotegravir (CAB) + Rilpivirine (RPV) LA When Given to Participants With Detectable HIV-1
Not provided
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2024-12-02 00:00:00
Anticipated Date of Last Follow-up
2025-02-18 00:00:00
Estimated Primary Completion Date
2026-05-13 00:00:00
Estimated Completion Date
2027-12-08 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Inclusion Criteria: * Age 1. Aged \>=12 years and \>=35 kg (at the time of obtaining informed consent). * Type of Participant and Disease Characteristics 2.HIV-1 infection, documented by any licensed rapid HIV test or HIV enzyme or chemiluminescence immunoassay (E/CIA) test kit at any time prior to study entry and confirmed by a licensed Western blot or a second antibody test by a method other than the initial rapid HIV and/or E/CIA, or by HIV-1 antigen, plasma HIV-1 RNA VL. 3.Plasma HIV-1 RNA \>1 000 c/mL and greater than (\<) 100 000 c/mL at Screening. 4.Evidence of insufficient virologic response to participant's current oral ART regimen within 18 months prior to study entry according to at least 1 of the following criteria: i.\<1 log10 decrease in HIV-1 RNA or HIV-1 RNA \>200 c/
Not provided
Interventional (clinical trial)
332
Randomized
Parallel Assignment
Not provided
Open label
Not provided
Not provided
NCT00825929
https://clinicaltrials.gov/study/NCT00825929
Marketed
Recruiting
Radboud University Medical Center
Due to the potential for pregnancy-induced changes in the pharmacokinetics of medication, one cannot assume that the currently licensed doses of the medication to be tested under this protocol lead to adequate exposure in an HIV-infected pregnant woman. For the agents under study no or limited pharmacokinetic data during pregnancy are available. As the changes in pharmacokinetics during pregnancy are most prominent in the third trimester a pharmacokinetic curve will be recorded in the third trimester after attaining steady state.
Pharmacokinetics of Antiretroviral Agents in HIV-infected Pregnant Women.
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2009-02-01 00:00:00
Anticipated Date of Last Follow-up
2025-01-10 00:00:00
Estimated Primary Completion Date
2026-12-01 00:00:00
Estimated Completion Date
2026-12-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Yes
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
HIV-infected pregnant women using at least one of the following antiretroverial agents: Etravirine, Intelence, TMC125; Emtricitabine, Emtriva or FTC; Tenofovir, Viread, TDF; Atazanavir, Reyataz; Fosamprenavir, Telzir, FPV; Darunavir, Prezista, TMC114; Tipranavir, Aptivus, TPV; Indinavir, Crixivan; abacavir; raltegravir, Isentress; Enfuvirtide, Fuzeon; Maraviroc, Celsentri; dolutegravir; elvitegravir/cobicistat; rilpivirine, TAF, darunavir/cobicistat; doravirine; bictegravir; cabotegravir/rilpivirine LA
Observational studies (incl. patient registries)
176
Non-randomized
Single group assignment
Not provided
Open label
Not provided
Treatment
NCT05294159
https://clinicaltrials.gov/study/NCT05294159
Marketed
Completed
Queen Mary University of London
This is a 12-month, dual arm, phase 4, open-label, multi-centre study examining the implementation of LA intra-muscular (IM) drugs in clinics and decentralised community-based settings in the UK.
Implementing Long-Acting Novel Antiretrovirals
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-07-18 00:00:00
Anticipated Date of Last Follow-up
2024-07-04 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2023-12-22 00:00:00
Actual Completion Date
2023-12-22 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Not provided
Not provided
114
Not provided
Not provided
Not provided
Not provided
Not provided
Treatment
NCT06507059
https://clinicaltrials.gov/study/NCT06507059
Phase III
Recruiting
Chang Gung Memorial Hospital
This study aims to determine whether people living with HIV (PLHIV) with suboptimal medical adherence can achieve better viral suppression with long-acting antiretrovirals (LA) compared to all-oral antiretrovirals.
Outcomes of the PLHIV With Suboptimal Viral Suppression to Injectable Long-acting Antiretrovirals
Intervention 1
Intervention 2
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2024-07-19 00:00:00
Anticipated Date of Last Follow-up
2024-08-21 00:00:00
Estimated Primary Completion Date
2025-07-01 00:00:00
Estimated Completion Date
2026-12-31 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Inclusion Criteria: * Willing to sign the written informed consent form for male and female participants aged 18 and above. * At the time of enrollment, diagnosed with HIV infection for a minimum of 12 months. * Under oral antiretroviral treatment (ART), which can be irregular or interrupted, with the most recent viral load ≥ 200 copies/mL. * Body weight ≥ 35Kg. * Willing to maintain contact with the research team throughout the study (provide accurate and reachable phone numbers, social accounts like Line, or reliable contact information of family or friends). * Willing to receive gluteal (buttocks) drug injections. * Willing to transition back to oral medication or follow the recommended treatment prescription according to the then-current national treatment guidelines after discontinua
Not provided
Interventional (clinical trial)
40
Randomized
Parallel Assignment
Not provided
Open label
Not provided
Treatment
NCT04982445
https://clinicaltrials.gov/study/NCT04982445
Marketed
Completed
ViiV Healthcare
GLACIER (Giving Long Acting CABENUVA in an Infusion center/ASA) is an interventional study examining the administration of CABENUVA (Cabotegravir long acting \[LA\] plus Rilpivirine LA) intramuscular (IM) in infusion centers/ASAs in United States. In this study, the intervention is the process of using an infusion center/ASA as the location to receive the CABENUVA IM injections. The acceptability and feasibility of the IC/ASA to deliver CABENUVA IM injections will be assessed from the perspectives of the participants, HIV care providers and IC/ASA staff. In this study, Month 1 is the Baseline visit. CABENUVA is a registered trademark of ViiV Healthcare.
Study Using CABENUVA™ for the Treatment of Human Immunodeficiency Virus (HIV)-1, Administered in Infusion Centers (IC) or Alternate Sites of Administration (ASA) in the United States (U.S.)
Intervention 1
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2021-11-18 00:00:00
Anticipated Date of Last Follow-up
2025-03-18 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2024-01-31 00:00:00
Actual Completion Date
2024-01-31 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Inclusion criteria * Adults (greater than or equal to \[\>=\]18 years old) at the time of signing the informed consent. * HIV-1 infected and have been prescribed CABNEUVA per the United States Prescribing information (USPI). * Participants can be enrolled * If they have been taking oral VOCABRIA + EDURANT or other ART for approximately 1 month (at least 28 days) prior to Baseline/Month 1, or * Already taking CABENUVA prior to Baseline/Month 1 and the last injections were within a 1 month +/- 7-day window or for every 2-month injections, the timing will vary if they are receiving the initiation injections (1 month +/- 7-day) or the continuation injections (2 months +/- 7 days) per the USPI, or * Prescribed direct to inject and receive their 1st injection without an oral lead in at the Infu
Interventional (clinical trial)
44
Not provided
Single group assignment
Not provided
Open label
Not provided
Treatment
NCT05979714
https://clinicaltrials.gov/study/NCT05979714
Marketed
Active, not recruiting
Public Health Foundation Enterprises, Inc.
This is a single-arm implementation study of a novel integrated delivery model of CAB-RPV LA for transwomen living with HIV.
The Cheeky Study: A Novel Delivery System for CAB-RPV LA
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-05-31 00:00:00
Anticipated Date of Last Follow-up
2024-08-01 00:00:00
Estimated Primary Completion Date
2024-12-01 00:00:00
Estimated Completion Date
2024-12-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Inclusion Criteria: * Age 18 years or older * Male sex at birth and gender identity other than male * Willing and able to provide written informed consent * HIV-infected, confirmed by laboratory testing (can be via medical record) * Eligible to receive CAB-RPV LA per FDA-approved label * Virologically suppressed at the last visit within the last 6 months (HIV RNA \<50 copies/ml) * Interested in initiating CAB-RPV LA for HIV treatment and willing to receive injections at Bridge HIV * Currently receiving HIV care by a care provider at one of the collaborating primary care clinics. * Has a cell phone and active service * Able to understand, read, and speak English Exclusion Criteria: * Unable to receive gluteal injections * Plans to move away from the site area within the next 9 months. *
Interventional (clinical trial)
50
Not provided
Single group assignment
Not provided
Open label
Not provided
Not provided
NCT06565013
https://clinicaltrials.gov/study/NCT06565013
Marketed
Not yet recruiting
Clinique Médicale L'Actuel
CHEERS is an observational cohort for people living with HIV who are actively practicing chemsex and who are switching to CAB + RPV LA after being virologically suppressed on a stable oral ART regimen. This study aim to assess the impact of increased patient engagement associated with this LA regimen on linkage to psychosocial care and on global health outcomes, such as quality of life, substance use, treatment satisfaction and virological control. Eligible participants will need to be currently out of care for psychosocial counselling and will need to express the wish to switch to CAB + RPV LA. The participants will be followed in this study for 11 months from their first LA administration, according to the schedule of injections. In addition to standard of care procedures, such as blood
Chemsex Health Evaluation With Extended Release System for HIV Treatment
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
2024-08-01 00:00:00
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2024-08-19 00:00:00
Estimated Primary Completion Date
2026-02-01 00:00:00
Estimated Completion Date
2026-02-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Unspecified
Not provided
Not provided
50
Not provided
Not provided
Not provided
Not provided
Not provided
Treatment
NCT05156658
https://clinicaltrials.gov/study/NCT05156658
Marketed
Withdrawn
Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections
The purpose of this pharmacokinetic (PK) trial is to evaluate whether the ENG implant, a long-acting birth control method, is tolerable and effective for adults with HIV who are taking long-acting cabotegravir (CAB-LA) and long-acting rilpivirine (RPV-LA). Access to safe and effective birth control for adults with HIV is important because it may result in fewer infants exposed to HIV in the womb or born with HIV. Researchers believe that people of childbearing potential need access to birth control options that do not need to be negotiated with a partner.
Pharmacokinetic Interactions of ENG Subdermal Implants with Long-Acting Cabotegravir (CAB-LA) and LA Rilpivirine (RPV-LA) (CARLA)
Not provided
Not provided
Not provided
Anticipated Start Date
2024-01-01 00:00:00
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2024-12-10 00:00:00
Estimated Primary Completion Date
2024-08-02 00:00:00
Estimated Completion Date
2024-08-02 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: * Last menstrual period started ≤35 days prior to study entry. If the start of the last menstrual period was \>35 days prior to study entry, and the individual has been using hormonal contraception for at least 30 days prior to study entry, individual is eligible. If the start of the last menstrual period was \>35 days prior to study entry, and the individual has not been using hormonal contraception for at least 30 days prior to study entry, serum follicle-stimulating hormone (FSH) must be ≤40 mIU/mL. * Negative serum or urine pregnancy test (urine test must have a sensitivity of ≤25 mIU/mL) within 48 hours prior to study entry by any US clinic or laboratory that has a Clinical Laboratory Improvement Amendments (CLIA) certification or its equivalent, or is using a poi
Not provided
Interventional (clinical trial)
Not provided
Not provided
Parallel Assignment
Not provided
Open label
Not provided
Treatment
ACTRN12622000105741
https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383336
Marketed
Completed
ViiV Healthcare
Open label, single arm interventional clinical trial of long acting cabotegravir 600mg and long acting rilpivirine 900mg administered by intramuscular injections every two months for a total of 12 months in subjects on standard of care oral regimens, including those with complex medical and social vulnerability factors. Adherence with treatment will be monitored using records of clinic attendance and administration of injections.
Feasibility and effectiveness of long acting cabotegravir and rilpivirine for treatment of HIV infection in patients with complex needs.
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-02-10 00:00:00
Anticipated Date of Last Follow-up
Not provided
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2023-05-25 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
• Aged 18 years or older at the time of signing the informed consent. • Have HIV infection treated with a standard combination antiretroviral regimen for at least 6 months prior to screening. • Documented evidence of at least one plasma HIV-1 RNA measurement <40 cps/mL in the 24 weeks prior to screening and within 4 weeks of enrolment. • A female participant with reproductive potential but using acceptable forms of contraception is eligible to participate
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Treatment
NCT06104306
https://clinicaltrials.gov/study/NCT06104306
Marketed
Completed
Gilead Sciences
The goal of this clinical study is to learn how safe and effective it is to switch to an oral therapy of Bictegravir/Emtricitabine/Tenofovir (B/F/TAF) from Cabotegravir + Rilpivirine (CAB+RPV) in participants living with virologically suppressed human immunodeficiency virus type 1 (HIV-1), meaning participants with HIV RNA levels below detectable levels. The primary objective of this study is to assess the safety of switching to B/F/TAF in virologically suppressed participants unable/unwilling to continue on CAB+RPV intramuscular (IM) injections or wishing to switch to oral therapy through Week 12.
Study of B/F/TAF in Participants Switching From CAB + RPV to B/F/TAF for HIV-1 Infection (EMPOWER)
Intervention 1
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-12-13 00:00:00
Anticipated Date of Last Follow-up
2025-05-05 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2025-01-29 00:00:00
Actual Completion Date
2025-04-23 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Key Inclusion Criteria: * People with HIV-1 (PWH) or provider decision to switch off CAB+RPV IM injections due to intolerance, inconvenience, adverse events (AEs), or willing to switch to (and intention to remain on) daily B/F/TAF * Currently virologically suppressed (HIV-1 RNA \< 50 copies/mL) on CAB+RPV IM injections every 2 months * Currently on CAB+RPV IM injections every 2 months and received at least one dose of CAB+RPV IM injection; no missed CAB+RPV injections * Ability to receive B/F/TAF up to 7 days prior to the next scheduled dose of CAB+RPV * Documented plasma HIV-1 RNA \< 50 copies/mL during treatment for ≥ 6 months preceding the screening visit * No documented or suspected resistance to BIC, emtricitabine (FTC), or tenofovir (TFV). Key Exclusion Criteria: * History of B/F/
Not provided
Interventional (clinical trial)
33
Not provided
Single group assignment
Not provided
Open label
Not provided
Treatment
NCT05660980
https://clinicaltrials.gov/study/NCT05660980
Phase I/II
Recruiting
National Institute of Allergy and Infectious Diseases (NIAID)
The purpose of the study is to evaluate the pharmacokinetics (PK), safety, tolerability, and acceptability of a long-acting injectable Cabotegravir and Rilpivirine in Virologically Suppressed Children Living with HIV-1, Two to Less Than 12 Years of Age
Study of Oral and Long-Acting Injectable Cabotegravir and Rilpivirine in Virologically Suppressed Children Living With HIV-1, Two to Less Than 12 Years of Age
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2024-01-24 00:00:00
Anticipated Date of Last Follow-up
2025-05-23 00:00:00
Estimated Primary Completion Date
2026-06-15 00:00:00
Estimated Completion Date
2027-07-27 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Inclusion Criteria, Step 1: Entry for Cohort 1, Cohort 2a, and Cohort 2b * Parent or legal guardian is willing and able to provide written permission for child's study participation and, when applicable per institutional review board/ethics committee (IRB/EC) policies and procedures, child is willing and able to provide written assent for study participation. Note: All sites must follow all applicable IRB/EC policies and procedures; for US sites, this includes single IRB (sIRB) policies and procedures. * Age two years old to less than 12 years old at entry * Body weight ≥10 kgs and \<40 kgs at entry * At entry, willing and able to comply with the study visit schedule and other study requirements, as determined by the site investigator or designee. * Confirmed HIV-1-infection based on do
Not provided
Interventional (clinical trial)
90
Not provided
Sequential assignment
Not provided
Open label
Not provided
Treatment
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Safety and Pharmacokinetics of Long-Acting Cabotegravir and Rilpivirine in Children 20 to 40 kg - CROI2025 | https://www.croiconference.org/abstract/3736-2025/ | |
| Link | Safety and Pharmacokinetics of Long-Acting Cabotegravir and Rilpivirine in Children 20 to 40 kg - CROI2025 - Poster | https://www.croiconference.org/wp-content/uploads/sites/2/posters/2025/1046-2025.pdf |
NCT06062979
https://clinicaltrials.gov/study/NCT06062979
Marketed
Enrolling by invitation
Whitman-Walker Institute
The purpose of this study is to assess adherence to home-delivered long-acting injectable rilpivirine/cabotegravir (Cabenuva) among people living with HIV enrolled in the Mobile Outreach Retention and Engagement (MORE) program at Whitman-Walker Health due to significant barriers to being retained in care; the MORE program provides supportive services including dedicated care navigation, transportation assistance, and mobile/home-delivered care. The investigators will examine the equivalence of treatment outcomes among patients receiving injectable treatment within the MORE program as compared to those of patients receiving Cabenuva in standard care at Whitman-Walker Health.
Clinical Effectiveness-Implementation Hybrid Type 2 Study on Home-Delivered Cabenuva for People Living With HIV Who Are Not Retained in Care
Intervention 1
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-11-01 00:00:00
Anticipated Date of Last Follow-up
2024-04-23 00:00:00
Estimated Primary Completion Date
2025-06-30 00:00:00
Estimated Completion Date
2025-06-30 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Unspecified
Genders
Unspecified
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Unspecified
Not provided
Not provided
Not provided
180
Not provided
Not provided
Not provided
Not provided
Not provided
Treatment
NCT06635421
https://clinicaltrials.gov/study/NCT06635421
Marketed
Not yet recruiting
MetroHealth Medical Center
The purpose of The EXPAND study is to develop and pilot a pharmacist led model of medication delivery. Following a co-design phase, patients may receive injections at satellite pharmacies by a licensed pharmacist. The acceptability, appropriateness, and feasibility of this approach and standard in clinic administration by a nurse will be assessed.
The Expand Study-Pharmacist Administered Long Acting Cabotegravir + Rilpivirine to Expand Access for People With HIV
Not provided
Not provided
Not provided
Anticipated Start Date
2024-11-01 00:00:00
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2024-10-08 00:00:00
Estimated Primary Completion Date
2026-12-31 00:00:00
Estimated Completion Date
2026-12-31 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Unspecified
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
No
Not provided
Not provided
Not provided
164
Not provided
Not provided
Non-Probability Sample
Not provided
Not provided
Treatment
PACTR202104874490818
https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=15757
Marketed
Active, not recruiting
Joint Clinical Research Centre, Kampala, Uganda
Primary objective: To demonstrate the non-inferior antiviral activity of switching to IM RPV LA+CAB LA administered every 2 months compared with continuation of cART administered daily over 12 months in HIV-1 infected participants in a resource limited setting Secondary objectives: 1. To demonstrate the antiviral and immunologic activity of switching to IM RPV LA+CAB LA every 2 months compared to continuation of cART over 12 and 24 months of follow-up. 2. To evaluate the safety and tolerability of switching to RPV LA+CAB LA every 2 months compared to continuation of cART. 3. To assess viral resistance in participants experiencing protocol-defined confirmed virologic failure(plasma HIV-1 RNA ≥200 c/mL). 4. To assess the incidence of on-treatment genotypic resistance to CAB, RPV and other on
Cabotegravir And Rilpivirine: Efficacy and Safety Study (CARES)
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2021-09-15 00:00:00
Anticipated Date of Last Follow-up
Not provided
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2024-08-20 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Not provided
Interventional (clinical trial)
512
Randomized
Parallel Assignment
Not provided
Open label
Not provided
Treatment
NCT06657885
https://clinicaltrials.gov/study/NCT06657885
Phase II
Not yet recruiting
Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba
This study is a Phase II, prospective, single-arm, multicenter, non-randomized pilot study designed to evaluate the antiretroviral efficacy of lenacapavir in combination with cabotegravir injection over 48 weeks of follow-up in participants who meet the study inclusion criteria. Efficacy is defined as the absence of virologic failure at S48. Virologic success is defined as maintaining or achieving CV \< 50 copies/mL without interruption of long-acting dual therapy with cabotegravir/lenacapavir at the end of 48 weeks. The study will be conducted at several sites in France in adults 18 years of age and older. Minors and persons under legal guardianship will not be included in the study. Long-acting treatments are evolving thanks to new "long-acting" molecules. These molecules ensure prolong
CAbotégravir LENacapavir DUal Long Acting
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
2025-01-15 00:00:00
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2024-10-23 00:00:00
Estimated Primary Completion Date
2026-07-15 00:00:00
Estimated Completion Date
2026-09-15 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Inclusion: - Age ≥ 18 years - HIV-1 infection - Stable oral antiretroviral treatment for at least 6 months - Multi-treated patients who have received multiple lines of antiretroviral treatment - Undetectable patients with CV \< 50 copies/mL in the last 6 months (a single blip between 50 and 200 copies/mL in the last 6 months is allowed) and eligible to switch to the lenacapavir/cabotegravir strategy on the basis of a collegial decision by clinicians, virologists and pharmacologists following a multidisciplinary meeting due to the presence of resistance mutations, including to NNRTIs, oral drug intolerance or drug-drug interactions - Detectable, virologically uncontrolled HIV viral load ≥ 200 c/mL in the last 12 months who is eligible to switch to the lenacapavir/cabotegravir strategy
Interventional (clinical trial)
30
Non-randomized
Single group assignment
Not provided
Open label
None (Open Label)
Treatment
NCT06970223
https://clinicaltrials.gov/study/NCT06970223
Phase I
Recruiting
ViiV Healthcare
This study will evaluate the tolerability and acceptability of injection site reactions (ISRs) of two long-acting (LA) injectables. Additional characteristics of the ISRs will be investigated and described as well as safety outcomes.
A Study to Investigate if Long Acting Cabotegravir (CAB) and Lenacapavir (LEN) Injections Are Tolerable and Acceptable When Administered to Healthy Adults Without HIV
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2025-04-22 00:00:00
Anticipated Date of Last Follow-up
2025-05-05 00:00:00
Estimated Primary Completion Date
2025-07-30 00:00:00
Estimated Completion Date
2026-07-07 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: Participants are eligible to be included in the study only if all the following criteria apply: 1. At the time of obtaining informed consent, 18 years of age. 2. Body weight 50 kg and BMI within the range 18 to 32 kg/m2 (inclusive). 3. Participants who are overtly healthy as determined by medical evaluation by a responsible and experienced physician, including medical history, physical examination, laboratory tests and cardiac monitoring. 4. A participant with a significant clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria, outside the reference range for the population being studied may be included if the investigator determines and documents that the finding is unlikely to introduce additional
Not provided
Interventional (clinical trial)
60
Randomized
Cross-over assignment
Not provided
Open label
Not provided
Treatment
NCT06741397
https://clinicaltrials.gov/study/NCT06741397
Phase II
Active, not recruiting
ViiV Healthcare
A single arm, repeat dose study to evaluate the pharmacokinetic profile, safety, and tolerability of a new formulation of cabotegravir LA injected intramuscularly Q4M in adolescent and adult participants at risk of HIV acquisition.
A Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of a New Formulation of Cabotegravir Long-Acting Administered Intramuscularly in a 4-month Dosing Interval (Q4M)
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2024-12-20 00:00:00
Anticipated Date of Last Follow-up
2025-06-16 00:00:00
Estimated Primary Completion Date
2026-09-09 00:00:00
Estimated Completion Date
2029-01-10 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: 1. At the time of obtaining informed consent, adolescent and adult participants weighing at least 35 kg. 2. Participants must have a nonreactive HIV test at Screening (rapid test, nonrapid HIV immunoassay, and HIV RNA) and enrollment (a rapid test, nonrapid HIV immunoassay, and HIV RNA). 3. Participants who are at risk of acquiring HIV, defined as having had anal or vaginal sex in the past 6 months. 4. Participants who are overtly healthy as determined by medical evaluation by a responsible and experienced physician, including medical history, physical examination, laboratory tests and cardiac monitoring at the time of screening. 5. No alcohol or substance use that, in the opinion of the study investigator and medical monitor, would interfere with the study.
Interventional (clinical trial)
228
Randomized
Single group assignment
Key end point: CAB trough concentrations Participants receive lead-in injections comprising cabotegravir LA during month one and injections of a new formulation of CAB LA at Month 3, Month 5 and every 4 months thereafter to Month 29
Open label
This is an open label study.
PrEP
NCT06786520
https://clinicaltrials.gov/study/NCT06786520
Phase I
Active, not recruiting
ViiV Healthcare
A single arm, repeat dose study to evaluate the pharmacokinetics, safety, and tolerability of switching to cabotegravir long-acting 4-monthly formulation (CAB Q4M) from cabotegravir long-acting (CAB LA 2M) in healthy adult volunteers
A Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Cabotegravir Ultra Long-acting (CAB ULA) Following Switch From Cabotegravir Long-acting (CAB LA) in Healthy Adults
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2025-01-17 00:00:00
Anticipated Date of Last Follow-up
2025-06-16 00:00:00
Estimated Primary Completion Date
2027-03-09 00:00:00
Estimated Completion Date
2027-11-08 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: * Adult participants greater than or equal to (\>=) 18 years old, weighing at least 35 kg. * Participants who are overtly healthy as determined by medical evaluation. * Assigned male sex at birth or assigned female sex at birth. Participants assigned female sex at birth are eligible to participate if they are of non-childbearing potential, or if they are of childbearing potential and are not pregnant (confirmed by test), not breastfeeding, and are using a highly effective contraceptive method. * Capable of giving written informed consent.
Interventional (clinical trial)
69
Not provided
Single group assignment
Participants will receive the CAB LA Q2M regimen up to Month 9 then will receive the CAB ULA Q4M regimen up to Month 23. Key end points are plasma concentration of CAB at the end of the CAB LA 2M phase compared to plasma concentration of CAB at the end of the CAB Q4M phase
Open label
None (Open Label)
PrEP
NCT02076178
https://clinicaltrials.gov/study/NCT02076178
Phase II
Completed
ViiV Healthcare
Not provided
Evaluate the safety, tolerability and acceptability of long acting injections of the HIV integrase inhibitor, GSK1265744, in HIV-uninfected men.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2014-03-27 00:00:00
Anticipated Date of Last Follow-up
2017-12-13 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2015-05-15 00:00:00
Actual Completion Date
2016-02-23 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: - Non-reactive HIV test at screening or enrollment. - Males 18 to 65 years old at the time of signing the informed consent. - At risk of acquiring HIV, defined as having at least one casual sex partner in the past 24 months. - Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring at the time of screening. - If participating in sexual activity with a female of child-bearing potential, men must agree to use condoms. Female partner must use contraception. - Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form. - Willing to undergo all required study procedures.
Interventional (clinical trial)
127
Randomized
Parallel Assignment
Not provided
Double-blind masking
Double (Participant, Investigator)
PrEP
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Satisfaction and acceptability of cabotegravir long-acting injectable suspension for prevention of HIV: Patient perspectives from the ECLAIR trial | https://pubmed.ncbi.nlm.nih.gov/30445896/ | |
| Link | Safety and tolerability of long-acting cabotegravir injections in HIV-uninfected men (ECLAIR): a multicentre, double-blind, randomised, placebo-controlled, phase 2a trial | https://pubmed.ncbi.nlm.nih.gov/28546090/ |
NCT02178800
https://clinicaltrials.gov/study/NCT02178800
Phase II
Completed
National Institute of Allergy and Infectious Diseases
Not provided
Evaluate the safety, tolerability, and pharmacokinetics of an investigational, injectable HIV medicine (GSK1265744) in HIV-uninfected adults.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2015-02-01 00:00:00
Anticipated Date of Last Follow-up
2021-10-14 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2017-04-05 00:00:00
Actual Completion Date
2018-07-13 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Men and women, 18 to 65 years old at the time of screening, who are willing to provide informed consent for the study. Participants are required to be in general good health, as confirmed by laboratory investigation, with no medical condition(s) that would interfere with the conduct of the study.
Interventional (clinical trial)
199
Randomized
Parallel Assignment
Not provided
Quadruple-blind masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
PrEP
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Tail-phase safety, tolerability, and pharmacokinetics of long-acting injectable cabotegravir in HIV-uninfected adults: a secondary analysis of the HPTN 077 trial | https://pubmed.ncbi.nlm.nih.gov/32497491/ | |
| Link | Safety, tolerability, and pharmacokinetics of long-acting injectable cabotegravir in low-risk HIV-uninfected individuals: HPTN 077, a phase 2a randomized controlled trial | https://pubmed.ncbi.nlm.nih.gov/30408115/ |
NCT02720094
https://clinicaltrials.gov/study/NCT02720094
Phase II/III
Not provided
National Institute of Allergy and Infectious Diseases
Not provided
Evaluate the safety and efficacy of the injectable drug cabotegravir (CAB LA), for pre-exposure prophylaxis (PrEP) in HIV-uninfected cisgender men and transgender women who have sex with men.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2016-12-01 00:00:00
Anticipated Date of Last Follow-up
2024-11-07 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2025-04-30 00:00:00
Actual Primary Completion Date
2020-05-14 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
HIV negative cis-gender men and transgender women (18 years or older at the time of screening [assigned male at birth]) who have sex with men and at high risk of HIV infection.
Interventional (clinical trial)
4570
Randomized
Parallel Assignment
Not provided
Quadruple-blind masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
PrEP
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Cabotegravir for HIV Prevention in Cisgender Men and Transgender Women | https://pubmed.ncbi.nlm.nih.gov/34379922/ |
NCT03164564
https://clinicaltrials.gov/study/NCT03164564
Phase III
Not provided
National Institute of Allergy and Infectious Diseases
Not provided
Evaluate the safety and efficacy of CAB LA compared to daily oral tenofovir disoproxil fumarate/emtricitabine for PrEP in HIV-uninfected women.
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2017-11-07 00:00:00
Anticipated Date of Last Follow-up
2024-09-26 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2024-11-30 00:00:00
Actual Primary Completion Date
2020-11-05 00:00:00
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Born female and 18-45 years of age at the time of screening. Must have documented evidence of surgical sterilization, OR documented evidence of no uterus (e.g., hysterectomy), OR must agree to use a reliable form of long acting contraception, during the trial and for 52 weeks after stopping the long acting injectable, or 30 days after stopping oral study product
Interventional (clinical trial)
3224
Randomized
Parallel Assignment
Not provided
Quadruple-blind masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
PrEP
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Cabotegravir for the prevention of HIV-1 in women: results from HPTN 084, a phase 3, randomised clinical trial | https://pubmed.ncbi.nlm.nih.gov/35378077/ |
NCT05514509
https://clinicaltrials.gov/study/NCT05514509
Marketed
Not provided
ViiV Healthcare
Not provided
Evaluate implementation strategies for the delivery of CAB for HIV PrEP across clinical settings for adult (≥18 Years) black cis-and transgender women without HIV infection living in the United States
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-10-28 00:00:00
Anticipated Date of Last Follow-up
2025-06-17 00:00:00
Estimated Primary Completion Date
2025-08-29 00:00:00
Estimated Completion Date
2025-08-29 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion criteria: - Participant must be ≥18 years of age, at the time of signing the informed consent. - HIV negative at screening. Type of HIV-1 test is per standard of care. - No prior history of receiving oral CAB or CAB LA injections. - PrEP provider deems CAB PrEP use to be appropriate per the applicable CAB PrEP prescribing information prior to enrollment in the study. - Female at birth or self-identified Transgender Female. - Self-identified as African American/Black. - Capable of giving signed informed consent.
Interventional (clinical trial)
156
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
PrEP
NCT05374525
https://clinicaltrials.gov/study/NCT05374525
Marketed
Completed
ViiV Healthcare
Not provided
Evaluate implementation strategies for the delivery of cabotegravir PrEP for HIV uninfected MSM and transgender men ≥ 18 in the United States.
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-05-18 00:00:00
Anticipated Date of Last Follow-up
2025-01-09 00:00:00
Estimated Primary Completion Date
2024-09-06 00:00:00
Estimated Completion Date
2024-09-06 00:00:00
Actual Primary Completion Date
2024-08-08 00:00:00
Actual Completion Date
2024-08-08 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Not provided
Interventional (clinical trial)
201
Randomized
Parallel Assignment
Not provided
Open label
None (Open Label)
PrEP
NCT05515770
https://clinicaltrials.gov/study/NCT05515770
Phase III
Recruiting
Evandro Chagas National Institute of Infectious Disease
Not provided
Assess the safety and effectiveness of open label CAB LA PrEP when offered at public health facilities to cisgender men and transgender or gender non-binary individuals who have sex with men.
Intervention 1
Not provided
Anticipated Start Date
2022-09-20 00:00:00
Actual Start Date
2022-09-20 00:00:00
Anticipated Date of Last Follow-up
2024-10-03 00:00:00
Estimated Primary Completion Date
2025-10-01 00:00:00
Estimated Completion Date
2026-02-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Cisgender men, non-binary (assigned as male at birth), transgender women and transgender men who are seeking a PrEP study clinic and age 18-30 years. Study participants must report having anal sex in the last six months with a person assigned male gender at birth.
Interventional (clinical trial)
1200
Not provided
Single group assignment
Methods include qualitative (focus group discussion and in-depth interviews) and quantitative (service statistics, laboratory tests, surveys) approaches. The incidence of HIV in the CAB LA study cohort will be evaluated against a similar cohort receiving oral PrEP. Interrupted time series analysis will be utilised to assess the effectiveness of the mHealth intervention.
Open label
None (Open Label)
PrEP
NCT05549726
https://clinicaltrials.gov/study/NCT05549726
Marketed
Completed
University of California, San Francisco
Not provided
Determine whether adding the option of CAB-LA as HIV PrEP increases prevention coverage compared to the standard-of-care in three ongoing randomized trials of dynamic choice in rural Uganda and Kenya.
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-01-02 00:00:00
Anticipated Date of Last Follow-up
2025-01-30 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
2025-01-01 00:00:00
Actual Primary Completion Date
2023-12-18 00:00:00
Actual Completion Date
2025-01-30 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Participants must be enrolled in a SEARCH Sapphire Dynamic prevention study (NCT04810650).
Interventional (clinical trial)
984
Non-randomized
Parallel Assignment
CAB-LA will be offered to participants that are initially assigned to the Dynamic Choice Prevention delivery model.
Open label
None (Open Label)
PrEP
NCT02478463
https://clinicaltrials.gov/study/NCT02478463
Phase I
Completed
ViiV Healthcare
Not provided
Determine the PK concentrations of CAB following LA administration in relevant tissues and fluids of healthy men and women following a single 600 mg IM dose.
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2017-02-27 00:00:00
Anticipated Date of Last Follow-up
2020-06-02 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2019-07-25 00:00:00
Actual Completion Date
2019-07-25 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: - Between 18 and 55 years of age inclusive, at the time of signing the informed consent. - Healthy as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring. - Body weight >= 40 kilogram (kg) and body mass index (BMI) within the range 18.5 to 35 kg /meter square (inclusive). - Male or female. - Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the consent form and in this protocol. - All subjects participating in the study must be counselled on safe sexual practices including the use of effective barrier methods to minimize risk of HIV transmission.
Interventional (clinical trial)
19
Not provided
Single group assignment
Not provided
Open label
None (Open Label)
PrEP
NCT03422172
https://clinicaltrials.gov/study/NCT03422172
Phase I
Completed
ViiV Healthcare
Not provided
Evaluate the PK, safety, tolerability, and acceptability of CAB LA in adult HIV uninfected Chinese male subjects at low risk for HIV acquisition.
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2018-04-10 00:00:00
Anticipated Date of Last Follow-up
2021-05-12 00:00:00
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2020-04-20 00:00:00
Actual Completion Date
2020-04-20 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: - Subjects must be 18 to 65 years of age inclusive, at the time of signing the informed consent. - Subjects are male at birth. - Subjects who have non-reactive point of care (POC) HIV test and undetectable HIV-1 ribose nucleic acid (RNA) at screening. - At risk of acquiring HIV, defined as having at least one casual male or female sex partner in the past 24 months. - Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring at the time of screening. - Capable of giving written informed consent. - Agree to appropriate use of contraceptive measures during heterosexual intercourse. - Willing to undergo all required study procedures.
Interventional (clinical trial)
48
Not provided
Single group assignment
Eligible subjects will receive oral doses of CAB for 4 weeks followed by IM dosing with CAB LA at Week 5, Week 9, Week 17, Week 25 and Week 33.
Open label
None (Open Label)
PrEP
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Safety, Tolerability, Pharmacokinetics, and Acceptability of Oral and Long-Acting Cabotegravir in HIV-Negative Chinese Men | https://doi.org/10.1128/aac.02057-21 |
NCT06134362
https://clinicaltrials.gov/study/NCT06134362
Phase III
Recruiting
ViiV Healthcare
Not provided
Long-term follow-up and evaluation of CAB LA for participants in the HPTN 083 and HPTN 084 CAB PrEP studies who are at risk of HIV acquisition.
Intervention 1
Not provided
Anticipated Start Date
2024-04-01 00:00:00
Actual Start Date
2024-05-24 00:00:00
Anticipated Date of Last Follow-up
2025-06-16 00:00:00
Estimated Primary Completion Date
2028-06-26 00:00:00
Estimated Completion Date
2028-06-26 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Yes
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Participants must be currently enrolled and ongoing in one of the following studies: (1) HPTN 083 (2) HPTN 084 (3) HPTN 083 and HPTN 084 adolescent and pregnancy sub-studies Participants who have permanently withdrawn from prior CAB PrEP studies cannot enroll into this study.
Interventional (clinical trial)
3500
Not provided
Single group assignment
Not provided
Open label
None (Open Label)
PrEP
NCT05986084
https://clinicaltrials.gov/study/NCT05986084
Marketed
Recruiting
Beth Israel Deaconess Medical Center
Not provided
aluate whether using long-acting cabotegravir (CAB-LA) for HIV prevention (PrEP) is acceptable, feasible and safe in postpartum people who are breastfeeding.
Intervention 1
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-11-30 00:00:00
Anticipated Date of Last Follow-up
2025-04-23 00:00:00
Estimated Primary Completion Date
2027-08-31 00:00:00
Estimated Completion Date
2027-08-31 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Yes
Accepts healthy individuals
No
Participants are postpartum (< 14 days after delivery) mothers who are aged 18-30 with less than a total of three prior pregnancies. Participants should plan to stay and receive postpartum and paediatric care in the Gaborone or Molepolole region of Botswana for at least 24 months.
Interventional (clinical trial)
500
Not provided
Single group assignment
Not provided
Open label
None (Open Label)
PrEP
NCT06138600
https://clinicaltrials.gov/study/NCT06138600
Phase III
Not provided
University of Witwatersrand, South Africa
This is a mixed methods study employing a convergence model triangulation design. Participants in the study will be sexually active young adults starting Pre-exposure Prophylaxis at private pharmacies, who will be offered either Cabotegravir Long-Acting Injectable, oral Pre-exposure Prophylaxis (TDF/FTC\[3TC\]), or Pre-exposure Prophylaxis deferment at each of their regular visits, with the option to switch between options for up to 15 months, with a final exit interview following the transition to standard-of-care. The number of study visits will vary, depending on participant Pre-exposure Prophylaxis choices. Those choosing oral Pre-exposure Prophylaxis will be seen 3 monthly from V2 onwards, but those choosing Cabotegravir Long-Acting Injectable will be seen 2 monthly from V2. A maximum
Acceptability and Feasibility of Injectable Cabotegravir Pre-exposure Prophylaxis (PrEP) Versus Oral PrEP in Routine Care up to 15 Months in Private Pharmacies in South Africa
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-11-01 00:00:00
Anticipated Date of Last Follow-up
2024-06-19 00:00:00
Estimated Primary Completion Date
2025-10-31 00:00:00
Estimated Completion Date
2026-01-31 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion criteria: - Each participant must meet all of the following criteria to be enrolled in this study: 1. Adult male or female (≥18 and ≤ 35 years old) 2. Is self-reported sexually active 3. HIV negative at the time of study enrolment (as determined by a rapid blood test for HIV 1) 4. Body weight ≥ 35 kilograms. 5. Creatinine clearance ≥ 60 mL/min. 6. Willingness to sign informed consent.
Not provided
Interventional (clinical trial)
200
Non-randomized
Parallel Assignment
Not provided
Open label
Not provided
PrEP
NCT05072093
https://clinicaltrials.gov/study/NCT05072093
Marketed
Completed
Emory University
The study is a prospective cohort of young MSM who are followed for 2 years either in-person at the PRISM Health Research Clinic and/or virtually with telehealth study visits. Follow-up visits occur as frequently as every 3 months, or as appropriate to clinical needs of HIV PrEP or STI PEP. The investigators will enroll men who may decide to start or stop PrEP, change from daily oral PrEP to on-demand oral PrEP or from on-demand oral PrEP to daily PrEP, to start or stop STI PEP at any point in the study period, or injectable PrEP as an alternative to daily oral PrEP or on-demand oral PrEP. All men will be provided with the study's mobile smart phone app to support early identification of risks for PrEP discontinuation, to provide information about STI PEP and document usage patterns of on-
Parrying the Pitfalls of PrEP: Project PEACH
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2021-11-20 00:00:00
Anticipated Date of Last Follow-up
2025-05-29 00:00:00
Estimated Primary Completion Date
2025-02-01 00:00:00
Estimated Completion Date
2025-02-01 00:00:00
Actual Primary Completion Date
2025-03-31 00:00:00
Actual Completion Date
2025-03-31 00:00:00
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: * Male at birth * Self-identify as Cisgender Male * Ages 18-45 years * ≥1 male anal sex partner in the 12 months before the baseline interview * Live in the Atlanta MSA * Owns cell phone with data service * Willing to download a health-related app to their cell phone as part of the research study * Able to provide ≥ 2 means of contact * Not currently enrolled in another HIV prevention clinical trial * Confirmed HIV-negative at baseline visit Exclusion Criteria: * Female at birth * Do not self-identify as Cisgender Male * Individuals \< 18 years of age or \> 45 years of age * HIV positive status * No male anal sex partner in the 12 months before the baseline interview * Does not own mobile phone with data service * Not willing to download a health-related app to their
Interventional (clinical trial)
240
Not provided
Single group assignment
Not provided
Open label
Not provided
PrEP
NCT06133686
https://clinicaltrials.gov/study/NCT06133686
Phase III
Not yet recruiting
MRC/UVRI and LSHTM Uganda Research Unit
Title: Implementing oral (event-driven and daily) and long-acting Pre-exposure prophylaxis (PrEP) in mobile men in Sub-Saharan Africa Design: A mixed method, multi-setting, multi-country, phase 3b, open-label, hybrid type 2 implementation and effectiveness randomized controlled trial (RCT). The trial will be carried out in 400 HIV negative men aged 18+ years in South Africa and Uganda. Men will be randomized 1:1 to either Group A: oral Tenofovir disoproxil fumarate/emtricitabine (TDF-FTC) PrEP (event-driven or daily) or Group B: Long-acting injectable cabotegravir (CAB-LA) over 9-months. After 9-months participants from both groups will be offered choice of PrEP (oral TDF-FTC or CAB-LA) for a further 9-months, with the ability to change choice as required. Various strategies to support Pr
Implementing Oral (Event-driven and Daily) and Long-acting Pre-Exposure Prophylaxis in Mobile Men in Sub-Saharan Africa
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
2024-04-01 00:00:00
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2023-11-13 00:00:00
Estimated Primary Completion Date
2025-12-31 00:00:00
Estimated Completion Date
2027-04-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: 1. Able and willing to provide informed consent 2. Aged 18 years and above on the day of screening 3. Willing to have a HIV test and receive the test results 4. Male at birth 5. In the past 6-months has travelled for work or to find work and spent at least one night away from home for work related purposes. 6. Available for follow up for the duration of the study Exclusion Criteria: 1. Known HIV infection 2. Confirmed HIV-positive test result, indeterminate HIV test result, and/or signs and symptoms of an acute HIV infection 3. Body weight less than 35Kg at baseline 4. Allergy to any of the study products 5. Medical, social or other condition that, in the opinion of the site investigator, would interfere with the conduct of the study or safety of the participant (e.g
Interventional (clinical trial)
400
Randomized
Parallel Assignment
Not provided
Open label
Not provided
PrEP
| Type | Title | Content | Link |
|---|---|---|---|
| Link | Project website | https://www.kcl.ac.uk/research/mobile-men |
NCT06319105
https://clinicaltrials.gov/study/NCT06319105
Marketed
Recruiting
Georgetown University
The purpose of this study is to evaluate the implementation and clinical outcomes of expanded pre-exposure prophylaxis delivery modalities and service delivery points offering long-acting injectable cabotegravir and oral pre-exposure prophylaxis to high-priority groups through diverse delivery channels.
PathToScale: An Implementation Evaluation
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2024-03-26 00:00:00
Anticipated Date of Last Follow-up
2024-03-28 00:00:00
Estimated Primary Completion Date
2026-04-01 00:00:00
Estimated Completion Date
2026-04-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Unspecified
Genders
Unspecified
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Unspecified
Not provided
Not provided
Observational studies (incl. patient registries)
9900
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
NCT05867212
https://clinicaltrials.gov/study/NCT05867212
Marketed
Not yet recruiting
Kelley-Ross & Associates, Inc.
The goal of this demonstration project or observational study is to evaluate the feasibility and acceptability of a pharmacist-managed cabotegravir long acting injectable for PrEP program in a community pharmacy setting. The main question it aims to answer are: * Is the program feasible and acceptable at the end of 1 year of operations? * What are the facilitators and barriers of the program? Participants who want to start the FDA approved cabotegravir long acting injectable medication for PrEP will have the option participating in surveys and a review of their electronic health records. Medication will be administered based on FDA approved labeling guidelines and their PrEP care will be part of standard of care per CDC. Pharmacists who want to provide the service to their patients will
Implementation and Delivery of Cabotegravir Long Acting Injection for PrEP in a Community Pharmacy Setting.
Intervention 1
Not provided
Anticipated Start Date
2023-06-01 00:00:00
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2023-05-16 00:00:00
Estimated Primary Completion Date
2025-11-30 00:00:00
Estimated Completion Date
2025-11-30 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Yes
Accepts lactating individuals
Yes
Accepts healthy individuals
Yes
Not provided
Observational studies (incl. patient registries)
50
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
NCT06474364
https://clinicaltrials.gov/study/NCT06474364
Marketed
Not yet recruiting
MU-JHU CARE
Several studies show that Adolescents and Young Adults (AYA) have poor outcomes along the entire Human Immunodeficiency Virus (HIV) prevention and care cascades compared to adults. The investigators propose to evaluate novel evidence-based HIV prevention and care interventions (including Cabotegravir LongActing (CABLA) to determine implementation outcomes among AYA who are at particularly high risk for HIV acquisition and poor viral suppression in five geographically distinct research performance sites in Uganda. The results will provide important evidence to inform Uganda and other regional countries' policy on integrated HIV prevention, care and treatment for AYA at high risk for HIV and Sexually Transmitted Infections (STIs) in order to reach the UNAIDS 95-95-95 targets and HIV epidemic
HIV Prevention and Care Interventions for Youth in Uganda
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
2024-07-15 00:00:00
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2024-06-19 00:00:00
Estimated Primary Completion Date
2028-08-31 00:00:00
Estimated Completion Date
2028-08-31 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: Adolescents and young adults with increased likelihood of HIV acquisition * AYA 15 to 24 years of age * Classified as high risk using our screening tool. * Documented HIV un-infected as per the national HIV testing algorithm. * Willing to use PrEP * Willing to provide written informed consent. * No plans to relocate permanently in the next 6 months * No suspicion of acute HIV infection: * Hepatitis B virus surface antigen (HBsAg)-negative and accepts HB vaccination * Having no medical or social condition that, in the opinion of the study investigator, would interfere with the conduct of the study or interpretation of study results. * HIV-uninfected, based on HIV test results obtained at screening and enrolment visit and just prior to randomization. All HIV test res
Interventional (clinical trial)
600
Randomized
Parallel Assignment
Not provided
Open label
Not provided
PrEP
NCT05937698
https://clinicaltrials.gov/study/NCT05937698
Marketed
Terminated
FHI 360
The CATALYST study is an implementation study that will characterize and assess the implementation of an enhanced service delivery package providing informed choice of pre-exposure prophylaxis (PrEP) products among women at PEPFAR sites in Kenya, Lesotho, South Africa, Uganda, and Zimbabwe.
The CATALYST Study
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-05-30 00:00:00
Anticipated Date of Last Follow-up
2025-03-12 00:00:00
Estimated Primary Completion Date
2025-06-30 00:00:00
Estimated Completion Date
2025-06-30 00:00:00
Actual Primary Completion Date
2025-01-27 00:00:00
Actual Completion Date
2025-01-27 00:00:00
Age Cohort
Unspecified
Genders
Unspecified
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Unspecified
Not provided
Not provided
Observational studies (incl. patient registries)
6069
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
NCT06250504
https://clinicaltrials.gov/study/NCT06250504
Phase III
Recruiting
Africa Health Research Institute
The goal of this hybrid (1a) Cluster Randomised Controlled Trial phase 3B trial is to evaluate the effectiveness and implementation of offering a choice of HIV Pre-Exposure Products (PrEP) through community-based sexual and reproductive health services, on PrEP uptake and retention, and population prevalence of sexually transmissible HIV amongst adolescents and young adults living in rural South Africa. Researchers will compare adding the choice of long-acting PrEP, i.e. two monthly injectable cabotegravir (CAB LA) or dapiravine vaginal ring and HIV post exposure prophylaxis packs to daily oral PrEP integrated with community-based SRH in the 20 intervention clusters with standard of care (SoC), daily oral PrEP integrated with community-based SRH in the 20 control clusters, on uptake and r
Long-Acting HIV Pre-Exposure Prophylaxis Integrated With Sexual and Reproductive Health - cRCT
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2024-02-27 00:00:00
Anticipated Date of Last Follow-up
2024-04-16 00:00:00
Estimated Primary Completion Date
2025-07-01 00:00:00
Estimated Completion Date
2026-03-01 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: All young men and women aged 15-30 who are residing in the 40 administrative clusters in the study district and attend any integrated SRH/HIV service Documented HIV negative test Suitable for PrEP and/or already on PrEP Weight \> 35 kg Understand the required dosing schedule and HIV testing. Aware that details can be shared with a peer navigator to support their follow-up If pregnant or breast feeding and/or planning to become pregnant participant can be offered CAB LA, if risk of acquiring HIV out weighs unknown risk of CAB LA, but must understand that safety in pregnancy or breast feeding for CAB LA has not been established and oral daily PrEP is a safe alternative. Exclusion Criteria: History or presence of allergy to the study drugs or their components Inv
Not provided
Interventional (clinical trial)
2000
Randomized
Parallel Assignment
Not provided
Double-blind masking
Not provided
PrEP
NCT05799339
https://clinicaltrials.gov/study/NCT05799339
Marketed
Recruiting
Alexis Roth
The goal of this study is to elicit information crucial for designing strategies to support engagement in cabotegravir, a long-acting injectable form of pre-exposure prophylaxis (PrEP) to reduce HIV risk among women who inject drugs (WWID), a population with high unmet need that has been understudied in all phases of PrEP research. The main questions this study aims to answer are: 1. How do WWID perceive long-acting injectable cabotegravir (CAB-LA) as a HIV prevention tool? 2. If and how their decisions to initiate CAB-LA as PrEP are informed by their experiences with other long-acting medications, experience with daily oral medications, and their personal circumstance (e.g., like housing or addition severity)? 3. Do PrEP outcomes (e.g., adherence) and engagement in care over time differ
Optimizing CAB-LA as PrEP for Women Who Inject Drugs
Not provided
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-01-13 00:00:00
Anticipated Date of Last Follow-up
2025-02-06 00:00:00
Estimated Primary Completion Date
2025-12-30 00:00:00
Estimated Completion Date
2025-12-30 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Women who inject drugs
Observational studies (incl. patient registries)
144
Non-randomized
Single group assignment
Not provided
Open label
Not provided
PrEP
NCT06138600
https://clinicaltrials.gov/study/NCT06138600
Phase III
Not provided
University of Witwatersrand, South Africa
This is a mixed methods study employing a convergence model triangulation design. Participants in the study will be sexually active young adults starting Pre-exposure Prophylaxis at private pharmacies, who will be offered either Cabotegravir Long-Acting Injectable, oral Pre-exposure Prophylaxis (TDF/FTC\[3TC\]), or Pre-exposure Prophylaxis deferment at each of their regular visits, with the option to switch between options for up to 15 months, with a final exit interview following the transition to standard-of-care. The number of study visits will vary, depending on participant Pre-exposure Prophylaxis choices. Those choosing oral Pre-exposure Prophylaxis will be seen 3 monthly from V2 onwards, but those choosing Cabotegravir Long-Acting Injectable will be seen 2 monthly from V2. A maximum
Acceptability and Feasibility of Injectable Cabotegravir Pre-exposure Prophylaxis (PrEP) Versus Oral PrEP in Routine Care up to 15 Months in Private Pharmacies in South Africa
Intervention 1
Intervention 2
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-11-01 00:00:00
Anticipated Date of Last Follow-up
2024-06-19 00:00:00
Estimated Primary Completion Date
2025-10-31 00:00:00
Estimated Completion Date
2026-01-31 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: - Each participant must meet all of the following criteria to be enrolled in this study: 1. Adult male or female (≥18 and ≤ 35 years old) 2. Is self-reported sexually active 3. HIV negative at the time of study enrolment (as determined by a rapid blood test for HIV 1) 4. Body weight ≥ 35 kilograms. 5. Creatinine clearance ≥ 60 mL/min. 6. Willingness to sign informed consent. Exclusion Criteria: - Participants meeting the following criteria will be excluded from participating in the study: 1. Symptoms of HIV seroconversion (see Table 1). 2. Pregnant (participant must have a negative beta human chorionic gonadotrophin (b-hCG) urine test at screening) or lactating women, or women intending to become pregnant or breastfeed during the study. 3. Is in good health, with
Not provided
Interventional (clinical trial)
200
Not provided
Parallel Assignment
Not provided
Open label
Not provided
PrEP
NCT06970223
https://clinicaltrials.gov/study/NCT06970223
Phase I
Recruiting
ViiV Healthcare
This study will evaluate the tolerability and acceptability of injection site reactions (ISRs) of two long-acting (LA) injectables. Additional characteristics of the ISRs will be investigated and described as well as safety outcomes.
A Study to Investigate if Long Acting Cabotegravir (CAB) and Lenacapavir (LEN) Injections Are Tolerable and Acceptable When Administered to Healthy Adults Without HIV
Not provided
Not provided
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2025-04-22 00:00:00
Anticipated Date of Last Follow-up
2025-05-05 00:00:00
Estimated Primary Completion Date
2025-07-30 00:00:00
Estimated Completion Date
2026-07-07 00:00:00
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion Criteria: Participants are eligible to be included in the study only if all the following criteria apply: 1. At the time of obtaining informed consent, 18 years of age. 2. Body weight 50 kg and BMI within the range 18 to 32 kg/m2 (inclusive). 3. Participants who are overtly healthy as determined by medical evaluation by a responsible and experienced physician, including medical history, physical examination, laboratory tests and cardiac monitoring. 4. A participant with a significant clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria, outside the reference range for the population being studied may be included if the investigator determines and documents that the finding is unlikely to introduce additional
Not provided
Interventional (clinical trial)
60
Randomized
Cross-over assignment
Not provided
Open label
Not provided
Not provided
NCT07275606
https://clinicaltrials.gov/study/NCT07275606
Phase I/II
Not yet recruiting
ViiV Healthcare
The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics (PK) of cabotegravir in neonates exposed to human immunodeficiency virus (HIV)-1.
A Study to Investigate Cabotegravir for Neonates Exposed to HIV-1
Intervention 1
Intervention 2
Not provided
Not provided
Anticipated Start Date
2026-03-17
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
2025-11-27
Estimated Primary Completion Date
2029-10-10
Estimated Completion Date
2029-10-10
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
Yes
Inclusion Criteria: * At least 37 weeks gestation at delivery. * \<=10 days of life. * Birth weight at least 2 kg. * At Entry, neonate has initiated standard of care Antiretroviral drug (ARV) prophylaxis. * At Entry, neonate is generally healthy as determined by the site Investigator based on review of all available medical history information and physical examination findings. * Mother is on a Dolutegravir (DTG) based regimen for a minimum of 4 weeks prior to delivery, regardless of maternal viral load. * Mother is currently breastfeeding or plans to breastfeed infant. * Mother is of legal age or circumstance to provide independent informed consent and is willing and able to provide documented informed consent for her and her infant's participation in this study. * Mother has confirmed H
Not provided
Interventional (clinical trial)
66
Not provided
Sequential assignment
Not provided
Open label
Not provided
Not provided
Prevention
NCT05776108
https://clinicaltrials.gov/study/NCT05776108
Phase I
Completed
ViiV Healthcare
This study will assess the relative bioavailability of the CAB DT formulation relative to that of the CAB IR formulation and to assess the effect of food on the CAB DT formulation.
A Study to Assess the Food Effect and the Relative Bioavailability of the Cabotegravir (CAB) Pediatric Dispersible Tablet (DT) Formulation
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2023-03-23
Anticipated Date of Last Follow-up
2023-12-12
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2023-06-08
Actual Completion Date
2023-06-08
Age Cohort
Genders
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Yes
Inclusion criteria: * Participant must be 18 to 55 years of age inclusive, at the time of signing the informed consent form (ICF). * Participants who are healthy as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring (history and electrocardiogram). * Body weight greater than or equal to (\>=) 50.0 kilograms (kg) (110 pounds \[lbs\]) for males and \>= 45 kg (99 lbs) for females and Body mass index within the range 18.5 to 31.0 kilogram per meter square (kg/m2) (inclusive) at Screening. * Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. * Female: A female partici
Not provided
Interventional (clinical trial)
24
Randomized
Cross-over assignment
Not provided
Open label
Not provided
Not provided
Not provided
Not provided
Not provided
Mannitol (E421), polysorbate 20, macrogol 3350, water for injectable preparations ad solutionem pro 1 ml.
No novel excipient or existing excipient used
No residual solvent used
| Patent description | Representative patent | Categories | Patent holder | Licence with MPP | Patent source |
|---|---|---|---|---|---|
|
Cabotegravir crystalline forms
Expiry date: 2038-01-25 The present invention relates to crystalline forms of cabotegravir sodium and to methods for their preparation. Furthermore, the invention relates to a pharmaceutical composition comprising one of said crystalline forms of cabotegravir sodium, preferably in a predetermined and/or effective amount, and at least one pharmaceutically acceptable excipient. The pharmaceutical composition of the present invention can be used as a medicament, in particular for the treatment and/or prophylaxis of viral infections such as HIV infections. |
WO2018149608 | Polymorphs | Sandoz Ag | Yes |
| Patent status/countries | Low, Low- middle and upper-middle | High income |
|---|---|---|
| Granted | Mexico | Australia, United Kingdom, France, Germany, United States of America |
| Filed | China | Canada, United States of America |
| Not in force | World Intellectual Property Organization (WIPO), Morocco, Albania, Serbia, Bosnia and Herzegovina, Montenegro, Türkiye, Moldova, Republic of, North Macedonia, Tunisia | World Intellectual Property Organization (WIPO), Liechtenstein, Italy, Norway, Malta, Denmark, Belgium, Greece, Netherlands, Hungary, Croatia, Switzerland, Spain, San Marino, Slovenia, Austria, Romania, Iceland, Cyprus, Finland, Bulgaria, Slovakia, Poland, Latvia, Ireland, Estonia, Luxembourg, Portugal, Czechia, Lithuania, Monaco, Sweden, Russian Federation, United States of America |
| Patent description | Representative patent | Categories | Patent holder | Licence with MPP | Patent source |
|---|---|---|---|---|---|
|
Cabotegravir long-acting parenteral compositions
Expiry date: 2031-09-15 The present invention relates to pharmaceutical compositions of cabotegravir useful in the treatment or prevention of Human Immunodeficiency Virus (HIV) infections. |
WO2012037320 | Composition | Glaxosmithkline Llc, Mundhra, Deepak B, Pan, Rennan, Viiv Healthcare Company | Yes |
| Patent status/countries | Low, Low- middle and upper-middle | High income |
|---|---|---|
| Granted | Brazil, China, Turkmenistan, Belarus, Tajikistan, Kazakhstan, Azerbaijan, Kyrgyzstan, Armenia, Moldova, Republic of, Türkiye, North Macedonia, Albania, Bosnia and Herzegovina, Montenegro, Serbia, Mexico, Ukraine, South Africa, India | Australia, Canada, Chile, Russian Federation, Belgium, Germany, France, Luxembourg, Netherlands, Switzerland, United Kingdom, Sweden, Italy, Austria, Liechtenstein, Greece, Spain, Denmark, Monaco, Portugal, Ireland, Finland, Cyprus, Bulgaria, Czechia, Estonia, Slovakia, Hungary, Poland, Iceland, Malta, Norway, San Marino, Croatia, Romania, Latvia, Lithuania, Slovenia, Israel, Japan, Korea, Republic of, Taiwan, Province of China, United States of America |
| Filed | ||
| Not in force | World Intellectual Property Organization (WIPO) | World Intellectual Property Organization (WIPO), United States of America |
| Patent description | Representative patent | Categories | Patent holder | Licence with MPP | Patent source |
|---|---|---|---|---|---|
|
Cabotegravir or dolutegravir processes and intermediates
Expiry date: 2031-03-22 Relates to the preparation of carbamoylpyridone derivatives and intermediates which are useful as HIV integrase inhibitors. |
WO2011119566 | Intermediate(s), Process | Glaxosmithkline Llc | Yes |
| Patent status/countries | Low, Low- middle and upper-middle | High income |
|---|---|---|
| Granted | China, Albania, Serbia, Bosnia and Herzegovina, Montenegro, Türkiye, North Macedonia, India | Liechtenstein, Italy, Norway, Malta, Denmark, Belgium, United Kingdom, Greece, Netherlands, Hungary, Croatia, Switzerland, Spain, San Marino, Slovenia, Austria, Romania, Iceland, Cyprus, Finland, France, Bulgaria, Slovakia, Poland, Latvia, Ireland, Estonia, Germany, Luxembourg, Portugal, Czechia, Lithuania, Monaco, Sweden, Japan, Korea, Republic of, Singapore, Taiwan, Province of China, United States of America |
| Filed | ||
| Not in force | World Intellectual Property Organization (WIPO) | World Intellectual Property Organization (WIPO) |
| Patent description | Representative patent | Categories | Patent holder | Licence with MPP | Patent source |
|---|---|---|---|---|---|
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Dolutegravir and Cabotegravir compounds
Expiry date: 2026-04-28 The present invention is to provide a novel compound (I), having the anti-virus activity, particularly the HIV integrase inhibitory activity, and a drug containing the same, particularly an anti-HIV drug, as well as a process and an intermediate thereof. Compound (I) wherein Z<1> is NR<4>; R<1> is hydrogen or lower alkyl; X is a single bond, a hetero atom group selected from O, S, SO, SO2 and NH, or lower alkylene or lower alkenylene in which the hetero atom group may intervene; R<2> is optionally substituted aryl; R<3> is hydrogen, a halogen, hydroxy, optionally substituted lower alkyl etc; and R<4> and Z<2> part taken together forms a ring, to form a polycyclic compound, including e.g., a tricyclic or tetracyclic compound. |
WO2006116764 | Compound | Glaxosmithkline Llc | Yes |
| Patent status/countries | Low, Low- middle and upper-middle | High income |
|---|---|---|
| Granted | Brazil, China, Morocco, Mexico, Philippines, Ukraine, Viet Nam, South Africa, Türkiye, Armenia, Azerbaijan, Belarus, Kyrgyzstan, Kazakhstan, Moldova, Republic of, Tajikistan, Turkmenistan, Nigeria, Colombia, Indonesia, Malaysia, Algeria | United States of America, Australia, Canada, Hong Kong, Israel, Japan, Korea, Republic of, Luxembourg, Norway, New Zealand, Taiwan, Province of China, Austria, Belgium, Bulgaria, Switzerland, Cyprus, Czechia, Germany, Denmark, Estonia, Spain, Finland, France, United Kingdom, Greece, Hungary, Ireland, Iceland, Italy, Liechtenstein, Lithuania, Latvia, Monaco, Netherlands, Poland, Portugal, Romania, Sweden, Slovenia, Slovakia, Russian Federation, Trinidad and Tobago, Singapore, Gibraltar, Guernsey, Jersey |
| Filed | Egypt | United States of America, Luxembourg, Norway, Cyprus, Finland, Netherlands, Slovenia |
| Not in force | Türkiye, India, World Intellectual Property Organization (WIPO) | United States of America, Hong Kong, Israel, Japan, Luxembourg, Austria, Belgium, Bulgaria, Switzerland, Cyprus, Czechia, Germany, Denmark, Estonia, Spain, Finland, France, United Kingdom, Greece, Hungary, Ireland, Iceland, Italy, Liechtenstein, Lithuania, Latvia, Monaco, Netherlands, Poland, Portugal, Romania, Sweden, Slovenia, Slovakia, World Intellectual Property Organization (WIPO) |
Bowers GD, Culp A, Reese MJ, Tabolt G, Moss L, Piscitelli S, Huynh P, Wagner D, Ford SL, Gould EP, Pan R, Lou Y, Margolis DA, Spreen WR: Disposition and metabolism of cabotegravir: a comparison of biotransformation and excretion between different species and routes of administration in humans. Xenobiotica. 2016;46(2):147-62. doi: https://doi.org/10.3109/00498254.2015.1060372 Epub 2015 Jul 1
1. Cabotegravir [(3S,11aR)-N-[(2,4-difluorophenyl)methyl]-6-hydroxy-3-methyl-5,7-dioxo-2,3,5,7,11,11a-hexahydro[1,3]oxazolo[3,2-a]pyrido[1,2-d]pyrazine-8-carboxamide] is an HIV-1 integrase inhibitor under development as a tablet for both oral lead-in therapy and long-acting (LA) injectable for intramuscular dosing.
2. Metabolism, pharmacokinetics and excretion were investigated in healthy human subjects who received either a single oral dose (28.2 mg) of [14C]cabotegravir in a mass balance study, or LA formulations of unlabeled cabotegravir (200–800 mg), intramuscularly or subcutaneously, in a separate study. Metabolism, distribution and excretion of [14C]cabotegravir were also investigated in mice, rats and monkeys.
3. Recovery of radioactivity in humans represented a mean total of 85.3% of the dose, including 26.8% in the urine. The mean apparent terminal phase half-life was similar for both cabotegravir and radioactivity, 39 h compared to 41 h.
4. Following oral, intramuscular and subcutaneous administration, cabotegravir was the major component in plasma and the glucuronic acid conjugate (M1) represented the predominant component in urine. Cabotegravir was present in bile along with its major metabolite (M1).
5. The primary metabolite of [14C]cabotegravir in mouse, rat and monkey was the same as that in human. In vitro phenotyping experiments demonstrated that cabotegravir was metabolized by UDP-glucuronosyltransferase (UGT) 1A1 and UGT1A9.
Spreen W, Min S, Ford SL, Chen S, Lou Y, Bomar M, St Clair M, Piscitelli S, Fujiwara T: Pharmacokinetics, safety, and monotherapy antiviral activity of GSK1265744, an HIV integrase strand transfer inhibitor. HIV Clin Trials. 2013 Sep-Oct;14(5):192-203. doi: https://doi.org/10.1310/hct1405-192
Background: GSK1265744 is an HIV integrase strand transfer inhibitor selected for clinical development.
Objective: This first-time-in-human and phase IIa investigation assessed GSK1265744 antiviral activity, pharmacokinetics, safety, and tolerability in healthy and HIV-1-infected subjects.
Methods: This double-blind, placebo-controlled study consisted of a dose escalation of single (part A) and multiple (part B) oral doses in 48 healthy subjects and an oral dose (part C) in 11 HIV-1-infected subjects. In part A, 2 cohorts of 9 subjects received either 5 and 25 mg or 10 and 50 mg. In part B, 3 cohorts of 10 subjects received 5, 10, or 25 mg once daily for 14 days. In part C and the phase IIa study, subjects received 5 or 30 mg once daily for 10 days.
Results: Dose-proportional increases in drug exposure were observed in healthy and HIV-1-infected subjects. In healthy subjects, pharmacokinetic variability was low following single or repeat dosing (coefficient of variation, 13%-34% and 15%-23%, respectively). Mean plasma half-life was 31.5 hours. GSK1265744 monotherapy significantly reduced plasma HIV-1 RNA from baseline to day 11 in HIV-1-infected subjects receiving 5 or 30 mg versus placebo (P < .001); mean decrease was 2.2 to 2.3 log10 copies/mL, respectively. Study drug was generally well tolerated with no clinically relevant trends in laboratory values, vital signs, or electrocardiograms.
Conclusions: GSK1265744 was well tolerated in healthy and HIV-1-infected subjects. Results demonstrate once-daily doses of 5 or 30 mg exceeded minimum target therapeutic concentrations and produced a significant reduction in plasma HIV-1 RNA viral load.
Trezza C, Ford SL, Spreen W, Pan R, Piscitelli S. Formulation and pharmacology of long-acting cabotegravir. Curr Opin HIV AIDS. 2015 Jul;10(4):239-45. doi: https://doi.org/10.1097%2FCOH.0000000000000168. PMID: 26049948; PMCID: PMC5638427.
Long-acting cabotegravir may provide a novel therapeutic option for both the treatment and prevention of HIV-1 infection that does not necessitate adherence to a daily regimen. The present review will highlight the unique formulation properties and pharmacologic attributes of long-acting cabotegravir nanosuspension.
Cabotegravir is a potent integrase strand transfer inhibitor that has been formulated as an oral tablet for daily administration and as a long-acting injectable nanosuspension. Long-acting cabotegravir is readily absorbed following intramuscular and subcutaneous administration and has an elimination half-life of approximately 40 days, allowing for administration on a monthly or less frequent schedule. Repeat-dose pharmacokinetic studies and population pharmacokinetic modeling indicate monthly and bi-monthly dosing achieves clinically relevant plasma concentrations considered effective for HIV maintenance therapy and that quarterly injections are appropriate for investigation as preexposure prophylaxis. Cabotegravir is primarily metabolized by uridine diphosphate glucuronosyltransferase 1A1 and is unlikely to be impacted by the cytochrome P450 metabolic pathway. In vitro and in vivo data suggest cabotegravir has a low propensity to cause, or be subject to, significant drug interactions.
The pharmacologic profile of long-acting cabotegravir supports its continued development for both treatment and prevention of HIV-1 infection.
Objectives:
Cabotegravir + rilpivirine (CAB + RPV) dosed monthly or every 2 months is the first complete long-acting (LA) regimen recommended by treatment guidelines for the maintenance of HIV-1 virological suppression. This post hoc analysis summarizes outcomes for Asian participants through week 96.
Methods:
Data from Asian participants naive to CAB + RPV randomized to receive dosing every 4 weeks (Q4W) or every 8 weeks (Q8W) in the FLAIR (NCT02938520) and ATLAS-2M (NCT03299049) phase 3/3b studies were pooled. The proportion of participants with plasma HIV-1 RNA ≥50 and <50 copies/mL (per FDA Snapshot algorithm), incidence of confirmed virological failure (CVF; two consecutive HIV-1 RNA ≥200 copies/mL), pharmacokinetics, safety, and tolerability through week 96 were assessed.
Results:
Overall, 41 Asian participants received CAB + RPV (Q8W, n = 17; Q4W, n = 24). At week 96, 83% (n = 34/41) of participants maintained HIV-1 RNA <50 copies/mL, none had HIV-1 RNA ≥50 copies/mL, and 17% (n = 7/41) had no virological data. No Asian participant met the CVF criterion. Drug-related adverse events occurred in 44% (n = 18/41) of participants; none were Grade ≥3. All injection site reactions were Grade 1 or 2; median duration was 2 days and most resolved within 7 days (90%, n = 390/435). CAB and RPV trough concentrations remained well above their respective proteinadjusted 90% inhibitory concentrations (CAB, 0.166 μg/mL; RPV, 12 ng/mL) through week 96.
Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Implement Sci. 2009;4:50. Published 2009 Aug 7. doi:10.1186/1748-5908-4-50
Background: Many interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services researchers recognize the need to evaluate not only summative outcomes but also formative outcomes to assess the extent to which implementation is effective in a specific setting, prolongs sustainability, and promotes dissemination into other settings. Many implementation theories have been published to help promote effective implementation. However, they overlap considerably in the constructs included in individual theories, and a comparison of theories reveals that each is missing important constructs included in other theories. In addition, terminology and definitions are not consistent across theories. We describe the Consolidated Framework For Implementation Research (CFIR) that offers an overarching typology to promote implementation theory development and verification about what works where and why across multiple contexts.
Methods: We used a snowball sampling approach to identify published theories that were evaluated to identify constructs based on strength of conceptual or empirical support for influence on implementation, consistency in definitions, alignment with our own findings, and potential for measurement. We combined constructs across published theories that had different labels but were redundant or overlapping in definition, and we parsed apart constructs that conflated underlying concepts.
Results: The CFIR is composed of five major domains: intervention characteristics, outer setting, inner setting, characteristics of the individuals involved, and the process of implementation. Eight constructs were identified related to the intervention (e.g., evidence strength and quality), four constructs were identified related to outer setting (e.g., patient needs and resources), 12 constructs were identified related to inner setting (e.g., culture, leadership engagement), five constructs were identified related to individual characteristics, and eight constructs were identified related to process (e.g., plan, evaluate, and reflect). We present explicit definitions for each construct.
Conclusion: The CFIR provides a pragmatic structure for approaching complex, interacting, multi-level, and transient states of constructs in the real world by embracing, consolidating, and unifying key constructs from published implementation theories. It can be used to guide formative evaluations and build the implementation knowledge base across multiple studies and settings.
Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Proctor E, Silmere H, Raghavan R, et al. Adm Policy Ment Health. 2011;38(2):65-76. doi:10.1007/s10488-010-0319-7
An unresolved issue in the field of implementation research is how to conceptualize and evaluate successful implementation. This paper advances the concept of "implementation outcomes" distinct from service system and clinical treatment outcomes. This paper proposes a heuristic, working "taxonomy" of eight conceptually distinct implementation outcomes-acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration, and sustainability-along with their nominal definitions. We propose a two-pronged agenda for research on implementation outcomes. Conceptualizing and measuring implementation outcomes will advance understanding of implementation processes, enhance efficiency in implementation research, and pave the way for studies of the comparative effectiveness of implementation strategies.
Chloe Orkin, Rosalie Hayes, Joanne Haviland, Yuk Lam Wong, Kyle Ring, Vanessa Apea, Bakita Kasadha, Emily Clarke, Ruth Byrne, Julie Fox, Tristan J Barber, Amanda Clarke, Sara Paparini, For the ILANA study Group (Sadna Ullah, Nishat Halim, Chikondi Mwendera, James Hand), Perspectives of People With HIV on Implementing Long-acting Cabotegravir Plus Rilpivirine in Clinics and Community Settings in the United Kingdom: Results From the Antisexist, Antiracist, Antiageist Implementing Long-acting Novel Antiretrovirals Study, Clinical Infectious Diseases, Volume 80, Issue 5, 15 May 2025, Pages 1103–1113, https://doi.org/10.1093/cid/ciae523
Introduction
The equity-focused Implementing Long-Acting Novel Antiretrovirals study evaluated feasibility, acceptability, appropriateness of delivering on-label 2-monthly cabotegravir and rilpivirine (CAB + RPV) injections for human immunodeficiency virus (HIV)-1 therapy in clinics and community settings.
Methods
The study, which mandated inclusive recruitment, was conducted May–December 2022 at 6 UK sites. Injections were delivered in clinic (month [M] 1–6) and in clinic or community setting according to patient choice (M6–12). Surveys were completed at baseline, M4, and M12 using validated measures for feasibility (FIM), acceptability (AIM), and appropriateness (IAM). Primary endpoint: proportion of participants agreeing that the injection and community setting were feasible (FIM ≥4) at M12. Fourteen participants completed interviews at baseline and M12.
Results
Community settings offered by sites included: home visits (n = 3), HIV support organizations (n = 2), and community clinic (n = 1). Of 114 participants, 54% were female, 70% racially minoritized, and 40% aged ≥50 years. A total of 27/114 chose to receive injections in community settings. FIM/AIM/IAM scores at M12 were high for the injection (79.0–87.4%) and lower for the community setting (44.2–47.4%) overall. Subgroup analyses indicated differences in scores by gender and ethnicity. Among those who attended the community, FIM/AIM/IAM scores for the community setting at M12 were high (73.1–80.8%). Concerns about stigma, inconvenience, and losing access to trusted clinicians negatively influenced perceptions of receiving injections at community settings, amongst other factors.
Conclusions
CAB + RPV injections were considered highly feasible, acceptable, and appropriate; however, few chose community delivery. Those that chose community delivery found it highly acceptable and feasible. Further exploration of CAB + RPV delivery in alternative community sites not offered (eg, primary care, pharmacies) is warranted.
John M, Williams L, Nolan G, Bonnett M, Castley A, Nolan D. Real-world use of long-acting cabotegravir and rilpivirine: 12-month results of the inJectable Antiretroviral therapy feasiBility Study (JABS). HIV Med. 2024; 25(8): 935-945. doi:10.1111/hiv.13647
Objectives
The inJectable Antiretroviral feasiBility Study (JABS) aimed to evaluate the implementation of long-acting regimens in a ‘real world’ Australian setting, with inclusion of participants with complex medical needs, social vulnerability and/or historical non-adherence.
Methods
JABS was a 12-month, single-centre, single-arm, open-label phase IV study of long-acting cabotegravir 600 mg plus rilpivirine 900 mg administered intramuscularly every 2 months to adults with treated HIV-1 infection. The primary endpoint was the proportion of attendances and administration of injections within a 14-day dosing window over 12 months, out of the total prescribed doses. Secondary endpoints included proportions of missed appointments, use of oral bridging, discontinuations, virological failures, adverse events and participant-reported outcomes. A multidisciplinary adherence programme embedded in the clinical service known as REACH provided support to JABS participants.
Results
Of 60 participants enrolled by May 2022, 60% had one or more complexity or vulnerability factors identified, including absence of social supports (50%), mental health issues, alcohol or drug use (30%) and financial hardship or instability (13%), among others. Twenty-seven per cent of participants had historical non-adherence to antiretroviral therapy. Out of 395 prescribed doses, 97.2% of injections were administered within correct dosing windows at clinic visits. Two courses of short-term oral bridging were required. The rate of injection site reactions was 29%, the majority being grade 1–2. There were no virological failures, no serious adverse events and only one injection-related study discontinuation. High baseline treatment satisfaction and acceptability of injections increased by month 12. Those with vulnerability factors had similar adherence to injections as those without such factors. Ninety-eight per cent of the participants who completed 12 months on the study have maintained long-acting therapy, virological suppression and retention in care.
Conclusions
Long-acting cabotegravir plus rilpivirine was associated with very high adherence, maintenance of virological suppression, safety and treatment satisfaction in a diverse Australian clinic population, comparable to results of phase III randomized clinical trials. Individuals with vulnerability factors can achieve adherence to injections with individualized support. Long-acting therapies in this group can increase the subsequent engagement in clinical care.
Switch to long-acting cabotegravir and rilpivirine in virologically suppressed adults with HIV in Africa (CARES): week 48 results from a randomised, multicentre, open-label, non-inferiority trial. Kityo Cissy, Mugerwa Henry et al. The Lancet Infectious Diseases, Volume 24, Issue 10, 1083 - 1092
Background
Long-acting injectable cabotegravir and rilpivirine is licensed for individualised treatment of HIV-1 infection in resource-rich settings. Additional evidence is required to support use in African treatment programmes where demographic factors, viral subtypes, previous treatment, and delivery and monitoring approaches differ. The aim of this study was to determine whether switching to long-acting therapy with injections every 8 weeks is non-inferior to daily oral therapy in Africa.
Methods
CARES is a randomised, open-label, non-inferiority trial being conducted at eight sites in Uganda, Kenya, and South Africa. Participants with HIV viral load below 50 copies per mL on oral antiretroviral therapy and no history of virological failure were randomly assigned (1:1; web-based, permuted blocks) to receive cabotegravir (600 mg) and rilpivirine (900 mg) by intramuscular injection every 8 weeks, or to continue oral therapy. Viral load was monitored every 24 weeks. The primary outcome was week 48 viral load below 50 copies per mL, assessed with the Food and Drug Administration snapshot algorithm (non-inferiority margin 10 percentage points) in the intention-to-treat exposed population. This trial is registered with the Pan African Clinical Trials Registry (202104874490818) and is ongoing up to 96 weeks.
Findings
Between Sept 1, 2021, and Aug 31, 2022, we enrolled 512 participants (295 [58%] female; 380 [74%] previous non-nucleoside reverse transcriptase inhibitor exposure). Week 48 viral load was below 50 copies per mL in 246 (96%) of 255 participants in the long-acting therapy group and 250 (97%) of 257 in the oral therapy group (difference –0·8 percentage points; 95% CI –3·7 to 2·3), demonstrating non-inferiority (confirmed in per-protocol analysis). Two participants had virological failure in the long-acting therapy group, both with drug resistance; none had virological failure in the oral therapy group. Adverse events of grade 3 or greater severity occurred in 24 (9%) participants on long-acting therapy and ten (4%) on oral therapy; one participant discontinued long-acting therapy (for injection-site reaction).
Interpretation
Long-acting therapy had non-inferior efficacy compared with oral therapy, with a good safety profile, and can be considered for African treatment programmes.
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Collaborate for developmentConsider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology Not provided |
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Share technical information for match-making assessmentProvide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit Not provided |
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Work with MPP to expand access in LMICsIn the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing Not provided |
Cabotegravir LA, both as suspension for intramuscular injection 600mg/3ml (200mg/ml) and as 30 mg tablet is included in WHO PQ: https://extranet.who.int/prequal/sites/default/files/document_files/EOI_23rd%20HIV_9July_2025_clean_PQ.pdf Cabotegravir for PrEP is included in WHO guidelines. CAB+RPV LA injectable for treatment, is also recommended by WHO to be used as an alternative switching option for adults and adolescents with undetectable HIV viral load on oral ART and without active hepatitis B infection : https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/guidelines ViiV Healthcare and Medicines Patent Pool have signed a voluntary licensing agreement to enable access to long-acting injectable cabotegravir for HIV PrEP and HIV treatment