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HIV-1-infectionPhase 3EDOLASNCT04979468

Early DOlutegravir/LAmivudine Switching After Virological Suppression (EDOLAS Study)

A Phase 3 study testing DOVATO in people with HIV-1-infection, run by Societa' Italiana Di Malattie Infettive E Tropicali at 25 sites in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Phase III, randomized, open-label, multicentre, active-controlled, non-inferiority study evaluating the efficacy and safety of early switching to dolutegravir/lamivudine (DTG/3TC) in single-pill, in HIV-1 infected individuals currently taking an INSTI-based three-drug first-line regimen for less than 18 months and who… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV-1-infection
What is being tested?
DOVATO
Could I receive a placebo?
No, everyone receives an active treatment
How many people
440 participants
Where
25 sitesItaly
Study dates
23 Mar 2021to 1 Apr 2024
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • HIV-1 documented infection;
  • Aged 18 years or older at the time of signing the informed consent;
  • Stable INSTI-based first-line three-drug ART (switch between different NRTIs are allowed; e.g. from TDF/FTC to TAF/FTC or ABC/3TC, from TAF/FTC to TDF/FTC or ABC/3TC, from ABC/3TC to TAF/FTC or TDF/FTC). Any change of INSTI will not be allowed. Only the following regimens will be allowed:
  • RAL 1200 mg QD plus TDF/FTC or TAF/FTC;
  • RAL 1200 mg QD plus ABC/3TC;
  • EVG/COBI/FTC/TDF or EVG/COBI/FTC/TAF;
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  • DTG plus TDF/FTC or TAF/FTC;
  • DTG/ABC/3TC or DTG plus ABC/3TC;
  • BIC/TAF/FTC
  • Previous INSTI-based first-line ART lasting less than 18 months before screening;
  • To have reached a HIV-1 RNA <50 copies/mL during INSTI first-line therapy for less than 12 months. At least a single HIV-1 RNA determination below the threshold within the 6 months before enrollment is required (if a following determination in present, this should not be ≥50 copies (cp)/mL)
  • HIV-1 RNA below 50 copies/mL at the screening visit;
  • No known allergy or intolerance to the study drugs or their components or drugs of their class;
  • A female person is eligible to enter the study if it is confirmed that she is:
  • Not pregnant confirmed by a negative serum pregnancy test at both Screening and Day1;
  • Not breastfeeding;
  • Of non-childbearing potential defined as either post-menopausal (12 months of spontaneous amenorrhea and ≥45 years of age) or physically incapable of becoming pregnant with documented tubal ligation, hysterectomy or bilateral oophorectomy;
  • Of childbearing potential and agrees to utilize the protocol specified method of contraception (as defined in Appendix 1 -Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential) or be non-heterosexually active or practice sexual abstinence (defined as complete abstinence from penile-vaginal intercourse; periodic abstinence, e.g. calendar, ovulation, symptothermal, post-ovulation methods and withdrawal are not acceptable methods of contraception) from screening throughout the duration of study treatment and for at least two weeks following discontinuation of study drugs;
  • Being able to comply with the protocol requirements and restrictions;
  • Signature of written Informed Consent Form (participants or legal guardian) before that any protocol-specified assessments are conducted.

Who cannot join

  • A person will be considered not eligible for inclusion in this study if any of the following criteria apply:
  • Having failed virologically;
  • Having changed the INSTI drug;
  • Any major INSTI- or NRTI-resistance-associated mutation documented before starting ART;
  • Women who are pregnant or breastfeeding or plan to become pregnant or breastfeed during the study;
  • Evidence of Hepatitis B virus (HBV) infection based on the results of testing at screening for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (anti-Hbc), hepatitis B surface antigen antibody (anti-HBs) and, possibly, HBV DNA as follows:
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  • Individuals positive for HBsAg are excluded;
  • Individuals negative for anti-HBs but positive for anti-HBc (negative HBsAg status) and positive for HBV DNA are excluded;
  • HCV-RNA positivity needing for any hepatitis C virus (HCV) therapy during the study;
  • Ongoing malignancy other than cutaneous Kaposi's sarcoma (not requiring systemic therapy), basal cell carcinoma, or resected, non-invasive cutaneous squamous cell carcinoma, or cervical, anal or penile intraepithelial neoplasia;
  • Active opportunistic infections requiring active treatment;
  • Creatinine clearance of <50 mL/min/1.73m2 via CKD-EPI method;
  • Individuals with severe hepatic impairment (Child Pugh class C) and/or unstable liver disease;
  • Any verified Grade 4 laboratory abnormality at screening assessment;
  • Alanine aminotransferase (ALT) >5 times the upper limit of normal (ULN) or ALT >3xULN and bilirubin >1.5xULN (with >35% direct bilirubin) at screening assessment;
  • Receipt of investigational research agents within 30 days prior to study entry;
  • Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of screening;
  • Receipt of immunosuppressive medications or immune-modulators within the past 6 months;
  • Individuals who in the investigator's judgment, poses a significant suicidality risk or with diagnosed major depression, Bipolar Disorders and Psychoses
  • A life expectancy estimated as less than 2 years.

Trial locations and contacts

25 sites in 1 country.

Andrea Antinori, P.I. contact

0655170546

andrea.antinori@inmi.it

Maddalena Plazzi, DM contact

3384093449

maria.plazzi@inmi.it

25 sites in 1 country

Italy25 sites, 15 recruiting
  • Azienda Ospedaliera Universitaria Policlinico di Bari

    Bari, BA, 70124

    Active, not recruiting
  • ASST Papa Giovanni XXIII

    Bergamo, BG, 24127

    Franco Maggiolo, P.I., 3388172182, fmaggiolo@asst-pg23.it

    Claudia Suardi, D.M., 0352673608, csuardi@fondazionefrom.it

    Not yet recruiting
  • ARNAS Garibaldi

    Catania, CT, 95123

    Active, not recruiting
  • Azienda Ospedaliera Universitaria Ferrara

    Ferrara, FE, 44124

    Laura Sighinolfi, P.I., 3479146298, l.sighinolfi@ospfe.it

    Not yet recruiting
  • Azienda Ospedaliera Universitaria Careggi

    Florence, FI, 50134

    Active, not recruiting
  • Azienda Ospedaliera Universitaria Careggi

    Florence, FI, 50134

    Massimo Antonio Di Pietro, P.I., 057335111, massimoantonio.dipietro@uslcentro.toscana.it

    Not yet recruiting
  • Ospedale Policlinico San Martino di Genova

    Genova, GE, 16132

    Antonio Di Biagio, P.I., 3356269149, adibiagioa@gmail.com

    Not yet recruiting
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Milan, MI, 20122

    Active, not recruiting
  • IRCCS Ospedale San Raffaele

    Milan, MI, 20127

    Antonella Castagna, P.I., 3466732894, castagna.antonella@hsr.it

    Elisabetta Carini, D.M., 0226437934, carini.elisabetta@hsr.it

    Recruiting
  • ASST Fatebenefratelli Sacco

    Milan, MI, 20131

    20131 Rizzardini, P.I., 0239043490, giuliano.rizzardini@asst-fbf-sacco.it

    Not yet recruiting
  • ASST Fatebenefratelli Sacco

    Milan, MI, 20131

    Stefano Rusconi, P.I., 0250319761, stefano.rusconi@unimi.it

    Not yet recruiting
  • ASST Santi Paolo e Carlo - Presidio San Paolo

    Milan, MI, 20142

    Antonella d'Arminio Monforte, P.I., 0281843046, antonella.darminio@unimi.it

    Valentina Minieri, D.M., 0281844621, valentina.minieri@gmail.com

    Not yet recruiting
  • ASST Grande Ospedale Metropolitano Niguarda

    Milan, MI, 20162

    Active, not recruiting
  • Azienda Ospedaliera Universitaria di Modena

    Modena, MO, 41124

    Cristina Mussini, P.I., 059422246, cristina.mussini@unimore.it

    Not yet recruiting
  • Ospedale San Gerardo di Monza

    Monza, MI, 20900

    Giuseppe Lapadula, P.I., 3396640107, g.lapadula@asst.monza.it

    Not yet recruiting
  • Azienda Ospedaliera di Padova

    Padova, PD, 35128

    Annamaria Cattelan, P.I., 3337138916, annamaria.cattelan@aopd.veneto.it

    Maddalena Cipullo, D.M., maddalena.cipullo@aopd.veneto.it

    Not yet recruiting
  • A.O.U. Policlinico "Paolo Giaccone"

    Palermo, PA, 90127

    Active, not recruiting
  • Fondazione IRCCS Policlinico San Matteo

    Pavia, PV, 27100

    Roberto Gulminetti, P.I., 3386784776, r.gulminetti@smatteo.pv.it

    Not yet recruiting
  • Policlinico Universitario Tor Vergata

    Roma, RM, 00133

    Active, not recruiting
  • Istituto Nazionale per le Malattie Infettive "Lazzaro Spallanzani" IRCCS

    Roma, RM, 00149

    Andrea Antinori, P.I., 0655170546, andrea.antinori@inmi.it

    Maddalena Plazzi, D.M., 3384093449, maria.plazzi@inmi.it

    Recruiting
  • A.O.U. Policlinico Umberto I

    Roma, RM, 00155

    Gabriella d'Ettorre, P.I., 3479650959, gabriella.dettorre@uniroma1.it

    Not yet recruiting
  • Fondazione Policlinico Universitario A. Gemelli IRCCS

    Roma, RM, 00168

    Active, not recruiting
  • Strutture Ospedaliere - Cliniche San Pietro - AOU Sassari

    Sassari, SS, 07100

    Active, not recruiting
  • Azienda Ospedaliera Universitaria Senese

    Siena, SI, 53100

    Active, not recruiting
  • Ospedale Amedeo di Savoia

    Torino, TO, 10149

    Stefano Bonora, P.I., 0114393860, stefano.bonora@unito.it

    Not yet recruiting

Other trials in Italy

About this study

Official title: Efficacy and Safety of Early Switching to Dolutegravir/Lamivudine (DTG/3TC) From INSTI-based Three-drug Regimens in HIV-1-infected Adults Previously naïve Who Achieve Virological Suppression

Phase III, randomized, open-label, multicentre, active-controlled, non-inferiority study evaluating the efficacy and safety of early switching to dolutegravir/lamivudine (DTG/3TC) in single-pill, in HIV-1 infected individuals currently taking an INSTI-based three-drug first-line regimen for less than 18 months and who have been virologically suppressed with HIV-1 RNA <50 copies/mL

Read the detailed description

The target population of this study is HIV-1-infected adults without previous virological failure, currently receiving any first-line, triple-drug ART having an INSTI (EVG/cobi, RAL QD, DTG, BIC) as anchor drug associated to any of the following dual NRTI backbone (ABC/3TC, TDF/FTC or TAF/FTC) with virological suppression (HIV-1 RNA < 50 copies/mL).

Participants will be randomly allocated 1:1 to switch to DTG/3TC 50/300 mg as a single pill qd until week 96 (Arm A, early switch) or to continue their INSTI-based ART triple regimen received at screening (Arm B, delayed switch) until week 52, when participants in Arm B with HIV-1 RNA< 50 cp/mL at week 48 will switch to DTG/3TC 50/300 mg qd as a single pill until week 100.

The drugs of both arms will be administered in an open-label manner throughout the entire duration of the study.

The primary analysis will take place after the last participant completes 52 weeks on therapy, to allow for the collection of a confirmatory viral load measurement in participants possibly presenting with HIV-1 RNA ≥50 cp/mL at the Week 48 visit.

If the second determination of HIV-1 RNA is <50 cp/mL, then the participant has not a virological rebound and will be considered eligible to switch to DTG/3TC at Week 52.

If the second determination of HIV-1 RNA is ≥50 cp/mL, then the participant will be considered protocol-defined virological failure, thus being ineligible to switch to DTG/ 3TC. These participants will be withdrawn from the study.

A preliminary interim analysis will be performed after 50% of the enrolled participants have reached the 24th week of study, always considering 4 weeks more (thus 28 weeks) to allow for the collection of a confirmatory viral load measurement in participants possibly presenting with HIV-1 RNA ≥50 copies/mL at Week 24.

At week 48, participants in Arm A (early switch) will continue DTG/3TC. At week 52, participants in Arm B (delayed switch) and with HIV-1 RNA < 50 copies/mL at week 48 will switch to DTG/3TC and will be followed until week 100.

The exploratory analyses at Week 96 will take place after the last participant completes 100 weeks on therapy, as needed, to allow for the collection of a confirmatory viral load measurement in participants presenting with HIV-1 RNA ≥50 copies/mL at Week 96.

Conditions
HIV-1-infection
Being tested
DOVATO

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DOVATODrug

    Also called dolutegravir/lamivudine

    Dovato is a medicine for treating infection with human immunodeficiency virus type 1 (HIV-1), a virus that causes acquired immune deficiency syndrome (AIDS).

Study groups in NCT04979468
Study groupRoleWhat they receive
ARM AOtherParticipants in Arm A will be randomized to switch to DTG/3TC 50/300 mg QD until week 48 (early switch).
Receives: Drug: DOVATO
ARM BOtherParticipants in Arm B will continue the INSTI-based ART regimen until week 48, and then will be switched to DTG/3TC through week 96 (delayed switch).
Receives: Drug: DOVATO

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Non-inferior efficacy of switching

    Proportion of participants with virological rebound (viral load ≥50 copies/mL or premature discontinuations, irrespective of reason, with last viral load ≥50 copies/mL) at week 48

    Measured: 48 weeks

Secondary outcomes (8)
  1. Efficacy of switching

    Proportion of participants with HIV-1 RNA <50 copies/mL at week 48 (FDA Snapshot algorithm)

    Measured: 48 weeks

  2. Safety and tolerability

    Clinical and laboratory safety parameters; a descriptive analysis of all reported AEs and a quantitative analysis of AEs leading to treatment interruption/change will be used to evaluate long-term tolerability of the simplification treatment.

    Measured: 100 weeks

  3. Immunologic response and dysfunction

    Changes in CD4+ and CD8+ T-lymphocyte counts (absolute and percentage), and in CD4+/CD8+ ratio (as a measure of immune activation) in the peripheral blood from baseline to week 48 and 96.

    Measured: 100 weeks

  4. Emergent drug resistance-associated mutations

    Proportion of participants developing resistance-conferring mutations (to any drug class) by genotypic resistance test (GRT) in plasma or proviral DNA (in case of low viremia levels, <200 copies/mL) at protocol-defined virological failure (PDVF) will be cumulatively described throughout the study period.

    Measured: 100 weeks

  5. RT and INSTI resistance-associated mutations

    iral minority variants harboring resistance associated mutations (to any drug class) at the time of PDVF will be characterized in plasma or in proviral DNA (in case of low viremia levels, <200 copies/mL) by next generation sequencing. For the minority resistant variants detected (prevalence >1%), their resistance viral burden will be also evaluated.

    Measured: 100 weeks

  6. Effects of the two strategies on Lipidic profile

    Changes in fasting lipids (TC, LDL, HDL, non-HDL, TC/HDL) from baseline to w48 and 96.

    Measured: 96 weeks

  7. Adherence levels to ARVs

    Changes of self-reported adherence level and proportion of participants with different adherence level (95%; 90%; 80%) from baseline to week 48 and 96.

    Measured: 96 weeks

  8. Evaluate neuropsychiatric symptoms.

    Change in neuropsychiatric questionnaire scores, assessing mood, anxiety, sleep quality, and suicidality from baseline to week 24, 48 and 96.

    Measured: 96 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jul 2021
  2. Study start23 Mar 2021
  3. Primary completion1 Apr 2023 (estimated)
  4. Study completion1 Apr 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
Phase III, randomized, open-label, multicentre, active-controlled, non-inferiority study evaluating the efficacy and safety of early switching to dolutegravir/lamivudine (DTG/3TC) in single-pill, in HIV-1 infected individuals currently taking an INSTI-based three-drug first-line regimen for less than 18 months and who have been virologically suppressed with HIV-1 RNA \<50 copies/mL
Masking
None (open label)
Enrolment
440 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04979468
Sponsor's protocol ID
2019-004241-32
Other IDs
2019
Acronym
EDOLAS
Status last verified
Jul 2021
First submitted
2 Jul 2021
Last updated
28 Jul 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DOVATO in people with HIV-1-infection, run by Societa' Italiana Di Malattie Infettive E Tropicali at 25 sites in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 20 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 28 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Andrea Antinori, P.I. (0655170546, andrea.antinori@inmi.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Non-inferior efficacy of switching (time frame: 48 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jul 2021; AzTrials last refreshed its copy on 6 Nov 2026.

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