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Human Immunodeficiency Virus (HIV)-1 InfectionLACRISNCT07370649

Long-Acting Cabotegravir and Rilpivirine in People Living With HIV-1 Subtype A6: A Real-World Retrospective Study

An observational study of Human Immunodeficiency Virus (HIV)-1 Infection and HIV-1 Subtype A6 Infection, run by Pomeranian Medical University Szczecin at 7 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study evaluates the real-world effectiveness and safety of a long-acting injectable HIV treatment consisting of cabotegravir and rilpivirine in people living with HIV-1. The focus is on individuals with HIV-1 subtype A6, which is common in Eastern Europe and among people who acquired HIV in that region, and on… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Cabotegravir Plus Rilpivirine Long-Acting Injectable
Type of treatment
Injection or infusion
How many people
250 participants
Where
7 sitesin 3 countries
Study dates
12 May 2026to Mar 2027
How long will I take part?
24 Months
Phase
Observational
Are there results?
Not yet: the study is under way

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

Study population: The study population consists of adults aged 18 years or older living with HIV-1 infection who have received long-acting injectable cabotegravir plus rilpivirine (CAB/RPV LA) as part of routine clinical care. Participants are treatment-experienced and include individuals with suppressed or unsuppressed HIV-1 viral load at the time of treatment initiation. Patients are identified retrospectively from electronic medical records at participating HIV treatment centers in Poland, Germany, and the Czech Republic. Participants are grouped according to documented HIV-1 subtype (subtype A6, subtype B, or unknown subtype). Individuals with known subtype A6 are matched with individuals with subtype B based on selected clinical characteristics, while participants with unknown subtype are analyzed as an unmatched descriptive cohort. The study includes a broad, real-world patient population without upper age limits or sex-based restrictions, reflecting routine clinical practice in participating ce

Who may be able to join

  • Confirmed diagnosis of HIV-1 infection
  • Age ≥18 years at the time of initiation of long-acting cabotegravir plus rilpivirine (CAB/RPV LA)
  • Received at least one dose of CAB/RPV LA as part of routine clinical care
  • Availability of relevant clinical data in medical records for retrospective analysis
  • Signed informed consent for use of clinical data
  • Agreement to provide an additional blood sample for proviral DNA genotyping, if HIV-1 subtype was unknown at treatment initiation

Who cannot join

  • Lack of patient consent for use of clinical data for research purposes

Trial locations and contacts

7 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

Miłosz Parczewski, prof. dr hab. n. med. contact

+48 91 813 94 41

klinzak@pum.edu.pl

Karolina Sorbian-Gajewska contact

7 sites in 3 countries

Poland5 sites, 5 recruiting
  • Wojewódzki Szpital Obserwacyjno-Zakaźny

    Bydgoszcz

    Anita Olczak, dr hab. n. med., sekretariat@wsoz.pl

    Anita Olczak, dr hab. n. med.

    Recruiting
  • Szpitale Pomorskie

    Gdansk

    Maria Hlebowicz, Dr n.med.

    Maria Hlebowicz, dr n. med.

    Recruiting
  • Katedra Chorób Zakaźnych i Niedoborów Immunologicznych

    Szczecin, West Pomeranian Voivodeship, 71-455

    Miłosz Parczewski, prof. dr hab. n. med., +48 91 813 94 41, klinzak@pum.edu.pl

    Not yet recruiting
  • Wojewódzki Szpital Zakaźny w Warszawie

    Warsaw

    Iwona Cielniak, dr n. med., 22 335 53 51, sekretariat@zakazny.pl

    Iwona Cielniak, dr n. med.

    Recruiting
  • Wrocławskie Centrum Zdrowia

    Wroclaw

    Aleksandra Szymczyk, dr n. med., 71 326 67 30, metadon@spzoz.wroc.pl

    Aleksandra Szymczak, dr n. med.

    Recruiting

Other trials in Poland

Czechia1 site, 1 recruiting
  • Hospital Na Bulovce Praque HIV Centre, Department of Infectious Diseases

    Prague

    David Jilich, +420 26608 2629, hiv@bulovka.cz

    David Jilich, MD

    Recruiting

Other trials in Czechia

Germany1 site, 1 recruiting
  • MainFachArzt

    Frankfurt

    Pavel Khaykin, MD, +49 69 253103, praxis@mainfacharzt.de

    Pavel Khaykin, MD

    Recruiting

Other trials in Germany

About this study

Official title: Long-Acting Cabotegravir And Rilipivirine In People Living With HIV-1 Subtype A6. A Multicentre Real-world, Retrospective Matched Case Study

This study evaluates the real-world effectiveness and safety of a long-acting injectable HIV treatment consisting of cabotegravir and rilpivirine in people living with HIV-1. The focus is on individuals with HIV-1 subtype A6, which is common in Eastern Europe and among people who acquired HIV in that region, and on comparison with individuals with subtype B and those with an unknown subtype.

Although long-acting cabotegravir and rilpivirine are widely used and effective, limited real-world data are available on how well this treatment works in people with HIV-1 subtype A6. This is important because subtype A6 has been suggested as a potential risk factor for treatment failure, but current evidence is inconclusive.

Read more

The study uses existing medical records from treatment centers in Poland, Germany, and the Czech Republic. It includes adults with HIV who have received at least one injection of long-acting cabotegravir and rilpivirine and follows their clinical outcomes for up to 24 months. Researchers will assess viral suppression, treatment persistence, adherence to injection schedules, and reasons for treatment discontinuation.

The results of this study will help clinicians better understand whether HIV-1 subtype A6 affects treatment outcomes and whether knowing a patient's HIV subtype is important when deciding to switch to long-acting injectable therapy. The findings may support safer and more effective use of this treatment in diverse patient populations.

Read the detailed description

This is a multicentre, international, real-world, retrospective observational study designed to evaluate clinical outcomes of long-acting injectable cabotegravir plus rilpivirine (CAB/RPV LA) in adults living with HIV-1. The study is conducted at HIV treatment centers in Poland, Germany, and the Czech Republic and is based on routinely collected clinical data from electronic medical records and paper charts.

The study population includes treatment-experienced individuals aged 18 years or older who received at least one dose of CAB/RPV LA in routine clinical practice. Participants are grouped according to HIV-1 subtype: subtype A6, subtype B, and unknown subtype. Individuals with known subtype A6 are matched with individuals with subtype B using propensity score matching to reduce the impact of confounding factors. Participants with unknown subtype are analyzed as an unmatched group.

Clinical data are collected from the time of CAB/RPV LA initiation (index date) and from follow-up visits closest to 6, 12, 18, and 24 months after initiation. Outcomes assessed include treatment persistence, adherence to injection schedules, discontinuation rates and reasons for discontinuation, and measures of virologic effectiveness. Virologic outcomes include viral suppression, viral rebound, and confirmed virologic failure as defined by standard HIV RNA criteria.

For participants with unknown HIV-1 subtype, proviral DNA genotyping is performed after initial descriptive analyses to explore whether knowledge of HIV-1 subtype has prognostic relevance for clinical outcomes. Genotypic data are analyzed descriptively and may inform additional exploratory analyses.

As this is a retrospective, non-interventional study using existing clinical data, no study-specific treatment interventions are performed. Safety data collection is limited to adverse events leading to treatment discontinuation, reflecting routine clinical practice. The study aims to provide clinically relevant real-world evidence on the use of CAB/RPV LA across different HIV-1 subtypes, with particular focus on subtype A6.

Being tested
Cabotegravir Plus Rilpivirine Long-Acting Injectable
Keywords
HIV-1, Long-Acting Antiretroviral Therapy, Cabotegravir, Rilpivirine, CAB/RPV LA, HIV-1 Subtype A6, HIV-1 Subtype B, Virologic Suppression, Real-World Study, Retrospective Study, Injectable HIV Therapy, Treatment Persistence, Virologic Failure
Medical subject headings
Acquired Immunodeficiency Syndrome

What participants receive

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

  • Cabotegravir Plus Rilpivirine Long-Acting InjectableDrug

    Also called CAB/RPV LA, Long-Acting Cabotegravir and Rilpivirine, Cabotegravir + Rilpivirine

    Cabotegravir plus rilpivirine long-acting (CAB/RPV LA) is a complete antiretroviral regimen administered as intramuscular injections and approved for the maintenance treatment of HIV-1 infection in adults. In this observational, retrospective study, CAB/RPV LA is used as part of routine clinical care and is not assigned by the study protocol. Participants received CAB/RPV LA according to local prescribing information, including dosing intervals and injection windows.

    The study evaluates real-world clinical outcomes of CAB/RPV LA across different HIV-1 subtype groups (subtype A6, subtype B, and unknown subtype). Outcomes of interest include virologic effectiveness, treatment persistence, adherence to injection schedules, and treatment discontinuation. No study-specific modifications to dosing, administration, or clinical management are performed.

Study groups in NCT07370649
Study groupRoleWhat they receive
HIV-1 subtype A6This cohort includes adults living with HIV-1 with a confirmed subtype A6 infection who received at least one dose of long-acting injectable cabotegravir plus rilpivirine (CAB/RPV LA) as part of routine clinical care. Participants are treatment-experienced and include individuals with suppressed or unsuppressed viral load at treatment initiation. Clinical outcomes, including virologic effectiveness, treatment persistence, adherence, and discontinuation, are assessed retrospectively using existing medical records. This cohort is matched with the subtype B cohort using propensity score methods.
Receives: Drug: Cabotegravir Plus Rilpivirine Long-Acting Injectable
HIV-1 Subtype B CohortThis cohort consists of adults living with HIV-1 with a confirmed subtype B infection who received long-acting injectable cabotegravir plus rilpivirine (CAB/RPV LA) in routine clinical practice. Participants are selected and matched to the subtype A6 cohort based on predefined confounding variables, including age, gender, body mass index category, and CD4 cell nadir. Outcomes are evaluated retrospectively to provide a comparative real-world context for the subtype A6 cohort.
Receives: Drug: Cabotegravir Plus Rilpivirine Long-Acting Injectable
HIV-1 Subtype Unknown CohortThis cohort includes adults living with HIV-1 who received long-acting injectable cabotegravir plus rilpivirine (CAB/RPV LA) and had no documented HIV-1 subtype at the time of treatment initiation. Participants are analyzed as an unmatched descriptive group. Retrospective clinical outcome data are collected from medical records. For selected participants, proviral DNA genotyping from blood samples is performed after initial analyses to explore the clinical relevance of HIV-1 subtype knowledge prior to switching to long-acting injectable therapy.
Receives: Drug: Cabotegravir Plus Rilpivirine Long-Acting Injectable

What is being measured

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

  1. Virologic Suppression at Follow-Up

    Proportion of participants with HIV-1 RNA viral load <50 copies/mL at follow-up after initiation of long-acting cabotegravir plus rilpivirine (CAB/RPV LA), assessed using available clinical laboratory measurements. Virologic suppression will be evaluated at approximately 6, 12, 18, and 24 months after treatment initiation, with last observation carried forward where applicable.

    Measured: Up to 24 months after initiation of CAB/RPV LA

Secondary outcomes (8)
  1. Treatment Persistence on CAB/RPV LA

    Proportion of participants who remain on long-acting cabotegravir plus rilpivirine (CAB/RPV LA) at each follow-up time point after initiation, based on documentation of continued injections in routine clinical care.

    Measured: Up to 24 months after initiation of CAB/RPV LA

  2. Treatment Discontinuation Rate

    Proportion of participants who discontinue CAB/RPV LA after initiation, including documentation of the reason for discontinuation such as adverse events, virologic failure, or other clinical or patient-related reasons.

    Measured: Up to 24 months after initiation of CAB/RPV LA

  3. Time to Treatment Discontinuation

    Median time from first administration of CAB/RPV LA to permanent discontinuation of the regimen, calculated using available clinical records.

    Measured: Up to 24 months after initiation of CAB/RPV LA

  4. Adherence to Injection Schedule

    Adherence to the CAB/RPV LA dosing schedule, assessed as the proportion of participants receiving injections within the allowed ±7-day dosing window relative to the target injection date.

    Measured: Up to 24 months after initiation of CAB/RPV LA

  5. Delayed or Missed Injections

    Proportion of participants with delayed injections (>7 days after target date), missed injections, and the number and duration of delayed or missed injections during follow-up.

    Measured: Up to 24 months after initiation of CAB/RPV LA

  6. Confirmed Virologic Failure (CVF)

    Proportion of participants meeting criteria for confirmed virologic failure, defined as two consecutive HIV-1 RNA measurements ≥200 copies/mL, or one HIV-1 RNA ≥200 copies/mL followed by treatment discontinuation within four months.

    Measured: Up to 24 months after initiation of CAB/RPV LA

  7. Viral Rebound

    Proportion of participants experiencing viral rebound, including viral blips (single HIV-1 RNA 50-199 copies/mL followed by <50 copies/mL), low-level viremia (two consecutive measurements 50-199 copies/mL), or viremia >200 copies/mL not leading to treatment discontinuation.

    Measured: Up to 24 months after initiation of CAB/RPV LA

  8. Virologic Non-Response After CVF

    Proportion of participants who do not achieve re-suppression (HIV-1 RNA <50 copies/mL) following confirmed virologic failure during the follow-up period.

    Measured: Up to 24 months after initiation of CAB/RPV LA

Timeline

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

  1. First posted27 Jan 2026
  2. Study start12 May 2026
  3. Primary completion1 Feb 2027 (estimated)
  4. Study completionMar 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Cross-sectional
Enrolment
250 participants (estimated)
Target duration
24 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT07370649
Sponsor's protocol ID
LACRIS
Acronym
LACRIS
Status last verified
Jun 2026
First submitted
19 Jan 2026
Last updated
11 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be shared because this is a retrospective, observational study based on routinely collected clinical data from multiple centers. The data are pseudo-anonymized and subject to local data protection regulations and ethical approvals, which limit the ability to share individual-level data outside the study team.

Questions about this trial

What is this clinical trial studying?

An observational study of Human Immunodeficiency Virus (HIV)-1 Infection and HIV-1 Subtype A6 Infection, run by Pomeranian Medical University Szczecin at 7 sites in 3 countries.

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 6 inclusion and 1 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: looking for participants now, as of the sponsor's last update on 11 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in Poland, Czechia, Germany. 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.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Miłosz Parczewski, prof. dr hab. n. med. (+48 91 813 94 41, klinzak@pum.edu.pl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Virologic Suppression at Follow-Up (time frame: Up to 24 months after initiation of CAB/RPV LA). 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 11 Jun 2026.

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