Regimen Switch to Dolutegravir + Rilpivirine From Current Antiretroviral Regimen in Human Immunodeficiency Virus Type 1 Infected and Virologically Suppressed Adults (SWORD-2)
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ClinicalTrials.gov Identifier: NCT02422797 |
Recruitment Status :
Active, not recruiting
First Posted : April 21, 2015
Results First Posted : October 24, 2017
Last Update Posted : December 14, 2021
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Sponsor:
ViiV Healthcare
Collaborators:
Janssen Pharmaceuticals
GlaxoSmithKline
Information provided by (Responsible Party):
ViiV Healthcare
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
HIV Infections |
Interventions |
Drug: DTG 50 mg Drug: RPV 25 mg Drug: CAR |
Enrollment | 518 |
Participant Flow
Recruitment Details | This study was a 148-week, Phase III, randomized, open-label, active-controlled, multicenter, parallel-group, non-inferiority study to assess the antiviral activity and safety of a two-drug regimen of dolutegravir (DTG) + rilpivirine (RPV) compared with current antiretroviral regimen (CAR). The study was conducted at 60 centers in 11 countries. |
Pre-assignment Details | Total 639 participants were screened (121 failed), 518 participants were randomized and 2 participants withdrew before being exposed to study drug. The study included a Screening phase, an early switch phase, a late switch phase, and a continuation phase. The results presented are based on the interim analysis of the Late Switch Phase (Week 148). |
Arm/Group Title | DTG + RPV | Current Antiretroviral Regimen |
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Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. | Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148. |
Period Title: Early Switch Phase (Up to Week 52) | ||
Started | 261 | 255 |
Completed | 245 | 239 |
Not Completed | 16 | 16 |
Reason Not Completed | ||
Adverse Event | 11 | 1 |
Physician Decision | 0 | 1 |
Lack of Efficacy | 1 | 2 |
Lost to Follow-up | 1 | 1 |
Protocol Violation | 0 | 3 |
Reached stopping criteria | 1 | 1 |
Withdrawal by Subject | 2 | 7 |
Period Title: Late Switch Phase (Week 52 to Week 148) | ||
Started | 245 | 239 |
Completed | 222 | 221 |
Not Completed | 23 | 18 |
Reason Not Completed | ||
Physician Decision | 0 | 1 |
Adverse Event | 10 | 6 |
Lack of Efficacy | 5 | 3 |
Lost to Follow-up | 2 | 2 |
Withdrawal by Subject | 2 | 6 |
Reached stopping criteria | 1 | 0 |
Protocol Violation | 3 | 0 |
Baseline Characteristics
Arm/Group Title | DTG + RPV | Current Antiretroviral Regimen | Total | |
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Participants received DTG 50 milligrams (mg) + RPV 25 mg together once daily at approximately the same time, with a meal, in an open-label fashion up to Week 52 during early switch phase. Participants continued to receive DTG 50 mg + RPV 25 mg up to Week 148 during the Late Switch Phase. | Participants continued to receive their current antiretroviral regimen (two nucleoside reverse transcriptase inhibitor [NRTIs] + a third agent). A third agent included either an: integrase strand transfer inhibitor (INSTI), a non-nucleoside reverse transcriptase inhibitor (NNRTI) or a protease inhibitor (PI). CAR was administered according to the approved labeling in an open-label fashion up to Week 52 during early switch phase. At Week 52, participants with human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) <50 copies per milliliter (c/mL), switched to DTG 50 mg + RPV 25 mg once daily and were followed until Week 148. | Total of all reporting groups | |
Overall Number of Baseline Participants | 261 | 255 | 516 | |
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[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 261 participants | 255 participants | 516 participants | |
43.3 (11.34) | 43.2 (9.64) | 43.3 (10.52) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 261 participants | 255 participants | 516 participants | |
Female |
62 23.8%
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57 22.4%
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119 23.1%
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Male |
199 76.2%
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198 77.6%
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397 76.9%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 261 participants | 255 participants | 516 participants |
American Indian or Alaska Native |
11 4.2%
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7 2.7%
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18 3.5%
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Central/South Asian Heritage |
0 0.0%
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1 0.4%
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1 0.2%
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Japanese/East Asian (EA) Heritage (H.)/South EA H. |
13 5.0%
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15 5.9%
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28 5.4%
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Black/African American |
13 5.0%
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19 7.5%
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32 6.2%
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Native Hawaiian or other Pacific Islander |
1 0.4%
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0 0.0%
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1 0.2%
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White |
223 85.4%
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212 83.1%
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435 84.3%
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African American/ African H. and White |
0 0.0%
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1 0.4%
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1 0.2%
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