Trial record 3 of 3 for:
Sword | HIV
Regimen Switch to Dolutegravir + Rilpivirine From Current Antiretroviral Regimen in Human Immunodeficiency Virus Type 1 Infected and Virologically Suppressed Adults (SWORD-1)
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ClinicalTrials.gov Identifier: NCT02429791 |
Recruitment Status :
Active, not recruiting
First Posted : April 29, 2015
Results First Posted : December 2, 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 | 510 |
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 65 centers in 13 countries. |
Pre-assignment Details | Total 641 participants were screened (131 failed), 510 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 inhibitors [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 | 252 | 256 |
Completed | 239 | 238 |
Not Completed | 13 | 18 |
Reason Not Completed | ||
Adverse Event | 6 | 2 |
Physician Decision | 0 | 2 |
Lack of Efficacy | 2 | 1 |
Lost to Follow-up | 1 | 2 |
Protocol Violation | 1 | 4 |
Withdrawal by Subject | 3 | 7 |
Period Title: Late Switch Phase (Week 52 to Week 148) | ||
Started | 239 | 238 |
Completed | 214 | 210 |
Not Completed | 25 | 28 |
Reason Not Completed | ||
Adverse Event | 11 | 12 |
Physician Decision | 0 | 4 |
Lack of Efficacy | 4 | 3 |
Lost to Follow-up | 0 | 1 |
Protocol Violation | 3 | 3 |
Withdrawal by Subject | 7 | 5 |
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 inhibitors [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 | 252 | 256 | 508 | |
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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 | 252 participants | 256 participants | 508 participants | |
43.6 (10.93) | 43.6 (10.76) | 43.6 (10.84) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 252 participants | 256 participants | 508 participants | |
Female |
58 23.0%
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51 19.9%
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109 21.5%
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Male |
194 77.0%
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205 80.1%
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399 78.5%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 252 participants | 256 participants | 508 participants |
American Indian or Alaska Native |
3 1.2%
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6 2.3%
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9 1.8%
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Japanese/East Asian (EA) Heritage (H.)/South EA H. |
25 9.9%
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34 13.3%
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59 11.6%
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Black/African American |
24 9.5%
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27 10.5%
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51 10.0%
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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 |
198 78.6%
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188 73.4%
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386 76.0%
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American Indian or Alaska Native and white |
0 0.0%
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1 0.4%
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1 0.2%
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African American/African H. and Asian |
1 0.4%
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0 0.0%
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1 0.2%
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